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NAT2 in Re-challenge of INH in Patients With Hepatitis

Primary Purpose

Tuberculosis, Hepatotoxicity

Status
Unknown status
Phase
Phase 4
Locations
Taiwan
Study Type
Interventional
Intervention
Isoniazid (Rifinah)
Sponsored by
National Taiwan University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Tuberculosis focused on measuring tuberculosis, isoniazid, Arylamine N-acetyl transferase, genotyping, hepatotoxicity, pharmacogenetics

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Older than 18 years-old
  • Taken INH for more than 1 week
  • Abnormal liver function

Exclusion criteria:

  • Rule out the INH induced liver abnormality
  • Existing reasons to cause liver abnormality other than TB-medication
  • Taking drugs which interact with INH

Sites / Locations

  • National Taiwan University HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

INA dose adjustment, NAT2

Arm Description

The dose of the re-challenged INH is followed by the results of the genotyping of NAT2 in each patient.

Outcomes

Primary Outcome Measures

Decrease the events of hepatotoxicity when patients are re-challenged with INH

Secondary Outcome Measures

economics evaluation of performing pharmacogenetics screening in practice

Full Information

First Posted
August 1, 2008
Last Updated
December 26, 2012
Sponsor
National Taiwan University Hospital
Collaborators
Department of Health, Executive Yuan, R.O.C. (Taiwan)
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1. Study Identification

Unique Protocol Identification Number
NCT00728546
Brief Title
NAT2 in Re-challenge of INH in Patients With Hepatitis
Official Title
The Application of the N-acetyltransferase 2 (NAT2) Genotyping in Re-challenge Protocol of Isoniazid (INH) Titration in Patients With Anti-TB Medications-induced Hepatitis
Study Type
Interventional

2. Study Status

Record Verification Date
November 2012
Overall Recruitment Status
Unknown status
Study Start Date
June 2008 (undefined)
Primary Completion Date
November 2015 (Anticipated)
Study Completion Date
November 2015 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Taiwan University Hospital
Collaborators
Department of Health, Executive Yuan, R.O.C. (Taiwan)

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Apply the information of NAT2 genotyping into the re-challenge protocol of INH titration in patients with anti-TB medication induced hepatitis.
Detailed Description
adjusting INH dose according to NAT2 genotyping and serum concentration of INH.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tuberculosis, Hepatotoxicity
Keywords
tuberculosis, isoniazid, Arylamine N-acetyl transferase, genotyping, hepatotoxicity, pharmacogenetics

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
100 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
INA dose adjustment, NAT2
Arm Type
Experimental
Arm Description
The dose of the re-challenged INH is followed by the results of the genotyping of NAT2 in each patient.
Intervention Type
Drug
Intervention Name(s)
Isoniazid (Rifinah)
Other Intervention Name(s)
Isoniazid, Rifinah
Intervention Description
The dose of the re-challenged INH is followed by the results of the genotyping of NAT2 in each patient.
Primary Outcome Measure Information:
Title
Decrease the events of hepatotoxicity when patients are re-challenged with INH
Time Frame
6-12 months
Secondary Outcome Measure Information:
Title
economics evaluation of performing pharmacogenetics screening in practice
Time Frame
6-12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Older than 18 years-old Taken INH for more than 1 week Abnormal liver function Exclusion criteria: Rule out the INH induced liver abnormality Existing reasons to cause liver abnormality other than TB-medication Taking drugs which interact with INH
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Li-Jiuan Shen, Ph.D.
Phone
33933670
Email
ljshen@ntu.edu.tw
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Li-Jiuan Shen, Ph.D.
Organizational Affiliation
National Taiwan University
Official's Role
Principal Investigator
Facility Information:
Facility Name
National Taiwan University Hospital
City
Taipei
ZIP/Postal Code
100
Country
Taiwan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Li-Jiuan Shen, Ph.D.
Phone
886-2-2312-3456
Ext
8411
Email
ljshen@ntu.edu.tw
First Name & Middle Initial & Last Name & Degree
Li-Jiuan Shen, Ph.D.

12. IPD Sharing Statement

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NAT2 in Re-challenge of INH in Patients With Hepatitis

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