New all-oral treatment for rifampicin-resistant tuberculosis
Official title: Innovating(IN) Shorter(S), All- Oral, Precised(P), Individualized(I) Treatment Regimen(RE) for Rifampicin Resistant Tuberculosis(INSPIRE-TB)
Run by Huashan Hospital · NCT05081401 · Data updated 2026-11-12
This study is testing seven new all-oral treatment options for people with rifampicin-resistant tuberculosis to see if they work better than the standard treatment.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 16 Years to 75 Years |
| Sex | All |
| Enrollment | 1050 (estimated) |
| Sponsor | Huashan Hospital Academic / other |
| Locations | 5 sites (Guiyang, Guizhou and 4 other locations) |
| Status | Recruiting |
| Started | May 23, 2022 |
| Main results expected | December 1, 2026 |
| Study ends | December 1, 2027 |
| Registry record updated | April 6, 2025 |
| Trial ID | NCT05081401 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are males and females aged 16-75 with pulmonary TB and rifampicin resistance, regardless of HIV status.
✕Probably not a fit
Patients with known allergies to study drugs, central nervous system TB, or those in critical condition are unlikely to benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The INSPIRE-TB study evaluates the efficacy and safety of seven different 9-month oral treatment regimens for patients with rifampicin-resistant tuberculosis (RR-TB) who are susceptible to fluoroquinolones. This pragmatic, multicenter, randomized, controlled trial compares these experimental regimens to a standard of care regimen. The study also includes a specific regimen for patients with pre-XDR TB. Participants will undergo molecular drug susceptibility testing to tailor their treatment and minimize toxicity.
Why it matters
Potential benefit: If successful, this study could provide a shorter, more effective treatment option for patients with rifampicin-resistant tuberculosis.
How similar studies have gone: Other studies have shown promise with shorter treatment regimens for tuberculosis, but this specific approach is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Male or female patients aged 16-75 years with weight over 30kg, regardless of HIV status; 2. Pulmonary TB with rifampicin resistance diagnosed with either WHO-approved rapid molecular diagnostic test or phenotype drug susceptibility test (within 60 days prior to randomisation) ; 3. Signed informed consent form (ICF). Exclusion Criteria: 1. Known allergies, hypersensitivity, or contraindication to any of the study drugs as described in additional material; 2. Participants combined with central nervous system TB, tuberculous osteomyelitis or arthritis, hematogenous disseminated pulmonary TB; 3. Patients known to be pregnant or breastfeeding at the time of enrollment; 4. Patients who have received second-line MDR-TB treatment for 14 days or more prior to enrollment; 5. Patients in critical condition and expected survival is estimated by physician to be less than 12 weeks.
Where it's running
-
Guiyang Public Health Treatment Center
Guiyang, Guizhou, China Recruiting -
People's Hospital of Qiandongnan
Kaili, Guizhou, China Recruiting -
The Third People's Hospital of Liupanshui
Liupanshui, Guizhou, China Recruiting -
Affiliated Hospital of Zunyi Medical University
Zunyi, Guizhou, China Recruiting -
Huashan Hospital of Fudan University
Shanghai, Shanghai Municipality, China Recruiting
Study contacts
- Principal investigator: Wenhong Zhang, PHD — Huashan Hospital
- Study coordinator: Feng Sun, Dr.
- Email: feng.sun@nmcid.org.cn
- Phone: (086)15921403893
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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JDB0131 tablets for drug-resistant pulmonary TB
This tests two doses of the experimental tablet JDB0131 versus a delamanid-containing regimen in people aged 14–65 with rifampicin-resistant or multidrug-resistant pulmonary tuberculosis over an 8-week treatment period.
-
Comparing the effectiveness of tedizolid and linezolid for treating tuberculosis
This study is testing if a new drug called tedizolid can work better than an existing drug, linezolid, in helping people with tuberculosis feel better by reducing the bacteria in their lungs.
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High-dose treatment for recurrent tuberculosis
This study is testing a higher dose of a new treatment for people with recurring tuberculosis to see if it works as well as the standard treatment.
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Stratified BPaLM treatment strategies for rifampicin-resistant pulmonary tuberculosis.
This trial tests whether shorter BPaLM regimens (13- or 17-week courses) can work as well as the usual 24-week regimen for people aged 14 and older with fluoroquinolone-susceptible multidrug-resistant/rifampicin-resistant pulmonary TB.
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Bioneer RFIA Diagnostic Evaluation for Drug-Resistant TB
This study tests whether the Bioneer Accupower Q-RFIA PCR kit on the IRON qPCR system can accurately detect TB and resistance to key drugs in adults with suspected pulmonary TB.
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Understanding the natural history of tuberculosis
This study is trying to learn more about tuberculosis by collecting samples and monitoring treatment in people with active or latent TB to improve how we understand and treat the disease.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.