Three months of weekly rifapentine and isoniazid for treatment of Mycobacterium tuberculosis infection in HIV-coinfected persons
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/32366 |
Resumo: | 2020-04-05 |
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Sterling, Timothy R.Scott, Nigel A.Miro, Jose M.Calvet, GuilhermeLa Rosa, AlbertoInfante, RosaChen, Michael P.Benator, Debra A.Gordin, FredBenson, Constance A.Chaisson, Richard E.Villarino, M. ElsaTuberculosis Trials Consortium and the AIDS Clinical Trials Group for the PREVENT TB Trial2019-04-04T14:31:40Z2019-04-04T14:31:40Z2016STERLING, Timothy R. et al. Three months of weekly rifapentine plus isoniazid for treatment of M. tuberculosis Infection in HIV co-infected persons. AIDS, v. 30, n. 10, p. 1-17, June 19 2016.0954-0121https://www.arca.fiocruz.br/handle/icict/3236610.1097/QAD.0000000000001098engLippincott, Williams & WilkinsThree months of weekly rifapentine and isoniazid for treatment of Mycobacterium tuberculosis infection in HIV-coinfected personsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2020-04-05Vanderbilt University School of Medicine. Nashville, TNCenters for Disease Control and Prevention. Atlanta, GA, USA.University of Barcelona. Barcelona. Spain / Hospital Clínic – IDIBAPS. Barcelona, Spain.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Asociación Civil Impacta Salud y Educación. Lima, Peru.Asociación Civil Impacta Salud y Educación. Lima, Peru.Centers for Disease Control and Prevention. Atlanta, GA, USA.George Washington University. Veterans Affairs Medical Center. Washington D.C., USA.University of California at San Diego. San Diego, CA, USA.Johns Hopkins University School of Medicine. Baltimore, MD, USA.Centers for Disease Control and Prevention. Atlanta, GA, USA.Objective: Compare the effectiveness, tolerability, and safety of three months of weekly rifapentine plus isoniazid under direct observation (3HP) vs. 9 months of daily isoniazid (9H) in HIV-infected persons. Design: Prospective, randomized, open-label non-inferiority trial. Setting: U.S., Brazil, Spain, Peru, Canada, and Hong Kong. Participants: HIV-infected persons who were tuberculin skin test positive or close contacts of tuberculosis cases. Intervention: 3HP vs. 9H. Main Outcome Measures: The effectiveness endpoint was tuberculosis; the non-inferiority margin was 0.75%. The tolerability endpoint was treatment completion; the safety endpoint was drug discontinuation due to adverse drug reaction. Results: Median baseline CD4+ counts were 495 (IQR:389–675) and 538 (IQR:418–729) cells/mm3 in the 3HP and 9H arms, respectively (P=0.09). In the modified intention to treat analysis, there were two tuberculosis cases among 206 persons (517 person-years (p-y) of followup) in the 3HP arm (0.39 per 100 p-y) and six tuberculosis cases among 193 persons (481 p-y of follow-up) in the 9H arm (1.25 per 100 p-y). Cumulative tuberculosis rates were 1.01% vs. 3.50% in the 3HP and 9H arms, respectively (rate difference: −2.49%; upper bound of the 95% confidence interval (CI) of the difference: 0.60%). Treatment completion was higher with 3HP (89%) than 9H (64%) (P<0.001), and drug discontinuation due to an adverse drug reaction was similar (3% vs. 4%; P=0.79) in 3HP and 9H, respectively. Conclusions: Among HIV-infected persons with median CD4+ count of approximately 500 cells/mm3 , 3HP was as effective and safe for treatment of latent M. tuberculosis infection as 9H, and better tolerated.M. tuberculosisLatent tuberculosisHIVRifapentineIsoniazidinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83104https://www.arca.fiocruz.br/bitstream/icict/32366/1/license.txt79178e5f2a0eb066867a274556814938MD51ORIGINALve_Sterling_Timothy_etal_INI_2016.pdfve_Sterling_Timothy_etal_INI_2016.pdfapplication/pdf355496https://www.arca.fiocruz.br/bitstream/icict/32366/2/ve_Sterling_Timothy_etal_INI_2016.pdf13e3d54b78c1bd524e9cfd954de10940MD52TEXTve_Sterling_Timothy_etal_INI_2016.pdf.txtve_Sterling_Timothy_etal_INI_2016.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv |
Three months of weekly rifapentine and isoniazid for treatment of Mycobacterium tuberculosis infection in HIV-coinfected persons |
title |
Three months of weekly rifapentine and isoniazid for treatment of Mycobacterium tuberculosis infection in HIV-coinfected persons |
spellingShingle |
Three months of weekly rifapentine and isoniazid for treatment of Mycobacterium tuberculosis infection in HIV-coinfected persons Sterling, Timothy R. M. tuberculosis Latent tuberculosis HIV Rifapentine Isoniazid |
title_short |
Three months of weekly rifapentine and isoniazid for treatment of Mycobacterium tuberculosis infection in HIV-coinfected persons |
title_full |
Three months of weekly rifapentine and isoniazid for treatment of Mycobacterium tuberculosis infection in HIV-coinfected persons |
title_fullStr |
Three months of weekly rifapentine and isoniazid for treatment of Mycobacterium tuberculosis infection in HIV-coinfected persons |
title_full_unstemmed |
Three months of weekly rifapentine and isoniazid for treatment of Mycobacterium tuberculosis infection in HIV-coinfected persons |
title_sort |
Three months of weekly rifapentine and isoniazid for treatment of Mycobacterium tuberculosis infection in HIV-coinfected persons |
author |
Sterling, Timothy R. |
author_facet |
Sterling, Timothy R. Scott, Nigel A. Miro, Jose M. Calvet, Guilherme La Rosa, Alberto Infante, Rosa Chen, Michael P. Benator, Debra A. Gordin, Fred Benson, Constance A. Chaisson, Richard E. Villarino, M. Elsa Tuberculosis Trials Consortium and the AIDS Clinical Trials Group for the PREVENT TB Trial |
author_role |
author |
author2 |
Scott, Nigel A. Miro, Jose M. Calvet, Guilherme La Rosa, Alberto Infante, Rosa Chen, Michael P. Benator, Debra A. Gordin, Fred Benson, Constance A. Chaisson, Richard E. Villarino, M. Elsa Tuberculosis Trials Consortium and the AIDS Clinical Trials Group for the PREVENT TB Trial |
author2_role |
author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Sterling, Timothy R. Scott, Nigel A. Miro, Jose M. Calvet, Guilherme La Rosa, Alberto Infante, Rosa Chen, Michael P. Benator, Debra A. Gordin, Fred Benson, Constance A. Chaisson, Richard E. Villarino, M. Elsa Tuberculosis Trials Consortium and the AIDS Clinical Trials Group for the PREVENT TB Trial |
dc.subject.en.pt_BR.fl_str_mv |
M. tuberculosis Latent tuberculosis HIV Rifapentine Isoniazid |
topic |
M. tuberculosis Latent tuberculosis HIV Rifapentine Isoniazid |
description |
2020-04-05 |
publishDate |
2016 |
dc.date.issued.fl_str_mv |
2016 |
dc.date.accessioned.fl_str_mv |
2019-04-04T14:31:40Z |
dc.date.available.fl_str_mv |
2019-04-04T14:31:40Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
STERLING, Timothy R. et al. Three months of weekly rifapentine plus isoniazid for treatment of M. tuberculosis Infection in HIV co-infected persons. AIDS, v. 30, n. 10, p. 1-17, June 19 2016. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/32366 |
dc.identifier.issn.pt_BR.fl_str_mv |
0954-0121 |
dc.identifier.doi.none.fl_str_mv |
10.1097/QAD.0000000000001098 |
identifier_str_mv |
STERLING, Timothy R. et al. Three months of weekly rifapentine plus isoniazid for treatment of M. tuberculosis Infection in HIV co-infected persons. AIDS, v. 30, n. 10, p. 1-17, June 19 2016. 0954-0121 10.1097/QAD.0000000000001098 |
url |
https://www.arca.fiocruz.br/handle/icict/32366 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Lippincott, Williams & Wilkins |
publisher.none.fl_str_mv |
Lippincott, Williams & Wilkins |
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reponame:Repositório Institucional da FIOCRUZ (ARCA) instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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