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. 1999 Oct 25;1999(4):CD001362. doi: 10.1002/14651858.CD001362

Agra 1981.

Methods Randomized trial of 2 4.5‐month and one 3‐month regimens, each with SHRZ. A regimen adding ethionamide as a 5th drug was discontinued because of high side effect rates and is not included in this review.
Participants 266 adults with smear‐ and culture‐positive TB, and <15 days of previous TB treatment entered
Excluded from relapse analysis:
Pretreatment ineligibility: 34/266 (13%)
Continued drug after trial: 4/266 (2%)
Defaulted:
3RSZH: 7/62 (11.3%)
 3SHRZ/1.5RH: 4/34 (11.7%)
 3SHRZ/1.5SHZI: 5/54 (9.3%)
Interventions 1. 3SHRZ followed by 1.5 month placebo tablets
 2. 3SHRZ/1.5RH
 3. 3SHRZ/1.5SHZI
Daily dosages for first 3 months (all regimens):
S: 0.75 g
 H: 58 mg/kg
 R: 10 mg/kg
 Z: 35 mg/kg
Regimen 2 daily dosage final 1.5 months:
H: 5‐8 mg/kg
 R: 10 mg/kg
Regimen 3 twice weekly dosage final 1.5 months:
S: 0.75 g
 H: 14 mg/kgoZ: 60 mg/kg
All participants made monthly visits to the clinic and were given supplies of daily placebo tablets through 2 years after the start of the study.
Outcomes Sputum conversion during and immediately following treatment
Radiologic assessment at various points int ime
Relapse at 1 year (defined as a positive sputum culture in 2 consecutive months)
Notes More than 10% of the patients entered "defaulted" in treatment, and were not included in the analysis.
The two 4.5‐month regimens are combined in the box and line diagram.