A Ultrashort Regimen for Drug-susceptible Pulmonary Tuberculosis in Elderly Patients: A Multicenter Randomized Controlled Trial

A Ultrashort Regimen for Drug-susceptible Pulmonary Tuberculosis in Elderly Patients: A Multicenter Randomized Controlled Trial

Publication date: Jul 18, 2025

Tuberculosis (TB) remains one of the leading global public health concerns and is among the top ten causes of death from a single infectious agent. China ranks third worldwide in total TB burden, with a substantial proportion of cases classified as drug-susceptible TB (DS-TB). Despite the availability of effective standard treatment regimens, the current 6-month therapy duration poses challenges in terms of patient adherence, resource allocation, and overall treatment success. In recent years, ultrashort-course regimens for DS-TB have been proposed and evaluated in clinical studies, showing promising results in improving adherence, reducing treatment duration, and maintaining or even enhancing treatment efficacy. However, these regimens have primarily been studied in younger populations, with limited data available for elderly patients. Older adults often present with age-related physiological changes, multiple comorbidities, and an increased risk of adverse drug reactions, which may affect both the efficacy and safety of treatment. Therefore, this study aims to assess the therapeutic effectiveness and safety profile of a novel ultrashort-course regimen for drug-susceptible pulmonary TB specifically in patients aged 65 years and older.

Concepts Keywords
China Blood
Diabetes Drug
Month Efficacy
Therapy Elderly
Ultrashort Older
Patients
Pulmonary
Regimen
Regimens
Susceptible
Tb
Treatment
Tuberculosis
Ultrashort
Years

Semantics

Type Source Name
disease MESH Pulmonary Tuberculosis
disease MESH Tuberculosis
pathway KEGG Tuberculosis
drug DRUGBANK Pentaerythritol tetranitrate
disease MESH causes of death
disease IDO infectious agent
drug DRUGBANK Spinosad
disease MESH adverse drug reactions
drug DRUGBANK Rifampicin
disease MESH allergy
drug DRUGBANK Bedaquiline
drug DRUGBANK Linezolid
drug DRUGBANK Pyrazinamide
disease MESH extrapulmonary tuberculosis
disease MESH tuberculous pleurisy
disease MESH infections
disease MESH contraindications
drug DRUGBANK Amiodarone
drug DRUGBANK Amitriptyline
drug DRUGBANK Chloroquine
drug DRUGBANK Chlorpromazine
drug DRUGBANK Cisapride
drug DRUGBANK Dipyridamole
drug DRUGBANK Itraconazole
drug DRUGBANK Procaine
drug DRUGBANK Quinidine
drug DRUGBANK Sotalol
disease MESH autoimmune diseases
disease MESH psychiatric disorders
disease MESH tumors
disease IDO blood
drug DRUGBANK Creatinine
drug DRUGBANK Potassium
disease MESH arrhythmia
disease MESH myocardial ischemia
disease IDO history
disease MESH long QT syndrome

Original Article

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