From: Prioritising attributes for tuberculosis preventive treatment regimens: a modelling analysis
Regimen property | How it is quantified | Future PT regimen | |
---|---|---|---|
Minimal | Optimal | ||
Regimen duration | Duration of administration of the regimen (months) | 3 | 1 |
Efficacy against drug-sensitive TB (modelled as emergent property of ‘hidden’ mechanistic properties including proportion bacteriologically cured, and strength and durability of non-curative protection) | Efficacy measured as reduction in incidence among those with TB infection that would be observed under trial conditions at two-year post-regimen follow-up, in a cohort receiving the regimen vs a hypothetical cohort receiving placebo (see Methods for further technical details of cohort modelling) (i) | 70% | 100% (ii) |
Ease-of-adherence | Proportion successfully completing the regimen under programmatic conditions (iii) | 80% | 90% |
Forgiveness | Amongst those completing at least half of the regimen before interrupting, the proportion that nonetheless have the same outcomes as those completing the full regimen (iv) | 50% | 80% |
Barrier to resistance | Amongst those having rifampicin-sensitive infection, the proportion that do not develop resistant infection as a result of preventive treatment | 95% | 100% |