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. 2021 Apr 1;25(4):305–314. doi: 10.5588/ijtld.20.0513

Table 1.

Trial analysis populations and related unfavourable outcomes: list of definitions applied at end-point review for patients in the trial by analysis population *

Modified intention-to-treat population
All randomised patients included, except:
  • Late exclusions due to resistance pattern, lack of culture confirmation, protocol violation at enrolment

  • Patients who, having completed treatment, are lost to follow-up or withdrawn from the study with their last status being culture-negative

  • Women who become pregnant during treatment and stop their allocated treatment

  • Patients who died during treatment from violent or accidental cause

  • Patients who died during follow-up (after the end of treatment) with no evidence of failure or relapse of their TB

  • Patients who, after being classified as having culture-negative status, are re-infected with a strain other than that with which they had been originally infected

  • Patients who are able to produce sputum at 12 months, but whose 12-month visit sputum samples are all contaminated or missing, who cannot be brought back for repeat culture testing


Unfavourable outcome definitions
  • Patients not classified as having achieved or maintained culture-negative status when last seen

  • Patients previously classified as having culture-negative status who, following the end of treatment, have two positive cultures without an intervening negative culture

  • Patients who had a positive culture not followed by at least two negative cultures when last seen

  • Patients dying from any cause during the 6-month treatment phase, except from violent or accidental cause (e.g., road traffic accident), not including suicide (e.g., suicide was considered an unfavourable outcome)

  • Patients definitely or possibly dying from TB-related cause during the follow-up phase

  • Patients requiring a restart or a change of treatment because of an unfavourable outcome with or without bacteriological confirmation, i.e., on bacteriological, radiographic or clinical grounds

  • Patients requiring an extension of their treatment beyond that permitted by the protocol, a restart or a change of treatment for any reason except reinfection or pregnancy

  • Patients failing to complete an adequate course of treatment, who were unassessable at 12 months

  • Patients lost to follow-up or withdrawn from the study before the end of treatment

Per protocol population

All randomised patients included, except:
  • Late exclusions due to resistance pattern, lack of culture confirmation, protocol violation at enrolment

  • Patients who, having completed treatment, are lost to follow-up or withdrawn from the study with their last status being culture-negative

  • Women who become pregnant during treatment and stop their allocated treatment

  • Patients who died during treatment from violent or accidental cause

  • Patients who died during follow-up (after the end of treatment) with no evidence of treatment failure or relapse of their TB

  • Patients who, after being classified as having culture-negative status, are re-infected with a strain other than that with which they had been originally infected

  • Patients who are able to produce sputum at 12 months, but whose 12-month visit sputum samples are all contaminated or missing, who cannot be brought back for repeat cultures

  • Patients lost to follow-up or withdrawn before the end of treatment

  • Patients whose treatment was modified or extended for reasons other than an unfavourable therapeutic response to treatment

  • Patients not meeting the definition of having received an adequate amount of their allocated study regimen (80% of treatment by self-reporting)

  • Patients who are classified as “major protocol deviations”


Unfavourable outcome definitions:
  • Patients not classified as having achieved or maintained culture-negative status when last seen

  • Patients previously classified as having culture-negative status who, following the end of treatment, have two positive cultures without an intervening negative culture

  • Patients who had a positive culture not followed by at least two negative cultures when last seen

  • Patients dying from any cause during the 6 month treatment phase, except from violent or accidental cause (e.g., road traffic accident), not including suicide (e.g., suicide will be considered an unfavourable outcome)

  • Patients definitely or possibly dying from TB related cause during the follow-up phase

  • Patients requiring a restart or a change of treatment because of an unfavourable outcome with or without bacteriological confirmation, i.e., on bacteriological, radiographic or clinical grounds

* Relapse was declared if positive cultures after the end of treatment were considered identical to the baseline sample using WGS (difference of <20 SNPs), or if WGS was not available. Recurrence was considered to be re-infection if the M. tuberculosis strain was different by >100 SNPs from the baseline strain.

Unless already declared as unfavourable.

WGS = whole-genome sequencing; SNP = single-nucleotide polymorphism.