Is a 4-month regimen adequate to cure patients with non-cavitary tuberculosis and negative cultures at 2 months?

Int J Tuberc Lung Dis. 2013 Jun;17(6):807-9. doi: 10.5588/ijtld.12.0725.

Abstract

A recent trial evaluating a 4-month regimen of standard drugs in adults with non-cavitary tuberculosis (TB) and negative cultures at 2 months failed to demonstrate equivalence compared to the same regimen given for 6 months. To contribute further evidence, data from two trials conducted by the British Medical Research Council (BMRC) comparing 4 and 6 month regimens were re-analysed. The results from the BMRC trials in patients with non-cavitary TB and negative cultures at 2 months were consistent with those from the recent trial. However, given that there was no acquired drug resistance, the estimated 6.6% relapse rate (95%CI 4.3-10.1) across all three trials might be considered acceptable for a 4-month regimen in patients with non-cavitary pulmonary TB.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Antitubercular Agents / administration & dosage
  • Antitubercular Agents / therapeutic use*
  • Drug Administration Schedule
  • Humans
  • Randomized Controlled Trials as Topic
  • Recurrence
  • Retrospective Studies
  • Time Factors
  • Treatment Outcome
  • Tuberculosis, Pulmonary / drug therapy*

Substances

  • Antitubercular Agents