A Phase 2 to Evaluate the Efficacy, Safety and Tolerability of Combinations of Bedaquiline, Moxifloxacin, PA-824 and Pyrazinamide in Adult Subjects With Drug-Sensitive or Multi Drug-Resistant Pulmonary Tuberculosis. (NC-005)
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ClinicalTrials.gov Identifier: NCT02193776 |
Recruitment Status :
Completed
First Posted : July 18, 2014
Results First Posted : July 26, 2019
Last Update Posted : July 26, 2019
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Sponsor:
Global Alliance for TB Drug Development
Information provided by (Responsible Party):
Global Alliance for TB Drug Development
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Condition |
Tuberculosis |
Interventions |
Drug: PA-824 Drug: bedaquiline Drug: moxifloxacin Drug: pyrazinamide Drug: isoniazid, rifampicin, pyrazinamide and ethambutol combination tablet |
Enrollment | 240 |
Participant Flow
Recruitment Details | This trial was conducted at 10 centers in 3 countries (South Africa, Tanzania, and Uganda) from 23 October 2014. Adult male and female participants with drug-sensitive (DS) or multi-drug resistant (MDR) smear-positive pulmonary tuberculosis (TB) were recruited into this open-label multi-center study. |
Pre-assignment Details | Participants were confirmed positive for M.tuberculosis on molecular test. DS-TB participants were to be sensitive to rifampicin and newly diagnosed with pulmonary TB (or untreated for at least 3 years). MDR-TB participants were to be resistant to rifampicin, sensitive to moxifloxacin and newly diagnosed with pulmonary TB (or treated for <=7 days). |
Arm/Group Title | DS-TB: Bedaquiline (Loading Dose/t.i.w)+ PA-824 + Pyrazinamide | DS-TB: Bedaquiline (200 mg) + PA-824 + Pyrazinamide | DS-TB: HRZE (Isoniazid+Rifampicin+Pyrazinamide+Ethambutol) | MDR-TB: Bedaquiline (200 mg)+Moxifloxacin+PA-824+Pyrazinamide |
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Participants with DS-TB were randomized to receive 400 milligrams (mg) bedaquiline once daily on Days 1 to 14, 200 mg three times a week (t.i.w) during Days 15 to 56 + 200 mg pretomanid (PA-824) + 1500 mg pyrazinamide orally once daily on Days 1 to 56 during the treatment period (from Day 1 to Week 8). Participants then entered a follow-up period up to Month 26. | Participants with DS-TB were randomized to receive 200 mg bedaquiline + 200 mg pretomanid (PA-824) + 1500 mg pyrazinamide orally once daily on Days 1 to 56 during the treatment period (from Day 1 to Week 8). Participants then entered a follow-up period up to Month 26. | Participants with DS-TB were randomized to receive combination tablets containing 75 mg isoniazid + 150 mg rifampicin + 400 mg pyrazinamide + 275 mg ethambutol orally once daily on Days 1 to 56 during the treatment period (from Day 1 to Week 8) with the daily dose per the participant's weight as follows: 30 to 37 kilograms (kg): 2 tablets; 38 to 54 kg: 3 tablets; 55 to 70 kg: 4 tablets; 71 kg and over: 5 tablets. Participants then entered a follow-up period up to Month 26. | Participants with MDR-TB received 200 mg bedaquiline + 400 mg moxifloxacin + 200 mg pretomanid (PA-824) + 1500 mg pyrazinamide orally once daily on Days 1 to 56 during the treatment period (from Day 1 to Week 8). Participants then entered a follow-up period up to Month 26. |
Period Title: Overall Study | ||||
Started | 59 | 60 | 61 | 60 |
Completed Day 70 Follow-up | 54 | 56 | 60 | 60 |
Completed Day 140 Follow-up | 52 | 52 | 58 | 58 |
Completed [1] | 51 | 53 | 59 | 58 |
Not Completed | 8 | 7 | 2 | 2 |
Reason Not Completed | ||||
Consent withdrawn | 1 | 0 | 0 | 0 |
Failure to comply with protocol | 0 | 1 | 0 | 0 |
Investigator/Sponsor decision | 1 | 1 | 0 | 0 |
Death | 1 | 0 | 0 | 0 |
Adverse event/Specific toxicity | 5 | 5 | 2 | 2 |
[1]
Completed Treatment
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Baseline Characteristics
Arm/Group Title | DS-TB: Bedaquiline (Loading Dose/t.i.w)+ PA-824 + Pyrazinamide | DS-TB: Bedaquiline (200 mg) + PA-824 + Pyrazinamide | DS-TB: HRZE (Isoniazid+Rifampicin+Pyrazinamide+Ethambutol) | MDR-TB: Bedaquiline (200 mg)+Moxifloxacin+PA-824+Pyrazinamide | Total | |
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Participants with DS-TB were randomized to receive 400 mg bedaquiline once daily on Days 1 to 14, 200 mg t.i.w during Days 15 to 56 + 200 mg pretomanid (PA-824) + 1500 mg pyrazinamide orally once daily on Days 1 to 56 during the treatment period (from Day 1 to Week 8). Participants then entered a follow-up period up to Month 26. | Participants with DS-TB were randomized to receive 200 mg bedaquiline + 200 mg pretomanid (PA-824) + 1500 mg pyrazinamide orally once daily on Days 1 to 56 during the treatment period (from Day 1 to Week 8). Participants then entered a follow-up period up to Month 26. | Participants with DS-TB were randomized to receive combination tablets containing 75 mg isoniazid + 150 mg rifampicin + 400 mg pyrazinamide + 275 mg ethambutol orally once daily on Days 1 to 56 during the treatment period (from Day 1 to Week 8) with the daily dose per the participant's weight as follows: 30 to 37 kg: 2 tablets; 38 to 54 kg: 3 tablets; 55 to 70 kg: 4 tablets; 71 kg and over: 5 tablets. Participants then entered a follow-up period up to Month 26. | Participants with MDR-TB received 200 mg bedaquiline + 400 mg moxifloxacin + 200 mg pretomanid (PA-824) + 1500 mg pyrazinamide orally once daily on Days 1 to 56 during the treatment period (from Day 1 to Week 8). Participants then entered a follow-up period up to Month 26. | Total of all reporting groups | |
Overall Number of Baseline Participants | 59 | 60 | 61 | 60 | 240 | |
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The safety analysis population included all participants who were randomized (for the DS participant population) or assigned (for the MDR participant population) to study drug and who received at least 1 administration of study drug.
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 59 participants | 60 participants | 61 participants | 60 participants | 240 participants | |
35.1 (13.03) | 33.9 (10.45) | 33.3 (8.60) | 34.0 (12.68) | 34.1 (11.26) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 59 participants | 60 participants | 61 participants | 60 participants | 240 participants | |
Female |
14 23.7%
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12 20.0%
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15 24.6%
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17 28.3%
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58 24.2%
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Male |
45 76.3%
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48 80.0%
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46 75.4%
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43 71.7%
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182 75.8%
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 59 participants | 60 participants | 61 participants | 60 participants | 240 participants | |
American Indian or Alaska Native |
0 0.0%
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0 0.0%
|
0 0.0%
|
0 0.0%
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0 0.0%
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Asian |
0 0.0%
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0 0.0%
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0 0.0%
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0 0.0%
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0 0.0%
|
|
Native Hawaiian or Other Pacific Islander |
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 1.7%
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1 0.4%
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Black or African American |
46 78.0%
|
49 81.7%
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49 80.3%
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53 88.3%
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197 82.1%
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White |
0 0.0%
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0 0.0%
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0 0.0%
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1 1.7%
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1 0.4%
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More than one race |
13 22.0%
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11 18.3%
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12 19.7%
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5 8.3%
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41 17.1%
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Unknown or Not Reported |
0 0.0%
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0 0.0%
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0 0.0%
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0 0.0%
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0 0.0%
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Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
The Investigator or any Sub-Investigator shall submit any oral or written publication or abstract concerning this study to the Sponsor not less than thirty (30) days prior to submission to any journal, other publication or meeting for review and removal of confidential information.
Results Point of Contact
Name/Title: | Almari Conradie, Director, Clinical Operations |
Organization: | TB Alliance |
Phone: | +27 12 991 6328 |
EMail: | almari.conradie@tballiance.org |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | Global Alliance for TB Drug Development |
ClinicalTrials.gov Identifier: | NCT02193776 |
Other Study ID Numbers: |
NC-005-(J-M-Pa-Z) |
First Submitted: | July 16, 2014 |
First Posted: | July 18, 2014 |
Results First Submitted: | February 22, 2019 |
Results First Posted: | July 26, 2019 |
Last Update Posted: | July 26, 2019 |