Nutrition and wasting in tuberculosis (TB): Can nutritional supplementation in TB patients improve body weight gain, body composition and treatment outcome?

ISRCTN ISRCTN16469166
DOI https://doi.org/10.1186/ISRCTN16469166
Protocol serial number WV93-411
Sponsor NWO/WOTRO - Netherlands Organisation for Scientific Research (The Netherlands)
Funder NWO/WOTRO - Netherlands Organisation for Scientific Research (The Netherlands)
Submission date
30/04/2007
Registration date
30/08/2007
Last edited
30/08/2007
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Frank Wieringa
Scientific

Dept. of Internal Medicine
Hasan Sadikin Hospital
Jl. Pasir Kaliki 191
Bandung
40161
Indonesia

Phone +62 22 2038 986
Email wieringa@tiscali.nl

Study information

Primary study designInterventional
Study designRandomized controlled trial
Secondary study designRandomised controlled trial
Scientific title
Study acronymTBGIZI ("GIZI" means "nutrition" in Indonesian)
Study objectivesTh hypothesis is that supplementation of TB patients with macro- and micronutrients patients during the first 2 months of treatment increases body weight gain, as compared to TB patients on standard TB treatment. Secondary hypothses include that above supplementation will increase the production of pro-inflammatory cytokines as measured by ex-vivo whole blood stimulation assay and that lean body mass increases more in patients receiving micro- and macronutrient supplementation.
Ethics approval(s)1. The Ethical Review Board of Hasan Sadikin University, University of Padjajaran, Bandung, Indonesia, approved in August 2006
2. The Ethical Advisory Board, Radboud University Nijmegen, The Netherlands, approved on 16 Feb 2007
Health condition(s) or problem(s) studiedTuberculosis / nutritional status and wasting / nutrition and public health
InterventionNewly diagnosed TB patients who fullfil the eligiblity criteria will be randomly allocated according to a previously made random list (randomization in blocks of 4) to either standard treatment + nutritional supplementation (75 patients) or standard treatment only (75 patients). Patients allocated to the nutritional supplementation group will receive 3 biscuits per day for 2 months, containg macro- and micronutriets in addition to their standard TB treatment. These 3 biscuits will provide approximately 450 KCal of energy (or approximately 20% of the daily energy requirements), as well as a wide range of minerals and vitamins, in a doses of approximately half the Daily Required Intakes (DRI’s), and NOT containing iron. Patients will be followed up according to standard clinical practice by the health services until the end of the intensive TB drug treatment phase (2 months).
Intervention typeOther
Primary outcome measure(s)

Body weight gain and body composition between start of TB treatment and end of the active phase of treatment (2 months later)

Key secondary outcome measure(s)

The following will be assessed at baseline and 2 months:
1. Micronutrient status
2. Production of inflammatory cytokines

Completion date01/01/2008

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexAll
Target sample size at registration150
Key inclusion criteriaSubjects must meet all of the following inclusion criteria to be eligible for participation in this study:
1. Patients with Ziehl-Neelsen (ZN) staining - positive pulmonary TB
2. Patients starting, or started <2 weeks ago, with the intensive phase of TB treatment
3. Subject is >18 years of age
4. Willing to participate in the study, and signing the informed consent form
Key exclusion criteriaNo informed consent.
Date of first enrolment15/05/2007
Date of final enrolment01/01/2008

Locations

Countries of recruitment

  • Indonesia

Study participating centre

Dept. of Internal Medicine
Bandung
40161
Indonesia

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan