A Phase 2 Study to Evaluate Early Bactericidal Activity, Safety, Tolerability, and Pharmacokinetics of Multiple Oral Doses of Telacebec (Q203)
Primary Purpose
Treatment-naïve, Sputum Smear-positive Patients With Drug-sensitive Pulmonary TB
Status
Completed
Phase
Phase 2
Locations
South Africa
Study Type
Interventional
Intervention
Telacebec (Q203)
Rifafour e-275
Sponsored by
About this trial
This is an interventional treatment trial for Treatment-naïve, Sputum Smear-positive Patients With Drug-sensitive Pulmonary TB
Eligibility Criteria
Inclusion Criteria:
- A new episode of pulmonary TB determined by testing at the study appointed laboratory: Mycobacterium tuberculosis positive and rifampicin and isoniazid sensitive on a rapid molecular test
- A chest X-ray taken no more than 14 days before Screening which in the opinion of the Investigator is consistent with TB
- Sputum smear positive on direct microscopy for acid-fast bacilli on at least 1 pre-treatment sputum sample
- Ability to produce an adequate volume of sputum as determined by an approximately 16-hour overnight sample collection
- Be of non-childbearing potential or using effective methods of birth control, as defined in the protocol
Exclusion Criteria:
- The patient is mentally or legally incapacitated at Screening
- Any condition or circumstance, in the opinion of the Investigator, which may make the patient unlikely to complete the study or comply with study procedures and requirements, or may pose a risk to the patient's safety
- Clinically significant evidence of extra-thoracic TB (miliary TB, abdominal TB, urogenital TB, osteoarthritic TB, TB meningitis), as judged by the Investigator
- The patient has been infected with hepatitis B or C virus as confirmed by tests for hepatitis B core antibodies, hepatitis B surface antigens, and the hepatitis C virus antibodies
- The patient with history of allergic reaction to isoniazid, rifampicin, pyrazinamide, ethambutol or related substances (eg, tosylate), as confirmed by the clinical judgement of the Investigator
Sites / Locations
- TASK Applied Science
- UCT Lung Institute
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Telacebec (Q203) tablet
Rifafour e-275
Arm Description
Outcomes
Primary Outcome Measures
The EBA (early bactericidal activity) of telacebec (Q203)
The EBA determined by the rate of change in the time to positivity (TTP) in sputum over the periods Days 0 to 14
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03563599
Brief Title
A Phase 2 Study to Evaluate Early Bactericidal Activity, Safety, Tolerability, and Pharmacokinetics of Multiple Oral Doses of Telacebec (Q203)
Official Title
An Open-label Randomized Study to Evaluate the Early Bactericidal Activity, Safety, Tolerability, and Pharmacokinetics of Multiple Oral Doses of Telacebec (Q203) in Treatment-naïve Patients With Newly Diagnosed Drug-sensitive Sputum Smear-positive Pulmonary Tuberculosis
Study Type
Interventional
2. Study Status
Record Verification Date
September 2019
Overall Recruitment Status
Completed
Study Start Date
July 23, 2018 (Actual)
Primary Completion Date
September 9, 2019 (Actual)
Study Completion Date
September 9, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Qurient Co., Ltd.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
This is a Phase IIa, open-label, randomized study in treatment-naïve, sputum smear-positive patients with drug-sensitive pulmonary TB to assess the early bactericidal activity of telacebec (Q203).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Treatment-naïve, Sputum Smear-positive Patients With Drug-sensitive Pulmonary TB
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
60 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Telacebec (Q203) tablet
Arm Type
Experimental
Arm Title
Rifafour e-275
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Telacebec (Q203)
Intervention Description
High, Mid, Low dose of telacebec
Intervention Type
Drug
Intervention Name(s)
Rifafour e-275
Intervention Description
RHZE (R=rifampicin: H=isoniazid: Z=pyrazinamide: E=ethambutol)
Primary Outcome Measure Information:
Title
The EBA (early bactericidal activity) of telacebec (Q203)
Description
The EBA determined by the rate of change in the time to positivity (TTP) in sputum over the periods Days 0 to 14
Time Frame
Days 0 to 14 post dose
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
A new episode of pulmonary TB determined by testing at the study appointed laboratory: Mycobacterium tuberculosis positive and rifampicin and isoniazid sensitive on a rapid molecular test
A chest X-ray taken no more than 14 days before Screening which in the opinion of the Investigator is consistent with TB
Sputum smear positive on direct microscopy for acid-fast bacilli on at least 1 pre-treatment sputum sample
Ability to produce an adequate volume of sputum as determined by an approximately 16-hour overnight sample collection
Be of non-childbearing potential or using effective methods of birth control, as defined in the protocol
Exclusion Criteria:
The patient is mentally or legally incapacitated at Screening
Any condition or circumstance, in the opinion of the Investigator, which may make the patient unlikely to complete the study or comply with study procedures and requirements, or may pose a risk to the patient's safety
Clinically significant evidence of extra-thoracic TB (miliary TB, abdominal TB, urogenital TB, osteoarthritic TB, TB meningitis), as judged by the Investigator
The patient has been infected with hepatitis B or C virus as confirmed by tests for hepatitis B core antibodies, hepatitis B surface antigens, and the hepatitis C virus antibodies
The patient with history of allergic reaction to isoniazid, rifampicin, pyrazinamide, ethambutol or related substances (eg, tosylate), as confirmed by the clinical judgement of the Investigator
Facility Information:
Facility Name
TASK Applied Science
City
Cape Town
Country
South Africa
Facility Name
UCT Lung Institute
City
Cape Town
Country
South Africa
12. IPD Sharing Statement
Learn more about this trial
A Phase 2 Study to Evaluate Early Bactericidal Activity, Safety, Tolerability, and Pharmacokinetics of Multiple Oral Doses of Telacebec (Q203)
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