FS-1 Drug for Treatment of Multiple Drug-resistant Tuberculosis

NCT ID: NCT02607449

Last Updated: 2022-05-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

344 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-12-31

Study Completion Date

2020-10-31

Brief Summary

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Drug-resistant tuberculosis is becoming a major problem for the whole humanity, and development of new Anti-TB drugs is of great importance. Since Kazakhstan is a country with the high burden of tuberculosis, the Government of the Republic of Kazakhstan has founded initiative on the development of new Anti-TB drug to treat drug-resistant forms of this infectious disease. JSC "Scientific Center for Anti-infectious Drugs" has developed original drug FS-1 for the treatment of multidrug resistant tuberculosis (MDR-TB).

Detailed Description

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Phase 3 clinical study of FS-1 drug is a randomized, interventional, multicenter, placebo-controlled (add-on), double-blind and two arms trial.

The study consists of two following phases: treatment phase - 6 months and follow-up phase 12 months. It is planned to recruit 480 patients with verified MDR-TB diagnosis.

All data will be compiled in an Electronic Data Capture System with further statistical analysis according to approved Statistical Analytical Plan.

Conditions

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Tuberculosis, MDR

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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A

Standard TB treatment+ treatment regiment with FS-1 drug. Study drug was given to the patients orally once per day in dose of 2.5 mg/kg along with other prescribed TB drugs.

Group Type EXPERIMENTAL

FS-1

Intervention Type DRUG

FS-1 is a liquid solution for internal intake and has antimicrobial and antibacterial activities.

B

Standard TB treatment + treatment regiment with a placebo. Instead of study drug the placebo was given to the patients orally once per day along with other prescribed TB drugs (in quntity equal to study drug).

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo without any active pharmaceutical ingredients

Interventions

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FS-1

FS-1 is a liquid solution for internal intake and has antimicrobial and antibacterial activities.

Intervention Type DRUG

Placebo

Placebo without any active pharmaceutical ingredients

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Subjects suffering from a multidrug-resistant form of pulmonary tuberculosis which is defined by:

* MDR Tuberculosis confirmed by microbiology test at screening.
* resistance to isoniazid and rifampicin demonstrated by drug susceptibility test
* susceptiblity of TB bacteria to fluoroquinolones and aminoglycoside/capreomycin
* all ethnicities, intellectually capable of understanding their own condition and the requirements of the study protocol
* Willing to freely and voluntarily give signed informed consent
* Willing and capable to comply with all requirements of the protocol

Exclusion Criteria

* Pregnancy and breast-feeding;
* Patients with decompensated concomitant diseases (cardiovascular, renal, hepatic failure) that may affect the conduct of the study;
* Severe mental disorders;
* Allergy to iodine-containing drugs, hypersensitivity to iodine;
* Intolerance to second-line drugs;
* Epidermomycosis
* Socially maladjusted patients suffering from alcoholism and drug addiction;
* Hypothyroidism;
* Hashimoto's thyroiditis;
* TB treatment for more than two months before the start of the study;
* Not willing to adhere to TB therapy;


* at the discretion of the researcher, if the continuation of the study is harmful to the patient;
* side effects related with the study drug
* patient's decision to stop participation in study
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Phthisiopulmonology Center of Almaty, Kazakhstan

UNKNOWN

Sponsor Role collaborator

National Scientific Center of Phthisiopulmonology, Kazakhstan

UNKNOWN

Sponsor Role collaborator

Karaganda Medical University

OTHER

Sponsor Role collaborator

West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan

UNKNOWN

Sponsor Role collaborator

Semey State Medical University

OTHER

Sponsor Role collaborator

National Center of Phthisiatry, Bishkek, Kyrgyzstan

OTHER

Sponsor Role collaborator

Invivo laboratory, Kazakhstan

UNKNOWN

Sponsor Role collaborator

Scientific Center for Anti-infectious Drugs, Kazakhstan

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Amirkan A Azembayev, Cond.Phar.Sc.

Role: STUDY_DIRECTOR

JSC "Scientific Center for Anti-infectious Drugs"

Locations

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Semey Medical University

Semey, East Kazakhstan, Kazakhstan

Site Status

West Kazakhstan Marat Ospanov Medical University

Aktobe, West Kazakhstan, Kazakhstan

Site Status

National scientific center of phthisiopulmonology Ministry of health of the Republic of Kazakhstan

Almaty, , Kazakhstan

Site Status

Center of Phthisiopulmonology of the Public Health Administration of Almaty

Almaty, , Kazakhstan

Site Status

Karaganda Medical University

Karaganda, , Kazakhstan

Site Status

National Center of Phthisiatry

Bishkek, , Kyrgyzstan

Site Status

Countries

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Kazakhstan Kyrgyzstan

Related Links

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http://scaid.kz

General information about Sponsor of the study.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5420568/

Genomic Insight into Mechanisms of Reversion of Antibiotic Resistance in Multi-Drug Resistant Mycobacterium Tuberculosis Induced by FS-1

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4645197/

Complete genome sequence of the multi-drug resistant clinical isolate Mycobacterium tuberculosis 187.0 used to study an effect of drug susceptibility reversion by drug FS-1

https://pdfs.semanticscholar.org/aa99/f23a56e4984ce275274125c48c23ee3cba10.pdf?_ga=2.196299177.40052518.1562695622-2113992793.1562695622

Constraints of Drug Resistance - Prospects for Pharmacological Reversion of Susceptibility to Antibiotics

http://sbook.ru/vrasp/contents/va15711sd.pdf

The effect of the Kazakhstan drug FS-1 on the outcome of multidrug-resistant pulmonary tuberculosis in complex anti-tuberculosis therapy

http://sibac.info/conf/med/xliv/42595

Anti-tuberculosis activity of new drug FS-1

Other Identifiers

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TP-004 V 5.1

Identifier Type: -

Identifier Source: org_study_id

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