Background Active Hexose Correlated Compound is assumed to have a positive effect on immunity, including induce a phagocytic response, reduce tumor resistance, and cytokine response including interferon-gamma and interleukins. Tuberculosis patients with concurrent Human immunodeficiency Virus (HIV) might have benefit when receiving active hexose compound during tuberculosis treatment Purposes 1. To assess the clinical changes of patients who receive active hexose compound as an adjuvant to tuberculosis therapy in patients with HIV 2. To assess the difference of pro-inflammatory cytokines between standard therapy and active hexose compound adjuvant Methods A clinical trial involving patients with Tuberculosis-HIV infection Hypothesis 1. Clinical improvement is significantly different where the group who receive active compound will have the better clinical outcome 2. Lower proinflammatory cytokines are observed in people who receive active compound
Population : Lung Tuberculosis patient with HIV Infection Design : Double-Blind Randomized Control Trial at the outpatient setting Randomization Simple Randomization Proposed Number of participants : Using the difference between two independent means of duration to sputum conversion 1. Type 1 error 5% 2. Power of study 80% 3. Effect Size 0.5 4. Dropout rate 20% Total Participant 122 Proposed analysis 1. Time-to-event analysis using cox regression for the duration of sputum conversion and radiology resolution 2. Linear mixed model for continuous dependent variable
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
120
Active Hexose Correlated Compound was isolated from basidiomycetes which comprise polysaccharides and amino acids.
Labuang Baji General Hospital
Makassar, South Sulawesi, Indonesia
Sputum Conversion Duration
Sputum conversion duration defined as the duration to change positive result in sputum smear into negative results. The sputum smear level using Ziehl Neelsen ranging from Negative to 3+.
Time frame: six month after the intervention started
Chest X-Ray Extension
Distribution of active tuberculosis feature in Chest X-Ray including number of consolidation and cavitation
Time frame: Changes of number of active tuberculosis feature from baseline to 6 months
Interleukin 6 Level
Value of Interleukin 6 in blood Sample
Time frame: Changes of Interleukin 6 Level from baseline to 6 months
Interleukin 10 Level
Value of Interleukin 10 in blood Sample
Time frame: Changes of Interleukin 10 value from baseline to 6 months
Cluster Differentiation 4 (CD4) cells value
Cluster Differentiation 4 (CD4) cells value in blood sample
Time frame: Changes of Cluster Differentiation 4 (CD4) cells value from baseline to 6 months
Cluster Differentiation 8 (CD8) cells value
Cluster Differentiation 8 (CD8) cells value in blood sample
Time frame: Changes of Cluster Differentiation 8 (CD8) cells value from baseline to 6 months
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