Tuberculosis, Multidrug-Resistant Clinical Trial
— PROSPECTOfficial title:
A Pragmatic Randomized Controlled Trial to Evaluate the Efficacy and Safety of an Oral Short-course Regimen Including Bedaquiline for the Treatment of Patients With Multidrug-resistant Tuberculosis in China
The purpose of this study is to evaluate efficacy and safety of an oral bedaquiline-containing multidrug-resistant tuberculosis (MDR-TB) short-course regimen (SCR) compared to an oral SCR not including bedaquiline at the end of treatment in participants with pulmonary MDR-TB in China.
Status | Recruiting |
Enrollment | 212 |
Est. completion date | August 8, 2025 |
Est. primary completion date | August 8, 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: - Has a positive sputum Mycobacterium tuberculosis culture from a test performed at screening - Has microbiological confirmation of rifampicin resistance by GeneXpert and to isoniazid (INH) via molecular drug-susceptibility testing (DST) showing katG mutation - Has a chest imaging result compatible with a diagnosis of pulmonary Tuberculosis (TB) - Agrees to use effective contraception during the 40-week study treatment phase. A female participant must be: of nonchildbearing potential; of childbearing potential and practicing effective methods of contraception during the 40-week study treatment phase - Is willing to undergo human immunodeficiency virus (HIV) testing Exclusion Criteria: - Has received prior treatment with bedaquiline - Has prior exposure to at least 1 second-line drug in the regimen for at least 4 weeks - Has any grade 3 or 4 laboratory abnormality as confirmed by a clinical expert - Has a known allergy or intolerance to bedaquiline or other drugs in the regimen - Is infected with a strain of nontuberculous mycobacteria - Is HIV-positive |
Country | Name | City | State |
---|---|---|---|
China | Beijing Chest Hospital | Beijing | |
China | The Eighth Medical Center of PLA General Hospital | Beijing | |
China | Changsha Central Hospital | Changsha | |
China | Public health clinical medical center of Chengdu | Chengdu | |
China | Chongqing Public Health Medical Center | Chongqing | |
China | The Pulmonary Hospital of Fuzhou in Fujian Province(The tuberculosis control and prevention Hospital of Fuzhou in Fujian Province) | Fuzhou | |
China | Guiyang Public Health Clinical Center | Guiyang | |
China | Anhui Chest Hospital | Hefei | |
China | Infectious Disease Hospital of Heilongjiang Province | Heilongjiang | |
China | Jiamusi Tumor Hospital | Jiamusi | |
China | Jiangxi Chest Hospital | Jiangxi | |
China | Shandong public health clinical center | Shandong | |
China | Shanghai Pulmonary Hospital | Shanghai | |
China | Shenyang Chest Hospital | Shenyang | |
China | Wuhan Pulmonary Hospital | Wuhan | |
China | Xi'an Chest Hospital | Xi'an | |
China | The First Affiliated Hospital of Xinxiang Medical University | Xinxiang |
Lead Sponsor | Collaborator |
---|---|
Beijing Chest Hospital |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Percentage of Participants with a Favorable Treatment Outcome at the End of Treatment | Percentage of participants with a favorable treatment outcome at the end of treatment will be reported. A participant's outcome will be classified as favorable if their last 3 culture results by the end of treatment are negative unless they have previously been classified as unfavorable. These 3 cultures must be taken on separate visits; the latest of which being no more than 8 weeks prior to the end of treatment. | At the end of treatment (Week 40) | |
Secondary | Percentage of Participants with a Favorable Treatment Outcome at 48 Weeks Post the End of Treatment | Percentage of participants with a favorable treatment outcome at 48 weeks post the end of treatment will be reported. A participant's outcome will be classified as favorable if their last 3 culture results by the end of treatment are negative unless they have previously been classified as unfavorable. These 3 cultures must be taken on separate visits; the latest of which being no more than 8 weeks prior to the end of treatment. | At 48 weeks post the end of treatment (Week 88) | |
Secondary | Percentage of Participants Achieving Treatment Success at the end of Treatment | Percentage of participants achieving treatment success at the end of treatment will be reported. Treatment success is achieved if participants completed their prescribed tuberculosis (TB) treatment; or if their last 3 culture results are negative by the end of treatment, these 3 cultures must be taken on separate visits and should be after the initial 6-month treatment period. | At the end of treatment (Week 40) | |
Secondary | Percentage of Participants with a Modified Favorable Treatment Outcome at the end of Treatment and at 48 Weeks Post end of Treatment | Percentage of participants with a modified favorable treatment outcome at the end of treatment and at 48 weeks post end of treatment will be reported. A participant's treatment outcome will be classified as modified favorable if their last 2 culture results by the end of treatment are negative unless they have previously been classified as unfavorable. These 2 cultures must be taken on separate visits; the latest of which being no more than 8 weeks prior to the end of treatment. | At the end of treatment (Week 40) and at 48 weeks post end of treatment (Week 88) | |
Secondary | Percentage of Participants Experiencing All-cause Mortality | Percentage of participants experiencing all-cause mortality will be reported. | Up to Week 88 | |
Secondary | Percentage of Participants Experiencing Grade 3 or Greater Treatment-emergent Adverse Events (TEAEs) During Study Treatment and Follow-up | Percentage of participants experiencing grade 3 or greater TEAEs during study treatment and follow-up will be reported. An adverse event (AE) is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. TEAEs are defined as any event that begins or worsens in severity after initiation of study drug through to the end of study. An assessment of severity grade will be made using the following 5 general categorical descriptors based on division of acquired immunodeficiency syndrome (AIDS) grading for AE severity assessment. Severity scale ranges from Grade 1 (Mild) to Grade 5 (Death). Grade 1= Mild, Grade 2= Moderate, Grade 3= Severe, Grade 4= Life-threatening, and Grade 5= Death. | During study treatment and follow-up (From Week 1 up to Week 88) | |
Secondary | Percentage of Participants Experiencing TEAEs | Percentage of participants experiencing TEAEs will be reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. TEAEs are defined as any event that begins or worsens in severity after initiation of study drug through to the end of study. | From Week 1 up to Week 88 | |
Secondary | Percentage of Participants with TB Relapses and Re-infections During the Treatment-free Follow-up Phase | Percentage of participants with TB relapses and re-infections during the treatment-free follow-up phase will be reported. | During the treatment-free follow-up phase (Up to 48 weeks) | |
Secondary | Percentage of Participants Whose Isolates Develop Resistance to Bedaquiline and Other Drugs Used in the Regimen | Percentage of participants whose isolates develop resistance to bedaquiline and other drugs used in the regimen will be reported. | Up to Week 88 |
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