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ACTIVE NOT RECRUITING
NCT06058299
PHASE2

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

View on ClinicalTrials.gov

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

DRUG

TBAJ-876

tablet

DRUG

Pretomanid

200 mg

DRUG

Linezolid

600 mg

DRUG

Bedaquiline

200 mg for 8 weeks followed by 100 mg for 18 weeks

DRUG

HRZE

Isoniazid (H) + rifampicin (R) + pyrazinamide (Z) plus ethambutol (E) fixed dose combination tablets dosed by weight

DRUG

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