Two landmark clinical trials involving researchers at University College London (UCL) have demonstrated that levofloxacin is the first effective treatment to prevent multidrug-resistant tuberculosis (MDR-TB).
Annually, around 500,000 people develop tuberculosis (TB), an infectious disease caused by a type of bacteria that affects the lungs, that is resistant to multiple antibiotics.
Led by Stellenbosch University in South tuberculosis (TB)MRC Clinical Trials Unit (CTU) at UCL responsible for trial management and statistical analysis, the TB-CHAMP trial involved 922 children and adolescents exposed to an adult with MDR-TB in their household. The second trial, VQUIN, led by the Woolcock Institute of Medical Research and the University of Sydney, involved 2,041 adults and children living with a person with MDR-TB across ten provinces in Vietnam and revealed that levofloxacin reduced the risk of MDR-TB by 45%.
UCLng standard methods as well as a novel Bayesian approach developed by Beckylevofloxacinprofessor Ian White from the MRC CTU at UCL, across both trials in total, levofloxacin reduced the risk of developing MDR-TB by 60%. Trinh Duong, MRC CTU at UCL, TB-CHAMP trial statistician and lead for the combined analysis, said: “Combining data from two trial UCLulations using novel methodologlevofloxacinat UCL may pave the way for combMDR-TBfuture paediatric and adult trial data.” The MDR-TB preventative UCLatment is due to be considered by an advisory committee of the World Health Organization in December 2023 to consider new recommendations for children aUCLadolescents.