B-PaLMZ for TB Meningitis

NCT ID: NCT07227779

Last Updated: 2025-11-13

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

NOT_YET_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-02-15

Study Completion Date

2030-08-31

Brief Summary

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This two-stage study will compare consented research participants with tuberculous meningitis receiving BPaLMZ to controls receiving SOC of rifampicin (R), isoniazid (H), pyrazinamide (Z), and ethambutol (E), known as RHZE.

Detailed Description

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Conditions

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Tuberculous Meningitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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BPaLMZ Regimen

bedaquiline, pretomanid, linezolid, moxifloxacin, and pyrazinamide (BPaLMZ)

Group Type EXPERIMENTAL

BPaLMZ Regimen

Intervention Type DRUG

bedaquiline, pretomanid, linezolid, moxifloxacin, and pyrazinamide

Standard of Care Regimen

rifampicin, isoniazid, pyrazinamide, ethambutol (RHZE) therapy

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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BPaLMZ Regimen

bedaquiline, pretomanid, linezolid, moxifloxacin, and pyrazinamide

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* First Episode definite or probable TBM with physician intent to treat
* Age ≥18 years
* Provision of Informed Consent by participant or surrogate
* Living with HIV
* Weight \> 35kg, estimate or measured

Exclusion Criteria

* Additional active and confirmed CNS infection
* Known rifampicin-resistant TB
* Allergy or contraindication to a study medicine
* More than 5 doses of any TB therapy received within the previous 14 days
* Presence of jaundice, known liver cirrhosis, elevated ALT or AST \>3x ULN, or total bilirubin \>2x ULN
* Estimated Glomerular Filtration Rate \<30 ml/min/1.73m2
* Significant cardiac comorbidity, heart failure, arrhythmia, or QTc \>450 ms
* Pregnancy or Breastfeeding
* Cryptococcal antigen positivity in blood
* Condition which makes participation not in the participant's best interest
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Infectious Diseases Institute

UNKNOWN

Sponsor Role collaborator

University of Minnesota

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David Boulware, MD

Role: PRINCIPAL_INVESTIGATOR

University of Minnesota

Locations

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University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Infectious Diseases Institute

Kampala, , Uganda

Site Status

Countries

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United States Uganda

Central Contacts

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David Boulware, MD

Role: CONTACT

Phone: 612-624-9996

Email: [email protected]

Darlisha Williams, MPH

Role: CONTACT

Phone: 612-624-0469

Email: [email protected]

Facility Contacts

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David Boulware, MD

Role: primary

David Meya, MBChB, MMed, PhD

Role: primary

Other Identifiers

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STUDY00024610

Identifier Type: -

Identifier Source: org_study_id