# Treatment completion rates and adverse effects of three months of once-weekly isoniazid plus rifapentine for latent tuberculosis infection

**Authors:** Tiene Heidy Maoski, Giovana Rodrigues Pereira, André Kulzer Santos, Raimunda Sinthia Lima de Braga, Marina Scheffer de Souza, Gean Souza Ramos, Allanamara Pereira Marinho, Renata Ullmann de Brito Neves, Denise Rossato Silva

PMC · DOI: 10.36416/1806-3756/e20250234 · Jornal Brasileiro de Pneumologia · 2025-10-01

## TL;DR

A three-month weekly regimen of isoniazid and rifapentine improves treatment completion for latent tuberculosis compared to longer daily regimens.

## Contribution

The study demonstrates that a shorter, weekly treatment regimen increases completion rates for latent tuberculosis infection.

## Key findings

- The 3HP group had a 93.8% treatment completion rate compared to 84.1% in the 6H/9H group.
- Adverse effects were not significantly different between the two treatment regimens.

## Abstract

Preventive treatment of active tuberculosis is one of the main strategies for reducing the incidence of tuberculosis. We sought to evaluate the rates of latent tuberculosis infection (LTBI) treatment completion with three months of once-weekly isoniazid plus rifapentine (3HP) and compare them with those for six to nine months of daily isoniazid (6H/9H).

This was a retrospective cross-sectional study. Consecutive patients undergoing LTBI treatment with 3HP or 6H/9H were included in the study. Treatment completion rates and adverse effects were analyzed.

A total of 226 patients were included in the study: 113 in the 3HP group and 113 in the 6H/9H group. The frequency of adverse effects was not significantly different between the 3HP and 6H/9H groups. The 3HP group had a higher treatment completion rate (93.8%) than did the 6H/9H group (84.1%), the difference being significant.

The rates of LTBI treatment completion appear to be higher with 3HP than with 6H/9H. Health care professionals should be vigilant in managing adverse effects to further maximize LTBI treatment completion.

## Linked entities

- **Chemicals:** isoniazid (PubChem CID 3767), rifapentine (PubChem CID 135403821)
- **Diseases:** tuberculosis (MONDO:0018076), latent tuberculosis infection (MONDO:0040753)

## Full-text entities

- **Diseases:** LTBI (MESH:D055985), tuberculosis (MESH:D014376)
- **Chemicals:** 3HP (-), isoniazid (MESH:D007538), rifapentine (MESH:C018421)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## References

13 references — full list in the complete paper: https://tomesphere.com/paper/PMC12602054/full.md

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Source: https://tomesphere.com/paper/PMC12602054