Trial Outcomes & Findings for PA-824-CL-007: Phase IIa Evaluation of Early Bactericidal Activity in Pulmonary Tuberculosis (NCT NCT00567840)

NCT ID: NCT00567840

Last Updated: 2017-05-15

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

69 participants

Primary outcome timeframe

Day 0 and Day 14

Results posted on

2017-05-15

Participant Flow

Participant milestones

Participant milestones
Measure
PA-824 200 mg
PA-824: 200 mg per day for 14 consecutive days
PA-824 600 mg
PA-824: 600 mg per day for 14 consecutive days
PA-824 1000 mg
PA-824: 1000 mg per day for 14 consecutive days
PA-824 1200 mg
PA-824: 1200 mg per day for 14 consecutive days
Rifafour
Rifafour e-275 on Days 1 to 14, dosed by weight
Overall Study
STARTED
15
15
16
15
8
Overall Study
COMPLETED
13
15
15
14
8
Overall Study
NOT COMPLETED
2
0
1
1
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

PA-824-CL-007: Phase IIa Evaluation of Early Bactericidal Activity in Pulmonary Tuberculosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PA-824 200 mg
n=15 Participants
PA-824: 200 mg per day for 14 consecutive days
PA-824 600 mg
n=15 Participants
PA-824: 600 mg per day for 14 consecutive days
PA-824 1000 mg
n=16 Participants
PA-824: 1000 mg per day for 14 consecutive days
PA-824 1200 mg
n=15 Participants
PA-824: 1200 mg per day for 14 consecutive days
Rifafour
n=8 Participants
Rifafour e-275 on Days 1 to 14, dosed by weight
Total
n=69 Participants
Total of all reporting groups
Age, Continuous
30.5 years
STANDARD_DEVIATION 8.50 • n=5 Participants
30.6 years
STANDARD_DEVIATION 9.72 • n=7 Participants
31.7 years
STANDARD_DEVIATION 8.86 • n=5 Participants
32.4 years
STANDARD_DEVIATION 11.51 • n=4 Participants
21.9 years
STANDARD_DEVIATION 3.44 • n=21 Participants
30.2 years
STANDARD_DEVIATION 9.48 • n=8 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
6 Participants
n=7 Participants
7 Participants
n=5 Participants
6 Participants
n=4 Participants
4 Participants
n=21 Participants
31 Participants
n=8 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
9 Participants
n=7 Participants
9 Participants
n=5 Participants
9 Participants
n=4 Participants
4 Participants
n=21 Participants
38 Participants
n=8 Participants
Race/Ethnicity, Customized
Black
10 Participants
n=5 Participants
6 Participants
n=7 Participants
8 Participants
n=5 Participants
8 Participants
n=4 Participants
3 Participants
n=21 Participants
35 Participants
n=8 Participants
Race/Ethnicity, Customized
Mixed Ethnic
5 Participants
n=5 Participants
9 Participants
n=7 Participants
8 Participants
n=5 Participants
7 Participants
n=4 Participants
5 Participants
n=21 Participants
34 Participants
n=8 Participants
Weight
55.3 kg
STANDARD_DEVIATION 8.58 • n=5 Participants
55.9 kg
STANDARD_DEVIATION 10.51 • n=7 Participants
52.5 kg
STANDARD_DEVIATION 9.82 • n=5 Participants
53.5 kg
STANDARD_DEVIATION 8.48 • n=4 Participants
48.0 kg
STANDARD_DEVIATION 8.70 • n=21 Participants
53.6 kg
STANDARD_DEVIATION 9.36 • n=8 Participants
Body Mass Index (BMI)
20.19 kg/m^2
STANDARD_DEVIATION 4.031 • n=5 Participants
20.09 kg/m^2
STANDARD_DEVIATION 3.899 • n=7 Participants
19.09 kg/m^2
STANDARD_DEVIATION 2.562 • n=5 Participants
19.41 kg/m^2
STANDARD_DEVIATION 3.058 • n=4 Participants
17.53 kg/m^2
STANDARD_DEVIATION 1.785 • n=21 Participants
19.43 kg/m^2
STANDARD_DEVIATION 3.294 • n=8 Participants

PRIMARY outcome

Timeframe: Day 0 and Day 14

Population: Some of the EBA values could not be calculated due to missing results. The number of participants given are the number of participants for whom the results were available for this time period and therefore for whom the relevant EBA could be calculated.

Outcome measures

Outcome measures
Measure
PA-824 200 mg
n=12 Participants
PA-824: 200 mg per day for 14 consecutive days
PA-824 600 mg
n=14 Participants
PA-824: 600 mg per day for 14 consecutive days
PA-824 1000 mg
n=15 Participants
PA-824: 1000 mg per day for 14 consecutive days
PA-824 1200 mg
n=11 Participants
PA-824: 1200 mg per day for 14 consecutive days
Rifafour
n=7 Participants
Rifafour e-275 on Days 1 to 14, dosed by weight
Early Bactericidal Activity (EBA) Measured as the Daily Rate of Change in log10 CFUs (Colony Forming Units) of M. Tuberculosis in Sputum on Solid Media (Days 0-14).
0.106 log10 CFU/ml
Standard Deviation 0.049
0.107 log10 CFU/ml
Standard Deviation 0.053
0.091 log10 CFU/ml
Standard Deviation 0.083
0.088 log10 CFU/ml
Standard Deviation 0.084
0.148 log10 CFU/ml
Standard Deviation 0.055

SECONDARY outcome

Timeframe: Day 0 and Day 2

Population: Some of the EBA values could not be calculated due to missing results. The number of participants given are the number of participants for whom the results were available for this time period and therefore for whom the relevant EBA could be calculated.

Outcome measures

Outcome measures
Measure
PA-824 200 mg
n=15 Participants
PA-824: 200 mg per day for 14 consecutive days
PA-824 600 mg
n=13 Participants
PA-824: 600 mg per day for 14 consecutive days
PA-824 1000 mg
n=15 Participants
PA-824: 1000 mg per day for 14 consecutive days
PA-824 1200 mg
n=15 Participants
PA-824: 1200 mg per day for 14 consecutive days
Rifafour
n=8 Participants
Rifafour e-275 on Days 1 to 14, dosed by weight
Early Bactericidal Activity (EBA) Measured as the Daily Rate of Change in log10 CFUs (Colony Forming Units) of M. Tuberculosis in Sputum on Solid Media (Days 0-2).
0.109 log10 CFU/ml
Standard Deviation 0.487
0.096 log10 CFU/ml
Standard Deviation 0.226
0.025 log10 CFU/ml
Standard Deviation 0.340
-0.035 log10 CFU/ml
Standard Deviation 0.420
0.403 log10 CFU/ml
Standard Deviation 0.290

SECONDARY outcome

Timeframe: Day 2 and Day 14

Population: Some of the EBA values could not be calculated due to missing results. The number of participants given are the number of participants for whom the results were available for this time period and therefore for whom the relevant EBA could be calculated.

Outcome measures

Outcome measures
Measure
PA-824 200 mg
n=12 Participants
PA-824: 200 mg per day for 14 consecutive days
PA-824 600 mg
n=13 Participants
PA-824: 600 mg per day for 14 consecutive days
PA-824 1000 mg
n=14 Participants
PA-824: 1000 mg per day for 14 consecutive days
PA-824 1200 mg
n=11 Participants
PA-824: 1200 mg per day for 14 consecutive days
Rifafour
n=7 Participants
Rifafour e-275 on Days 1 to 14, dosed by weight
Early Bactericidal Activity (EBA) Measured as the Daily Rate of Change in log10 CFUs (Colony Forming Units) of M. Tuberculosis in Sputum on Solid Media (Days 2-14).
0.106 log10 CFU/ml
Standard Deviation 0.063
0.113 log10 CFU/ml
Standard Deviation 0.079
0.095 log10 CFU/ml
Standard Deviation 0.062
0.113 log10 CFU/ml
Standard Deviation 0.099
0.112 log10 CFU/ml
Standard Deviation 0.050

SECONDARY outcome

Timeframe: Day 0 and Day 14

Outcome measures

Outcome measures
Measure
PA-824 200 mg
n=12 Participants
PA-824: 200 mg per day for 14 consecutive days
PA-824 600 mg
n=14 Participants
PA-824: 600 mg per day for 14 consecutive days
PA-824 1000 mg
n=13 Participants
PA-824: 1000 mg per day for 14 consecutive days
PA-824 1200 mg
n=12 Participants
PA-824: 1200 mg per day for 14 consecutive days
Rifafour
n=8 Participants
Rifafour e-275 on Days 1 to 14, dosed by weight
EBA Expressed as the Change in Time to Positive (TTP) Signal in Liquid Culture for M. Tuberculosis (Days 0-14)
3.818 hours/day
Standard Deviation 2.327
4.776 hours/day
Standard Deviation 2.879
4.865 hours/day
Standard Deviation 3.461
4.440 hours/day
Standard Deviation 2.169
9.741 hours/day
Standard Deviation 5.249

SECONDARY outcome

Timeframe: Day 0 and Day 2

Outcome measures

Outcome measures
Measure
PA-824 200 mg
n=13 Participants
PA-824: 200 mg per day for 14 consecutive days
PA-824 600 mg
n=13 Participants
PA-824: 600 mg per day for 14 consecutive days
PA-824 1000 mg
n=11 Participants
PA-824: 1000 mg per day for 14 consecutive days
PA-824 1200 mg
n=15 Participants
PA-824: 1200 mg per day for 14 consecutive days
Rifafour
n=8 Participants
Rifafour e-275 on Days 1 to 14, dosed by weight
EBA Expressed as the Change in Time to Positive (TTP) Signal in Liquid Culture for M. Tuberculosis (Days 0-2)
1.115 hours/day
Standard Deviation 15.256
5.788 hours/day
Standard Deviation 12.173
2.795 hours/day
Standard Deviation 9.230
1.400 hours/day
Standard Deviation 7.659
24.125 hours/day
Standard Deviation 12.794

SECONDARY outcome

Timeframe: Day 2 and Day 14

Outcome measures

Outcome measures
Measure
PA-824 200 mg
n=11 Participants
PA-824: 200 mg per day for 14 consecutive days
PA-824 600 mg
n=13 Participants
PA-824: 600 mg per day for 14 consecutive days
PA-824 1000 mg
n=12 Participants
PA-824: 1000 mg per day for 14 consecutive days
PA-824 1200 mg
n=12 Participants
PA-824: 1200 mg per day for 14 consecutive days
Rifafour
n=8 Participants
Rifafour e-275 on Days 1 to 14, dosed by weight
EBA Expressed as the Change in Time to Positive (TTP) Signal in Liquid Culture for M. Tuberculosis (Days 2-14) Show Description: [Not Specified]
3.833 hours/day
Standard Deviation 2.954
5.09 hours/day
Standard Deviation 2.768
4.069 hours/day
Standard Deviation 1.916
4.868 hours/day
Standard Deviation 3.224
7.344 hours/day
Standard Deviation 4.66

Adverse Events

PA-824 200 mg

Serious events: 1 serious events
Other events: 6 other events
Deaths: 0 deaths

PA-824 600 mg

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

PA-824 1000 mg

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

PA-824 1200 mg

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Rifafour

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
PA-824 200 mg
n=15 participants at risk
PA-824: 200 mg per day for 14 consecutive days
PA-824 600 mg
n=15 participants at risk
PA-824: 600 mg per day for 14 consecutive days
PA-824 1000 mg
n=16 participants at risk
PA-824: 1000 mg per day for 14 consecutive days
PA-824 1200 mg
n=15 participants at risk
PA-824: 1200 mg per day for 14 consecutive days
Rifafour
n=8 participants at risk
Rifafour e-275 on Days 1 to 14, dosed by weight
Respiratory, thoracic and mediastinal disorders
Hemoptysis
6.7%
1/15
0.00%
0/15
0.00%
0/16
0.00%
0/15
12.5%
1/8

Other adverse events

Other adverse events
Measure
PA-824 200 mg
n=15 participants at risk
PA-824: 200 mg per day for 14 consecutive days
PA-824 600 mg
n=15 participants at risk
PA-824: 600 mg per day for 14 consecutive days
PA-824 1000 mg
n=16 participants at risk
PA-824: 1000 mg per day for 14 consecutive days
PA-824 1200 mg
n=15 participants at risk
PA-824: 1200 mg per day for 14 consecutive days
Rifafour
n=8 participants at risk
Rifafour e-275 on Days 1 to 14, dosed by weight
Psychiatric disorders
Confusional State
0.00%
0/15
0.00%
0/15
0.00%
0/16
6.7%
1/15 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/15
0.00%
0/15
6.2%
1/16 • Number of events 1
0.00%
0/15
12.5%
1/8 • Number of events 1
Skin and subcutaneous tissue disorders
Rash
0.00%
0/15
6.7%
1/15 • Number of events 1
6.2%
1/16 • Number of events 2
0.00%
0/15
0.00%
0/8
Skin and subcutaneous tissue disorders
Pruritus Generalized
6.7%
1/15 • Number of events 1
0.00%
0/15
0.00%
0/16
0.00%
0/15
0.00%
0/8
Skin and subcutaneous tissue disorders
Rash Maculo-Papular
0.00%
0/15
0.00%
0/15
0.00%
0/16
6.7%
1/15 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Urticaria
0.00%
0/15
6.7%
1/15 • Number of events 1
0.00%
0/16
0.00%
0/15
0.00%
0/8
Gastrointestinal disorders
Nausea
0.00%
0/15
0.00%
0/15
6.2%
1/16 • Number of events 1
13.3%
2/15 • Number of events 2
0.00%
0/8
Gastrointestinal disorders
Vomiting
0.00%
0/15
0.00%
0/15
0.00%
0/16
13.3%
2/15 • Number of events 2
0.00%
0/8
Gastrointestinal disorders
Abdominal Pain
0.00%
0/15
6.7%
1/15 • Number of events 1
0.00%
0/16
0.00%
0/15
0.00%
0/8
Gastrointestinal disorders
Lip Ulceration
0.00%
0/15
0.00%
0/15
0.00%
0/16
6.7%
1/15 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Toothache
6.7%
1/15 • Number of events 1
0.00%
0/15
0.00%
0/16
0.00%
0/15
0.00%
0/8
Cardiac disorders
Atrioventricular Block First Degree
0.00%
0/15
0.00%
0/15
0.00%
0/16
0.00%
0/15
12.5%
1/8 • Number of events 1
Cardiac disorders
Atrioventricular Block Second Degree
6.7%
1/15 • Number of events 2
0.00%
0/15
0.00%
0/16
0.00%
0/15
0.00%
0/8
Cardiac disorders
Wolff-Parkinson-White Syndrome
6.7%
1/15 • Number of events 1
0.00%
0/15
0.00%
0/16
0.00%
0/15
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Hemoptysis
0.00%
0/15
0.00%
0/15
6.2%
1/16 • Number of events 1
0.00%
0/15
0.00%
0/8
Blood and lymphatic system disorders
Iron Deficiency Anaemia
0.00%
0/15
6.7%
1/15 • Number of events 1
0.00%
0/16
6.7%
1/15 • Number of events 1
0.00%
0/8
Investigations
Electrocardiogram QT corrected Interval Prolonged
0.00%
0/15
0.00%
0/15
6.2%
1/16 • Number of events 1
0.00%
0/15
0.00%
0/8
Investigations
Hepatic Enzyme Increased
0.00%
0/15
0.00%
0/15
0.00%
0/16
6.7%
1/15 • Number of events 1
0.00%
0/8
Musculoskeletal and connective tissue disorders
Neck Pain
0.00%
0/15
0.00%
0/15
0.00%
0/16
6.7%
1/15 • Number of events 1
0.00%
0/8
Musculoskeletal and connective tissue disorders
Pain in the Extremity
6.7%
1/15 • Number of events 1
0.00%
0/15
0.00%
0/16
0.00%
0/15
0.00%
0/8
Nervous system disorders
Dizziness
0.00%
0/15
0.00%
0/15
0.00%
0/16
6.7%
1/15 • Number of events 1
0.00%
0/8
Nervous system disorders
Dizziness Postural
6.7%
1/15 • Number of events 1
0.00%
0/15
0.00%
0/16
0.00%
0/15
0.00%
0/8
Eye disorders
Eye Pruritus
0.00%
0/15
0.00%
0/15
6.2%
1/16 • Number of events 1
0.00%
0/15
0.00%
0/8
General disorders
Chest Pain
6.7%
1/15 • Number of events 1
0.00%
0/15
0.00%
0/16
0.00%
0/15
0.00%
0/8
Infections and infestations
Urinary Tract Infection
0.00%
0/15
0.00%
0/15
0.00%
0/16
6.7%
1/15 • Number of events 1
0.00%
0/8

Additional Information

Daniel E. Everitt, MD, Vice President and Senior Medical Officer

Global Alliance for TB Drug Development

Phone: 212-227-7540

Results disclosure agreements

  • Principal investigator is a sponsor employee 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.
  • Publication restrictions are in place

Restriction type: OTHER