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Trial ยท NCT00396084

Early Bactericidal Activity of Linezolid, Gatifloxacin, Levofloxacin, Isoniazid (INH) and Moxifloxacin in HIV Negative Adults With Initial Episodes of Sputum Smear-Positive Pulmonary Tuberculosis

NCT00396084, Phase 1, Phase 2, Completed, National Institute of Allergy and Infectious Diseases (NIAID); results first posted 2009-06-25

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Early Bactericidal Activity of Linezolid, Gatifloxacin, Levofloxacin, Isoniazid (INH) and Moxifloxacin in HIV Negative Adults With Initial Episodes of Sputum Smear-Positive Pulmonary Tuberculosis. Trials, record NCT00396084. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00396084

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Early Bactericidal Activity of Linezolid, Gatifloxacin, Levofloxacin, Isoniazid (INH) and Moxifloxacin in HIV Negative Adults With Initial Episodes of Sputum Smear-Positive Pulmonary Tuberculosis
NCT number
NCT00396084
Status
Completed
Phases
Phase 1, Phase 2
Enrollment
70 participants, actual
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Conditions
Tuberculosis
Interventions
Gatifloxacin, Isoniazid, Levofloxacin, Linezolid, Moxifloxacin
First posted
2006-11-06
Last updated
2018-11-08
Results first posted
2009-06-25
Limitations and caveats
The small sample size had limited power to detect small differences in EBA between study arms even though we enrolled patients with smear-positive TB and high sputum bacillary burden to improve chances of detecting differences between treatment arms.

Source ClinicalTrials.gov

Registered outcomes20

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimarySputum Bacillary Loads: Adjusted Area Under the Curve (aAUC)Study drug administration duration - 7 days monotherapy
The adjusted area under the curve (aAUC) for sputum colony forming units (cfu) for each day on treatment was calculated. The aAUC represents the percentage of the expected AUC given no change in log cfu in response to study drug administration.
PrimaryDifference in Sputum Bacillary Loads: Early Bactericidal Activity (EBA) Days 0 to 2; Fluoroquinolones/Isoniazid (INH) ComparisonDay 0 to Day 2 MonotherapyEarly bactericidal activity (EBA 0-2) was calculated as the rate of fall in sputum colony forming units (cfu) (expressed in log10 units) during the first 2 days of monotherapy.
PrimaryExtended Early Bactericidal Activity (EBA) From Days 2 to 7; Fluoroquinolones/Isoniazid (INH) ComparisonDay 2 to Day 7 MonotherapyThe rate of fall in sputum cfu between day 2 and day 7 of monotherapy was estimated by the slope of the linear regression obtained by fitting the 6 sputum cfu values corresponding to Days 2 through 7.
PrimarySputum Bacillary Loads: Adjusted Area Under the Curve (aAUC)Study drug administration duration - 7 days monotherapy
The adjusted area under the curve (aAUC) for sputum colony forming unit (cfu) for each day on treatment was calculated for patients in the INH arm and those in the Linezolid once daily and Linezolid twice daily arms. The aAUC represents the percentage of the expected AUC given no change in log cfu in response to study drug administration.
PrimaryDifference in Sputum Bacillary Loads: Early Bactericidal Activity (EBA) Days 0 to 2; Linezolid Once Daily/Linezolid Twice Daily/Isoniazid (INH) ComparisonDay 0 to Day 2 Monotherapy
Early bactericidal activity (EBA 0-2) was calculated as the rate of fall in sputum cfu (expressed in log10 units) during the first 2 days of monotherapy. Mean values for the 3 treatment groups were compared.
PrimaryDifference in Sputum Bacillary Loads: Extended Early Bactericidal Activity (EBA) From Days 2 to 7; Linezolid Once Daily/Linezolid Twice Daily/INH ComparisonDay 2 to Day 7 MonotherapyThe rate of fall in sputum cfu between day 2 and day 7 of monotherapy was estimated by the slope of the linear regression obtained by fitting the 6 sputum cfu values corresponding to Days 2 through 7.
SecondarySputum mRNA Clearance Rate - Results Are Pending.Study drug administration duration
SecondarySputum Cytokine Proteins - Results Are Pending.Study drug administration duration
SecondaryMaximum Plasma Drug Concentration (Cmax)Day 5 (7 time points)Maximum plasma concentration, given sampling scheme
SecondaryTime to Maximum Plasma Drug Concentration (Tmax) and Half-lifeDay 5 (7 time points)

Outcomes21

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYSputum Bacillary Loads: Adjusted Area Under the Curve (aAUC)Study drug administration duration - 7 days monotherapyThe aAUC was calculated for 10 subjects per treatment arm (n=40).PercentageMEAN
SECONDARYSputum mRNA Clearance Rate - Results Are Pending.Study drug administration duration
SECONDARYSputum Cytokine Proteins - Results Are Pending.Study drug administration duration
SECONDARYMaximum Plasma Drug Concentration (Cmax)Day 5 (7 time points)
Thirty-nine patients underwent pharmacokinetic (PK) sampling after receiving 5 daily doses of study drug. Plasma samples were collected at 7 time points on the 5th day after beginning study drug monotherapy. One subject in the moxifloxacin arm was discontinued from the study before day 5 and did not undergo PK sampling.
ug/mlMEDIAN
PRIMARYDifference in Sputum Bacillary Loads: Early Bactericidal Activity (EBA) Days 0 to 2; Fluoroquinolones/Isoniazid (INH) ComparisonDay 0 to Day 2 MonotherapyEarly bactericidal activity (EBA 0-2) was calculated for 10 subjects per treatment arm (n=40).log10 cfu/ml/dayMEAN
PRIMARYExtended Early Bactericidal Activity (EBA) From Days 2 to 7; Fluoroquinolones/Isoniazid (INH) ComparisonDay 2 to Day 7 Monotherapy
A total of 38 patients were analyzed for Early Bactericidal Activity (EBA) Days 2-7. One patient in the moxifloxacin arm discontinued the study drug after 4 days. One patient in the INH arm discontinued the study drug after 6 days.
log10 cfu/ml/dayMEAN
PRIMARYSputum Bacillary Loads: Adjusted Area Under the Curve (aAUC)Study drug administration duration - 7 days monotherapyThe aAUC was calculated for 29 patients. One patient in the linezolid twice daily arm withdrew after randomization before receiving any doses of study drug.PercentageMEAN
PRIMARYDifference in Sputum Bacillary Loads: Early Bactericidal Activity (EBA) Days 0 to 2; Linezolid Once Daily/Linezolid Twice Daily/Isoniazid (INH) ComparisonDay 0 to Day 2 MonotherapyEBA 0-2 comparisons across groups were done for 29 patients. One patient in the linezolid twice daily arm withdrew from the study after randomization before receiving any doses of study drug.log10 cfu/ml/dayMEAN
SECONDARYTime to Maximum Plasma Drug Concentration (Tmax) and Half-lifeDay 5 (7 time points)
Thirty-nine patients underwent pharmacokinetic (PK) sampling after receiving 5 daily doses of study drug. One subject in the moxifloxacin arm was discontinued from the study before day 5 and did not undergo PK sampling.
hoursMEDIAN
SECONDARYMaximum Plasma Drug Concentration/Minimum Inhibitory Concentration (Cmax/MIC)Day 5 (7 time points)
Thirty-nine patients underwent pharmacokinetic (PK) sampling after receiving 5 daily doses of study drug. One subject in the moxifloxacin arm was discontinued from the study before day 5 and did not undergo PK sampling.
ug/mlMEDIAN

Results by group123

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Sputum Bacillary Loads: Adjusted Area Under the Curve (aAUC)Gatifloxacin 400 mg/DayDay 10.98Standard Deviation 0.03Percentage
Sputum Bacillary Loads: Adjusted Area Under the Curve (aAUC)Levofloxacin 1000 mg/DayDay 10.98Standard Deviation 0.03Percentage
Sputum Bacillary Loads: Adjusted Area Under the Curve (aAUC)Moxifloxacin 400 mg/DayDay 10.96Standard Deviation 0.04Percentage
Sputum Bacillary Loads: Adjusted Area Under the Curve (aAUC)Isoniazid (INH) 300 mg/DayDay 10.95Standard Deviation 0.03Percentage
Sputum Bacillary Loads: Adjusted Area Under the Curve (aAUC)Gatifloxacin 400 mg/DayDay 20.96Standard Deviation 0.03Percentage
Sputum Bacillary Loads: Adjusted Area Under the Curve (aAUC)Levofloxacin 1000 mg/DayDay 20.95Standard Deviation 0.05Percentage
Sputum Bacillary Loads: Adjusted Area Under the Curve (aAUC)Moxifloxacin 400 mg/DayDay 20.94Standard Deviation 0.06Percentage
Sputum Bacillary Loads: Adjusted Area Under the Curve (aAUC)Isoniazid (INH) 300 mg/DayDay 20.90Standard Deviation 0.04Percentage
Sputum Bacillary Loads: Adjusted Area Under the Curve (aAUC)Gatifloxacin 400 mg/DayDay 30.92Standard Deviation 0.05Percentage
Sputum Bacillary Loads: Adjusted Area Under the Curve (aAUC)Levofloxacin 1000 mg/DayDay 30.91Standard Deviation 0.07Percentage

Participant flow18

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDGatifloxacin 400 mg/Day10
Overall StudySTARTEDLevofloxacin 1000 mg/Day10
Overall StudySTARTEDLinezolid 600 mg / Once Daily10
Overall StudySTARTEDLinezolid 600 mg / Twice Daily10
Overall StudySTARTEDMoxifloxacin 400 mg/Day10
Overall StudySTARTEDIsoniazid (INH) 300 mg/Day20
Overall StudyCOMPLETEDGatifloxacin 400 mg/Day10
Overall StudyCOMPLETEDLevofloxacin 1000 mg/Day10
Overall StudyCOMPLETEDLinezolid 600 mg / Once Daily10
Overall StudyCOMPLETEDLinezolid 600 mg / Twice Daily9

Adverse events102

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAcneSkin and subcutaneous tissue disordersGatifloxacin 400 mg/Day3103
otherAcneSkin and subcutaneous tissue disordersLevofloxacin 1000 mg/Day0100
otherAcneSkin and subcutaneous tissue disordersLinezolid 600 mg / Once Daily0100
otherAcneSkin and subcutaneous tissue disordersLinezolid 600 mg / Twice Daily0100
otherAcneSkin and subcutaneous tissue disordersMoxifloxacin 400 mg/Day0100
otherAcneSkin and subcutaneous tissue disordersIsoniazid (INH) 300 mg/Day0200
otherChest PainRespiratory, thoracic and mediastinal disordersGatifloxacin 400 mg/Day2102
otherChest PainRespiratory, thoracic and mediastinal disordersLevofloxacin 1000 mg/Day0100
otherChest PainRespiratory, thoracic and mediastinal disordersLinezolid 600 mg / Once Daily0100
otherChest PainRespiratory, thoracic and mediastinal disordersLinezolid 600 mg / Twice Daily0100

Adverse event totals18

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityGatifloxacin 400 mg/Day
Total, all-cause mortalityLevofloxacin 1000 mg/Day
Total, all-cause mortalityLinezolid 600 mg / Once Daily
Total, all-cause mortalityLinezolid 600 mg / Twice Daily
Total, all-cause mortalityMoxifloxacin 400 mg/Day
Total, all-cause mortalityIsoniazid (INH) 300 mg/Day
Total, other adverse eventsGatifloxacin 400 mg/Day810
Total, other adverse eventsLevofloxacin 1000 mg/Day710
Total, other adverse eventsLinezolid 600 mg / Once Daily810
Total, other adverse eventsLinezolid 600 mg / Twice Daily510

Papers6

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
16776446RESULTPubMed
18070980RESULTPubMed
18787216RESULTPubMed
19564361RESULTPubMed
19923475RESULTPubMed
29584861RESULTPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00396084

GET https://conductscience.org/api/trials/v1/NCT00396084/outcomes?page=2