A Phase 2 interventional study of TMC207 and Rifafour e-275 mg in Pulmonary Tuberculosis, sponsored by Global Alliance for TB Drug Development. Completed at 1 site in South Africa. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2017-04-26.
Sponsored by Global Alliance for TB Drug Development · Phase 2, Interventional, and Treatment
The trial will evaluate the extended bactericidal activity of 14 consecutive days of oral administration of TMC207 at multiple doses as determined by the rate of change of log10 colony forming units (CFU) per ml sputum over the time period Day 7-14 in participants with smear positive pulmonary tuberculosis (TB). A control group will receive standard treatment.
1,417 studies on the registry are indexed under Tuberculosis; 208 are open to participants now.
This study's enrollment of 68 is below the median of 150 across 952 interventional studies indexed under Tuberculosis.
Browse Tuberculosis studies →Global Alliance for TB Drug Development is the lead sponsor of 30 studies on the registry; 1 is open to participants now.
Of its 10 completed or terminated interventional studies of FDA-regulated products, 6 (60%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
HIV infected patients:
Patients with the following QT/corrected QT(QTc) interval characteristics at screening:
Patients with the following toxicities at screening as defined by the enhanced Division of Microbiology and Infectious Disease (DMID) adult toxicity table (November 2007):
TMC207- 700 mg Day 1; 500 mg Day 2; 400 mg Days 3-14
Drug: TMC207
TMC207- 500 mg Day 1; 400 mg Day 2 and 300 mg Days 3-14.
Drug: TMC207
TMC207- 400 mg Day 1; 300 mg Day 2 and 200 mg Days 3-14
Drug: TMC207
TMC207- 200 mg Day 1 and 100 mg Days 2-14
Drug: TMC207
Rifafour e-275 mg
Drug: Rifafour e-275 mg
Early Bactericidal Activity (EBA) Measured as the Mean Rate of Change of log10 Colony Forming Units (CFU) of M. Tuberculosis Per ml Sputum on Solid Medium Over Time (Days 0-14).
The rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group. The nodes (point of inflection, i.e. where slope changes) used in these bi-linear regressions, as determined by visual inspection, were Day 3.5. node. Throughout the analyses, the established node at Day 2.5 was used in the Rifafour e-275 arm. Note that to facilitate interpretation the sign of these slopes were reversed for log10CFU/ml.
Time frame: Fourteen consecutive days of treatment
Early Bactericidal Activity (EBA) Measured as the Mean Rate of Change of log10 Colony Forming Units (CFU) of M. Tuberculosis Per ml Sputum on Solid Medium Over Time (Days 7-14).
The rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group. The nodes (point of inflection, i.e. where slope changes) used in these bi-linear regressions, as determined by visual inspection, were Day 3.5. node. Throughout the analyses, the established node at Day 2.5 was used in the Rifafour e-275 arm. Since Day 7 is later than the node day, the rate of change for this outcome is equal to the slope at Day 14. Note that to facilitate interpretation the sign of these slopes were reversed for log10CFU/ml.
Time frame: Days 7-14 of fourteen consecutive days of treatment
Early Bactericidal Activity (EBA) Measured as the Mean Rate of Change of log10 Colony Forming Units (CFU) of M. Tuberculosis Per ml Sputum on Solid Medium Over Time (Days 2-14).
The rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group. The nodes (point of inflection, i.e. where slope changes) used in these bi-linear regressions, as determined by visual inspection, were Day 3.5. node. Throughout the analyses, the established node at Day 2.5 was used in the Rifafour e-275 arm. Note that to facilitate interpretation the sign of these slopes were reversed for log10CFU/ml.
Time frame: Days 2-14 of fourteen consecutive days of treatment
Early Bactericidal Activity (EBA) Measured as the Mean Rate of Change of log10 Colony Forming Units (CFU) of M. Tuberculosis Per ml Sputum on Solid Medium Over Time (Days 0-2).
The rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group. The nodes (point of inflection, i.e. where slope changes) used in these bi-linear regressions, as determined by visual inspection, were Day 3.5. node. Throughout the analyses, the established node at Day 2.5 was used in the Rifafour e-275 arm. Since this range (Days0-2) is before the node day, the rate of change for this outcome is equal to the slope at Day 0. Note that to facilitate interpretation the sign of these slopes were reversed for log10CFU/ml.
Time frame: Two consecutive days of treatment
Rate of Change in Time to Sputum Culture Positivity (TTP)(Hours) in Liquid Culture Media (Days 0-14)
The TTP was measured in the Mycobacterial Growth Indicator Tube (MGIT) (Bactec MGIT960) automated liquid culture system from overnight sputum. TTP rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group.
Time frame: Fourteen consecutive days of treatment
Rate of Change in Time to Sputum Culture Positivity (TTP)(Hours) in Liquid Culture Media (Days 0-2)
The TTP was measured in the Mycobacterial Growth Indicator Tube (MGIT) (Bactec MGIT960) automated liquid culture system from overnight sputum. TTP rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group.
Time frame: Two consecutive days of treatment
Rate of Change in Time to Sputum Culture Positivity (TTP)(Hours) in Liquid Culture Media (Days 2-14)
The TTP was measured in the Mycobacterial Growth Indicator Tube (MGIT) (Bactec MGIT960) automated liquid culture system from overnight sputum. TTP rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group.
Time frame: Days 2-14 of fourteen consecutive days of treatment
Rate of Change in Time to Sputum Culture Positivity (TTP)(Hours) in Liquid Culture Media (Days 7-14)
The TTP was measured in the Mycobacterial Growth Indicator Tube (MGIT) (Bactec MGIT960) automated liquid culture system from overnight sputum. TTP rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group.
Time frame: Days 7-14 of fourteen consecutive days of treatment
Summary of Statistical Analysis of TMC207 Maximum Plasma Concentration Following Dosing (C(Max)) on Days 1 and 14
Time frame: Day 1 (0, 1, 3, 5, 6, 8, 12, and 24 hour post-dose) or Day 14 (0, 1, 3, 5, 6, 8, 12, 24, and 30 hour post-dose)
Summary of Statistical Analysis of TMC207 Time of Maximum Plasma Concentration (T(Max)) on Days 1 and 14
Time frame: Day 1 (0, 1, 3, 5, 6, 8, 12, and 24 hour post-dose) or Day 14 (0, 1, 3, 5, 6, 8, 12, 24, and 30 hour post-dose)
Summary of Statistical Analysis of TMC207 Area Under the Concentration-time Curve Over the Dose Interval of 0 to 24 h (AUC(0-24)) on Day 1 and Day 14
Time frame: Day 1 (0, 1, 3, 5, 6, 8, 12, and 24 hour post-dose) or Day 14 (0, 1, 3, 5, 6, 8, 12, and 24 hour post-dose)
| Milestone | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 | Rifafour e-275 mg |
|---|---|---|---|---|---|
| Started | 15 | 15 | 15 | 15 | 8 |
| Completed | 15 | 15 | 13 | 14 | 8 |
| Not completed | 0 | 0 | 2 | 1 | 0 |
The rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group. The nodes (point of inflection, i.e. where slope changes) used in these bi-linear regressions, as determined by visual inspection, were Day 3.5. node. Throughout the analyses, the established node at Day 2.5 was used in the Rifafour e-275 arm. Note that to facilitate interpretation the sign of these slopes were reversed for log10CFU/ml.
| log10CFU/ml/day | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 | Rifafour e-275 mg |
|---|---|---|---|---|---|
| Early Bactericidal Activity (EBA) Measured as the Mean Rate of Change of log10 Colony Forming Units (CFU) of M. Tuberculosis Per ml Sputum on Solid Medium Over Time (Days 0-14). | 0.040 ± 0.068 | 0.056 ± 0.051 | 0.077 ± 0.064 | 0.104 ± 0.077 | 0.112 ± 0.077 |
The rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group. The nodes (point of inflection, i.e. where slope changes) used in these bi-linear regressions, as determined by visual inspection, were Day 3.5. node. Throughout the analyses, the established node at Day 2.5 was used in the Rifafour e-275 arm. Since Day 7 is later than the node day, the rate of change for this outcome is equal to the slope at Day 14. Note that to facilitate interpretation the sign of these slopes were reversed for log10CFU/ml.
| log10CFU/ml/day | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 | Rifafour e-275 mg |
|---|---|---|---|---|---|
| Early Bactericidal Activity (EBA) Measured as the Mean Rate of Change of log10 Colony Forming Units (CFU) of M. Tuberculosis Per ml Sputum on Solid Medium Over Time (Days 7-14). | 0.053 ± 0.088 | 0.086 ± 0.048 | 0.098 ± 0.084 | 0.107 ± 0.082 | 0.046 ± 0.101 |
The rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group. The nodes (point of inflection, i.e. where slope changes) used in these bi-linear regressions, as determined by visual inspection, were Day 3.5. node. Throughout the analyses, the established node at Day 2.5 was used in the Rifafour e-275 arm. Note that to facilitate interpretation the sign of these slopes were reversed for log10CFU/ml.
| log10CFU/ml/day | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 | Rifafour e-275 mg |
|---|---|---|---|---|---|
| Early Bactericidal Activity (EBA) Measured as the Mean Rate of Change of log10 Colony Forming Units (CFU) of M. Tuberculosis Per ml Sputum on Solid Medium Over Time (Days 2-14). | 0.047 ± 0.074 | 0.071 ± 0.047 | 0.088 ± 0.071 | 0.106 ± 0.078 | 0.046 ± 0.101 |
The rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group. The nodes (point of inflection, i.e. where slope changes) used in these bi-linear regressions, as determined by visual inspection, were Day 3.5. node. Throughout the analyses, the established node at Day 2.5 was used in the Rifafour e-275 arm. Since this range (Days0-2) is before the node day, the rate of change for this outcome is equal to the slope at Day 0. Note that to facilitate interpretation the sign of these slopes were reversed for log10CFU/ml.
| log10CFU/ml/day | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 | Rifafour e-275 mg |
|---|---|---|---|---|---|
| Early Bactericidal Activity (EBA) Measured as the Mean Rate of Change of log10 Colony Forming Units (CFU) of M. Tuberculosis Per ml Sputum on Solid Medium Over Time (Days 0-2). | 0.004 ± 0.168 | -0.033 ± 0.128 | 0.015 ± 0.149 | 0.093 ± 0.136 | 0.413 ± 0.291 |
The TTP was measured in the Mycobacterial Growth Indicator Tube (MGIT) (Bactec MGIT960) automated liquid culture system from overnight sputum. TTP rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group.
| hours/day | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 | Rifafour e-275 mg |
|---|---|---|---|---|---|
| Rate of Change in Time to Sputum Culture Positivity (TTP)(Hours) in Liquid Culture Media (Days 0-14) | 4.0 ± 5.1 | 4.2 ± 3.1 | 4.9 ± 5.1 | 5.4 ± 3.4 | 14.3 ± 11.4 |
The TTP was measured in the Mycobacterial Growth Indicator Tube (MGIT) (Bactec MGIT960) automated liquid culture system from overnight sputum. TTP rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group.
| hours/day | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 | Rifafour e-275 mg |
|---|---|---|---|---|---|
| Rate of Change in Time to Sputum Culture Positivity (TTP)(Hours) in Liquid Culture Media (Days 0-2) | 1.5 ± 2.3 | 3.7 ± 4.3 | 4.1 ± 4.7 | 6.2 ± 3.3 | 27.3 ± 13.8 |
The TTP was measured in the Mycobacterial Growth Indicator Tube (MGIT) (Bactec MGIT960) automated liquid culture system from overnight sputum. TTP rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group.
| hours/day | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 | Rifafour e-275 mg |
|---|---|---|---|---|---|
| Rate of Change in Time to Sputum Culture Positivity (TTP)(Hours) in Liquid Culture Media (Days 2-14) | 4.4 ± 5.9 | 4.3 ± 3.1 | 5.1 ± 5.3 | 5.3 ± 3.5 | 11.5 ± 13.9 |
The TTP was measured in the Mycobacterial Growth Indicator Tube (MGIT) (Bactec MGIT960) automated liquid culture system from overnight sputum. TTP rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group.
| hours/day | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 | Rifafour e-275 mg |
|---|---|---|---|---|---|
| Rate of Change in Time to Sputum Culture Positivity (TTP)(Hours) in Liquid Culture Media (Days 7-14) | 6.9 ± 11.2 | 4.8 ± 4.4 | 5.9 ± 7.2 | 4.4 ± 5.0 | 11.5 ± 13.9 |
| ng/mL | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 |
|---|---|---|---|---|
| C(max) Day 1 | 1846.13 ± 613.55 | 2700.73 ± 858.54 | 3128.00 ± 1239.26 | 5386.67 ± 3069.95 |
| C(max) Day 14 | 1553.27 ± 691.36 | 2884.67 ± 789.44 | 3902.31 ± 771.77 | 5178.57 ± 2663.75 |
| hour | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 |
|---|---|---|---|---|
| T(max) Day 1 | 5.33 ± 1.80 | 5.20 ± 1.90 | 5.53 ± 0.83 | 5.67 ± 1.05 |
| T(max) Day 14 | 5.13 ± 1.19 | 4.60 ± 1.06 | 5.15 ± 1.46 | 5.29 ± 1.59 |
| ng*h/mL | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 |
|---|---|---|---|---|
| AUC(0-24) Day 1 | 18995.57 ± 6947.92 | 26619.51 ± 8453.09 | 31357.35 ± 10596.74 | 53179.27 ± 20699.64 |
| AUC(0-24) Day 14 | 18689.03 ± 4450.56 | 33314.07 ± 5780.02 | 50547.15 ± 11914.16 | 69069.64 ± 27062.36 |
Collected over 49 days. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| TMC207 100 | — | 0/15 (0%) | 4/15 (26.7%) |
| TMC207 200 | — | 0/15 (0%) | 4/15 (26.7%) |
| TMC207 300 | — | 0/15 (0%) | 5/15 (33.3%) |
| TMC207 400 | — | 1/15 (6.7%) | 5/15 (33.3%) |
| Rifafour e-275 mg | — | 0/8 (0%) | 2/8 (25%) |
| Event | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 | Rifafour e-275 mg |
|---|---|---|---|---|---|
| HepatitisHepatobiliary disorders | 0/15 | 0/15 | 0/15 | 1/15 | 0/8 |
| Event | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 | Rifafour e-275 mg |
|---|---|---|---|---|---|
| VomitingGastrointestinal disorders | 0/15 | 0/15 | 0/15 | 1/15 | 2/8 |
| HeadacheNervous system disorders | 2/15 | 0/15 | 1/15 | 1/15 | 0/8 |
| PruritusSkin and subcutaneous tissue disorders | 0/15 | 0/15 | 2/15 | 1/15 | 0/8 |
| Weight decreasedInvestigations | 0/15 | 0/15 | 0/15 | 0/15 | 1/8 |
| Non-cardiac chest painGeneral disorders | 0/15 | 0/15 | 0/15 | 0/15 | 1/8 |
| DizzinessNervous system disorders | 0/15 | 0/15 | 0/15 | 0/15 | 1/8 |
| Aspartate aminotransferase increasedInvestigations | 1/15 | 0/15 | 0/15 | 0/15 | 0/8 |
| Hepatic enzyme increasedInvestigations | 0/15 | 1/15 | 0/15 | 0/15 | 0/8 |
| Chest discomfortGeneral disorders | 0/15 | 0/15 | 1/15 | 0/15 | 0/8 |
| Body tineaInfections and infestations | 0/15 | 1/15 | 0/15 | 0/15 | 0/8 |
| Age, Continuous(years) | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 | Rifafour e-275 mg | Total |
|---|---|---|---|---|---|---|
| Mean | 29.5 ± 9.4 | 34.7 ± 18.1 | 31.4 ± 7.4 | 31.8 ± 10.9 | 26.1 ± 4.9 | 27 ± 11.45 |
| Sex: Female, Male(Participants) | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 | Rifafour e-275 mg | Total |
|---|---|---|---|---|---|---|
| Female | 6 | 4 | 7 | 5 | 2 | 24 |
| Male | 9 | 11 | 8 | 10 | 6 | 44 |
| Race/Ethnicity, Customized(participants) | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 | Rifafour e-275 mg | Total |
|---|---|---|---|---|---|---|
| Black | 6 | 5 | 9 | 7 | 6 | 33 |
| Mixed Ethnic | 9 | 10 | 6 | 8 | 2 | 35 |
| Height(meters (m)) | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 | Rifafour e-275 mg | Total |
|---|---|---|---|---|---|---|
| Mean | 1.638 ± 0.082 | 1.677 ± 0.094 | 1.674 ± 0.082 | 1.660 ± 0.057 | 1.660 ± 0.087 | 1.662 ± 0.080 |
| Weight at Day 1(kilograms (kg)) | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 | Rifafour e-275 mg | Total |
|---|---|---|---|---|---|---|
| Mean | 53.0 ± 7.74 | 52.5 ± 7.55 | 52.7 ± 8.20 | 50.6 ± 5.96 | 49.1 ± 6.69 | 51.8 ± 7.23 |
| Body Mass Index (BMI)(kg/m^2) | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 | Rifafour e-275 mg | Total |
|---|---|---|---|---|---|---|
| Mean | 19.80 ± 2.988 | 18.63 ± 1.955 | 18.80 ± 2.754 | 18.36 ± 2.174 | 17.83 ± 2.018 | 18.77 ± 2.459 |
| HIV Status(participants) | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 | Rifafour e-275 mg | Total |
|---|---|---|---|---|---|---|
| Positive | 1 | 1 | 1 | 2 | 1 | 6 |
| Negative | 14 | 14 | 14 | 13 | 7 | 62 |
| Baseline log10 colony forming units (CFU) of M. Tuberculosis per ml sputum(log(10) CFU/ml) | TMC207 100 | TMC207 200 | TMC207 300 | TMC207 400 | Rifafour e-275 mg | Total |
|---|---|---|---|---|---|---|
| Mean | 6.302 ± 0.697 | 6.001 ± 0.903 | 6.071 ± 1.087 | 6.625 ± 0.756 | 5.995 ± 1.018 | 6.199 ± 0.892 |
1 further baseline measures are reported on the registry.
This study is completed, as verified in Jan 2017. You cannot join it, but the record below documents what was studied.
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Global Alliance for TB Drug Development