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The purpose of this study is to elucidate whether the individualized medicine based on NAT2 gene polymorphism could improve the safety, efficacy and economical benefits of multi-drug therapy for the pulmonary tuberculosis with isoniazid.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PGx-treatment | Experimental | NAT2 genotype-guided treatment with stratified isoniazid dose (approx. 7.5 mg/kg b.w., patients homozygous for NAT2*4: rapid acetylators; 5 mg/kg, patients heterozygous for NAT2*4: intermediate acetylators; 2.5 mg/kg, patientes without NAT2*4: slow acetylators) |
|
| STD-treatment | Active Comparator | Treatment with conventional standard isoniazid dose (approx. 5 mg/kg b.w.) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Isoniazid | Drug | Modified daily isoniazid dose : approx. 7.5 mg/kg, 5 mg/kg and 2.5 mg/kg for rapid, intermediate and slow acetylators, respectively |
|
| Measure | Description | Time Frame |
|---|---|---|
| The incidences of unfavorable events in two different treatment regimens based on the NAT2 gene polymorphism | 1) the incidences of drug-induced liver injury associated with INH that occurred within 8 weeks of the treatments, and 2) the incidence of early treatment failure as indicated by a persistent positive culture or no improvement in chest radiographs at the 8th week |
| Measure | Description | Time Frame |
|---|---|---|
| Other adversed events during the 8 weeks of the intensive phase of the anti-tuberculosis therapy |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Junichi Azuma, MD | Graduate School of Pharmaceutical Sciences, Osaka University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Osaka Prefectural Medical Center for Respiratory and Allergic Diseases | Habikino | Osaka | 583-8588 | Japan | ||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23150149 | Derived | Azuma J, Ohno M, Kubota R, Yokota S, Nagai T, Tsuyuguchi K, Okuda Y, Takashima T, Kamimura S, Fujio Y, Kawase I; Pharmacogenetics-based tuberculosis therapy research group. NAT2 genotype guided regimen reduces isoniazid-induced liver injury and early treatment failure in the 6-month four-drug standard treatment of tuberculosis: a randomized controlled trial for pharmacogenetics-based therapy. Eur J Clin Pharmacol. 2013 May;69(5):1091-101. doi: 10.1007/s00228-012-1429-9. Epub 2012 Nov 14. |
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| ID | Term |
|---|---|
| D014397 | Tuberculosis, Pulmonary |
| ID | Term |
|---|---|
| D014376 | Tuberculosis |
| D009164 | Mycobacterium Infections |
| D000193 | Actinomycetales Infections |
| D016908 | Gram-Positive Bacterial Infections |
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| ID | Term |
|---|---|
| D007538 | Isoniazid |
| ID | Term |
|---|---|
| D006834 | Hydrazines |
| D009930 | Organic Chemicals |
| D007539 | Isonicotinic Acids |
| D000147 | Acids, Heterocyclic |
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| isoniazed | Drug | Conventional standard daily isoniazid dose : approx. 5 mg/kg b.w. for all |
|
| Osaka Hospital, Anti-Tuberculosis Association, Osaka Branch |
| Neyagawa |
| Osaka |
| 572-0801 |
| Japan |
| National Hospital Organization Kinki-chuo Chest Medical Center | Sakai | Osaka | 591-8555 | Japan |
| National Hospital Organization Toneyama | Toyonaka | Osaka | 560-8552 | Japan |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
| D012141 | Respiratory Tract Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D006571 |
| Heterocyclic Compounds |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |