Evidence map›Paper›PMID 31981713›Full record

ArticleContemporary clinical trials2020

High-dose rifapentine with or without moxifloxacin for shortening treatment of pulmonary tuberculosis: Study protocol for TBTC study 31/ACTG A5349 phase 3 clinical trial.

Susan E Dorman, Payam Nahid, Ekaterina V Kurbatova, Stefan V Goldberg, Lorna Bozeman, William J Burman, Kwok-Chiu Chang, Michael Chen, Mark Cotton, Kelly E Dooley and 23 more

2 registry-linked trialsOpen access · greenAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02410772 phase3completednot on this map

Rifapentine-containing Treatment Shortening Regimens for Pulmonary Tuberculosis: A Randomized, Open-label, Controlled Phase 3 Clinical Trial. TBTC Study 31, ACTG Study A5349

TypeinterventionalSponsorCenters for Disease Control and PreventionRan2016 to 2021Enrolled2,516ConditionsTuberculosisArmsrifapentine, rifapentine and moxifloxacin, control
NCT06253715 phase3recruitingnot on this mapstarted 2025, after this paper: background citation

Shortened Regimen for Drug-susceptible TB in Children

TypeinterventionalSponsorJohns Hopkins UniversityRan2025 to 2027Enrolled860ConditionsTuberculosis, Tuberculosis, Pulmonary, Tuberculosis, Lymph Node, Mycobacterium TuberculosisArmsIsoniazid, Rifampin, Pyrazinamide, Ethambutol, Rifapentine
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
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  5. Pharmacokinetic-Pharmacodynamic Evidence From a Phase 3 Trial to Support Flat-Dosing of Rifampicin for Tuberculosis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Trial
  6. Trial
  7. Rifapentine With and Without Moxifloxacin for Pulmonary Tuberculosis in People With Human Immunodeficiency Virus (S31/A5349).Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Trial
  8. Trial
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  12. Trial
  13. Review
  14. Article
  15. Buruli ulcer.Nature reviews. Disease primers · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Toward better cures forClinical microbiology reviews · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors at 18 institutions in 7 countries.

Susan E DormanMedical University of South Carolina, Charleston, SC, USA. Electronic address: dorman@musc.edu.
Payam NahidUniversity of California, San Francisco, California, USA.
Ekaterina V KurbatovaUS Centers for Disease Control and Prevention, Atlanta, GA, USA.
Stefan V GoldbergUS Centers for Disease Control and Prevention, Atlanta, GA, USA.
Lorna BozemanUS Centers for Disease Control and Prevention, Atlanta, GA, USA.
William J BurmanDenver Public Health, Denver, CO, USA.
Kwok-Chiu ChangTuberculosis and Chest Service, Department of Health, Hong Kong.
Michael ChenUS Centers for Disease Control and Prevention, Atlanta, GA, USA.
Mark CottonStellenbosch University, Cape Town, South Africa.
Kelly E DooleyJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Melissa EngleAudie L. Murphy Veterans Affairs Medical Center / University of Texas Health Science Center, San Antonio, TX, USA.
Pei-Jean FengUS Centers for Disease Control and Prevention, Atlanta, GA, USA.
Courtney V FletcherUniversity of Nebraska Medical Center, Omaha, NE, USA.
Phan HaVietnam National TB Program (NTP)/UCSF Research Collaboration, Hanoi, Viet Nam.
Charles M HeiligUS Centers for Disease Control and Prevention, Atlanta, GA, USA.
John L JohnsonCase Western Reserve University School of Medicine and University Hospitals Cleveland Medical Center, Cleveland, OH, USA; Uganda-Case Western Reserve University Research Collaboration, Kampala, Uganda.
Erica LessemTreatment Action Group, NY, New York, USA.
Beverly MetchockUS Centers for Disease Control and Prevention, Atlanta, GA, USA.
Jose M MiroHospital Clinic-IDIBAPS, University of Barcelona, Barcelona, Spain.
Nguyen Viet NhungVietnam National TB Program (NTP)/UCSF Research Collaboration, Hanoi, Viet Nam.
April C PettitVanderbilt University Medical Center, Department of Medicine, Division of Infectious Diseases, Nashville, TN, USA.
Patrick P J PhillipsUniversity of California, San Francisco, California, USA.
Anthony T PodanyUniversity of Nebraska Medical Center, Omaha, NE, USA.
Anne E PurfieldUS Centers for Disease Control and Prevention, Atlanta, GA, USA; U.S. Public Health Service Commissioned Corps, Rockville, MD, USA.
Kathleen RobergeauWestat, Inc., Rockville, MD, USA.
Wadzanai SamanekaParirenyatwa Clinical Research Site, Harare, Zimbabwe.
Nigel A ScottUS Centers for Disease Control and Prevention, Atlanta, GA, USA.
Erin SizemoreUS Centers for Disease Control and Prevention, Atlanta, GA, USA.
Andrew VernonUS Centers for Disease Control and Prevention, Atlanta, GA, USA.
Marc WeinerAudie L. Murphy Veterans Affairs Medical Center / University of Texas Health Science Center, San Antonio, TX, USA.
Susan SwindellsUniversity of Nebraska Medical Center, Omaha, NE, USA.
Richard E ChaissonJohns Hopkins University School of Medicine, Baltimore, MD, USA.
AIDS Clinical Trials Group and the Tuberculosis Trials Consortium
Centers for Disease Control and Prevention · USUniversity of Nebraska Medical Center · USCenters for Disease Control and Prevention · UGMurphy Oil Corporation (United States) · USUniversity of California, San Francisco · USVietnam National University, Hanoi · VNDenver Public Health · USDepartment of Health · CNJohns Hopkins Medicine · USJohns Hopkins University · USMedical University of South Carolina · USMUJHU Research Collaboration · UGParirenyatwa Hospital · ZWStellenbosch University · ZATreatment Action Group · USUniversitat de Barcelona · ESVanderbilt University Medical Center · USWestat (United States) · US

Funding

Leadership and Operations Center (LOC), AIDS Clinical Trials Group (ACTG); LOC 1/UM1AI068636 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, RAJESH T GANDHI · 2011 to 2026
$1073.1M
Statistical and Data Management Center (SDMC), AIDS Clinical Trials Group (ACTG)UM1AI068634 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Marlene Ann Cooper, Michael David Hughes · 2011 to 2026
$246.6M
Validation, CLIA and Qualification (VQC): Enhancing the RS ratio as a tool for AIDS Clinical Trial Group (ACTG) tuberculosis trialsUM1AI106701 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Grace M Aldrovandi · 2014 to 2026
$116.8M
UZ-UCSF CTUUM1AI069436 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ZVAVAHERA MIKE CHIRENJE, LYNDA STRANIX-CHIBANDA · 2012 to 2026
$75.9M
UZ-UCSF Clinical Trials UnitU01AI069436 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHIRENJE, ZVAVAHERA MIKE · 2007 to 2011
$49.3M
LC - IMPAACT Leadership GroupUM1AI106716 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Grace M Aldrovandi · 2014 to 2026
$47.2M
Emory HIV/AIDS Clinical Trials UnitUM1AI069418 · NIAID · EMORY UNIVERSITY · PI Colleen F Kelley · 2012 to 2026
$46.0M
Wits HIV Research Group CLINICAL TRIAL UNIT (CTU) reapplicationUM1AI069463 · NIAID · WITS HEALTH CONSORTIUM (PTY), LTD · PI REES, HELEN, SANNE, IAN MATTHIAS · 2012 to 2025
$31.8M
Tennessee CFAR: Implementation of Culturally Responsive Trauma-Informed Care with Youth with HIV in Memphis, TNP30AI110527 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI John Koethe · 2015 to 2026
$27.5M
United States Military HIV Research Program (MHRP) Clinical Trials UnitUM1AI108568 · NIAID · WALTER REED ARMY INSTITUTE OF RESEARCH · PI Julie A. Ake, Merlin L Robb · 2014 to 2026
$24.3M
Units for HIV/AIDS Clinical Trials NetworksU01AI069463 · NIAID · WITS HEALTH CONSORTIUM (PTY), LTD · PI SANNE, IAN MATTHIAS · 2007 to 2011
$24.2M
Multi-level Social and Behavioral Determinants of Health and Missed HIV Healthcare Provider VisitsR01MH113438 · NIMH · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PETTIT, APRIL · 2018 to 2020
$1.3M
NIAID NIH HHS P30 AI110527NIAID NIH HHS U01 AI069436NIAID NIH HHS U01 AI069463NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI069418NIAID NIH HHS UM1 AI069436NIAID NIH HHS UM1 AI069463NIAID NIH HHS UM1 AI106701NIAID NIH HHS UM1 AI106716NIAID NIH HHS UM1 AI108568
6 · The paper itself

Abstract

introductionPhase 2 clinical trials of tuberculosis treatment have shown that once-daily regimens in which rifampin is replaced by high dose rifapentine have potent antimicrobial activity that may be sufficient to shorten overall treatment duration. Herein we describe the design of an ongoing phase 3 clinical trial testing the hypothesis that once-daily regimens containing high dose rifapentine in combination with other anti-tuberculosis drugs administered for four months can achieve cure rates not worse than the conventional six-month treatment regimen. METHODS/

designS31/A5349 is a multicenter randomized controlled phase 3 non-inferiority trial that compares two four-month regimens with the standard six-month regimen for treating drug-susceptible pulmonary tuberculosis in HIV-negative and HIV-positive patients. Both of the four-month regimens contain high-dose rifapentine instead of rifampin, with ethambutol replaced by moxifloxacin in one regimen. All drugs are administered seven days per week, and under direct observation at least five days per week. The primary outcome is tuberculosis disease-free survival at twelve months after study treatment assignment. A total of 2500 participants will be randomized; this gives 90% power to show non-inferiority with a 6.6% margin of non-inferiority. DISCUSSION: This phase 3 trial formally tests the hypothesis that augmentation of rifamycin exposures can shorten tuberculosis treatment to four months. Trial design and standardized implementation optimize the likelihood of obtaining valid results. Results of this trial may have important implications for clinical management of tuberculosis at both individual and programmatic levels.

trial registrationNCT02410772. Registered 8 April 2015,https://www.clinicaltrials.gov/ct2/show/NCT02410772?term=02410772&rank=1.

Indexed as

Antitubercular AgentsHIV InfectionsMoxifloxacinRifampinTuberculosis, PulmonaryAdolescentAdultClinical Trials, Phase III as TopicDirectly Observed TherapyDrug Administration ScheduleDrug Therapy, CombinationEquivalence Trials as TopicEthambutolFemaleHumansMaleAntitubercular AgentsEthambutolMoxifloxacinRifampinrifapentineMoxifloxacinMulticenter randomized trialNon-inferiorityRifapentineTBTuberculosis

Identifiers

PMID31981713
PMCPMC7307310
OpenAlexW3000751718

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.