Clinical trial Recruiting at 5 sites Interventional Ages 5 to 17

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.

More Tuberculosis trials

Quick facts

Study typeInterventional
Ages5 Years to 17 Years
SexAll
Enrollment647 (estimated)
SponsorPontificia Universidad Catolica de Chile
Academic / other
Locations13 sites (Calama, Antofagasta and 12 other locations)
StatusRecruiting
StartedOctober 27, 2025
Main results expectedMay 2028
Study endsNovember 2028
Registry record updatedDecember 29, 2025
Trial IDNCT07086820 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

  • 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
  • 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

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.