Actively Recruiting

Phase 2
Phase 3
All Genders
NCT06568484

Bedaquiline Roll-out Evidence in Contacts and People Living With HIV to Prevent TB

Led by Johns Hopkins University · Updated on 2026-05-12

2530

Participants Needed

6

Research Sites

68 weeks

Total Duration

On this page

Sponsors

J

Johns Hopkins University

Lead Sponsor

E

Elizabeth Glaser Pediatric AIDS Foundation

Collaborating Sponsor

AI-Summary

What this Trial Is About

A seamless, staged Phase II/III, open-label, multicenter, non-inferiority trial, to compare the efficacy and safety of 4 weeks of bedaquiline (BDQ) versus a a standard regimen for preventing regimen for preventing confirmed or probable tuberculosis disease (TBD) during 72 weeks of follow-up among people living with HIV (PLHIV) and high-risk Close Contacts (CC) of adults with Drug Susceptible (DS) or Rifampin Resistant (RR) TB.

CONDITIONS

Official Title

Bedaquiline Roll-out Evidence in Contacts and People Living With HIV to Prevent TB

Who Can Participate

All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Any age with bacteriologically proven pulmonary tuberculosis who started treatment within the past 90 days and have at least one close contact likely eligible for the study
  • People living with HIV on a dolutegravir-based or approved integrase inhibitor ART regimen that does not interact with study drugs
  • Close contacts of drug-sensitive or rifampin-resistant TB patients who meet specific risk groups including children 0 to <5 years old regardless of HIV or latent TB status, and individuals ≥5 years old with latent TB infection or HIV infection
  • Ability and willingness to provide informed consent (and assent if applicable)
  • Documentation of HIV status and antiretroviral therapy as specified
  • Chest X-ray without active tuberculosis within 30 days prior to enrollment
  • Laboratory values within acceptable limits for liver, kidney function, and blood counts within 30 days prior to enrollment
  • Negative pregnancy test within 7 days prior to enrollment for those of childbearing potential
Not Eligible

You will not qualify if you...

  • Unwilling or unable to provide informed consent
  • Weighing 3 kg or less
  • Current diagnosis of confirmed, probable, or possible tuberculosis disease at enrollment
  • Previously completed tuberculosis disease treatment or preventive therapy
  • Enrolled in another therapeutic clinical trial
  • Severe renal or hepatic impairment, acute hepatitis, severe cardiac arrhythmia, or peripheral neuropathy grade 2 or higher
  • Porphyria diagnosis
  • Corrected QT interval over 460 msec
  • Unable to take oral medication
  • Active drug or alcohol dependence interfering with treatment adherence
  • Serious illness requiring systemic treatment or hospitalization within 30 days prior to enrollment
  • Prior exposure to bedaquiline or clofazimine
  • Recent use of isoniazid, rifamycin, or fluoroquinolone (more than 7 days in past 90 days)
  • Known bedaquiline resistance in index patient
  • Allergy or hypersensitivity to study drugs
  • Use of prohibited medications that cannot be stopped or require long washout
  • Known pregnancy or breastfeeding
  • For close contacts of rifampin-resistant TB patients: known fluoroquinolone resistance in index patient or severe tendinopathy related to fluoroquinolones

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 6 locations

1

HNSEB (Hospital Nacional Sergio E. Bernales)

Lima, Peru

Not Yet Recruiting

2

SES Policlinico

Lima, Peru

Not Yet Recruiting

3

Kilimanjaro Clinical Research Institute

Moshi, Tanzania

Actively Recruiting

4

Joint Clinical Research Centre

Kampala, Uganda

Not Yet Recruiting

5

Makerere Lung Institute

Kampala, Uganda

Not Yet Recruiting

6

MU-JHU Care Ltd.

Kampala, Uganda

Not Yet Recruiting

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Research Team

B

Bonnie S. King, MHS

CONTACT

K

Kate Boehner, RN, MSN

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

3

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