Trial Outcomes & Findings for Various Doses and Durations of Linezolid Plus Bedaquiline & Pretomanid in Participants With Drug Resistant Tuberculosis (NCT NCT03086486)

NCT ID: NCT03086486

Last Updated: 2023-06-29

Results Overview

Unfavourable status: 1. Participants not classified as having achieved or maintained culture negative status when last seen 2. Participants previously classified as having culture negative status who, following the end of treatment, have two positive cultures without an intervening negative culture 3. Participants who had a positive culture not followed by at least two negative cultures when last seen 4. Participants dying from any cause during treatment, except from violent or accidental cause, not including suicide 5. Participants definitely or possibly dying from TB related cause during the follow-up phase 6. Participants requiring an extension of their treatment beyond that permitted by the protocol a restart or a change of treatment for any reason except reinfection or pregnancy 7. Participants who have had surgery and the resected tissue is cultured and is positive for MTB 8. Participants lost to follow up or withdrawn from the study before the end of treatment

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

181 participants

Primary outcome timeframe

26 weeks

Results posted on

2023-06-29

Participant Flow

A total of 248 participants were screened for the trial, of whom 67 failed screening, 181 were randomized, and 169 completed treatment.

Participant milestones

Participant milestones
Measure
1200mg L x 26 Weeks + Pa + B
2 linezolid 600 mg active tablets once daily for 26 weeks plus 1 placebo linezolid 300 mg half tablet once daily for 26 weeks plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
1200 mg L x 9 Weeks + Pa + B
2 linezolid 600 mg active tablets once daily for 9 weeks, 1 placebo linezolid 300 mg half tablet once daily for 9 weeks (for Weeks 1-9); 2 placebo linezolid 600 mg tablets once daily for 17 weeks, 1 placebo linezolid 300 mg half tablet once daily for 17 weeks (for Weeks 10-26) plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
600 mg L x 26 Weeks + Pa + B
1 linezolid 600 mg active tablet once daily for 26 weeks, 1 placebo linezolid 600 mg tablet once daily for 26 weeks, 1 placebo linezolid 300 mg half tablet once daily for 26 weeks plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
600 mg L x 9 Weeks + Pa + B
1 linezolid 600 mg active tablets once daily for 8 weeks, 1 placebo linezolid 600 mg half tablet once daily for 9 weeks, 1 placebo linezolid 300 mg half tablet once daily for 9 weeks (for Weeks 1-9); 2 placebo linezolid 600 mg tablets once daily for 17 weeks, 1 placebo linezolid 300 mg half tablet once daily for 17 weeks (for Weeks 10-26) plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
Overall Study
STARTED
45
46
45
45
Overall Study
COMPLETED
44
42
43
40
Overall Study
NOT COMPLETED
1
4
2
5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Only participants who were positive at baseline in liquid culture MGIT. Positive culture at screening not required per protocol.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
1200mg L x 26 Weeks + Pa + B
n=45 Participants
2 linezolid 600 mg active tablets once daily for 26 weeks plus 1 placebo linezolid 300 mg half tablet once daily for 26 weeks plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
1200 mg L x 9 Weeks + Pa + B
n=46 Participants
2 linezolid 600 mg active tablets once daily for 9 weeks, 1 placebo linezolid 300 mg half tablet once daily for 9 weeks (for Weeks 1-9); 2 placebo linezolid 600 mg tablets once daily for 17 weeks, 1 placebo linezolid 300 mg half tablet once daily for 17 weeks (for Weeks 10-26) plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
600 mg L x 26 Weeks + Pa + B
n=45 Participants
1 linezolid 600 mg active tablet once daily for 26 weeks, 1 placebo linezolid 600 mg tablet once daily for 26 weeks, 1 placebo linezolid 300 mg half tablet once daily for 26 weeks plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
600 mg L x 9 Weeks + Pa + B
n=45 Participants
1 linezolid 600 mg active tablets once daily for 8 weeks, 1 placebo linezolid 600 mg half tablet once daily for 9 weeks, 1 placebo linezolid 300 mg half tablet once daily for 9 weeks (for Weeks 1-9); 2 placebo linezolid 600 mg tablets once daily for 17 weeks, 1 placebo linezolid 300 mg half tablet once daily for 17 weeks (for Weeks 10-26) plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
Total
n=181 Participants
Total of all reporting groups
Age, Continuous
37.4 years
n=45 Participants
35.1 years
n=46 Participants
39.2 years
n=45 Participants
36.8 years
n=45 Participants
37.1 years
n=181 Participants
Sex: Female, Male
Female
15 Participants
n=45 Participants
16 Participants
n=46 Participants
14 Participants
n=45 Participants
14 Participants
n=45 Participants
59 Participants
n=181 Participants
Sex: Female, Male
Male
30 Participants
n=45 Participants
30 Participants
n=46 Participants
31 Participants
n=45 Participants
31 Participants
n=45 Participants
122 Participants
n=181 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=45 Participants
0 Participants
n=46 Participants
0 Participants
n=45 Participants
0 Participants
n=45 Participants
0 Participants
n=181 Participants
Race (NIH/OMB)
Asian
0 Participants
n=45 Participants
0 Participants
n=46 Participants
0 Participants
n=45 Participants
0 Participants
n=45 Participants
0 Participants
n=181 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=45 Participants
0 Participants
n=46 Participants
0 Participants
n=45 Participants
0 Participants
n=45 Participants
0 Participants
n=181 Participants
Race (NIH/OMB)
Black or African American
11 Participants
n=45 Participants
18 Participants
n=46 Participants
21 Participants
n=45 Participants
16 Participants
n=45 Participants
66 Participants
n=181 Participants
Race (NIH/OMB)
White
34 Participants
n=45 Participants
28 Participants
n=46 Participants
24 Participants
n=45 Participants
29 Participants
n=45 Participants
115 Participants
n=181 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=45 Participants
0 Participants
n=46 Participants
0 Participants
n=45 Participants
0 Participants
n=45 Participants
0 Participants
n=181 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=45 Participants
0 Participants
n=46 Participants
0 Participants
n=45 Participants
0 Participants
n=45 Participants
0 Participants
n=181 Participants
Region of Enrollment
South Africa
11 Participants
n=45 Participants
18 Participants
n=46 Participants
21 Participants
n=45 Participants
16 Participants
n=45 Participants
66 Participants
n=181 Participants
Region of Enrollment
Moldova
2 Participants
n=45 Participants
4 Participants
n=46 Participants
1 Participants
n=45 Participants
3 Participants
n=45 Participants
10 Participants
n=181 Participants
Region of Enrollment
Georgia
13 Participants
n=45 Participants
8 Participants
n=46 Participants
5 Participants
n=45 Participants
8 Participants
n=45 Participants
34 Participants
n=181 Participants
Region of Enrollment
Russia
19 Participants
n=45 Participants
16 Participants
n=46 Participants
18 Participants
n=45 Participants
18 Participants
n=45 Participants
71 Participants
n=181 Participants
Height
173.2 cm
n=45 Participants
170.2 cm
n=46 Participants
171.2 cm
n=45 Participants
171.2 cm
n=45 Participants
171.4 cm
n=181 Participants
Weight
62.8 kg
n=45 Participants
62.1 kg
n=46 Participants
63.1 kg
n=45 Participants
64.5 kg
n=45 Participants
63.1 kg
n=181 Participants
BMI
20.8 kg/m^2
n=45 Participants
21.3 kg/m^2
n=46 Participants
21.3 kg/m^2
n=45 Participants
21.9 kg/m^2
n=45 Participants
21.3 kg/m^2
n=181 Participants
HIV Status
Positive
9 Participants
n=45 Participants
9 Participants
n=46 Participants
9 Participants
n=45 Participants
9 Participants
n=45 Participants
36 Participants
n=181 Participants
HIV Status
Negative
36 Participants
n=45 Participants
37 Participants
n=46 Participants
36 Participants
n=45 Participants
36 Participants
n=45 Participants
145 Participants
n=181 Participants
Smoking
Never
20 Participants
n=45 Participants
15 Participants
n=46 Participants
16 Participants
n=45 Participants
17 Participants
n=45 Participants
68 Participants
n=181 Participants
Smoking
Current
15 Participants
n=45 Participants
22 Participants
n=46 Participants
17 Participants
n=45 Participants
12 Participants
n=45 Participants
66 Participants
n=181 Participants
Smoking
Former
10 Participants
n=45 Participants
9 Participants
n=46 Participants
12 Participants
n=45 Participants
16 Participants
n=45 Participants
47 Participants
n=181 Participants
Alcohol Use
Never
21 Participants
n=45 Participants
13 Participants
n=46 Participants
18 Participants
n=45 Participants
11 Participants
n=45 Participants
63 Participants
n=181 Participants
Alcohol Use
Current
8 Participants
n=45 Participants
8 Participants
n=46 Participants
8 Participants
n=45 Participants
10 Participants
n=45 Participants
34 Participants
n=181 Participants
Alcohol Use
Former
16 Participants
n=45 Participants
25 Participants
n=46 Participants
19 Participants
n=45 Participants
24 Participants
n=45 Participants
84 Participants
n=181 Participants
Karnofsky performance status
100
1 Participants
n=45 Participants
1 Participants
n=46 Participants
2 Participants
n=45 Participants
4 Participants
n=45 Participants
8 Participants
n=181 Participants
Karnofsky performance status
90
28 Participants
n=45 Participants
30 Participants
n=46 Participants
29 Participants
n=45 Participants
26 Participants
n=45 Participants
113 Participants
n=181 Participants
Karnofsky performance status
80
13 Participants
n=45 Participants
13 Participants
n=46 Participants
10 Participants
n=45 Participants
11 Participants
n=45 Participants
47 Participants
n=181 Participants
Karnofsky performance status
70
3 Participants
n=45 Participants
2 Participants
n=46 Participants
4 Participants
n=45 Participants
4 Participants
n=45 Participants
13 Participants
n=181 Participants
Karnofsky performance status
60 or below
0 Participants
n=45 Participants
0 Participants
n=46 Participants
0 Participants
n=45 Participants
0 Participants
n=45 Participants
0 Participants
n=181 Participants
Current Tuberculosis (TB) type
Multi Drug Resistant (MDR) TB (nonresponsive)
2 Participants
n=45 Participants
5 Participants
n=46 Participants
2 Participants
n=45 Participants
3 Participants
n=45 Participants
12 Participants
n=181 Participants
Current Tuberculosis (TB) type
Multi Drug Resistant (MDR) TB (treatment-intolerant)
3 Participants
n=45 Participants
1 Participants
n=46 Participants
2 Participants
n=45 Participants
3 Participants
n=45 Participants
9 Participants
n=181 Participants
Current Tuberculosis (TB) type
Pre-Extensively Drug Resistant (Pre-XDR) TB
19 Participants
n=45 Participants
22 Participants
n=46 Participants
22 Participants
n=45 Participants
22 Participants
n=45 Participants
85 Participants
n=181 Participants
Current Tuberculosis (TB) type
Extensively Drug Resistant (XDR) TB
21 Participants
n=45 Participants
18 Participants
n=46 Participants
19 Participants
n=45 Participants
17 Participants
n=45 Participants
75 Participants
n=181 Participants
History of Tuberculosis (TB)
Drug Sensitive (DS) TB
16 participants
n=45 Participants
13 participants
n=46 Participants
18 participants
n=45 Participants
7 participants
n=45 Participants
54 participants
n=181 Participants
History of Tuberculosis (TB)
Mono Resistant TB
0 participants
n=45 Participants
0 participants
n=46 Participants
1 participants
n=45 Participants
1 participants
n=45 Participants
2 participants
n=181 Participants
History of Tuberculosis (TB)
MDR TB
20 participants
n=45 Participants
23 participants
n=46 Participants
21 participants
n=45 Participants
25 participants
n=45 Participants
89 participants
n=181 Participants
History of Tuberculosis (TB)
Pre-XDR TB
6 participants
n=45 Participants
5 participants
n=46 Participants
6 participants
n=45 Participants
7 participants
n=45 Participants
24 participants
n=181 Participants
History of Tuberculosis (TB)
XDR TB
25 participants
n=45 Participants
28 participants
n=46 Participants
28 participants
n=45 Participants
25 participants
n=45 Participants
106 participants
n=181 Participants
Screening smear microscopy for Acid Fast Bacilli (AFB)
No AFB seen
23 Participants
n=45 Participants
24 Participants
n=46 Participants
23 Participants
n=45 Participants
20 Participants
n=45 Participants
90 Participants
n=181 Participants
Screening smear microscopy for Acid Fast Bacilli (AFB)
Scanty positive
11 Participants
n=45 Participants
4 Participants
n=46 Participants
8 Participants
n=45 Participants
5 Participants
n=45 Participants
28 Participants
n=181 Participants
Screening smear microscopy for Acid Fast Bacilli (AFB)
1+
4 Participants
n=45 Participants
7 Participants
n=46 Participants
4 Participants
n=45 Participants
6 Participants
n=45 Participants
21 Participants
n=181 Participants
Screening smear microscopy for Acid Fast Bacilli (AFB)
2+
6 Participants
n=45 Participants
6 Participants
n=46 Participants
3 Participants
n=45 Participants
4 Participants
n=45 Participants
19 Participants
n=181 Participants
Screening smear microscopy for Acid Fast Bacilli (AFB)
3+
1 Participants
n=45 Participants
5 Participants
n=46 Participants
7 Participants
n=45 Participants
10 Participants
n=45 Participants
23 Participants
n=181 Participants
Time to positive at baseline
14.3 days
n=30 Participants • Only participants who were positive at baseline in liquid culture MGIT. Positive culture at screening not required per protocol.
11.3 days
n=32 Participants • Only participants who were positive at baseline in liquid culture MGIT. Positive culture at screening not required per protocol.
14.0 days
n=33 Participants • Only participants who were positive at baseline in liquid culture MGIT. Positive culture at screening not required per protocol.
12.5 days
n=36 Participants • Only participants who were positive at baseline in liquid culture MGIT. Positive culture at screening not required per protocol.
13.0 days
n=131 Participants • Only participants who were positive at baseline in liquid culture MGIT. Positive culture at screening not required per protocol.
Chest x-ray at Screening
Normal
2 Participants
n=45 Participants
2 Participants
n=46 Participants
1 Participants
n=45 Participants
2 Participants
n=45 Participants
7 Participants
n=181 Participants
Chest x-ray at Screening
Abnormal
43 Participants
n=45 Participants
44 Participants
n=46 Participants
44 Participants
n=45 Participants
43 Participants
n=45 Participants
174 Participants
n=181 Participants
Chest X-ray Cavities at Screening
None
18 Participants
n=45 Participants
21 Participants
n=46 Participants
12 Participants
n=45 Participants
18 Participants
n=45 Participants
69 Participants
n=181 Participants
Chest X-ray Cavities at Screening
Unilateral
22 Participants
n=45 Participants
21 Participants
n=46 Participants
20 Participants
n=45 Participants
21 Participants
n=45 Participants
84 Participants
n=181 Participants
Chest X-ray Cavities at Screening
Bilateral
5 Participants
n=45 Participants
4 Participants
n=46 Participants
13 Participants
n=45 Participants
6 Participants
n=45 Participants
28 Participants
n=181 Participants

PRIMARY outcome

Timeframe: 26 weeks

Population: Participants were considered unassessable and therefore excluded from the Modified Intent to Treat (MITT) population if they were late exclusions, lost to follow-up, reinfected with a different strain of TB, withdrawn during the Follow-up Period, or died during the treatment period.

Unfavourable status: 1. Participants not classified as having achieved or maintained culture negative status when last seen 2. Participants previously classified as having culture negative status who, following the end of treatment, have two positive cultures without an intervening negative culture 3. Participants who had a positive culture not followed by at least two negative cultures when last seen 4. Participants dying from any cause during treatment, except from violent or accidental cause, not including suicide 5. Participants definitely or possibly dying from TB related cause during the follow-up phase 6. Participants requiring an extension of their treatment beyond that permitted by the protocol a restart or a change of treatment for any reason except reinfection or pregnancy 7. Participants who have had surgery and the resected tissue is cultured and is positive for MTB 8. Participants lost to follow up or withdrawn from the study before the end of treatment

Outcome measures

Outcome measures
Measure
1200mg L x 26 Weeks + Pa + B
n=44 Participants
2 linezolid 600 mg active tablets once daily for 26 weeks plus 1 placebo linezolid 300 mg half tablet once daily for 26 weeks plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
1200 mg L x 9 Weeks + Pa + B
n=45 Participants
2 linezolid 600 mg active tablets once daily for 9 weeks, 1 placebo linezolid 300 mg half tablet once daily for 9 weeks (for Weeks 1-9); 2 placebo linezolid 600 mg tablets once daily for 17 weeks, 1 placebo linezolid 300 mg half tablet once daily for 17 weeks (for Weeks 10-26) plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
600 mg L x 26 Weeks + Pa + B
n=45 Participants
1 linezolid 600 mg active tablet once daily for 26 weeks, 1 placebo linezolid 600 mg tablet once daily for 26 weeks, 1 placebo linezolid 300 mg half tablet once daily for 26 weeks plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
600 mg L x 9 Weeks + Pa + B
n=44 Participants
1 linezolid 600 mg active tablets once daily for 8 weeks, 1 placebo linezolid 600 mg half tablet once daily for 9 weeks, 1 placebo linezolid 300 mg half tablet once daily for 9 weeks (for Weeks 1-9); 2 placebo linezolid 600 mg tablets once daily for 17 weeks, 1 placebo linezolid 300 mg half tablet once daily for 17 weeks (for Weeks 10-26) plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
Total
n=178 Participants
Total Study Population
Incidence of Bacteriologic Failure or Relapse or Clinical Failure (Unfavorables) Through Follow up Until 26 Weeks After the End of Treatment
Favorable
41 Participants
40 Participants
41 Participants
37 Participants
159 Participants
Incidence of Bacteriologic Failure or Relapse or Clinical Failure (Unfavorables) Through Follow up Until 26 Weeks After the End of Treatment
Unfavorable
3 Participants
5 Participants
4 Participants
7 Participants
19 Participants

SECONDARY outcome

Timeframe: 78 weeks

Population: Participants were considered unassessable and therefore excluded from the Modified Intent to Treat (MITT) population if they were late exclusions, lost to follow-up, reinfected with a different strain of TB, withdrawn during the Follow-up Period, or died during the treatment period.

Unfavourable status: 1. Participants not classified as having achieved or maintained culture negative status when last seen 2. Participants previously classified as having culture negative status who, following the end of treatment, have two positive cultures without an intervening negative culture 3. Participants who had a positive culture not followed by at least two negative cultures when last seen 4. Participants dying from any cause during treatment, except from violent or accidental cause, not including suicide 5. Participants definitely or possibly dying from TB related cause during the follow-up phase 6. Participants requiring an extension of their treatment beyond that permitted by the protocol a restart or a change of treatment for any reason except reinfection or pregnancy 7. Participants who have had surgery and the resected tissue is cultured and is positive for MTB 8. Participants lost to follow up or withdrawn from the study before the end of treatment

Outcome measures

Outcome measures
Measure
1200mg L x 26 Weeks + Pa + B
n=43 Participants
2 linezolid 600 mg active tablets once daily for 26 weeks plus 1 placebo linezolid 300 mg half tablet once daily for 26 weeks plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
1200 mg L x 9 Weeks + Pa + B
n=44 Participants
2 linezolid 600 mg active tablets once daily for 9 weeks, 1 placebo linezolid 300 mg half tablet once daily for 9 weeks (for Weeks 1-9); 2 placebo linezolid 600 mg tablets once daily for 17 weeks, 1 placebo linezolid 300 mg half tablet once daily for 17 weeks (for Weeks 10-26) plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
600 mg L x 26 Weeks + Pa + B
n=45 Participants
1 linezolid 600 mg active tablet once daily for 26 weeks, 1 placebo linezolid 600 mg tablet once daily for 26 weeks, 1 placebo linezolid 300 mg half tablet once daily for 26 weeks plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
600 mg L x 9 Weeks + Pa + B
n=44 Participants
1 linezolid 600 mg active tablets once daily for 8 weeks, 1 placebo linezolid 600 mg half tablet once daily for 9 weeks, 1 placebo linezolid 300 mg half tablet once daily for 9 weeks (for Weeks 1-9); 2 placebo linezolid 600 mg tablets once daily for 17 weeks, 1 placebo linezolid 300 mg half tablet once daily for 17 weeks (for Weeks 10-26) plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
Total
n=176 Participants
Total Study Population
Incidence of Bacteriologic Failure or Relapse or Clinical Failure (Unfavorables) Through Follow up Until 78 Weeks After the End of Treatment.
Favorable
40 Participants
39 Participants
40 Participants
35 Participants
154 Participants
Incidence of Bacteriologic Failure or Relapse or Clinical Failure (Unfavorables) Through Follow up Until 78 Weeks After the End of Treatment.
Unfavorable
3 Participants
5 Participants
5 Participants
9 Participants
22 Participants

SECONDARY outcome

Timeframe: 26 weeks

Population: Participants in the MITT population who were culture positive during the baseline period were assessable. Unassessable Includes participants not positive at baseline and/or unassessable in the MITT population.

Culture conversion is a diagnostic criteria indicating the point at which samples taken from a patient infected with tuberculosis can no longer produce tuberculosis cell cultures. Note: * Culture conversion requires at least 2 consecutive culture negative/positive samples at least 7 days apart. * Participants who are documented at a visit as unable to produce sputum and who are clinically considered to be responding well to treatment will be considered to be culture negative at that visit.

Outcome measures

Outcome measures
Measure
1200mg L x 26 Weeks + Pa + B
n=30 Participants
2 linezolid 600 mg active tablets once daily for 26 weeks plus 1 placebo linezolid 300 mg half tablet once daily for 26 weeks plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
1200 mg L x 9 Weeks + Pa + B
n=32 Participants
2 linezolid 600 mg active tablets once daily for 9 weeks, 1 placebo linezolid 300 mg half tablet once daily for 9 weeks (for Weeks 1-9); 2 placebo linezolid 600 mg tablets once daily for 17 weeks, 1 placebo linezolid 300 mg half tablet once daily for 17 weeks (for Weeks 10-26) plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
600 mg L x 26 Weeks + Pa + B
n=33 Participants
1 linezolid 600 mg active tablet once daily for 26 weeks, 1 placebo linezolid 600 mg tablet once daily for 26 weeks, 1 placebo linezolid 300 mg half tablet once daily for 26 weeks plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
600 mg L x 9 Weeks + Pa + B
n=35 Participants
1 linezolid 600 mg active tablets once daily for 8 weeks, 1 placebo linezolid 600 mg half tablet once daily for 9 weeks, 1 placebo linezolid 300 mg half tablet once daily for 9 weeks (for Weeks 1-9); 2 placebo linezolid 600 mg tablets once daily for 17 weeks, 1 placebo linezolid 300 mg half tablet once daily for 17 weeks (for Weeks 10-26) plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
Total
n=130 Participants
Total Study Population
Time to Sputum Culture Conversion to Negative Status Through the Treatment Period
4 weeks
Interval 2.0 to 8.0
4 weeks
Interval 2.0 to 8.0
6 weeks
Interval 3.0 to 6.0
6 weeks
Interval 3.0 to 10.0
6 weeks
Interval 3.0 to 8.0

SECONDARY outcome

Timeframe: End of Treatment, 26 weeks

Population: The participant numbers for inclusion in analysis are those assessable participants with a positive culture status at baseline, not including those who withdrew or were lost to contact during treatment at or before Week 26.

Culture conversion is a diagnostic criteria indicating the point at which samples taken from a patient infected with tuberculosis can no longer produce tuberculosis cell cultures.

Outcome measures

Outcome measures
Measure
1200mg L x 26 Weeks + Pa + B
n=29 Participants
2 linezolid 600 mg active tablets once daily for 26 weeks plus 1 placebo linezolid 300 mg half tablet once daily for 26 weeks plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
1200 mg L x 9 Weeks + Pa + B
n=29 Participants
2 linezolid 600 mg active tablets once daily for 9 weeks, 1 placebo linezolid 300 mg half tablet once daily for 9 weeks (for Weeks 1-9); 2 placebo linezolid 600 mg tablets once daily for 17 weeks, 1 placebo linezolid 300 mg half tablet once daily for 17 weeks (for Weeks 10-26) plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
600 mg L x 26 Weeks + Pa + B
n=32 Participants
1 linezolid 600 mg active tablet once daily for 26 weeks, 1 placebo linezolid 600 mg tablet once daily for 26 weeks, 1 placebo linezolid 300 mg half tablet once daily for 26 weeks plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
600 mg L x 9 Weeks + Pa + B
n=32 Participants
1 linezolid 600 mg active tablets once daily for 8 weeks, 1 placebo linezolid 600 mg half tablet once daily for 9 weeks, 1 placebo linezolid 300 mg half tablet once daily for 9 weeks (for Weeks 1-9); 2 placebo linezolid 600 mg tablets once daily for 17 weeks, 1 placebo linezolid 300 mg half tablet once daily for 17 weeks (for Weeks 10-26) plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
Total
n=122 Participants
Total Study Population
Sputum Culture Conversion to Negative Status at End of Treatment for Those Positive at Baseline
Negative
29 Participants
28 Participants
31 Participants
31 Participants
119 Participants
Sputum Culture Conversion to Negative Status at End of Treatment for Those Positive at Baseline
Positive
0 Participants
1 Participants
1 Participants
1 Participants
3 Participants
Sputum Culture Conversion to Negative Status at End of Treatment for Those Positive at Baseline
Died
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants

Adverse Events

1200mg L x 26 Weeks + Pa + B

Serious events: 3 serious events
Other events: 40 other events
Deaths: 0 deaths

1200 mg L x 9 Weeks + Pa + B

Serious events: 4 serious events
Other events: 41 other events
Deaths: 1 deaths

600 mg L x 26 Weeks + Pa + B

Serious events: 1 serious events
Other events: 39 other events
Deaths: 0 deaths

600 mg L x 9 Weeks + Pa + B

Serious events: 3 serious events
Other events: 36 other events
Deaths: 0 deaths

Total

Serious events: 11 serious events
Other events: 156 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
1200mg L x 26 Weeks + Pa + B
n=45 participants at risk
2 linezolid 600 mg active tablets once daily for 26 weeks plus 1 placebo linezolid 300 mg half tablet once daily for 26 weeks plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
1200 mg L x 9 Weeks + Pa + B
n=46 participants at risk
2 linezolid 600 mg active tablets once daily for 9 weeks, 1 placebo linezolid 300 mg half tablet once daily for 9 weeks (for Weeks 1-9); 2 placebo linezolid 600 mg tablets once daily for 17 weeks, 1 placebo linezolid 300 mg half tablet once daily for 17 weeks (for Weeks 10-26) plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
600 mg L x 26 Weeks + Pa + B
n=45 participants at risk
1 linezolid 600 mg active tablet once daily for 26 weeks, 1 placebo linezolid 600 mg tablet once daily for 26 weeks, 1 placebo linezolid 300 mg half tablet once daily for 26 weeks plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
600 mg L x 9 Weeks + Pa + B
n=45 participants at risk
1 linezolid 600 mg active tablets once daily for 8 weeks, 1 placebo linezolid 600 mg half tablet once daily for 9 weeks, 1 placebo linezolid 300 mg half tablet once daily for 9 weeks (for Weeks 1-9); 2 placebo linezolid 600 mg tablets once daily for 17 weeks, 1 placebo linezolid 300 mg half tablet once daily for 17 weeks (for Weeks 10-26) plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
Total
n=181 participants at risk
Total Study Population
Eye disorders
Optic neuropathy
2.2%
1/45 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.55%
1/181 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Hepatobiliary disorders
Drug-induced liver injury
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/46 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/45 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
1.1%
2/181 • Number of events 2 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Infections and infestations
Hepatitis B
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/45 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.55%
1/181 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Infections and infestations
Tertiary syphilis
2.2%
1/45 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.55%
1/181 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Infections and infestations
Tuberculosis
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/45 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.55%
1/181 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Infections and infestations
Upper respiratory tract infection
2.2%
1/45 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.55%
1/181 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Injury, poisoning and procedural complications
Thermal burn
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/46 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.55%
1/181 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Injury, poisoning and procedural complications
Toxicity to various agents
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/46 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.55%
1/181 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Injury, poisoning and procedural complications
Wound haemorrhage
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/46 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.55%
1/181 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Nervous system disorders
Brain oedema
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/46 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.55%
1/181 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Nervous system disorders
Optic neuritis
2.2%
1/45 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.55%
1/181 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Psychiatric disorders
Alcoholic psychosis
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/45 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.55%
1/181 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Psychiatric disorders
Suicide attempt
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/46 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.55%
1/181 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Respiratory, thoracic and mediastinal disorders
Pulmonary fibrosis
2.2%
1/45 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.00%
0/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
0.55%
1/181 • Number of events 1 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.

Other adverse events

Other adverse events
Measure
1200mg L x 26 Weeks + Pa + B
n=45 participants at risk
2 linezolid 600 mg active tablets once daily for 26 weeks plus 1 placebo linezolid 300 mg half tablet once daily for 26 weeks plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
1200 mg L x 9 Weeks + Pa + B
n=46 participants at risk
2 linezolid 600 mg active tablets once daily for 9 weeks, 1 placebo linezolid 300 mg half tablet once daily for 9 weeks (for Weeks 1-9); 2 placebo linezolid 600 mg tablets once daily for 17 weeks, 1 placebo linezolid 300 mg half tablet once daily for 17 weeks (for Weeks 10-26) plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
600 mg L x 26 Weeks + Pa + B
n=45 participants at risk
1 linezolid 600 mg active tablet once daily for 26 weeks, 1 placebo linezolid 600 mg tablet once daily for 26 weeks, 1 placebo linezolid 300 mg half tablet once daily for 26 weeks plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
600 mg L x 9 Weeks + Pa + B
n=45 participants at risk
1 linezolid 600 mg active tablets once daily for 8 weeks, 1 placebo linezolid 600 mg half tablet once daily for 9 weeks, 1 placebo linezolid 300 mg half tablet once daily for 9 weeks (for Weeks 1-9); 2 placebo linezolid 600 mg tablets once daily for 17 weeks, 1 placebo linezolid 300 mg half tablet once daily for 17 weeks (for Weeks 10-26) plus; bedaquiline 200 mg once daily for 8 weeks then 100 mg once daily for 18 weeks plus; pretomanid 200 mg once daily for 26 weeks
Total
n=181 participants at risk
Total Study Population
Gastrointestinal disorders
Dyspepsia
8.9%
4/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.5%
3/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
5.0%
9/181 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Infections and infestations
Upper respiratory tract infection
2.2%
1/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
8.7%
4/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
4.4%
2/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
4.4%
2/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
5.0%
9/181 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Gastrointestinal disorders
Nausea
13.3%
6/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
10.9%
5/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.7%
3/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
8.3%
15/181 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Gastrointestinal disorders
Vomiting
6.7%
3/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.5%
3/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
4.4%
2/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
5.0%
9/181 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Blood and lymphatic system disorders
Neutropenia
6.7%
3/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
13.0%
6/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.7%
3/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
8.9%
4/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
8.8%
16/181 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Gastrointestinal disorders
Diarrhoea
6.7%
3/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.5%
3/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
11.1%
5/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.6%
12/181 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Blood and lymphatic system disorders
Anaemia
15.6%
7/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.5%
3/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.7%
3/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
7.7%
14/181 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Investigations
Hepatic enzyme increased
11.1%
5/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
17.4%
8/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
8.9%
4/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.7%
3/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
11.0%
20/181 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Investigations
Transaminases increased
4.4%
2/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.5%
3/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
13.3%
6/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
11.1%
5/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
8.8%
16/181 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Nervous system disorders
Headache
8.9%
4/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
10.9%
5/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.7%
3/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
7.2%
13/181 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Nervous system disorders
Hypoaesthesia
8.9%
4/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
8.7%
4/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
11.1%
5/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
7.7%
14/181 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Nervous system disorders
Paraesthesia
4.4%
2/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.5%
3/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.7%
3/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.7%
3/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.1%
11/181 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Nervous system disorders
Peripheral sensory neuropathy
20.0%
9/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
13.0%
6/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
8.9%
4/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
4.4%
2/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
11.6%
21/181 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Skin and subcutaneous tissue disorders
Dermatitis acneiform
4.4%
2/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.5%
3/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
11.1%
5/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.7%
3/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
7.2%
13/181 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Skin and subcutaneous tissue disorders
Pruritus
4.4%
2/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
4.3%
2/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.7%
3/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.7%
3/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
5.5%
10/181 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Skin and subcutaneous tissue disorders
Rash papular
6.7%
3/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
8.7%
4/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
4.4%
2/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
5.5%
10/181 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
Vascular disorders
Hypertension
11.1%
5/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
2.2%
1/46 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
4.4%
2/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
8.9%
4/45 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.
6.6%
12/181 • 28 weeks
All listed adverse events (AEs) are treatment emergent adverse events (TEAE) which are defined as AEs that started or worsened at or after the first administration of IMP up to and including 14 days after the last administration of IMP.

Additional Information

Morounfolu Olugbosi

TB Alliance

Phone: 1 212 227 7540

Results disclosure agreements

  • Principal investigator is a sponsor employee Institution and Principal Investigator shall not publish, present or use the Study Data for its own instruction, research or publication without the prior express written consent of Sponsor. Because the Study is funded, in whole or in part, by the Bill and Melinda Gates Foundation (the "Foundation"), all peer-reviewed published research relating to the Study must comply with the Foundation's Open Access Policy.
  • Publication restrictions are in place

Restriction type: OTHER