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Phase 2 Trial Assessing TBAJ876 or Bedaquiline, with Pretomanid and Linezolid in Adults with Drug-sensitive Pulmonary Tuberculosis
Sponsor: Global Alliance for TB Drug Development
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 ethambutol (2HRZE), in adult participants with newly diagnosed, smear-positive, pulmonary drug sensitive tuberculosis (DS-TB). The main questions the trial aims to answer are: * What is the optimal dose of TBAJ876 to continue further in development. * What is the bactericidal activity of bedaquiline with pretomanid and linezolid (B-Pa-L) compared to 2HRZE and TBAJ876-Pa-L over 8 weeks * What is the efficacy and safety of the 26-week B-Pa-L regimen compared with the SOC (2HRZE/4HR) in participants with DS-TB. Participants will be seen regularly during treatment (up to 26 weeks) and follow-up (52 weeks post treatment) for safety and efficacy assessments, including but not limited to: * Safety labs, ECGs, vital signs, physical exams, PK sampling, neuropathy assessments and adverse event monitoring * Sputum collection
Official title: A Phase 2, Partially-blinded, Randomised Trial Assessing the Safety and Efficacy of TBAJ-876 or Bedaquiline, in Combination with Pretomanid and Linezolid in Adult Participants with Newly Diagnosed, Drug-sensitive, Smear-positive Pulmonary Tuberculosis
Key Details
Gender
All
Age Range
18 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
309
Start Date
2023-10-24
Completion Date
2026-06
Last Updated
2025-02-17
Healthy Volunteers
No
Interventions
TBAJ-876
tablet
Pretomanid
200 mg
Linezolid
600 mg
Bedaquiline
200 mg for 8 weeks followed by 100 mg for 18 weeks
HRZE
Isoniazid (H) + rifampicin (R) + pyrazinamide (Z) plus ethambutol (E) fixed dose combination tablets dosed by weight
HR
Isoniazid (H) + rifampicin (R) fixed dose combination tablets dosed by weight
Locations (22)
National Center for Tuberculosis and Lung Diseases
Tbilisi, Georgia
Care Clinical Trial Group Inc.
Dasmariñas, Philippines
Tropical Disease Foundation
Makati City, Philippines
Lung Center of the Philippines
Quezon City, Philippines
Setshaba Research Centre
Soshanguve, Gauteng, South Africa
TASK Eden
George, George, South Africa
Madibeng Centre for Research
Brits, South Africa
TASK Brooklyn
Cape Town, South Africa
University of Cape Town Lung Institute (UCTLI)
Cape Town, South Africa
Desmond Tutu Health Foundation
Cape Town, South Africa
Enhancing Care Foundation
Durban, South Africa
Synergy Biomed Research Institute (SBRI)
East London, South Africa
TB and HIV Investigative Network (THINK)
Hillcrest, South Africa
WITS, Clinical HIV Research Unit (CHRU) Themba Lethu Clinic, Helen Joseph Hospital
Johannesburg, South Africa
Perinatal HIV Research Unit (PHRU)
Klerksdorp, South Africa
Isango Lethemba TB Research Unit
Port Elizabeth, South Africa
The Aurum Institute
Rustenburg, South Africa
NIMR-MBEYA Medical Research Center
Mbeya, Tanzania
Kilimanjaro Christian Medical Centre
Moshi, Tanzania
National Institute for Medical Research (NIMR)
Mwanza, Tanzania
Case Western Reserve University- Research collaboration Uganda
Kampala, Uganda
Joint Clinical Research Centre (JCRC)
Kampala, Uganda