Drug intelligence / Profile preview

anti-tuberculosis therapy + oral steroid

Development stage
Unknown
Lead developer
TB Alliance
Modality
Small Molecules
Administration
Oral
01

Overview

ATT + oral steroid is a combination treatment regimen investigated by the Faculty of Medicine, University of Indonesia (Fakultas Kedokteran Universitas Indonesia) for the management of idiopathic uveitis in patients who test positive on the Interferon Gamma Release Assay (IGRA). This regimen combines standard Anti-Tuberculosis Therapy (ATT) — typically a fixed-drug combination of isoniazid, rifampicin, pyrazinamide, and ethambutol — with systemic oral corticosteroids such as prednisone. The ATT component targets *Mycobacterium tuberculosis* to address potential latent infection as an underlying cause of ocular inflammation, while the oral steroids act as broad immunosuppressants by binding to glucocorticoid receptors to reduce inflammatory mediators. The protocol is being evaluated in prospective cohort and phase 2 randomized controlled trials (NCT04088019, NCT05005637) conducted at Cipto Mangunkusumo Hospital to determine clinical improvement and transcriptomic changes, including type I interferon gene expression profiling, in this specific patient population.

Other names
ATT + oral steroidAnti-Tuberculosis Therapy + oral steroidFDC of ATT and Oral steroidATT + systemic oral corticosteroids
02

Targets

FAS-I/FAS-II (Fatty acid synthase systems (FAS-I and FAS-II) involved in mycolic acid synthesis)embA (Arabinosyltransferase A)GR (Glucocorticoid receptor)FabI (Enoyl-acyl carrier protein reductase FabI)rpoB (DNA-directed RNA polymerase subunit beta)

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