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Table 4 Primary efficacy outcome definitions

From: Evaluating newly approved drugs in combination regimens for multidrug-resistant tuberculosis with fluoroquinolone resistance (endTB-Q): study protocol for a multi-country randomized controlled trial

Favorable outcome

Unfavorable outcome

If the outcome is not classified as unfavorable, and one of the following is true:

1. The last two culture results are negative. These two cultures must be taken from sputum samples collected on separate visits, the latest between weeks 65 and 73

2. The last culture result (from a sputum sample collected between weeks 65 and 73) is negative, and either there is no other post-baseline culture result or the penultimate culture result is positive due to laboratory cross contamination, and bacteriological, radiological and clinical evolution is favorable

If any of the following occur:

1. Replacement or addition of one or more investigational drugs in an experimental arm (failure)

2. Replacement or addition of two or more investigational drugs in the control arm (failure)

3. Initiation of a new MDR-TB treatment regimen after the end of the allocated study regimen and before week 73 (recurrence)

4. Death from any cause

5. At least one of the last two cultures, the latest being from a sputum sample collected between weeks 65 and 73, is positive in the absence of evidence of laboratory cross contamination (failure/recurrence)

6. The last culture result (from a sputum sample collected between weeks 65 and 73) is negative; AND there is no other post-baseline culture result or the penultimate culture is positive due to laboratory cross contamination; and bacteriological, radiological, or clinical evolution is unfavorable (failure/recurrence)

7. There is no culture result from a sputum sample collected between weeks 65 and 73 or it is positive due to laboratory cross contamination AND the most recent culture is negative; and bacteriological, radiological, or clinical evolution is unfavorable (failure/recurrence); or the most recent culture result is positive in the absence of laboratory cross contamination

8. The outcome is not assessable because there is no culture result from a sputum sample collected between weeks 65 and 73 or it is positive due to laboratory cross

contamination

AND

- there is no other post-baseline culture result or the most recent culture is positive due to laboratory cross

contamination; or

- the most recent culture is negative and bacteriological, radiological, and clinical evolution is not assessable

9. Previously classified as unfavorable in the present study (except for participants whose outcome at 39 weeks was unfavorable because it was unassessable)