Tnf Inhibitors to Reduce Mortality in HIV-1 Infected PAtients With Tuberculosis meNIngitis

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorANRS, Emerging Infectious Diseases

About this trial

Randomized phase II clinical trial which aims to assess the impact on 3-month mortality and safety of adding adalimumab to standard treatment (anti-tuberculosis drugs and corticosteroids) in HIV patients with tuberculosis meningitis in 3 countries (Brazil, Mozambique, and Zambia).

Eligibility criteria

Qualifiers

Age ≥18 years

HIV-1 infection

Definite or probable tuberculosis meningitis

Standard tuberculosis meningitis treatment ≤3 days: anti TB drugs at standard doses and high-dose dexamethasone as per WHO guidelines

Disqualifiers

Other concomitant neurological infection, i.e. toxoplasmosis, cryptococcosis, progressive multifocal leukoencephalopathy, bacterial meningitis, neuro-syphilis

Asymptomatic positive cryptococcal antigen in serum

HBsAg positive or anti hepatitis C virus antibodies positive

Alanine transaminase (ALT)>5 ULN

Trial design

Treatments tested in this trial

  • Adalimumab Injection

Treatment groups

130 Participants
are divided into 2 treatment groups