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Phase 2 Trial of Sorfequiline Regimens in Adults With Newly Diagnosed Drug-sensitive Pulmonary TB
Sponsor: Global Alliance for TB Drug Development
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
Conditions
Interventions
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)
Pretomanid
one 200mg tablet taken once daily for 17 weeks
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