Clinical Trial

Shortened Regimen for Drug-susceptible TB in Children

Study acronym: SMILE-TB
Recruiting Phase 3
View on ClinicalTrials.gov →
Summary
While drug-susceptible tuberculosis (TB) disease in children currently requires four to six months of treatment, most children may be able to be cured with a shorter treatment of more powerful drugs. Shorter treatment may be easier for children to tolerate and finish as well as ease caregiver strain from managing treatment side effects and supporting children over many months. The primary objective of this study is to evaluate if a 2-month regimen (including isoniazid (H), rifapentine (P), pyrazinamide (Z) and moxifloxacin (M)) is as safe and effective as a 4- to 6-month regimen (isoniazid, rifampicin (R), pyrazinamide, ethambutol (E)) in curing drug-susceptible TB disease in children under 10 years old. The study is also evaluating the safety of the HPZM in children with and without HIV.
Protocol Amendment History 2 changes
notable Primary completion pushed: 2027-07-31 -> 2027-09-30 2026-04-03
minor Completion pushed: 2027-07-31 -> 2027-09-30 2026-04-03
Trial Details
NCT Number NCT06253715
Lead Sponsor Johns Hopkins University
Collaborators: United States Agency for International Development (USAID)
Conditions Tuberculosis, Tuberculosis, Pulmonary, Tuberculosis, Lymph Node, Mycobacterium Tuberculosis
Enrollment 860 participants
Start Date 2025-01-15
Primary Completion 2027-09-30 (estimated)
Study Completion 2027-09-30 (estimated)
Updated on ClinicalTrials.gov 2026-07-24