Universidad Peruana Cayetano Heredia

Factors associated with screening failure and study withdrawal in multidrug-resistant TB

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dc.contributor.author Schwalb Calderon, Alvaro
dc.contributor.author Cachay Figueroa, Rodrigo Antonio
dc.contributor.author Wright, A.
dc.contributor.author Phillips, P.P.J.
dc.contributor.author Kaur, P.
dc.contributor.author Diacon, A.H.
dc.contributor.author Ugarte Gil, Cesar Augusto
dc.contributor.author Mitnick, Carole D.
dc.contributor.author Sterling, T.R.
dc.contributor.author Gotuzzo Herencia, José Eduardo
dc.contributor.author Horsburgh, C.R.
dc.date.accessioned 2022-11-15T23:04:40Z
dc.date.available 2022-11-15T23:04:40Z
dc.date.issued 2022
dc.identifier.uri https://hdl.handle.net/20.500.12866/12583
dc.description.abstract SETTING: Multidrug-resistant TB (MDR-TB) clinical trial in Lima, Peru and Cape Town, South Africa.OBJECTIVE: To identify baseline factors associated with screening failure and study withdrawal in an MDR-TB clinical trial.DESIGN: We screened patients for a randomized, blinded, Phase II trial which assessed culture conversion over the first 6 months of treatment with varying doses of levofloxacin plus an optimized background regimen (ClinicalTrials.gov: NCT01918397). We identified factors for screening failure and study withdrawal using Poisson regression to calculate prevalence ratios and Cox proportional hazard regression to calculate hazard ratios. We adjusted for factors with P < 0.2.RESULTS: Of the 255 patients screened, 144 (56.5%) failed screening. The most common reason for screening failure was an unsuitable resistance profile on sputum-based molecular susceptibility testing (n = 105, 72.9%). No significant baseline predictors of screening failure were identified in the multivariable model. Of the 111 who were enrolled, 33 (30%) failed to complete treatment, mostly for non-adherence and consent withdrawal. No baseline factors predicted study withdrawal in the multivariable model.CONCLUSION: No baseline factors were independently associated with either screening failure or study withdrawal in this secondary analysis of a MDR-TB clinical trial. en_US
dc.language.iso eng
dc.publisher International Union Against Tuberculosis and Lung Disease
dc.relation.ispartofseries International Journal of Tuberculosis and Lung Disease
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject non-adherence en_US
dc.subject patient retention en_US
dc.subject treatment outcome en_US
dc.title Factors associated with screening failure and study withdrawal in multidrug-resistant TB en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.5588/ijtld.21.0729
dc.relation.issn 1815-7920


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