Status:

ACTIVE_NOT_RECRUITING

Phase 2 Trial Assessing TBAJ876 or Bedaquiline, with Pretomanid and Linezolid in Adults with Drug-sensitive Pulmonary Tuberculosis

Lead Sponsor:

Global Alliance for TB Drug Development

Conditions:

Pulmonary TB

Pulmonary Tuberculosis

Eligibility:

All Genders

18-65 years

Phase:

PHASE2

Brief Summary

The goal of this clinical trial is to evaluate 3 dose levels of TBAJ876 for 8 weeks in combination with pretomanid and linezolid, compared to 8 weeks of Isoniazid, rifampicin, pyrazinamide and ethambu...

Detailed Description

Participants will be treated up to 26 weeks with either: * TBAJ876 25 mg + pretomanid 200 mg + linezolid 600 mg for 8 weeks followed by HR for 7 to 18 weeks * TBAJ876 50 mg + pretomanid 200 mg + line...

Eligibility Criteria

Inclusion

  • Signed informed consent
  • DS-TB as defined as sensitive to rifampicin and isoniazid by rapid sputum-based test AND either newly diagnosed for TB or have a history of being untreated for at least 3 years after cure from a previous episode of TB
  • Of non-childbearing potential OR using effective birth control methods
  • Body weight ≥ 35 kg

Exclusion

  • Karnofsky score \< 60 at screening
  • Any evidence of extrapulmonary TB
  • Cardiovascular or QT prolongation risk factors
  • Pregnant or breast-feeding
  • Any of the following lab toxicities:
  • Platelets \<100,000/mm³
  • Creatinine \>1.3 x ULN
  • Haemoglobin \<9.5 g/dL or \<95 g/L
  • Absolute neutrophil count \<800/mm³
  • Serum potassium less than the lower limit of normal for the laboratory.
  • ALT and/or AST ≥2.5 x ULN
  • Total bilirubin ≥1.6 x ULN
  • Direct bilirubin \>1 x ULN
  • Haemoglobin A1c ≥8.0%
  • Total lipase ≥1.5 x ULN
  • Total amylase ≥1.5 x ULN
  • CPK \>3 x ULN (if \>3 x ULN, enquire about the participant's recent strenuous activity and consider repeating the test within the screening window)
  • TSH \>1 x ULN
  • Positive results at screening for HBsAg, HAV IgM, or hepatitis C antibodies
  • For participants living with HIV only:
  • CD4+ count\<200 cells/μL.
  • WHO Clinical Stage 4 HIV disease
  • Participant does not agree to use DTG/TFV/3TC during trial if ARV therapy is indicated, and randomised to the TBAJ876 or the B-Pa-L regimen
  • If initiation of ARV therapy is indicate, participants who are known to be intolerant, non-responsive to DTG/TFV/3TC or have DTG/TFV/3TC as a contraindication.

Key Trial Info

Start Date :

October 24 2023

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 1 2026

Estimated Enrollment :

309 Patients enrolled

Trial Details

Trial ID

NCT06058299

Start Date

October 24 2023

End Date

June 1 2026

Last Update

February 17 2025

Active Locations (22)

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Page 1 of 6 (22 locations)

1

National Center for Tuberculosis and Lung Diseases

Tbilisi, Georgia, 0101

2

Care Clinical Trial Group Inc.

Dasmariñas, Philippines, 4114

3

Tropical Disease Foundation

Makati City, Philippines, 1230

4

Lung Center of the Philippines

Quezon City, Philippines, 1104