Clinical Research Directory

Inclusion Criteria: * Men and Women Age \> 18 * Weight \> 30 kg * End-stage renal disease * Living-related or deceased kidney transplant candidate (not on the waitlist) deemed by their transplant nephrologist * Negative serum OR urine pregnancy test * Evidence of latent tuberculosis or high risk for tuberculosis: (1) Confirmed positive tuberculin skin test (TST) ≥ 5 mm or positive quantiferon gold test/T-spot and a chest radiograph or chest CT scan without evidence of active pulmonary TB OR (2) Patients with negative TST or quantiferon gold/T-spot test but high risk for tuberculosis are eligible if they have (i) radiographic evidence of previous TB (stable fibronodular changes, including scarring \[peribronchial fibrosis, bronchiectasis, and architectural distortion\] and nodular opacities in the apical and upper lung zones) and no history of adequate treatment, or (ii) have had close and prolonged contact with a case of active TB. Exclusion Criteria: * Age \<18 years * Absolute neutrophil count of \<750 cells/mm3 * Hemoglobin \< 7.4 g/dL * Platelets \< 50 x 10E3/uL * AST (SGOT) and ALT (SGPT) \> 3 times the upper limit of normal (ULN) * Total bilirubin \> 2.5 times the ULN * Presence of active TB * Prior history of treatment for active TB or LTBI * Known exposure to multidrug-resistant TB * Known history of or active porphyria * History of liver cirrhosis * Evidence of active acute hepatitis * Peripheral neuropathy \> grade 2 * Active drug or alcohol dependence in opinion of investigator that will interfere with adherence * On non-modifiable medications with significant drug interactions with Rifapentine or INH * On medications known to cause hepatoxicity and/or neutropenia