Trial Outcomes & Findings for Safety and Pharmacokinetics (PK) in Multidrug-Resistant (MDR) Refractive Tuberculosis (NCT NCT01131351)

NCT ID: NCT01131351

Last Updated: 2021-11-11

Results Overview

Vital signs included body weight \[kilogram (kg)\], body temperature \[degree Celsius (°C)\], heart rate \[beats per minute (BPM)\], respiratory rate (breaths/minute), systolic and diastolic blood pressure \[millimeter of mercury (mmHg)\]. The criteria for clinically significant abnormal value were: body weight (kg): increase \>=5% or decrease \>=5%; body temperature (°C): \>=38.5°C and increase of \>=1.1°C; heart rate (BPM): \>=120 bpm and increase of \>=15 bpm, or \<=60 bpm and decrease of \>=15 bpm; systolic blood pressure (mmHg): \>=160 mmHg and increase of \>=20 mmHg, or \<=90 mmHg and decrease of \>=20 mmHg; diastolic blood pressure (mmHg): \>=105 mmHg and increase of \>=15 mmHg, or \<=50 mmHg and decrease of \>=15 mmHg; respiration rate (breaths per minute) \>30 breaths per minute. Only categories with data for potentially clinically significant abnormal vital sign parameter values are reported.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

10 participants

Primary outcome timeframe

Up to approximately 40 weeks

Results posted on

2021-11-11

Participant Flow

Participants took part in the study at 3 investigative sites in Latvia and Lithuania from 19 February 2010 to 12 May 2011.

A total of 10 participants received at least one dose of delamanid (5 participants in delamanid 250 mg BID+ OBR group and 5 participants in delamanid 300 mg BID+ OBR group). Of which, 7 participants completed the study.

Participant milestones

Participant milestones
Measure
Delamanid 250 mg BID + OBR
Participants received delamanid five 50 milligrams (mg) (250 mg) tablets, twice a day (BID), along with at least 2 additional anti-TB medications per optimized background regimen (OBR) for up to 28 weeks.
Delamanid 300 mg BID + OBR
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Overall Study
STARTED
5
5
Overall Study
COMPLETED
5
2
Overall Study
NOT COMPLETED
0
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Delamanid 250 mg BID + OBR
Participants received delamanid five 50 milligrams (mg) (250 mg) tablets, twice a day (BID), along with at least 2 additional anti-TB medications per optimized background regimen (OBR) for up to 28 weeks.
Delamanid 300 mg BID + OBR
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Overall Study
Adverse Event
0
2
Overall Study
Protocol Deviation
0
1

Baseline Characteristics

Safety and Pharmacokinetics (PK) in Multidrug-Resistant (MDR) Refractive Tuberculosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Total
n=10 Participants
Total of all reporting groups
Age, Continuous
46.6 years
STANDARD_DEVIATION 10.8 • n=93 Participants
34.0 years
STANDARD_DEVIATION 12.5 • n=4 Participants
40.3 years
STANDARD_DEVIATION 12.9 • n=27 Participants
Sex: Female, Male
Female
0 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
Sex: Female, Male
Male
5 Participants
n=93 Participants
4 Participants
n=4 Participants
9 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=93 Participants
5 Participants
n=4 Participants
10 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
White
5 Participants
n=93 Participants
5 Participants
n=4 Participants
10 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants

PRIMARY outcome

Timeframe: Up to approximately 40 weeks

Population: Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication. Number analyzed is the number of participants who had at least one post-baseline numerical result for the given test. Baseline was defined as the last measurements prior to the first dosing of study medication.

Vital signs included body weight \[kilogram (kg)\], body temperature \[degree Celsius (°C)\], heart rate \[beats per minute (BPM)\], respiratory rate (breaths/minute), systolic and diastolic blood pressure \[millimeter of mercury (mmHg)\]. The criteria for clinically significant abnormal value were: body weight (kg): increase \>=5% or decrease \>=5%; body temperature (°C): \>=38.5°C and increase of \>=1.1°C; heart rate (BPM): \>=120 bpm and increase of \>=15 bpm, or \<=60 bpm and decrease of \>=15 bpm; systolic blood pressure (mmHg): \>=160 mmHg and increase of \>=20 mmHg, or \<=90 mmHg and decrease of \>=20 mmHg; diastolic blood pressure (mmHg): \>=105 mmHg and increase of \>=15 mmHg, or \<=50 mmHg and decrease of \>=15 mmHg; respiration rate (breaths per minute) \>30 breaths per minute. Only categories with data for potentially clinically significant abnormal vital sign parameter values are reported.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Percentage of Participants With Potentially Clinically Significant Abnormalities in Vital Signs
Heart Rate: <=60 bpm + Decrease of >=15 bpm
40.0 percentage of participants
20.0 percentage of participants
Percentage of Participants With Potentially Clinically Significant Abnormalities in Vital Signs
Weight: Decrease of >=5% in Body Weight
60.0 percentage of participants
0.0 percentage of participants
Percentage of Participants With Potentially Clinically Significant Abnormalities in Vital Signs
Weight: Increase of >=5% in Body Weight
20.0 percentage of participants
0.0 percentage of participants
Percentage of Participants With Potentially Clinically Significant Abnormalities in Vital Signs
Systolic Blood Pressure: <= 90 mmHg + Decrease of >=20 mmHg
40.0 percentage of participants
0.0 percentage of participants
Percentage of Participants With Potentially Clinically Significant Abnormalities in Vital Signs
Respiration Rate: >30 Breaths Per Minute
20.0 percentage of participants
0.0 percentage of participants

PRIMARY outcome

Timeframe: Up to approximately 40 weeks

Population: Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.

The criteria for clinically significant abnormal ECG values were- ventricular rate outlier (\<50 bpm and decrease of \>=25%, \>100 bpm and increase of \>=25%), PR outlier \[increase of \>=25% when PR \>200 milliseconds (ms)\], QRS outlier (increase of \>=25% when QRS \>100 ms), QT (new onset (in treatment period but not at Baseline) \[\>500 ms\]), QT interval corrected by Bazett's formula (QTcB) (new onset \[\>450, \>480, \>500 ms\], increase of \>=30 ms and \<= 60 ms or increase of \>60 ms), QT interval corrected by Fridericia's formula (QTcF) (new onset \[\>450, \>480, \>500 ms\], increase of \>=30 ms and \<= 60 ms or increase of \>60 ms), new abnormal U waves, new ST segment changes, new T wave changes, new abnormal rhythm, new conduction abnormality were reported as categories. Baseline was defined as the average of the ECGs taken at Day -1. Only categories with data for potentially clinically significant abnormal ECG values are reported.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Percentage of Participants With Potentially Clinically Significant Abnormalities in Electrocardiogram (ECG) Results
Vent Rate Outliers: Notable Decreases
40.00 percentage of participants
0.00 percentage of participants
Percentage of Participants With Potentially Clinically Significant Abnormalities in Electrocardiogram (ECG) Results
Vent Rate Outliers: Notable Increases
40.00 percentage of participants
0.00 percentage of participants
Percentage of Participants With Potentially Clinically Significant Abnormalities in Electrocardiogram (ECG) Results
QTcB: New Onset (>500 msec)
0.00 percentage of participants
20.00 percentage of participants
Percentage of Participants With Potentially Clinically Significant Abnormalities in Electrocardiogram (ECG) Results
QTcB: New Onset (>480 msec)
0.00 percentage of participants
40.00 percentage of participants
Percentage of Participants With Potentially Clinically Significant Abnormalities in Electrocardiogram (ECG) Results
QTcB: New Onset (>450 msec)
40.00 percentage of participants
40.00 percentage of participants
Percentage of Participants With Potentially Clinically Significant Abnormalities in Electrocardiogram (ECG) Results
QTcB: Change >=30, <=60 msec
40.00 percentage of participants
80.00 percentage of participants
Percentage of Participants With Potentially Clinically Significant Abnormalities in Electrocardiogram (ECG) Results
QTcF: New Onset (>500 msec)
0.00 percentage of participants
20.00 percentage of participants
Percentage of Participants With Potentially Clinically Significant Abnormalities in Electrocardiogram (ECG) Results
QTcF: New Onset (>480 msec)
0.00 percentage of participants
20.00 percentage of participants
Percentage of Participants With Potentially Clinically Significant Abnormalities in Electrocardiogram (ECG) Results
QTcF: New Onset (>450 msec)
0.00 percentage of participants
40.00 percentage of participants
Percentage of Participants With Potentially Clinically Significant Abnormalities in Electrocardiogram (ECG) Results
QTcF: Change >=30, <=60 msec
60.00 percentage of participants
80.00 percentage of participants
Percentage of Participants With Potentially Clinically Significant Abnormalities in Electrocardiogram (ECG) Results
ST Segment: New ST Segment Changes
0.00 percentage of participants
20.00 percentage of participants
Percentage of Participants With Potentially Clinically Significant Abnormalities in Electrocardiogram (ECG) Results
T Waves: New T Wave Changes
20.00 percentage of participants
20.00 percentage of participants
Percentage of Participants With Potentially Clinically Significant Abnormalities in Electrocardiogram (ECG) Results
Rhythm: New Abnormal Rhythm
60.00 percentage of participants
80.00 percentage of participants
Percentage of Participants With Potentially Clinically Significant Abnormalities in Electrocardiogram (ECG) Results
Conduction: New Conduction Changes
0.00 percentage of participants
40.00 percentage of participants

PRIMARY outcome

Timeframe: Up to approximately 40 weeks

Population: Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.

Clinical laboratory tests included hematology, coagulation, chemistry, and urinalysis. The participants were categorized based on the clinically significant laboratory values as per protocol predefined criteria. The categories with at least one participant with clinically significant value outside the normal range for laboratory assessments are reported.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Percentage of Participants With Potentially Clinically Significant Laboratory Values
Lactic Dehydrogenase [units per liter (U/L)]
0.0 percentage of participants
20.0 percentage of participants
Percentage of Participants With Potentially Clinically Significant Laboratory Values
Potassium [milliequivalents per liter (mEq/L)]
60.0 percentage of participants
20.0 percentage of participants
Percentage of Participants With Potentially Clinically Significant Laboratory Values
Sodium (mEq/L)
0.0 percentage of participants
20.0 percentage of participants
Percentage of Participants With Potentially Clinically Significant Laboratory Values
Triglycerides [milligrams per deciliter (mg/dL)]
0.0 percentage of participants
20.0 percentage of participants
Percentage of Participants With Potentially Clinically Significant Laboratory Values
Uric acid (mg/dL)
0.0 percentage of participants
20.0 percentage of participants
Percentage of Participants With Potentially Clinically Significant Laboratory Values
Lymphocytes [percentage (%)]
0.0 percentage of participants
20.0 percentage of participants
Percentage of Participants With Potentially Clinically Significant Laboratory Values
Lymphocytes, Absolute [thousand cells per microliter (thous/µL)]
0.0 percentage of participants
20.0 percentage of participants
Percentage of Participants With Potentially Clinically Significant Laboratory Values
Mean Corpuscular Volume [femtoliter (fL)]
20.0 percentage of participants
20.0 percentage of participants
Percentage of Participants With Potentially Clinically Significant Laboratory Values
Neutrophils, Absolute (thous/µL)
0.0 percentage of participants
20.0 percentage of participants
Percentage of Participants With Potentially Clinically Significant Laboratory Values
Platelet Count (thous/µL)
20.0 percentage of participants
0.0 percentage of participants
Percentage of Participants With Potentially Clinically Significant Laboratory Values
Prothrombin Time [seconds (sec)]
0.0 percentage of participants
20.0 percentage of participants
Percentage of Participants With Potentially Clinically Significant Laboratory Values
Red Blood Cell Count [million cells per microliter (mill/µL)]
20.0 percentage of participants
20.0 percentage of participants
Percentage of Participants With Potentially Clinically Significant Laboratory Values
Reticulocyte Count (%)
60.0 percentage of participants
60.0 percentage of participants

PRIMARY outcome

Timeframe: Up to approximately 40 weeks

Population: Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Percentage of Participants With Abnormal Audiometry Assessment Values
100.0 percentage of participants
80.0 percentage of participants

PRIMARY outcome

Timeframe: Up to approximately 40 weeks

Population: Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Percentage of Participants With Abnormal Visual Acuity Assessment Values
40.0 percentage of participants
20.0 percentage of participants

PRIMARY outcome

Timeframe: Up to approximately 40 weeks

Population: Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Percentage of Participants Taking Concomitant Anti-Tuberculosis (TB) Medication During the Trial
Total Participants Using One or More Medications
100.0 percentage of participants
100.0 percentage of participants
Percentage of Participants Taking Concomitant Anti-Tuberculosis (TB) Medication During the Trial
Participants Taking Antibacterials for Systemic Use
80.0 percentage of participants
80.0 percentage of participants
Percentage of Participants Taking Concomitant Anti-Tuberculosis (TB) Medication During the Trial
Participants Taking Antimycobacterials
100.0 percentage of participants
100.0 percentage of participants

PRIMARY outcome

Timeframe: Up to approximately 40 weeks

Population: Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Diuretics
40.0 percentage of participants
0.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Total Participants Using One or More Medications
100.0 percentage of participants
100.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Agents Acting on the Renin-Angiotensin System
20.0 percentage of participants
20.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Analgesics
40.0 percentage of participants
0.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Antidiarrheals, Intestinal Antiinflammatory
20.0 percentage of participants
0.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Antiepileptics
20.0 percentage of participants
0.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Antigout Preparations
0.0 percentage of participants
20.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Antihemorrhagics
20.0 percentage of participants
20.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Antihypertensives
20.0 percentage of participants
0.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Antiinflammatory and Antirheumatic Products
60.0 percentage of participants
20.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Antimycotics for Systemic Use
0.0 percentage of participants
20.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Blood Substitutes and Perfusion Solutions
40.0 percentage of participants
40.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Cardiac Therapy
0.0 percentage of participants
20.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Corticosteroids for Systemic Use
0.0 percentage of participants
40.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Cough and Cold Preparations
60.0 percentage of participants
40.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Digestives, Including Enzymes
80.0 percentage of participants
20.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Drugs for Acid Related Disorders
80.0 percentage of participants
40.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Drugs for Functional Gastrointestinal Disorders
60.0 percentage of participants
0.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Drugs for Obstructive Airway Diseases
40.0 percentage of participants
100.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Nasal Preparations
0.0 percentage of participants
20.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Otologicals
0.0 percentage of participants
20.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Psycholeptics
60.0 percentage of participants
40.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Unspecified Herbal and Traditional Medicine
40.0 percentage of participants
100.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Vasoprotectives
20.0 percentage of participants
0.0 percentage of participants
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial
Participants Taking Vitamins
0.0 percentage of participants
60.0 percentage of participants

PRIMARY outcome

Timeframe: Up to approximately 40 weeks

Population: Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.

An AE was defined as any new medical problem, or exacerbation of an existing problem, experienced by a participant while enrolled in the trial, whether or not it was considered drug-related by the investigator.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Percentage of Participants With Adverse Events (AEs)
100.0 percentage of participants
100.0 percentage of participants

PRIMARY outcome

Timeframe: Up to approximately 40 weeks

Population: Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.

An AE was considered serious if it was fatal; life-threatening; persistently or significantly disabling or incapacitating; required in-participant hospitalization or prolonged hospitalization; a congenital anomaly/birth defect; or other medically significant event that, based upon appropriate medical judgment, may have jeopardized the participant and may have required medical or surgical intervention to prevent one of the outcomes listed above. The following were considered as IREs- serious adverse events (SAEs), pregnancies in trial participants or their partners, and all events involving overdose, misuse and abuse.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Percentage of Participants With Immediately Reportable Events (IREs)
40.0 percentage of participants
40.0 percentage of participants

PRIMARY outcome

Timeframe: At 24 hours post dose on Days 1, 14, 28, 56, 112 and 196

Population: Intent-to-treat (ITT) Population included all participants who took at least one dose of IMP. Number analyzed is the number of participants with evaluable data at the given time point.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Cmax: Maximal Peak Plasma Concentration for Delamanid
Day 1
142 nanograms per milliliter (ng/mL)
Standard Deviation 68.2
192 nanograms per milliliter (ng/mL)
Standard Deviation 93.5
Cmax: Maximal Peak Plasma Concentration for Delamanid
Day 14
521 nanograms per milliliter (ng/mL)
Standard Deviation 132
514 nanograms per milliliter (ng/mL)
Standard Deviation 99.3
Cmax: Maximal Peak Plasma Concentration for Delamanid
Day 28
558 nanograms per milliliter (ng/mL)
Standard Deviation 113
573 nanograms per milliliter (ng/mL)
Standard Deviation 117
Cmax: Maximal Peak Plasma Concentration for Delamanid
Day 56
558 nanograms per milliliter (ng/mL)
Standard Deviation 239
503 nanograms per milliliter (ng/mL)
Standard Deviation 126
Cmax: Maximal Peak Plasma Concentration for Delamanid
Day 112
441 nanograms per milliliter (ng/mL)
Standard Deviation 286
427 nanograms per milliliter (ng/mL)
Standard Deviation 114
Cmax: Maximal Peak Plasma Concentration for Delamanid
Day 196
494 nanograms per milliliter (ng/mL)
Standard Deviation 129
499 nanograms per milliliter (ng/mL)
Standard Deviation 241

PRIMARY outcome

Timeframe: At 24 hours post dose on Days 1, 14, 28, 56, 112 and 196

Population: ITT Population included all participants who took at least one dose of IMP. Number analyzed is the number of participants with evaluable data at the given time point.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid
Day 196
2.95 hours
Interval 0.0 to 8.95
3.00 hours
Interval 3.0 to 3.0
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid
Day 1
2.95 hours
Interval 2.95 to 12.15
3.20 hours
Interval 3.0 to 11.88
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid
Day 14
2.95 hours
Interval 0.0 to 3.27
3.02 hours
Interval 2.53 to 3.05
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid
Day 28
2.95 hours
Interval 2.95 to 3.0
3.03 hours
Interval 3.0 to 8.92
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid
Day 56
2.95 hours
Interval 0.0 to 8.95
3.00 hours
Interval 3.0 to 8.97
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid
Day 112
2.95 hours
Interval 0.0 to 3.0
3.03 hours
Interval 3.0 to 3.05

PRIMARY outcome

Timeframe: At 24 hours post dose on Days 1, 14, 28, 56, 112 and 196

Population: ITT Population included all participants who took at least one dose of IMP. Number analyzed is the number of participants with evaluable data at the given time point.

AUC0-24h was calculated as 2×AUC0-12h.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid
Day 1
2020 hour*nanograms per milliliter (h*ng/mL)
Standard Deviation 708
2650 hour*nanograms per milliliter (h*ng/mL)
Standard Deviation 1280
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid
Day 14
9580 hour*nanograms per milliliter (h*ng/mL)
Standard Deviation 2790
10400 hour*nanograms per milliliter (h*ng/mL)
Standard Deviation 1950
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid
Day 28
9840 hour*nanograms per milliliter (h*ng/mL)
Standard Deviation 3090
11200 hour*nanograms per milliliter (h*ng/mL)
Standard Deviation 2450
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid
Day 56
10500 hour*nanograms per milliliter (h*ng/mL)
Standard Deviation 4490
9720 hour*nanograms per milliliter (h*ng/mL)
Standard Deviation 2400
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid
Day 112
8020 hour*nanograms per milliliter (h*ng/mL)
Standard Deviation 5470
8470 hour*nanograms per milliliter (h*ng/mL)
Standard Deviation 3080
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid
Day 196
9420 hour*nanograms per milliliter (h*ng/mL)
Standard Deviation 2340
8640 hour*nanograms per milliliter (h*ng/mL)
Standard Deviation 2890

PRIMARY outcome

Timeframe: At 24 hours post dose on Days 1, 14, 28, 56, 112 and 196

Population: ITT Population included all participants who took at least one dose of IMP. Number analyzed is the number of participants with evaluable data at the given time point.

Ratio of accumulation for Cmax was assessed on Days 14, 28, 56, 112 and 196 with respect to Day 1.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Rac (Cmax): Ratio of Accumulation for Cmax of Delamanid
Day 196
3.80 ratio
Standard Deviation 1.25
1.93 ratio
Standard Deviation 0.418
Rac (Cmax): Ratio of Accumulation for Cmax of Delamanid
Day 14
4.01 ratio
Standard Deviation 1.22
3.76 ratio
Standard Deviation 3.13
Rac (Cmax): Ratio of Accumulation for Cmax of Delamanid
Day 28
4.33 ratio
Standard Deviation 1.31
4.01 ratio
Standard Deviation 2.84
Rac (Cmax): Ratio of Accumulation for Cmax of Delamanid
Day 56
4.04 ratio
Standard Deviation 0.657
3.24 ratio
Standard Deviation 1.71
Rac (Cmax): Ratio of Accumulation for Cmax of Delamanid
Day 112
3.07 ratio
Standard Deviation 1.25
1.89 ratio
Standard Deviation 0.485

PRIMARY outcome

Timeframe: At 24 hours post dose on Days 1, 14, 28, 56, 112 and 196

Population: ITT Population included all participants who took at least one dose of IMP. Number analyzed is the number of participants with evaluable data at the given time point.

Ratio of accumulation for AUC was assessed on Days 14, 28, 56, 112 and 196 with respect to Day 1.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Rac (AUC): Ratio of Accumulation for AUC of Delamanid
Day 14
4.85 ratio
Standard Deviation 0.938
5.45 ratio
Standard Deviation 4.38
Rac (AUC): Ratio of Accumulation for AUC of Delamanid
Day 28
4.92 ratio
Standard Deviation 0.699
5.66 ratio
Standard Deviation 4.18
Rac (AUC): Ratio of Accumulation for AUC of Delamanid
Day 56
5.13 ratio
Standard Deviation 0.762
4.55 ratio
Standard Deviation 2.45
Rac (AUC): Ratio of Accumulation for AUC of Delamanid
Day 112
3.74 ratio
Standard Deviation 1.47
2.85 ratio
Standard Deviation 1.27
Rac (AUC): Ratio of Accumulation for AUC of Delamanid
Day 196
4.79 ratio
Standard Deviation 0.800
2.29 ratio
Standard Deviation 0.367

SECONDARY outcome

Timeframe: At 24 hours post dose on Days 1, 14, 28, 56, 112 and 196

Population: ITT Population included all participants who took at least one dose of IMP. Number analyzed is the number of participants with evaluable data at the given time point.

The primary metabolites of delamanid are DM-6704, DM-6705 and DM-6706.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Cmax: Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6704: Cmax at Day 1
1.33 ng/mL
Standard Deviation 0.257
2.53 ng/mL
Standard Deviation 1.59
Cmax: Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6704: Cmax at Day 14
43.1 ng/mL
Standard Deviation 25.2
82.7 ng/mL
Standard Deviation 32.8
Cmax: Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6704: Cmax at Day 28
52.5 ng/mL
Standard Deviation 12.8
95.9 ng/mL
Standard Deviation 31.5
Cmax: Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6704: Cmax at Day 56
59.9 ng/mL
Standard Deviation 22.4
119 ng/mL
Standard Deviation 79.6
Cmax: Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6704: Cmax at Day 112
58.5 ng/mL
Standard Deviation 33.8
88.8 ng/mL
Standard Deviation 67.3
Cmax: Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6704: Cmax at Day 196
71.2 ng/mL
Standard Deviation 8.85
99.3 ng/mL
Standard Deviation 104
Cmax: Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6705: Cmax at Day 1
2.88 ng/mL
Standard Deviation 1.41
3.75 ng/mL
Standard Deviation 1.79
Cmax: Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6705: Cmax at Day 14
76.6 ng/mL
Standard Deviation 25.4
95.4 ng/mL
Standard Deviation 30.1
Cmax: Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6705: Cmax at Day 28
114 ng/mL
Standard Deviation 47.8
146 ng/mL
Standard Deviation 58.8
Cmax: Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6705: Cmax at Day 56
140 ng/mL
Standard Deviation 64.2
142 ng/mL
Standard Deviation 50.1
Cmax: Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6705: Cmax at Day 112
128 ng/mL
Standard Deviation 85.0
126 ng/mL
Standard Deviation 80.2
Cmax: Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6705: Cmax at Day 196
135 ng/mL
Standard Deviation 62.9
154 ng/mL
Standard Deviation 128
Cmax: Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6706: Cmax at Day 14
44.6 ng/mL
Standard Deviation 24.1
71.9 ng/mL
Standard Deviation 23.1
Cmax: Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6706: Cmax at Day 28
64.0 ng/mL
Standard Deviation 27.9
97.7 ng/mL
Standard Deviation 23.0
Cmax: Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6706: Cmax at Day 56
77.6 ng/mL
Standard Deviation 28.4
103 ng/mL
Standard Deviation 72.2
Cmax: Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6706: Cmax at Day 112
75.2 ng/mL
Standard Deviation 36.5
83.1 ng/mL
Standard Deviation 54.7
Cmax: Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6706: Cmax at Day 196
81.7 ng/mL
Standard Deviation 6.38
94.9 ng/mL
Standard Deviation 92.1

SECONDARY outcome

Timeframe: At 24 hours post dose on Days 1, 14, 28, 56, 112 and 196

Population: ITT Population included all participants who took at least one dose of IMP. Number analyzed is the number of participants with evaluable data at the given time point.

The primary metabolites of delamanid are DM-6704, DM-6705 and DM-6706.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6704: Tmax at Day 1
11.95 hours
Interval 8.95 to 12.15
12.00 hours
Interval 11.88 to 12.25
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6704: Tmax at Day 14
2.95 hours
Interval 0.0 to 12.12
3.02 hours
Interval 0.0 to 12.0
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6704: Tmax at Day 28
2.95 hours
Interval 0.0 to 2.95
3.00 hours
Interval 0.0 to 8.92
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6704: Tmax at Day 56
5.95 hours
Interval 0.0 to 8.95
3.00 hours
Interval 0.0 to 9.0
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6704: Tmax at Day 112
0.00 hours
Interval 0.0 to 11.95
0.00 hours
Interval 0.0 to 9.0
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6704: Tmax at Day 196
2.95 hours
Interval 0.0 to 8.95
3.00 hours
Interval 3.0 to 3.0
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6705: Tmax at Day 1
5.95 hours
Interval 2.95 to 12.15
5.92 hours
Interval 3.0 to 12.25
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6705: Tmax at Day 14
5.95 hours
Interval 0.0 to 11.95
9.00 hours
Interval 3.02 to 11.53
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6705: Tmax at Day 28
2.95 hours
Interval 2.95 to 5.95
6.00 hours
Interval 3.03 to 8.92
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6705: Tmax at Day 56
5.95 hours
Interval 2.95 to 9.0
8.97 hours
Interval 0.0 to 12.0
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6705: Tmax at Day 112
2.95 hours
Interval 0.0 to 8.95
3.00 hours
Interval 0.0 to 6.03
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6705: Tmax at Day 196
5.95 hours
Interval 2.95 to 12.0
7.49 hours
Interval 6.0 to 8.98
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6706: Tmax at Day 14
8.95 hours
Interval 0.0 to 12.12
0.00 hours
Interval 0.0 to 5.97
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6706: Tmax at Day 28
2.95 hours
Interval 2.95 to 12.0
3.00 hours
Interval 0.0 to 8.92
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6706: Tmax at Day 56
5.95 hours
Interval 0.0 to 8.95
0.00 hours
Interval 0.0 to 9.0
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6706: Tmax at Day 112
0.00 hours
Interval 0.0 to 0.0
0.00 hours
Interval 0.0 to 12.0
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid Metabolites
DM-6706: Tmax at Day 196
8.95 hours
Interval 2.95 to 8.98
6.01 hours
Interval 3.0 to 9.02

SECONDARY outcome

Timeframe: At 24 hours post dose on Days 1, 14, 28, 56, 112 and 196

Population: ITT Population included all participants who took at least one dose of IMP. Number analyzed is the number of participants with evaluable data at the given time point.

The primary metabolites of delamanid are DM-6704, DM-6705 and DM-6706.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid Metabolites
DM-6704: AUC0-24h at Day 1
11.1 h*ng/mL
Standard Deviation NA
The standard deviation was not estimable due to fewer number of participants with data available for analysis.
19.2 h*ng/mL
Standard Deviation NA
The standard deviation was not estimable due to fewer number of participants with data available for analysis.
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid Metabolites
DM-6704: AUC0-24h at Day 14
928 h*ng/mL
Standard Deviation 567
1830 h*ng/mL
Standard Deviation 705
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid Metabolites
DM-6704: AUC0-24h at Day 28
1140 h*ng/mL
Standard Deviation 357
2100 h*ng/mL
Standard Deviation 666
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid Metabolites
DM-6704: AUC0-24h at Day 56
1280 h*ng/mL
Standard Deviation 499
2610 h*ng/mL
Standard Deviation 1760
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid Metabolites
DM-6704: AUC0-24h at Day 112
1220 h*ng/mL
Standard Deviation 711
1820 h*ng/mL
Standard Deviation 1250
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid Metabolites
DM-6704: AUC0-24h at Day 196
1550 h*ng/mL
Standard Deviation 176
2130 h*ng/mL
Standard Deviation 2230
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid Metabolites
DM-6705: AUC0-24h at Day 1
45.5 h*ng/mL
Standard Deviation 13.6
64.8 h*ng/mL
Standard Deviation 11.5
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid Metabolites
DM-6705: AUC0-24h at Day 14
1650 h*ng/mL
Standard Deviation 543
2070 h*ng/mL
Standard Deviation 593
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid Metabolites
DM-6705: AUC0-24h at Day 28
2500 h*ng/mL
Standard Deviation 1110
3140 h*ng/mL
Standard Deviation 1140
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid Metabolites
DM-6705: AUC0-24h at Day 56
3100 h*ng/mL
Standard Deviation 1480
3150 h*ng/mL
Standard Deviation 1130
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid Metabolites
DM-6705: AUC0-24h at Day 112
2790 h*ng/mL
Standard Deviation 1800
2710 h*ng/mL
Standard Deviation 1500
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid Metabolites
DM-6705: AUC0-24h at Day 196
3060 h*ng/mL
Standard Deviation 1410
3440 h*ng/mL
Standard Deviation 2890
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid Metabolites
DM-6706: AUC0-24h at Day 14
966 h*ng/mL
Standard Deviation 531
1590 h*ng/mL
Standard Deviation 496
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid Metabolites
DM-6706: AUC0-24h at Day 28
1430 h*ng/mL
Standard Deviation 668
2190 h*ng/mL
Standard Deviation 498
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid Metabolites
DM-6706: AUC0-24h at Day 56
1670 h*ng/mL
Standard Deviation 608
2290 h*ng/mL
Standard Deviation 1650
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid Metabolites
DM-6706: AUC0-24h at Day 112
1630 h*ng/mL
Standard Deviation 815
1760 h*ng/mL
Standard Deviation 1050
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid Metabolites
DM-6706: AUC0-24h at Day 196
1820 h*ng/mL
Standard Deviation 188
2060 h*ng/mL
Standard Deviation 2060

SECONDARY outcome

Timeframe: At 24 hours post dose on Days 1, 14, 28, 56, 112 and 196

Population: Due to limited metabolite exposure on Day 1, the Rac for metabolites was not estimated and hence data was not collected for this endpoint.

The primary metabolites of delamanid are DM-6704, DM-6705 and DM-6706. Ratio of accumulation for Cmax was planned to be assessed on Days 14, 28, 56, 112 and 196 with respect to Day 1.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: At 24 hours post dose on Days 1, 14, 28, 56, 112 and 196

Population: Due to limited metabolite exposure on Day 1, the Rac for metabolites was not estimated and hence data was not collected for this endpoint.

The primary metabolites of delamanid are DM-6704, DM-6705 and DM-6706. Ratio of accumulation for AUC was planned to be assessed on Days 14, 28, 56, 112 and 196 with respect to Day 1. Limited metabolite exposure on Day 1 did not allow for estimation of Rac for metabolites.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day 168 (Week 24)

Population: ITT Population included all participants who took at least one dose of IMP.

Sputum culture conversion was evaluated using the MGIT culture system. A participant was classified as demonstrating a sputum culture conversion if he/she achieved two consecutive sputum cultures negative for growth of Mycobacterium tuberculosis at least 28 days apart after his/her last sputum culture positive for growth and not followed by any sputum specimens positive for growth.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Percentage of Participants With Sputum Culture Conversion by Mycobacteria Growth Indicator Tube (MGIT) at Day 168
0.0 percentage of participants
20.0 percentage of participants

SECONDARY outcome

Timeframe: Day 168 (Week 24)

Population: ITT Population included all participants who took at least one dose of IMP.

Sputum culture status was determined using solid mycobacterial culture media and measuring colony counts per milliliter of sputum. The unit for colony counts: log10 colony-forming unit (CFU)/mL. A participant was classified as demonstrating a sputum culture conversion if he/she achieved two consecutive sputum cultures negative for growth of Mycobacterium tuberculosis at least 28 days apart after his/her last sputum culture positive for growth and not followed by any sputum specimens positive for growth.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Percentage of Participants With Sputum Culture Conversion on Solid Mycobacterial Culture Media at Day 168
0.0 percentage of participants
20.0 percentage of participants

SECONDARY outcome

Timeframe: Baseline and Days 7, 14, 21, 28, 35, 42, 49, 56, 70, 84, 98, 112, 126, 140, 154, 168, 182, 196, 224, 252, and 280

Population: ITT Population included all participants who took at least one dose of IMP. Number analyzed is the number of participants with evaluable data at the given time point.

The value for time to positivity was defined (in days) as the time interval from inoculation until a positive signal was detected for MTB on sputum culture in the MGIT system during the routine 42 day incubation period. Time to positivity analysis was based on the corresponding qualitative sputum results of positive and negative sputum cultures in days of the initial positive signal for a culture from the MGIT system. Mean is reported for Baseline and mean change from baseline is reported for Days 7, 14, 21, 28, 35, 42, 49, 56, 70, 84, 98, 112, 126, 140, 154, 168, 182, 196, 224, 252, and 280. Baseline is Day -2 and -1. Mean time to culture positivity at Baseline was defined as the average of Day -2 and Day -1 values, if the cultures on both days were positive; and if only one culture was positive, the value for the positive culture was used as baseline.

Outcome measures

Outcome measures
Measure
Delamanid 250 mg BID + OBR
n=5 Participants
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 Participants
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Baseline
7.7 days
Standard Deviation 3.7
6.8 days
Standard Deviation 1.6
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 7
6.8 days
Standard Deviation 12.2
3.5 days
Standard Deviation 2.9
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 14
0.7 days
Standard Deviation 1.0
1.7 days
Standard Deviation 1.4
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 21
2.6 days
Standard Deviation 0.9
2.1 days
Standard Deviation 2.0
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 28
0.9 days
Standard Deviation 2.7
2.1 days
Standard Deviation 2.5
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 35
8.8 days
Standard Deviation 11.1
11.1 days
Standard Deviation 15.1
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 42
6.4 days
Standard Deviation 8.7
6.3 days
Standard Deviation 9.9
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 49
0.8 days
Standard Deviation 2.6
9.1 days
Standard Deviation 16.4
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 56
7.3 days
Standard Deviation 11.9
5.8 days
Standard Deviation 7.6
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 70
7.7 days
Standard Deviation 11.9
16.4 days
Standard Deviation 16.9
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 84
10.5 days
Standard Deviation 12.4
12.1 days
Standard Deviation 16.2
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 98
3.4 days
Standard Deviation 3.9
9.8 days
Standard Deviation 16.5
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 112
3.8 days
Standard Deviation 7.0
10.7 days
Standard Deviation 20.0
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 126
-0.8 days
Standard Deviation 2.9
0.1 days
Standard Deviation 1.9
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 140
1.5 days
Standard Deviation 5.4
17.3 days
Standard Deviation 25.2
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 154
0.8 days
Standard Deviation 2.1
8.3 days
Standard Deviation 17.0
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 168
-0.8 days
Standard Deviation 4.5
17.3 days
Standard Deviation 23.2
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 182
-2.5 days
Standard Deviation 3.0
16.5 days
Standard Deviation 24.4
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 196
-0.6 days
Standard Deviation 3.9
20.9 days
Standard Deviation 18.1
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 224
1.6 days
Standard Deviation 4.6
16.2 days
Standard Deviation 24.8
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 252
9.1 days
Standard Deviation 12.0
16.5 days
Standard Deviation 24.4
Mean Change From Baseline in Time to Culture Positivity Using MGIT
Change from Baseline at Day 280
20.3 days
Standard Deviation 19.0
16.6 days
Standard Deviation 24.2

Adverse Events

Delamanid 250 mg BID + OBR

Serious events: 2 serious events
Other events: 5 other events
Deaths: 0 deaths

Delamanid 300 mg BID + OBR

Serious events: 2 serious events
Other events: 5 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Delamanid 250 mg BID + OBR
n=5 participants at risk
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 participants at risk
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Blood and lymphatic system disorders
Anaemia
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Cardiac disorders
Acute myocardial infarction
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Cardiac disorders
Atrial fibrillation
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Cardiac disorders
Coronary artery disease
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Infections and infestations
Tuberculosis
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
40.0%
2/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Injury, poisoning and procedural complications
Post procedural haemorrhage
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Investigations
Electrocardiogram QT prolonged
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Psychiatric disorders
Alcohol abuse
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Surgical and medical procedures
Lung lobectomy
40.0%
2/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Surgical and medical procedures
Pneumonectomy
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.

Other adverse events

Other adverse events
Measure
Delamanid 250 mg BID + OBR
n=5 participants at risk
Participants received delamanid five 50 mg (250 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Delamanid 300 mg BID + OBR
n=5 participants at risk
Participants received delamanid six 50 mg (300 mg) tablets, BID, along with at least 2 additional anti-TB medications per OBR for up to 28 weeks.
Blood and lymphatic system disorders
Anaemia
40.0%
2/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Cardiac disorders
Atrioventricular block first degree
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Cardiac disorders
Sinus tachycardia
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Ear and labyrinth disorders
Tinnitus
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Gastrointestinal disorders
Abdominal discomfort
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Gastrointestinal disorders
Abdominal distension
40.0%
2/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Gastrointestinal disorders
Abdominal pain upper
40.0%
2/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Gastrointestinal disorders
Diarrhoea
40.0%
2/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Gastrointestinal disorders
Dyspepsia
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Gastrointestinal disorders
Nausea
60.0%
3/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Gastrointestinal disorders
Toothache
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Gastrointestinal disorders
Vomiting
60.0%
3/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
General disorders
Chest pain
40.0%
2/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
General disorders
Feeling cold
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
General disorders
Oedema peripheral
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
General disorders
Pyrexia
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
General disorders
Ulcer
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Hepatobiliary disorders
Hepatic pain
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Hepatobiliary disorders
Hepatomegaly
60.0%
3/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Infections and infestations
Bronchitis
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Infections and infestations
Otitis media chronic
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Infections and infestations
Tuberculosis
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
60.0%
3/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Infections and infestations
Viral infection
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Infections and infestations
Viral upper respiratory tract infection
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
60.0%
3/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Injury, poisoning and procedural complications
Procedural pain
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Investigations
Blood potassium increased
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Investigations
Electrocardiogram ST-T change
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Investigations
Reticulocyte count increased
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Investigations
Weight decreased
40.0%
2/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Metabolism and nutrition disorders
Decreased appetite
60.0%
3/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Metabolism and nutrition disorders
Hyperglycaemia
80.0%
4/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
40.0%
2/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Metabolism and nutrition disorders
Hyperkalaemia
40.0%
2/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Metabolism and nutrition disorders
Hyperuricaemia
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Metabolism and nutrition disorders
Hypoalbuminaemia
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Metabolism and nutrition disorders
Hypokalaemia
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Musculoskeletal and connective tissue disorders
Back pain
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Musculoskeletal and connective tissue disorders
Muscular weakness
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Nervous system disorders
Headache
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Nervous system disorders
Intercostal neuralgia
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Nervous system disorders
Paraesthesia
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Nervous system disorders
Syncope
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Psychiatric disorders
Alcoholism
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Psychiatric disorders
Anxiety
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Psychiatric disorders
Hallucination
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Psychiatric disorders
Insomnia
40.0%
2/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Renal and urinary disorders
Proteinuria
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
40.0%
2/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Respiratory, thoracic and mediastinal disorders
Bronchospasm
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Respiratory, thoracic and mediastinal disorders
Cough
60.0%
3/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Respiratory, thoracic and mediastinal disorders
Haemoptysis
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Respiratory, thoracic and mediastinal disorders
Rhinitis allergic
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Skin and subcutaneous tissue disorders
Acne
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
Vascular disorders
Peripheral coldness
20.0%
1/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.
0.00%
0/5 • From first dose of study drug through end of study (Up to approximately 40 weeks)
Safety Analysis Population included all participants who received at least one dose (partial dose inclusive) of trial medication.

Additional Information

Global Clinical Development

Otsuka Pharmaceutical Development & Commercialization, Inc.

Phone: 1-609-524-6788

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor reserves the right to review results publications prior to public release and can delay such publications for a period greater than 60 days but no more than 120 days from the date that the publication is submitted to the Sponsor for review. Sponsor can require changes to the publication to protect Sponsor's intellectual property rights and/or confidential information and reserves the right to limit publication timing and scope of data published based on the number of study locations.
  • Publication restrictions are in place

Restriction type: OTHER