A5409/RAD-TB is an adaptive Phase 2 randomized, controlled, open-label, dose-ranging, platform protocol to evaluate the safety and efficacy of multidrug regimens for the treatment of adults with drug-susceptible pulmonary tuberculosis (TB). A5409 hypothesizes that novel regimens for the treatment of pulmonary tuberculosis will result in superior early efficacy, as determined by longitudinal mycobacteria growth indicator tube (MGIT) liquid culture time to positivity (TTP) measurements over the first 6 weeks of treatment, and will have acceptable safety and tolerability over 8 weeks of treatment relative to standard of care \[(SOC) isoniazid/rifampicin/pyrazinamide/ethambutol (HRZE)\]. The study will run for 52 weeks, inclusive of 26 weeks of TB treatment comprised of 8 weeks of study treatment (experimental or SOC, based on treatment arm assignment) followed by 18 weeks of SOC continuation phase treatment with 45 participants in each experimental treatment arm and at least 90 participants in the SOC arm.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
315
INH 300 mg will be administered as one tablet orally once daily.
RIF 600 mg will be administered as two 300 mg capsules orally once daily on an empty stomach, 1 hour before or 2 hours after eating a meal.
PZA will be administered as 500 mg tablets, based on weight, orally once daily.
EMB will be administered as 400 mg tablets, based on weight, orally once daily.
BDQ 400 mg will be administered as four 100 mg tablets orally once daily with a meal for the first 2 weeks followed by 200 mg (two 100 mg tablets) orally once daily with a meal for 6 weeks.
Pa 200 mg will be administered as one 200 mg tablet orally once daily with a meal.
LZD 600 mg will be administered as one 600 mg tablet orally once daily.
TBI-223 2400 mg once daily will be administered as four 600 mg tablets orally once daily with a meal.
SZD 1600 mg once daily will be administered as four 400 mg tablets orally once daily with a meal.
TBI-223 1200 mg once daily will be administered as two 600 mg tablets orally with a meal.
SZD 800 mg once daily will be administered as two 400 mg tablets orally once daily with a meal.
12701, Gaborone CRS
Gaborone, Botswana
RECRUITING12201, Instituto de Pesquisas em AIDS do Rio Grande do Sul - IPARGS CRS
Porto Alegre, Brazil
RECRUITING12101, Instituto de Pesquisa Clinica Evandro Chagas (IPEC) CRS
Rio de Janeiro, Brazil
RECRUITING30022, Les Centres GHESKIO Clinical Research Site (GHESKIO-INLR) CRS
Port-au-Prince, Haiti
Difference in mean log10 (Time to positivity (TTP)) slope from longitudinal mycobacteria growth indicator tube (MGIT) liquid culture measurements over the first 6 weeks of treatment
for each experimental treatment arm compared to the SOC treatment arm.
Time frame: Weeks 0, 1, 2, 3, 4 and 6
Difference in the cumulative proportion of participants having at least one new Grade 3 or higher adverse event (AE) by week 8 of treatment
for each experimental treatment arm compared to the SOC treatment arm.
Time frame: 8 weeks
Cumulative proportion of participants with stable sputum culture conversion by week 8 as measured by culture-negative status via MGIT liquid culture at two consecutive measurements.
Time frame: 8 weeks
Mean log10 TTP slope from longitudinal MGIT liquid culture measurements over the first 8 weeks of treatment.
Time frame: Weeks 0, 1, 2, 3, 4, 6 and 8
Cumulative proportion of participants with a new Grade 3 or higher AE by week 26 of treatment.
Time frame: 26 weeks
Cumulative proportion of participants with permanent discontinuation of study-provided anti-TB drugs due to any reason prior to Week 8 of treatment.
Time frame: 8 weeks
Cumulative proportion of participants with permanent discontinuation or temporary discontinuation for ≥3 days of at least one anti-TB drug due to any reason prior to week 8 of treatment.
Time frame: 8 weeks
Cumulative proportion of participants with permanent discontinuation of at least one anti-TB drug due to any reason prior to week 26 of treatment.
Time frame: 26 weeks
A composite of stable culture conversion at week 6 of treatment and no new Grade 3 or higher AE through week 8.
Time frame: 8 weeks
Proportion of participants with durable cure by 52 weeks after treatment initiation.
Time frame: 52 Weeks
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31730, GHESKIO Institute of Infectious Diseases and Reproductive Health (GHESKIO - IMIS) CRS
Port-au-Prince, Haiti
RECRUITING31441, Byramjee Jeejeebhoy Medical College (BJMC) CRS
Pune, India
RECRUITING12601, Moi University Clinical Research Center (MUCRC) CRS
Eldoret, Kenya
RECRUITING12501, Kenya Medical Research Institute/Walter Reed Project Clinical Research Center (KEMRI/WRP) CRS
Kericho, Kenya
RECRUITING30301, Blantyre CRS
Blantyre, Malawi
NOT_YET_RECRUITING12001, Malawi CRS
Lilongwe, Malawi
NOT_YET_RECRUITING...and 19 more locations