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NOT YET RECRUITING
NCT07672405
PHASE2

Phase 2 Trial of Sorfequiline Regimens in Adults With Newly Diagnosed Drug-sensitive Pulmonary TB

Sponsor: Global Alliance for TB Drug Development

View on ClinicalTrials.gov

Summary

The goal of this interventional trial is to evaluate the safety and efficacy of the loading dose regimen 200/100SPaL-4/13 weeks, and the 100SPaL -17 weeks regimen in adults with newly diagnosed, drug-sensitive, smear-positive pulmonary tuberculosis. Participants (18-65 years) will be randomised 1:1, stratified by country and disease severity, to receive either : 1. a sorfequiline loading-dose regimen (200 mg daily for 4 weeks followed by 100 mg daily for 13 weeks) plus pretomanid 200 mg and linezolid 600 mg daily, or 2. sorfequiline 100 mg daily for 17 weeks plus pretomanid 200 mg and linezolid 600 mg daily. Study treatment is administered orally once daily with food. The primary objective is to assess safety through 17 weeks of treatment, including treatment-emergent adverse events, ECG findings, vital signs, laboratory assessments, visual acuity, and peripheral neuropathy. Secondary objectives include assessments of efficacy (time to stable sputum culture conversion; favorable outcome and treatment failure/relapse at 26 and 52 weeks after end of treatment) and pharmacokinetics of trial drugs, with exploratory analyses including predictors of culture conversion, exposure-response relationships, and quality of life.

Official title: A Phase 2b, Randomised, Multi-center, Partially Blinded Trial Assessing the Safety and Efficacy of Regimens Containing Sorfequiline, Pretomanid and Linezolid in Adults With Newly Diagnosed, Drug-sensitive, Smear Positive Pulmonary Tuberculosis

Key Details

Gender

All

Age Range

18 Years - 65 Years

Study Type

INTERVENTIONAL

Enrollment

100

Start Date

2026-07-01

Completion Date

2028-06-24

Last Updated

2026-06-26

Healthy Volunteers

No

Interventions

DRUG

sorfequiline

Two sorfequiline 100mg tablets taken once daily for 4 weeks then one sorfequiline taken once daily for 13 weeks OR one sorfequiline 100mg tablet taken once daily for 17 weeks (with one 100mg sorfequiline placebo tablet for the first 4 weeks)

DRUG

Pretomanid

one 200mg tablet taken once daily for 17 weeks

DRUG

Linezolid

one 600mg tablet taken once daily for 17 weeks

Locations (11)

Isango Lethemba TB Research Unit

Port Elizabeth, Bethelsdorp, South Africa

Setshaba Research Centre

Pretoria, Guateng, South Africa

University of Capetown Lung Institute

Cape Town, Mowbray, South Africa

The Aurum Institute, Rustenburg

Rustenburg, North West, South Africa

Madiberg Centre for Research

Brits, North West Provinvce, South Africa

Durban International Clinical Research Site, Enhancing Care Foundation

Durban, Wentworth, South Africa

Synergy Biomed Research Institute

East London, South Africa

INUKA Africa

Dar es Salaam, Tanzania

Mbeya Referral Hospital

Mbeya, Tanzania

Kilimanjaro Clinical Research Instuute

Moshi, Tanzania

National Instittute for Medical Research

Mwanza, Tanzania