National Institute of Allergy and Infectious Diseases (NIAID)
Who can join
13 and older, any sex, with Tuberculosis or HIV Infections. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Incidence of First Diagnosis of Active Tuberculosis, Death Related to Tuberculosis, or Death From Unknown CausePrimary· From entry to occurrence of event, up to end of follow-up 3 years after last participant enrolled (median follow-up time: 3.3 years)
Incidence rate (events per 100 person-years) was estimated, and 95.1% confidence interval used to account for interim analysis of primary efficacy outcome.
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
0.6506
0.4242 – 0.8770
INH Regimen (Arm B)
0.6736
0.4428 – 0.9045
Number of Participants With Occurrence of One or More Serious Adverse Events (SAEs) Versus no SAEsSecondary· From entry to occurrence of event, up to end of follow-up 3 years after last participant enrolled (median follow-up time: 3.3 years)
Occurrence of any SAE that meets the ICH definition of an SAE
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
1405
INH Regimen (Arm B)
1390
RPT Plus INH Regimen (Arm A)
83
INH Regimen (Arm B)
108
Number of Participants With a Targeted Adverse EventSecondary· From entry to occurrence of event, up to end of follow-up 3 years after last participant enrolled (median follow-up time: 3.3 years)
Targeted adverse events include each new grade 3 or 4 laboratory value or sign or symptom that is at least one grade increase from baseline for the following: nausea and vomiting; cutaneous; drug-associated fever; elevated aspartate aminotransferase (AST) (serum glutamic oxaloacetic transaminase \[SGOT\]), alanine aminotransferase (ALT) (serum glutamic pyruvic transaminase \[SGPT\]), or bilirubin; and peripheral neuropathy
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
1445
INH Regimen (Arm B)
1446
RPT Plus INH Regimen (Arm A)
43
INH Regimen (Arm B)
52
Number of Participants in Each Category of Ordered Categorical Variable Indicating Most Stringent Level of Study Drug Management Due to Toxicity That Was Required Over the Treatment PeriodSecondary· From entry to end of treatment (up to 8 weeks for Arm A; up to 54 weeks for Arm B)
Ordered categories include:
1. Premature permanent treatment discontinuation
2. Treatment hold for more than 7 consecutive days
3. None of the above
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
16
INH Regimen (Arm B)
25
RPT Plus INH Regimen (Arm A)
11
INH Regimen (Arm B)
31
RPT Plus INH Regimen (Arm A)
1461
INH Regimen (Arm B)
1442
Cumulative Incidence of Death From Any CauseSecondary· From entry to occurrence of event, up to end of follow-up 3 years after last participant enrolled (median follow-up time: 3.3 years)
Data table estimates for percentage who died by each time point were estimated using Kaplan-Meier at 1, 2, 3, and 4 years post-entry.
1 year post-entry
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
0.35
INH Regimen (Arm B)
0.63
2 years post-entry
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
0.49
INH Regimen (Arm B)
1.15
3 years post-entry
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
1.05
INH Regimen (Arm B)
1.62
4 years post-entry
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
2.00
INH Regimen (Arm B)
2.29
Cumulative Incidence of Death Due to a Non-TB EventSecondary· From entry to occurrence of event, up to end of follow-up 3 years after last participant enrolled (median follow-up time: 3.3 years)
Cumulative incidence function estimated nonparametrically, treating TB-related deaths as competing risks.
Cumulative incidence by 1 year post-randomization
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
0.3
INH Regimen (Arm B)
0.5
Cumulative incidence by 2 years post-randomization
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
0.4
INH Regimen (Arm B)
1.0
Cumulative incidence by 3 years post-randomization
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
0.9
INH Regimen (Arm B)
1.5
Cumulative incidence by 4 years post-randomization
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
1.6
INH Regimen (Arm B)
2.0
Number of Participants With Antibiotic Resistance Among Mycobacterium Tuberculosis (MTB) Isolates in Participants Who Develop Active TuberculosisSecondary· After TB diagnosis
Among MTB-diagnosed participants who underwent drug-susceptibility testing, the number who had any resistance to a particular drug.
Rifampin
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
1
INH Regimen (Arm B)
1
RPT Plus INH Regimen (Arm A)
14
INH Regimen (Arm B)
11
Isoniazid
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
2
INH Regimen (Arm B)
1
RPT Plus INH Regimen (Arm A)
12
INH Regimen (Arm B)
11
Ethambutol
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
0
INH Regimen (Arm B)
1
RPT Plus INH Regimen (Arm A)
7
INH Regimen (Arm B)
7
Pyrazinamide
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
0
INH Regimen (Arm B)
0
RPT Plus INH Regimen (Arm A)
6
INH Regimen (Arm B)
6
Efavirenz (EFV) Plasma Concentrations in Arm ASecondary· Measured at Weeks 0, 2, 4, and 16
Mean and standard deviation.
Week 16 samples have not yet been analyzed because the metabolite assay is being validated, and requires submission for approval by the Clinical Pharmacology Quality Assurance Program. Analysis of week 16 samples are anticipated to be available in September 2019.
Week 0
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
3787
± 4922
Week 2
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
3870
± 7011
Week 4
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
4082
± 4916
Nevirapine (NVP) Plasma Concentrations in Arm ASecondary· Measured at Weeks 0, 2, and 4
Mean and standard deviation
Week0
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
7573
± 3789
Week 2
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
6234
± 4283
Week 4
Group
Value
95% CI
RPT Plus INH Regimen (Arm A)
5797
± 3963
Adverse events — posted to ClinicalTrials.gov
Time frame: From entry to end of follow-up 3 years after last participant enrolled (median follow-up time: 3.3 years).
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
RPT Plus INH Regimen (Arm A)
Serious: 40/1496 (3%)
Deaths: 21/1496
INH Regimen (Arm B)
Serious: 68/1504 (5%)
Deaths: 27/1504
Serious adverse events (77 terms)
Reaction
System
RPT Plus INH Regimen (Arm A)
INH Regimen (Arm B)
Hepatic enzyme increased
Investigations
—
—
Neutropenia
Blood and lymphatic system disorders
—
—
Seizure
Nervous system disorders
—
—
Anaemia
Blood and lymphatic system disorders
—
—
Intestinal obstruction
Gastrointestinal disorders
—
—
Death
General disorders
—
—
Drug-induced liver injury
Hepatobiliary disorders
—
—
Hepatotoxicity
Hepatobiliary disorders
—
—
Disseminated tuberculosis
Infections and infestations
—
—
Pneumonia
Infections and infestations
—
—
Transaminases increased
Investigations
—
—
Dehydration
Metabolism and nutrition disorders
—
—
Hepatocellular carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
HIV-infected people have an increased risk of developing active tuberculosis (TB). At the time the study was designed, the standard course of treatment for TB was 6 to 9 months of isoniazid (INH).This study compared the safety and effectiveness of a 4-week regimen of rifapentine (RPT) plus INH versus a standard 9-month regimen of INH in HIV-infected people who are at risk of developing active TB.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
NCT06987318 — A Study to Evaluate the Safety and Antiviral Activity of Two Human Monoclonal Antibodies (VRC07-523LS and PGT121.414.LS)
· Phase 1
· not yet recruiting
NCT07124559 — A Study of Daily Rifapentine Combined With Isoniazid (1HP) for Tuberculosis Prevention in Children Less Than 13 Years of
· Phase 1, PHASE2
· not yet recruiting
NCT07342491 — Dasatinib for HIV-1 Reservoir Reduction
· Phase 1
· not yet recruiting
Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by National Institute of Allergy and Infectious Diseases (NIAID)
Last refreshed: 4 November 2021
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01404312.