Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 18 and up

Rifabutin for Mycobacterium abscessus lung infection with inducible clarithromycin resistance

Official title: The Effect of Rifabutin in Mycobacterium Abscessus With Inducible Clarithromycin Resistance: a Randomized Study

Run by National Taiwan University Hospital · NCT07514364 · Data updated 2026-11-12

This trial will test whether adding rifabutin to standard antibiotics helps adults with Mycobacterium abscessus lung disease that shows inducible clarithromycin resistance.

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment60 (estimated)
SponsorNational Taiwan University Hospital
Academic / other
Locations1 site (Taipei)
StatusRecruiting
StartedJanuary 1, 2026
Main results expectedMarch 1, 2026
Study endsJune 18, 2026
Registry record updatedJune 10, 2026
Trial IDNCT07514364 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with radiographic and laboratory-confirmed Mycobacterium abscessus lung infection demonstrating inducible clarithromycin resistance who are clinically stable and able to provide informed consent.

Probably not a fit

Patients without inducible clarithromycin resistance, pregnant or breastfeeding individuals, and those with known rifabutin hypersensitivity are unlikely to benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adults with culture-confirmed Mycobacterium abscessus pulmonary disease and laboratory-proven inducible clarithromycin resistance will be enrolled and receive standard antibiotic therapy with or without adjunctive rifabutin. The trial will measure microbiological outcomes including sputum culture conversion, clinical status, progression-free survival, and treatment-related adverse events. Outcomes in the rifabutin and no-rifabutin groups will be compared over a defined follow-up period to determine whether rifabutin improves response or delays progression. Safety and tolerability will be monitored throughout treatment.

Why it matters

Potential benefit: If successful, adding rifabutin could overcome inducible clarithromycin resistance and increase sputum culture conversion and clinical improvement.

How similar studies have gone: Existing evidence is limited to in vitro studies and case reports, and there have been no prior systematic clinical trials showing efficacy.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adults aged ≥ 18 years
* Diagnosis of pulmonary disease caused by Mycobacterium abscessus confirmed by clinical evaluation and laboratory results
* Antimicrobial susceptibility testing indicating inducible resistance to clarithromycin
* Clinically stable and suitable for antibiotic treatment
* Radiographic evidence of active pulmonary infection
* Willing and able to provide informed consent

Exclusion Criteria:

* Known hypersensitivity to rifabutin or intolerance to other study medications
* Pregnant or breastfeeding women

Where it's running

  • National Taiwan University Hospital
    Taipei, Taiwan
    Recruiting

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.