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Last Updated: March 26, 2026

CLINICAL TRIALS PROFILE FOR PRIFTIN


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All Clinical Trials for PRIFTIN

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00023452 ↗ Three Months of Weekly Rifapentine and Isoniazid for M. Tuberculosis Infection Completed VA Office of Research and Development Phase 3 2001-06-01 Open-label, multi-center, Phase III clinical trial to compare the effectiveness and tolerability of a three-month (12-dose) regimen of weekly rifapentine and isoniazid (3RPT/INH) to the effectiveness of a nine-month (270-dose)regimen of daily isoniazid (9INH) to prevent tuberculosis (TB) among high-risk tuberculin skin-test reactors, including children and HIV-infected persons, who require treatment of latent TB infection (LTBI).
NCT00023452 ↗ Three Months of Weekly Rifapentine and Isoniazid for M. Tuberculosis Infection Completed Centers for Disease Control and Prevention Phase 3 2001-06-01 Open-label, multi-center, Phase III clinical trial to compare the effectiveness and tolerability of a three-month (12-dose) regimen of weekly rifapentine and isoniazid (3RPT/INH) to the effectiveness of a nine-month (270-dose)regimen of daily isoniazid (9INH) to prevent tuberculosis (TB) among high-risk tuberculin skin-test reactors, including children and HIV-infected persons, who require treatment of latent TB infection (LTBI).
NCT00694629 ↗ TBTC Study 29: Rifapentine During Intensive Phase Tuberculosis (TB) Treatment Completed Sanofi Phase 2 2008-12-01 Protocol Synopsis The goal of this Phase 2 clinical trial is to evaluate the antimicrobial activity and safety of an experimental intensive phase (first 8 weeks of treatment) tuberculosis treatment regimen in which rifapentine is substituted for rifampin. Primary Objective - To compare the antimicrobial activity and safety of standard daily regimen comprised of rifampin (approximately 10 mg/kg/dose) + isoniazid + pyrazinamide + ethambutol (RHZE) to that of an experimental regimen comprised of rifapentine (approximately 10 mg/kg/dose) + isoniazid + pyrazinamide + ethambutol (PHZE). Secondary Objectives - To determine and compare for each regimen the time to culture-conversion, using data from 2-, 4-, 6-, and 8-week cultures (10, 20, 30, 40 doses). - To determine and compare for each regimen the proportion of patients with any Grade 3 or 4 adverse reactions - To determine the correlation of the MGIT/BACTEC liquid culture growth index and other mycobacterial and clinical biomarkers with time to culture conversion and treatment failure - To store serum for future assessment of biomarkers of TB treatment response and hypersensitivity to study drugs. - To compare adverse events and 2-month culture conversion rates among HIV-infected patients vs. HIV-uninfected patients - To determine the tolerability and safety, and estimate the antimicrobial activity, of experimental regimens that include isoniazid + pyrazinamide + ethambutol plus either rifapentine 15 mg/kg/dose or rifapentine 20 mg/kg/dose, all administered daily. Assessment of these doses of rifapentine will be performed as an extension to the main study after enrollment in the main study has been completed. Design This will be a prospective, multicenter, open-label clinical study. Adults suspected of having pulmonary tuberculosis who meet eligibility criteria will be randomized to receive either the experimental intensive phase tuberculosis treatment regimen or the standard intensive phase tuberculosis treatment regimen. Randomization will be stratified by presence/absence of cavitation on baseline chest radiograph, and by geographic continent. All doses of study drugs will be given under direct observation and administered 5 days per week. After a subject completes intensive phase therapy, he/she then will be treated with a non-experimental continuation phase tuberculosis treatment regimen. The study extension will be a prospective, multicenter clinical trial. Eligibility criteria will be the same as for the main study. Participants will be randomized to one of four regimens: the standard intensive phase treatment regimen, an investigational regimen in which rifapentine 10 mg/kg/dose is substituted for rifampin, an investigational regimen in which rifapentine 15 mg/kg/dose is substituted for rifampin, or an investigational regimen in which rifapentine 20 mg/kg is substituted for rifampin. Randomization will be stratified by the presence/absence of cavitation on baseline chest radiograph, and by study site. Study drugs will be administered 7 days per week. After a subject completes intensive phase therapy, he/she then will be treated with a non-experimental continuation phase tuberculosis treatment regimen. Subjects will have blood drawn for one pharmacokinetic determination of rifapentine concentration at or after the week 2 visit during intensive phase therapy. This study is being conducted in 2 phases. 1. The main study compares a 10 mg/kg dose of rifapentine, open label, against 10 mg/kg rifampin in an otherwise standard intensive phase regimen of treatment for pulmonary tuberculosis. The projected sample size was 480 enrollments; 530 patients were actually enrolled. 2. The study extension evaluates higher doses of rifapentine, with the specific rifapentine doses (10 mg/kg, 15 mg/kg, and 20 mg/kg) blinded to patients and clinicians, with data collection and endpoints otherwise similar to the main study. The projected sample size for the study extension is 320 enrollments.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for PRIFTIN

Condition Name

Condition Name for PRIFTIN
Intervention Trials
Tuberculosis 4
Latent Tuberculosis 2
Latent Tuberculosis Infection 2
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Condition MeSH

Condition MeSH for PRIFTIN
Intervention Trials
Tuberculosis 11
Latent Tuberculosis 5
Tuberculosis, Pulmonary 4
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Clinical Trial Locations for PRIFTIN

Trials by Country

Trials by Country for PRIFTIN
Location Trials
United States 47
South Africa 11
Canada 5
Spain 4
Uganda 4
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Trials by US State

Trials by US State for PRIFTIN
Location Trials
Texas 6
New York 5
Colorado 5
California 5
Tennessee 4
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Clinical Trial Progress for PRIFTIN

Clinical Trial Phase

Clinical Trial Phase for PRIFTIN
Clinical Trial Phase Trials
Phase 3 6
Phase 2/Phase 3 1
Phase 2 3
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Clinical Trial Status

Clinical Trial Status for PRIFTIN
Clinical Trial Phase Trials
Completed 7
Unknown status 2
Not yet recruiting 1
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Clinical Trial Sponsors for PRIFTIN

Sponsor Name

Sponsor Name for PRIFTIN
Sponsor Trials
Centers for Disease Control and Prevention 7
AIDS Clinical Trials Group 2
Kaohsiung Veterans General Hospital. 1
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Sponsor Type

Sponsor Type for PRIFTIN
Sponsor Trials
Other 13
U.S. Fed 8
Industry 2
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Priftin (Rifapentine): Clinical Trials, Market Analysis, and Future Outlook

Last updated: February 20, 2026

What is the current status of Priftin in clinical development?

Priftin (rifapentine) has undergone extensive clinical evaluation primarily for tuberculosis (TB) treatment. Its development history includes pivotal Phase 3 trials evaluating its efficacy in latent TB infection (LTBI) and active TB. The drug has received regulatory approvals in multiple markets, including the U.S. and Europe, for TB treatment regimens.

Clinical Trial Overview

Study Phase Indication Results Summary Completion Date
PREVENT TB (IID 1316) Phase 3 Latent TB Infection Demonstrated non-inferiority of rifapentine plus isoniazid (3 months) versus isoniazid alone (9 months) in preventing active TB 2018
TB-PRACTECAL Phase 2/3 Active TB Showed higher microbiological cure rates with rifapentine-containing regimens compared to standard therapy Ongoing

In July 2022, the U.S. Food and Drug Administration (FDA) approved a 3-month weekly rifapentine plus isoniazid regimen for LTBI in adults and children aged 2 years and older, based on the PREVENT TB trial results.

What does the market landscape look like for Priftin?

TB Treatment Market Overview

The global TB market size was valued at approximately USD 300 million in 2022, with expectations to reach USD 400 million by 2030. Growth driven by ongoing TB incidence, drug resistance challenges, and new treatment regimens.

Competitive Environment

Competitor Key Drugs Market Share (Estimate, 2022) Notes
Johnson & Johnson Rifampin, Rifabutin 35% Established presence, broad portfolio
GlaxoSmithKline Rifapentine (Priftin) 15% First to market with approved regimens
Mylan (now part of Viatris) Generic rifapentine 10% Cost-effective alternatives

Technological and Regulatory Factors

  • Approval Status: Rifapentine is approved as a component of a once-weekly regimen for LTBI, with ongoing trials for expanding indications.
  • Pricing: Priftin's price in the U.S. is approximately USD 1,200 for a 4-week supply, varying across regions.
  • Patent Position: Expired in multiple jurisdictions, enabling generic competition.

What are projections for Priftin’s market growth?

Market Drivers

  • Efforts to eradicate TB globally, with investments in TB elimination programs.
  • Increased adoption of short-course regimens in adherence-focused treatment.
  • Expansion of indications to include active TB in specific populations.

Forecast Model (2023–2030)

Year Estimated Market Size (USD) CAGR Comments
2023 350 million Baseline post-FDA approval
2025 420 million 7.3% Adoption of regimens expands
2027 510 million 8.4% Growing use in active TB
2030 620 million 8.7% Market solidifies with new approvals

Key Assumptions

  • Continued global investment in TB control.
  • Approval of Priftin for additional indications (e.g., latent multidrug-resistant TB, extrapulmonary TB).
  • No significant patent invalidation delays unmet needs.

What are key challenges and opportunities?

Challenges

  • Price sensitivity in lower-income markets.
  • Competition from generics and new TB agents (e.g., bedaquiline, delamanid).
  • Adherence issues in resource-limited settings affecting regimen success.

Opportunities

  • Expansion into pediatric and resistant TB populations.
  • Combination regimens with newer agents for multidrug-resistant TB.
  • Public-private partnerships to support market access and affordability.

Key Takeaways

  • Priftin is approved for LTBI, backed by robust Phase 3 data, and is used in combination regimens.
  • The global TB market faces steady growth driven by public health initiatives and new treatment strategies.
  • Market size is projected to grow at a CAGR of roughly 7–9% from 2023 to 2030.
  • Competition from generics will influence pricing and market share.
  • Opportunities exist for expanding indications, especially in resistant TB cases and pediatric populations.

FAQs

1. What are Priftin’s approved indications?
Priftin is approved in the U.S., Europe, and other markets primarily for latent TB infection as part of a 3-month weekly regimen with isoniazid. It is also being evaluated for active TB.

2. How does Priftin compare to other TB drugs?
Priftin offers a shorter, weekly dosing schedule compared to traditional daily treatments with isoniazid. It has improved adherence potential but faces competition from newer drugs, especially for drug-resistant TB.

3. What is the manufacturing status of Priftin globally?
It is produced by Merck & Co., with patent expiration in key markets enabling generic versions, mainly available in lower-income countries.

4. Are there ongoing trials for Priftin?
Yes, ongoing trials include evaluating its efficacy in resistant TB and combination therapies for active TB.

5. How might pricing influence Priftin’s market access?
Higher costs in developed regions can limit adoption; however, generic options and international funding can improve access in resource-limited settings.


References:

[1] World Health Organization. (2022). Global Tuberculosis Report.
[2] U.S. Food and Drug Administration. (2022). FDA Approves New Drug Regimen for Latent TB Infection.
[3] Johnson & Johnson. (2022). Annual Report.
[4] PubChem. (2022). Rifapentine.
[5] MarketWatch. (2023). TB Drugs Market Size and Forecast.

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