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. 2019 Dec 12;2019(12):CD012918. doi: 10.1002/14651858.CD012918.pub2

CTRI/2008/091/000024.

Trial name or title Randomized clinical trial to study the efficacy and tolerability of 3‐ and 4‐month regimens containing moxifloxacin in the treatment of patients with sputum smear and culture positive pulmonary tuberculosis
Methods Randomized, open‐label, parallel‐group, 5‐arm, active‐controlled trial
Participants Inclusion criteria:
  • Age 18 years to 60 years

  • Residing in or around Chennai or Madurai

  • No previous anti‐tuberculosis treatment

  • At least 2 sputum smears should be positive for tubercle bacilli by fluorescent microscopy at enrolment

  • Willing to attend the treatment centre for supervised treatment

  • Willing for home visits by staff from the centre

  • Willing to give written informed consent


Exclusion criteria:
  • Body weight less than 30 kg

  • Hepatic or renal disease as evidenced by clinical or biochemical abnormalities

  • Diabetes mellitus

  • History of seizure or loss of consciousness

  • Psychiatric illness

  • Abnormal electrocardiogram or anti‐arrhythmic medication

  • Those in a moribund state

  • Seropositive for HIV antibodies

  • Pregnancy or lactation

  • Visual disorders other than refractory error


Anticipated sample size: 1650
Interventions Intervention(s):
Moxifloxacin arm: 4 regimens of 3 to 4 months
3 RHZEM
2 RHZEM/2 RHM
2 RHZEM/2 RHM thrice weekly
2 RHZEM/2 RHEM thrice weekly
Dose: rifampicin 450 mg; isoniazid 300 mg (daily), 600 mg (thrice weekly); pyrazinamide 1500 mg; ethambutol 800 mg (daily), 1200 mg (thrice weekly); moxifloxacin 400 mg
Control:
2 RHZE thrice weekly/4 RH thrice weekly (for 6 months)
Dose: rifampicin 450 mg; isoniazid 600 mg; pyrazinamide 1500 mg; ethambutol 1200 mg
Outcomes Primary outcome:
  • Relapse rates 24 months after treatment among those with a favourable or doubtful bacteriologic response at end of treatment


Secondary outcomes:
  • Sputum culture conversion at 2 months of treatment

  • Bacteriologic response at end of treatment

  • Adverse reactions to anti‐tuberculosis drugs during treatment

Starting date 30 May 2007; anticipated study end date: May 2015; no results posted (last modified 06/02/2013)
Contact information Dr MS Jawahar, Tuberculosis Research Centre, Mayor VR Ramanathan Road, Chetput, Chennai TAMIL NADU 600031 India. Tel: +91‐44‐28369500; Email: msjawahar@trcchennai.in
Notes Study locations: Chennai and Madurai in India
Registration number:CTRI/2008/091/000024
Primary sponsor: Indican Council of Medical Research
Comment: the first author confirmed that this is completed, has been analysed, written up, submitted for publication, and will be re‐submitted after peer review