Status:

RECRUITING

Gene-guided N-acetyl Cysteine for Prophylaxis of Anti-tuberculous Drug- Induced Hepatitis

Lead Sponsor:

Mahidol University

Conditions:

Tuberculosis (TB)

Isoniazid Toxicity

Eligibility:

All Genders

18-80 years

Phase:

PHASE4

Brief Summary

Tuberculosis (TB) remains a significant public health concern in Thailand and globally, especially in tropical regions, with pulmonary TB being predominant. Besides affecting the lungs, TB can also im...

Detailed Description

Tuberculosis (TB) is a significant public health problem in Thailand and globally, especially in hot climates. TB infection is commonly found in the lungs, but it can also affect other important organ...

Eligibility Criteria

Inclusion

  • Patients aged 18 - 80 years old.
  • Newly diagnosed tuberculosis patients (both pulmonary and extrapulmonary).
  • Received standard anti-tuberculosis medication according to standard regimens (2HRZE/4HR, 2HRE/7HR).
  • Willing to participate in the research

Exclusion

  • Infected with HIV.
  • Severe liver dysfunction classified as Child-Pugh B or C.
  • Chronic untreated liver diseases such as hepatitis B or C, alcoholic liver disease.
  • Abnormal liver function tests including AST \> 1.5 times the upper limit of normal (48 U/L), ALT \> 1.5 times the upper limit of normal (55 U/L), ALP \> upper limit of normal (110 U/L), Total bilirubin \> upper limit of normal (1.2 mg/dL).
  • Diagnosed with cancer.
  • History of allergy to N-acetylcysteine (NAC).
  • Pregnant or breastfeeding.
  • Severe comorbidities such as CKD stage 4-5, chronic heart failure, severe pulmonary diseases (COPD, bronchiectasis).

Key Trial Info

Start Date :

March 12 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 18 2024

Estimated Enrollment :

116 Patients enrolled

Trial Details

Trial ID

NCT06484530

Start Date

March 12 2024

End Date

September 18 2024

Last Update

July 3 2024

Active Locations (1)

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1

Faculty of Medicine Siriraj Hospital, Mahidol University

Bangkok Noi, Bangkok, Thailand, 10700