Treatment can be shortened for children with minimal TB - results of the SHINE trial

11 March, 2022

Dear CHIFA colleagues,

The results of the SHINE trial have been published in the NEJM today. SHINE looked at whether treatment for children with minimal TB could be reduced from 6 months to 4 months. It found that the four month treatment was as good as the standard six months treatment for children with minimal TB. We have produced various resources that summarise these results:

* NEJM paper https://www.nejm.org/doi/full/10.1056/NEJMoa2104535?query=featured_home

* 4-page briefing paper https://www.mrcctu.ucl.ac.uk/media/2057/shine-briefing-paper-220222.pdf

* Infographic - https://www.mrcctu.ucl.ac.uk/media/2053/shine-main-infographic.png

* Short animated abstract https://vimeo.com/474730726/e10e0b621c

* Film about the results and implications (full length - 12 mins<https://vimeo.com/645164426/251c376917>) (short version - 6 mins<https://vimeo.com/667456124/08ad973889>)

* Image explaining what we mean by minimal TB - https://www.mrcctu.ucl.ac.uk/media/2058/shine-what-is-minimal-tb-for-ind...

Based on these results, the WHO issued a rapid communication saying they would be updating their guidelines to recommend four months treatment for these children. https://www.who.int/publications/i/item/9789240033450

We are keen to know whether the resources we produce are useful to you - if you look at any of them, it would be very helpful if you could spare a couple of minutes to complete this feedback form. https://forms.office.com/r/1jeRpqZTMs

Many thanks,

Annabelle

Annabelle South

Policy, Communications & Research Impact Coordinator

MRC Clinical Trials Unit at UCL

ICTM

90 High Holborn

London

WC1V 6LJ

+44 (0)207 670 4827

a.south@ucl.ac.uk<mailto:a.south@ucl.ac.uk>

Read our latest publication on sharing the results of participants of clinical trials: Testing approaches to sharing trial results with participants: The Show RESPECT cluster randomised, factorial, mixed methods trial https://doi.org/10.1371/journal.pmed.1003798

CHIFA profile: Annabelle South is Policy, Communications & Research Impact Coordinator at the MRC Clinical Trials Unit at UCL, London, UK. She is interested in paediatric health research, particularly HIV and TB. a.south AT ucl.ac.uk