A Study of Bedaquiline Administered as Part of a Treatment Regimen With Clarithromycin and Ethambutol in Adult Patients With Treatment-refractory Mycobacterium Avium Complex-lung Disease (MAC-LD)
Treatment-refractory Mycobacterium Avium Complex-lung Disease (MAC-LD)
About this trial
This is an interventional treatment trial for Treatment-refractory Mycobacterium Avium Complex-lung Disease (MAC-LD)
Eligibility Criteria
Inclusion Criteria:
- Has body weight greater than or equal to (>=) 40 kilograms (kg) at screening and on Day 1
- Has radiological evidence consistent with nontuberculous mycobacterial lung disease (NTM-LD) based on a chest Computed Tomography (CT) scan taken within 6 months prior to screening or at screening
- Has at least 2 positive sputum cultures of Mycobacterium avium complex (MAC) (sputum cultures to be taken at least 4 weeks apart): one obtained within 12 months prior to screening, which was documented while being treated for Mycobacterium avium complex lung disease (MAC-LD) for a total of at least 6 months and no longer than 36 months; and one at screening (by central microbiology laboratory)
- Received at least 6 months and no more than 36 months of consecutive MAC-LD treatment (at least 2 antibiotics for MAC, including a macrolide), that is either ongoing or has stopped within 12 months prior to screening
- No presence of cognitive dysfunction that would impact the completion of the patient reported outcome (PRO) assessments
Exclusion Criteria:
- Had previous exposure to bedaquiline (BDQ)
- Has active Tuberculosis (TB) disease
- Has cystic fibrosis, medically unstable respiratory disease (for example, chronic obstructive pulmonary disease, bronchiectasis, asthma)
- Has one or more cavities >=2 centimeter (cm) in diameter on a chest CT scan taken within 6 months prior to screening or at screening
- Treatment already includes an injectable/inhaled aminoglycoside within 3 months prior to screening or the investigator deems the participant to be a candidate for an aminoglycoside at screening
Sites / Locations
- Toyota Memorial HospitalRecruiting
- Fukuoka University Chikushi HospitalRecruiting
- St. Luke's International HospitalRecruiting
- Fukui Prefectural HospitalRecruiting
- Gifu Prefectural General Medical Center
- Hamamatsu Rosai HospitalRecruiting
- Seirei Hamamatsu General HospitalRecruiting
- NHO Tenryu HospitalRecruiting
- Matsunami General HospitalRecruiting
- Matsunami Health Promotion ClinicRecruiting
- National Hospital Organization Himeji Medical CenterRecruiting
- Saitama Medical University HospitalRecruiting
- National Hospital Organization Minami Kyoto HospitalRecruiting
- Fukujuji HospitalRecruiting
- Kobe City Hospital Organization Kobe City Medical Center West Hospital
- National Hospital Organization Kochi National HospitalRecruiting
- National Hospital Organization Fukuoka Higashi Medical CenterRecruiting
- Saitama Prefectural Cardiovascular and Respiratory CenterRecruiting
- Rakuwakai Otowa Hospital
- National Hospital Organization Kyoto Medical CenterRecruiting
- Matsusaka Municipal HospitalRecruiting
- Musashino Red Cross HospitalRecruiting
- Nagaoka Red Cross HospitalRecruiting
- Nagasaki University HospitalRecruiting
- National Hospital Organization Nagoya Medical CenterRecruiting
- Kojunkai Daido ClinicRecruiting
- National Hospital Organization Nishiniigata Chuo HospitalRecruiting
- National Hospital Organization Omuta National HospitalRecruiting
- National Hospital Organization Sagamihara National HospitalRecruiting
- Saitama City HospitalRecruiting
- Kinki-chuo Chest Medical CenterRecruiting
- Hokkaido Medical CenterRecruiting
- Tohoku Medical And Pharmaceutical University HospitalRecruiting
- National Hospital Organization Nara Medical CenterRecruiting
- Tokyo Shinagawa HospitalRecruiting
- Keio University HospitalRecruiting
- Nagano Prefectural Shinshu Medical CenterRecruiting
- National Hospital Organization IbarakihigashiRecruiting
- National Hospital Organization Tokyo Medical CenterRecruiting
- National Center for Global Health and MedicineRecruiting
- National Hospital Organization Tokyo National HospitalRecruiting
- National Hospital Organization Ehime Medical CenterRecruiting
- National Hospital Organization Osaka Toneyama Medical CenterRecruiting
- Toyota Kosei HospitalRecruiting
- JRC Wakayama Medical Center
- Shimonoseki City HospitalRecruiting
- Kanagawa Cardiovascular And Respiratory CenterRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Group A: Bedaquiline (BDQ) + Clarithromycin (CAM) + Ethambutol (EB)
Group B: Rifampicin (RFP) or Rifabutin (RBT) + CAM + EB
Participants will receive BDQ 400 milligrams (mg) (4*100 mg tablets) once daily (qd) from Week 1-2 (loading phase), BDQ 200 mg (2*100mg tablets) bi-weekly (biw) from Week 3 to 48 (maintenance phase) and CAM 400 mg or 500 mg twice daily (2*200 mg tablets) along with EB 500-750 mg or 15 mg/kg once a day or maximum daily dose of 1.0 gram for up to Week 48.
Participants will receive maximum of 4 capsules of RFP 450 mg daily (or maximum daily dose of 600 mg), CAM 400 mg or 500 mg (2*200 mg tablets) twice a day along with EB 500-750 mg daily or 15 mg/kg once a day or maximum daily dose of 1.0 gram for up to Week 48, followed by 2 capsules of RBT 300 mg or 150 mg once a day.