NCT04242511

Brief Summary

This study compares blood levels of tuberculosis medications between diabetic patients and non-diabetic patients. There is some research that suggests these medications are at lower levels in diabetic patients with tuberculosis, and this could adversely affect the outcome of their infection. Diabetic patients are at higher risk of dying or having a severe episode of tuberculosis therefore it is important that their care is optimised as far as possible. To answer the research question all participants in the study will have an extra blood sample drawn at the same time as their routine blood tests which are used to monitor their tuberculosis treatment. Some participants will have additional blood samples taken at different times to give a more accurate picture of the medication levels in their bloodstream. The study will be conducted in the tuberculosis clinics at London North West University Healthcare NHS Trust and will include adult patients with and without diabetes who have recently been diagnosed with tuberculosis. Some other information about their routine medications, weight and height, and severity of diabetes will also be collected, to see if these affect the medication levels in the bloodstream as well.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
48

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started May 2021

Shorter than P25 for all trials

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 23, 2020

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 27, 2020

Completed
1.3 years until next milestone

Study Start

First participant enrolled

May 1, 2021

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2021

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2022

Completed
Last Updated

April 15, 2021

Status Verified

March 1, 2021

Enrollment Period

7 months

First QC Date

January 23, 2020

Last Update Submit

April 14, 2021

Conditions

Keywords

TuberculosisDiabetesRifampicinTherapeutic Drug Monitoring

Outcome Measures

Primary Outcomes (1)

  • TB medication levels

    Comparison of 2-hour post-dose levels of anti-tuberculosis medications

    2 hours following medication dose

Study Arms (2)

Cases

Tuberculosis patients with diabetes mellitus: 1. Subject aged 18 years of age or over 2. Written, informed consent obtained. 3. New diagnosis of tuberculosis and started on anti-tuberculosis treatment 4. Known diagnosis of diabetes or two consecutive raised IFCC HbA1c levels (\>= 48 mmol/mol) at the time of TB diagnosis

Diagnostic Test: Measurement of tuberculosis medications level

Controls

Tuberculosis patients without diabetes mellitus: 1), 2), 3) as above 4) IFCC HbA1c level \< 48mmol/mol 5) Weight matched to cases (+/- 2kg)

Diagnostic Test: Measurement of tuberculosis medications level

Interventions

Measurement of tuberculosis medication levels at 2 hours post-dose

CasesControls

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

This study will be conducted in the tuberculosis clinics at London North West University Healthcare NHS Trust. The study participants will be recruited from patients with a diagnosis of tuberculosis, with and without diabetes. Diabetes is a common comorbidity in tuberculosis patients in this area, with a prevalence of around 15 to 20%.

You may qualify if:

  • Subject aged 18 years of age or over
  • Written, informed consent obtained.
  • New diagnosis of tuberculosis and started on anti-tuberculosis treatment Cases: Known diagnosis of diabetes or two consecutive raised IFCC HbA1c levels (\>= 48 mmol/mol) at the time of TB diagnosis Controls: IFCC HbA1c level \< 48mmol/mol

You may not qualify if:

  • Subject aged under 18 years
  • Inability to give informed consent
  • Repeat HbA1c level \<48mmol/mol

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Biospecimen

Blood samples will be taken and analysed by high performance liquid chromatograp

MeSH Terms

Conditions

TuberculosisDiabetes Mellitus

Condition Hierarchy (Ancestors)

Mycobacterium InfectionsActinomycetales InfectionsGram-Positive Bacterial InfectionsBacterial InfectionsBacterial Infections and MycosesInfectionsGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Study Officials

  • Jessica Barrett

    LONDON NORTH WEST UNIVERSITY HEALTHCARE NHS TRUST

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Jessica Barrett, MBBS MA

CONTACT

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 23, 2020

First Posted

January 27, 2020

Study Start

May 1, 2021

Primary Completion

December 1, 2021

Study Completion

May 1, 2022

Last Updated

April 15, 2021

Record last verified: 2021-03