Window-period preventive treatment to prevent TB infection in children and adolescents.
Official title: Window Prophylaxis for Mycobacterium Tuberculosis Infection Prevention in Child and Adolescent Household Contacts: a Cluster-Randomized Controlled Trial
Run by Pontificia Universidad Catolica de Chile · NCT07086820 · Data updated 2026-11-12
This trial will try weekly isoniazid plus rifapentine for 12 weeks to see if it prevents TB infection in household contacts aged 5 to 17 years who are IGRA-negative after recent exposure.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 5 Years to 17 Years |
| Sex | All |
| Enrollment | 647 (estimated) |
| Sponsor | Pontificia Universidad Catolica de Chile Academic / other |
| Locations | 13 sites (Calama, Antofagasta and 12 other locations) |
| Status | Recruiting |
| Started | October 27, 2025 |
| Main results expected | May 2028 |
| Study ends | November 2028 |
| Registry record updated | December 29, 2025 |
| Trial ID | NCT07086820 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal participants are household contacts aged 5 to <18 years of a newly diagnosed, microbiologically confirmed pulmonary TB case who are IGRA-negative at enrollment and have no contraindications to isoniazid or rifapentine.
✕Probably not a fit
Patients who are IGRA-positive at baseline, have suspected active or drug-resistant TB, are immunocompromised, pregnant or breastfeeding, or have prior TB treatment are unlikely to benefit from this prophylaxis approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This cluster-randomized controlled trial enrolls household contacts aged 5 to <18 years of microbiologically confirmed pulmonary TB cases and uses baseline and 12-week QuantiFERON-TB Gold Plus IGRA testing to detect new infection. Participants in the intervention arm receive weekly isoniazid and rifapentine for 12 weeks starting during the post-exposure 'window period', while the control arm follows standard care where TPT is not offered to IGRA-negative contacts. The primary outcome is IGRA conversion at 12 weeks, comparing incidence between immediate TPT and standard care clusters. The trial is conducted at regional hospitals in Chile with clinical screening to exclude active TB, pregnancy, immunosuppression, drug-resistant exposure, or contraindications to study drugs.
Why it matters
Potential benefit: If successful, window-period TPT could reduce new TB infections in exposed children and adolescents, lowering their future risk of disease and onward transmission.
How similar studies have gone: Smaller trials and observational studies have suggested window-period prophylaxis can reduce TB acquisition in young children, but randomized cluster-level evidence remains limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Household contacts of patient (index case) with a new diagnosis of microbiologically confirmed pulmonary tuberculosis * Age ≥5 to \<18 years old Exclusion Criteria: * Suspected active tuberculosis in initial assessment (clinical or radiological) * Current pregnancy or breastfeeding * Immunocompromised * Allergy or contraindication to isoniazid or rifapentine * Chronic liver disease or alcohol use disorder * History of previous treatment for active or latent tuberculosis infection * Previous tuberculin skin test * Household contacts of a tuberculosis index patient with a known or suspected drug-resistant M. tuberculosis strain * Household contacts or a tuberculosis index patient currently living away from home for more than four weeks * Household contacts of a tuberculosis index patient who have already received more than 15 daily doses of antituberculous treatment
Where it's running
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Hospital Dr. Carlos Cisterna
Calama, Antofagasta, Chile Recruiting -
Complejo Asistencial Dr. Sótero Del Río
Puente Alto, Santiago Metropolitan, Chile Recruiting -
Hospital CRS El Pino
San Bernardo, Santiago Metropolitan, Chile Recruiting -
Hospital Clínico Félix Bulnes
Santiago, Santiago Metropolitan, Chile Recruiting -
Hospital Clínico San Borja Arriarán
Santiago, Santiago Metropolitan, Chile Recruiting -
Hospital de Coquimbo
Coquimbo, Coquimbo Region, Chile Not yet recruiting
Show 7 more locations
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Hospital San Juan de Dios de La Serena
La Serena, Coquimbo Region, Chile Not yet recruiting -
Hospital de Niños Roberto del Río
Independencia, Santiago Metropolitan, Chile Not yet recruiting -
Hospital Luis Calvo Mackenna
Providencia, Santiago Metropolitan, Chile Not yet recruiting -
Hospital San Juan de Dios de Santiago
Santiago, Santiago Metropolitan, Chile Not yet recruiting -
Hospital Alto Hospicio
Alto Hospicio, Tarapacá, Chile Not yet recruiting -
Hospital Claudio Vicuña
San Antonio, Valparaiso, Chile Not yet recruiting -
Hospital Dr. Gustavo Fricke
Viña del Mar, Valparaiso, Chile Not yet recruiting
Study contacts
- Study coordinator: María Elvira Balcells, MD
- Email: ebalcells@uc.cl
- Phone: +56 955043508
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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.