ClinicalTrials.gg
CompletedNCT02906007Updated Jul 10, 2026Results posted

Evaluating the Pharmacokinetics, Safety, and Tolerability of Bedaquiline in Infants, Children, and Adolescents With Multidrug-Resistant Tuberculosis, Living With or Without HIV

A Phase 1/2 interventional study of Bedaquiline in Tuberculosis and HIV, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 4 sites in 2 countries. Open to participants aged 0 Months to 17 Years. Per ClinicalTrials.gov, last updated 2026-07-10.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
54
Allocation
Non-randomized
Ages
0 Months to 17 Years
Sex
All
01

Study summary

P1108 was a Phase I/II, open-label, single-arm, exposure-controlled dose finding study of BDQ in infants, children, and adolescents living with and without HIV, with clinically diagnosed or bacteriologically confirmed rifampin-resistant tuberculosis (RR-TB). The study was designed to evaluate the PK, safety, and tolerability of BDQ over 24 weeks.

Read the detailed description

The purpose of this study was to evaluate the pharmacokinetics (PK), safety, and tolerability of bedaquiline (BDQ) in combination with an individualized RR-TB therapy in infants, children, and adolescents with RR-TB disease, living with or without HIV.

This study was conducted among infants, children, and adolescents less than 18 years of age treated for clinically diagnosed or bacteriologically confirmed intra-thoracic (pulmonary) RR-TB and/or selected forms of extrathoracic RR-TB. Participants were assigned to cohorts based on age. Cohort 1 included children six years of age or older but less than 18 years of age; Cohort 2 included children two years of age or older but less than six years of age; and Cohort 3 included children 0 months of age and older but less than two years of age. Cohort 1 was divided into two weight bands, one for participants weighing 15 kg or more but less than 30 kg and one for participants weighing 30 kg or more. Cohort 2 included participants weighing greater than 7 kg. Cohort 3 included participants weighing at least 3 kg.

Study visits occurred at enrollment (Day 0) and at Weeks 1, 2, 4, 6, 8, 12, 16, 20, 24, 32, 40, 48, 60, 72, 60, 72, and 96. Participants who exited the study before implementation of protocol Version 2.0 also had a study visit at Week 120. Participants in each cohort took BDQ once a day for approximately two weeks. For the next 22 weeks, BDQ was taken three times a week. Dosing for Cohorts 2 and 3 was based on data from Cohort 1.

Study visits included physical examinations, blood and urine collection, an electrocardiogram (ECG), medical history reviews, and other assessments.

02

Conditions studied

  • Tuberculosis
  • HIV

Browse trials for

03

In context

Tuberculosis

1,170 studies on the registry are indexed under Tuberculosis; 175 are open to participants now.

This study's enrollment of 54 is below the median of 150 across 820 interventional studies indexed under Tuberculosis.

Browse Tuberculosis studies →

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,446 studies on the registry; 179 are open to participants now.

Of its 405 completed or terminated interventional studies of FDA-regulated products, 302 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
0 Months to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Parent/legal guardian willing and able to provide written for study participation; in addition, when applicable per local Institutional Review Board (IRB)/Ethics Committee (EC) policies and procedures, potential participant is willing and able to provide written assent for study participation.
  • Age at enrollment:

    • Cohort 1: 6 years of age or older but younger than 18 years of age
    • Cohort 2: 2 years of age or older but younger than 6 years of age
    • Cohort 3: 0 months of age or older but younger than 2 years of age
  • Weight at enrollment:

    • Cohort 1: At least 15 kg
    • Cohort 2: Greater than 7 kg
    • Cohort 3: At least 3 kg
  • status determined by testing requirements in the protocol.
  • Either bacteriologically confirmed intrathoracic (pulmonary) RR-TB and/or any of the following forms of extrathoracic TB:

    • Peripheral TB lymphadenitis
    • Pleural effusion or fibrotic pleural lesions
    • Stage 1 TBM or clinically stable Stage 2A TBM*
    • Osteoarticular TB, including spinal TB
    • Other non-disseminated forms of TB disease OR

Probable RR-TB (or clinically diagnosed RR-TB) with the inclusion of intrathoracic and/or extrathoracic TB as listed below:

  • A presumptive diagnosis of RR-TB based on well-documented clinical symptoms or signs of TB with chest radiological changes (in the case of intrathoracic TB), and/or any of the following extrathoracic disease manifestations:
  • Peripheral TB lymphadenitis
  • Pleural effusion or fibrotic pleural lesions
  • Stage 1 TBM or clinically stable Stage 2A TBM
  • Osteoarticular TB, including spinal TB
  • Other non-disseminated forms of TB disease

More information on this criterion can be found in the protocol.

- Participant is on an RR-TB regimen as per local standard of care for at least seven days and not more than 12 weeks prior to entry, and tolerating the regimen well at entry, as determined by the site investigator based on available medical records.

Note: Participants may have received up to seven doses of non-study BDQ during the seven days prior to study enrollment. The date and dose amount of non-study BDQ doses must be available in medical records.

  • For potential participants living with HIV: At least 14 days prior to entry, initiated an acceptable ART regimen defined as zidovudine/lamivudine/abacavir; NVP and two NRTIs; LPV/r and two NRTIs; an integrase class drug including dolutegravir or raltegravir with two NRTIs; or another regimen approved in advance by the Core Team.
  • At entry, the participant has the following laboratory test results according to the DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (refer to the protocol for guidance on severity grading):
  • (normal or grade 1)
  • Creatinine (normal or grade 1)
  • Aspartate Amino Transferase () (normal or grade 1)
  • Alanine Amino Transferase (ALT) (normal or grade 1)
  • Total (normal or grade 1) Note: Laboratory tests may be repeated during the screening period, with the latest results used for eligibility determination.
  • If male and engaging in sexual activity that could lead to pregnancy of the female partner: At entry, participant agrees to use a barrier method of (i.e., male condom), until four weeks after discontinuation of BDQ.
  • If female and of , defined as having reached menarche and not having undergone a documented sterilization procedure (hysterectomy, bilateral oophorectomy, or salpingotomy): Negative pregnancy test at screening within five days prior to entry.
  • If female, of reproductive potential (defined in the protocol), and engaging in sexual activity that could lead to pregnancy: At entry, participant agrees to avoid pregnancy and to use at least two of the following contraception methods from entry through completion of study follow-up: condoms, diaphragm or cervical cap, intrauterine contraceptive device (IUCD), hormonal-based contraception.
  • For Cohort 3 participants less than six months of age: Gestational age at birth greater than or equal to 37 weeks as determined by the site investigator based on parent/guardian report and/or available medical records.

Exclusion criteria

Exclusion Criteria:

  • Has any documented or suspected medical condition or any other condition (excluding and TB) that, in the opinion of the site investigator, would make participation in the study unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving study objectives.
  • Known or presumed severe extrapulmonary manifestations of TB, including Stages 2B and 3 TBM as determined by the site investigator based on participant/parent/guardian report and/or available medical records.
  • Participant is breastfeeding a child based on participant/parent/guardian report and/or available medical records.
  • A significant cardiac arrhythmia that requires medication or a history of heart disease (heart failure, coronary artery disease) that increases the risk for Torsade de Pointes as determined by the site investigator based on participant/parent/guardian report and available medical records.
  • interval greater than 460 ms (i.e., mean triplicate value greater than 460 ms) at screening. Note: The centralized ECG read should be used during screening for eligibility determination.
  • Clinically relevant ECG changes including but not limited to pathological Q-waves (defined as greater than 40 ms or depth greater than 0.4-0.5 mV); evidence of ventricular pre-excitation; evidence of complete or incomplete left bundle branch block or right bundle branch block; evidence of second or third degree heart block; intraventricular conduction delay with QRS duration greater than 120 ms; age-related bradycardia as defined by sinus rate less than lower limit as indicated in the protocol based on available medical records and centralized read of ECGs during screening.
  • Known personal or family history of long QT syndrome as determined by the site investigator based on participant/parent/guardian report and/or available medical records.
  • Within eight weeks prior to entry, participation in other clinical studies with agents or devices, unless approved in advance by the Core Team.
  • Taking any prohibited medications specified in the protocol within three days prior to entry based on participant/parent/guardian report and/or available medical records.
Terms in these criteria, in plain language(11)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
54 participants (actual)

Study arms

  • Experimental
    Cohort 1 (>=6 to < 18 years)

    Participants ≥30 kg: 400 mg once per day through the intensive PK sampling visit, then 200 mg three times per week on Monday, Wednesday, and Friday through the Week 24 visit Participants ≥15 to \<30 kg: 200 mg once per day through the intensive PK sampling visit, then 100 mg three times per week on Monday, Wednesday, and Friday through the Week 24

    Drug: Bedaquiline

  • Experimental
    Cohort 2 (>=2 to < 6 years)

    Participants \>7 to \<30 kg: 200 mg once per day through the intensive PK sampling visit, then 100 mg three times per week on Monday, Wednesday, and Friday through the Week 24 visit

    Drug: Bedaquiline

  • Experimental
    Cohort 3 (>=0 to < 2 years)

    Participants \>7 to \<30 kg: 200 mg once per day through the intensive PK sampling visit, then 100 mg three times per week on Monday, Wednesday, and Friday through the Week 24 visit Participants ≥ 3 to ≤ 7 kg: 100 mg once per day through the intensive PK sampling visit, then 50 mg three times per week on Monday, Wednesday, and Friday through the Week 24 visit

    Drug: Bedaquiline

Interventions

  • Participants received bedaquiline (BDQ) once per day through intensive PK sampling visit, then 3 times per week on Monday, Wednesday and Friday through the week 24 visit.

    Also known as: BDQ

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Adverse Events of ≥ Grade 3 Severity

    At entry and follow-up, all lab results, signs and symptoms, and diagnoses were recorded. The core team reviewed and confirmed the sites assessment of event relatedness to study drug. An adverse event (AE) is any unfavorable and unintended sign, symptom, or diagnosis that occurs in a study participant during the conduct of the study REGARDLESS of the attribution. Adverse events are graded on a scale from 1-5: 1=mild, 2=moderate, 3=severe, 4= potentially life-threatening, 5=death. AE grading was per Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table V2.1).

    Time frame: Measured from entry through Week 24

  2. Percentage of Participants With Adverse Events of ≥ Grade 3 Assessed by the Core Team to be at Least Possibly Related to the Study Drug

    At entry and follow-up, all lab results, signs and symptoms, and diagnoses were recorded. The core team reviewed and confirmed the sites assessment of event relatedness to study drug. An adverse event (AE) is any unfavorable and unintended sign, symptom, or diagnosis that occurs in a study participant during the conduct of the study REGARDLESS of the attribution. Adverse events are graded on a scale from 1-5: 1=mild, 2=moderate, 3=severe, 4= potentially life-threatening, 5=death. AE grading was per Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table V2.1.

    Time frame: Measured from entry through Week 24

  3. Percentage of Participants Who Were Terminated From Study Treatment Due to a Drug-related Adverse Event

    At entry and follow-up, all lab results, signs and symptoms, and diagnoses were recorded. The core team reviewed and confirmed the sites assessment of event relatedness to study drug. An adverse event (AE) is any unfavorable and unintended sign, symptom, or diagnosis that occurs in a study participant during the conduct of the study REGARDLESS of the attribution. Adverse events are graded on a scale from 1-5: 1=mild, 2=moderate, 3=severe, 4= potentially life-threatening, 5=death. AE grading was per Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table V2.1.

    Time frame: Measured from entry through Week 24

  4. Percentage of Participants Who Died

    At entry and follow-up, all lab results, signs and symptoms, and diagnoses were recorded. The core team reviewed and confirmed the sites assessment of event relatedness to study drug. An adverse event (AE) is any unfavorable and unintended sign, symptom, or diagnosis that occurs in a study participant during the conduct of the study REGARDLESS of the attribution. Adverse events are graded on a scale from 1-5: 1=mild, 2=moderate, 3=severe, 4=life-threatening, 5=death. AE grading was per Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table V2.0.

    Time frame: Measured from entry through Week 24

  5. Percentage of Participants With Unstable Dysrhythmias Requiring Hospitalization and Treatment

    At entry and follow-up, any participant who experienced unstable dysrhythmias that required hospitalization and treatment were considered as an adverse event. The core team reviewed and confirmed the sites assessment of event relatedness to study drug.

    Time frame: Measured from entry through Week 24

  6. Percentage of Participants With Absolute Corrected QT Interval by Fridericia (QTcF) ≥ 500 Msec

    Evaluation of the Electrocardiogram (ECG) QTcF was performed per protocol. ECGs conducted at these visits should be performed in triplicate (if possible). Consultation with the protocol cardiologist was available and encouraged for any abnormal or equivocal ECG findings and/or questions related to cardiac toxicities and assessment. Participants were included if they had QTcF ≥ 500 msec at any study visit from entry to Week 24.

    Time frame: All participants had ECG performed at Screening and Entry visits and through week 24.

  7. Geometric Mean of Area Under the Concentration Versus Time Curve (AUC0-24h or AUC0-168h) Bedaquiline

    PK parameter determined from plasma concentration-time profiles, dosing information and participant covariates using the final population PK model The final population PK model was developed using a nonlinear mixed effects model (NNMEM, version 7.5). * Developed a population PK model as part of the final PK analysis * Data used in the population PK analysis included the intensive PK visit (Week 1 or Week 2), sparse PK samples from Weeks 4, 8, 12, 16, 20, 24, etc,as available at time of final analysis (when all participants have at least Week 24 PK samples) * Estimated individual AUC values at given time points for each participant using the developed model

    Time frame: Intensive PK Week 1 or 2, Week 8, and Week 24, (if intensive then pre dose, and post dose at 2, 4, 6, 8 hours) and if not intensive then predose only.

Secondary outcomes

  1. Percentage of Participants With Adverse Events ≥ Grade 3 Severity

    At entry and follow-up, all lab results, signs and symptoms, and diagnoses were recorded. The core team reviewed and confirmed the sites assessment of event relatedness to study drug. An adverse event (AE) is any unfavorable and unintended sign, symptom, or diagnosis that occurs in a study participant during the conduct of the study REGARDLESS of the attribution. Adverse events are graded on a scale from 1-5: 1=mild, 2=moderate, 3=severe, 4= potentially life-threatening, 5=death. AE grading was per Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table V2.1). A higher grade indicates worse outcome.

    Time frame: Measured from entry through study completion, up to 120 weeks

  2. Percentage of Participants With Adverse Events ≥ Grade 3 Severity Assessed by the Core Team to be at Least Possibly Related to the Study Drug.

    At entry and follow-up, all lab results, signs and symptoms, and diagnoses were recorded. The core team reviewed and confirmed the sites assessment of event relatedness to study drug. An adverse event (AE) is any unfavorable and unintended sign, symptom, or diagnosis that occurs in a study participant during the conduct of the study REGARDLESS of the attribution. Adverse events are graded on a scale from 1-5: 1=mild, 2=moderate, 3=severe, 4= potentially life-threatening, 5=death. AE grading was per Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table V2.1). A higher grade indicates worse outcome.

    Time frame: Measured from entry through study completion, up to 120 weeks

  3. Percentage of Participants With Absolute Corrected QT Interval by Fridericia (QTcF) ≥ 500 Msec

    Evaluation of the Electrocardiogram (ECG) QTcF was performed per protocol. ECGs conducted at these visits should be performed in triplicate (if possible). Consultation with the protocol cardiologist was available and encouraged for any abnormal or equivocal ECG findings and/or questions related to cardiac toxicities and assessment. Participants were included if they had QTcF ≥ 500 msec at any study visit from entry to Week 40.

    Time frame: Measured from entry through study week 40

  4. Percentage of Participants With Unstable Dysrhythmias Requiring Hospitalization and Treatment

    At entry and follow-up, all lab results, signs and symptoms, and diagnoses were recorded. The core team reviewed and confirmed the sites assessment of event relatedness to study drug. An adverse event (AE) is any unfavorable and unintended sign, symptom, or diagnosis that occurs in a study participant during the conduct of the study REGARDLESS of the attribution. Adverse events are graded on a scale from 1-5: 1=mild, 2=moderate, 3=severe, 4= potentially life-threatening, 5=death. AE grading was per Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table V2.1). A higher grade indicates worse outcomes.

    Time frame: Measured from entry through study completion, up to 120 weeks

  5. Percentage of Participants Who Died

    At entry and follow-up, death of all causes

    Time frame: Measured from entry through study completion, up to 120 weeks

  6. Percentage of Participants With TB Treatment Outcomes at End of Rifampin Resistant (RR) Treatment Among Those Not Living With HIV

    TB treatment outcomes were evaluated by team-identified independent endpoint reviewers through end of RR treatment and end of study. TB Treatment outcomes in children were defined as bacteriologic cure, probable cure, death, treatment failure, TB recurrence, and loss to follow-up as per protocol.

    Time frame: Measured from entry through end of RR treatment, up to 81 weeks

  7. Percentage of Participants With TB Treatment Outcomes at End of Rifampin Resistant (RR) Treatment Among Those Living With HIV

    TB treatment outcomes were evaluated by team-identified independent endpoint reviewers through end of RR treatment and end of study. TB Treatment outcomes in children were defined as bacteriologic cure, probable cure, death, treatment failure, TB recurrence, and loss to follow-up as per protocol.

    Time frame: Measured from entry through end of RR treatment, up to 81 weeks

  8. Percentage of Participants With TB Treatment Outcomes at End of Study Among Those Not Living With HIV

    TB treatment outcomes were evaluated by team-identified independent endpoint reviewers through end of study. TB Treatment outcomes in children were defined as bacteriologic cure, probable cure, death, treatment failure, TB recurrence, and loss to follow-up as per protocol.

    Time frame: Measured from entry through study completion, up to 120 weeks

  9. Percentage of Participants With TB Treatment Outcomes at End of Study Among Those Living With HIV

    TB treatment outcomes were evaluated by team-identified independent endpoint reviewers through end of study. TB Treatment outcomes in children were defined as bacteriologic cure, probable cure, death, treatment failure, TB recurrence, and loss to follow-up as per protocol.

    Time frame: Measured from entry through study completion, up to 120 weeks

  10. Geometric Mean of Area Under the Concentration Versus Time Curve (AUC0-24h or AUC0-168h) Bedaquiline Mono-desmethyl Metabolite (M2)

    PK parameter determined from plasma concentration-time profiles, dosing information and participant covariates using the final population PK model The final population PK model was developed using a nonlinear mixed effects model (NNMEM, version 7.5). * Developed a population PK model as part of the final PK analysis * Data used in the population PK analysis included the intensive PK visit (Week 1 or Week 2), sparse PK samples from Weeks 4, 8, 12, 16, 20, 24, etc,as available at time of final analysis (when all participants have at least Week 24 PK samples) * Estimated individual AUC values at given time points for each participant using the developed model

    Time frame: Intensive PK Week 1 or 2, Week 8, and Week 24, (if intensive then pre dose, and post dose at 2, 4, 6, 8 hours) and if not intensive then predose only.

  11. Geometric Mean of Maximal Concentration (Cmax) Bedaquiline

    PK parameter determined from plasma concentration-time profiles, dosing information and participant covariates using the final population PK model The final population PK model was developed using a nonlinear mixed effects model (NNMEM, version 7.5). * Developed a population PK model as part of the final PK analysis * Data used in the population PK analysis included the intensive PK visit (Week 1 or Week 2), sparse PK samples from Weeks 4, 8, 12, 16, 20, 24, etc,as available at time of final analysis (when all participants have at least Week 24 PK samples) * Estimated individual AUC values at given time points for each participant using the developed model

    Time frame: Intensive PK Week 1 or 2, Week 8, and Week 24, (if intensive then pre dose, and post dose at 2, 4, 6, 8 hours) and if not intensive then pre dose only.

  12. Geometric Mean of Maximal Concentration (Cmax) Bedaquiline Mono-desmethyl Metabolite (M2)

    PK parameter determined from plasma concentration-time profiles, dosing information and participant covariates using the final population PK model

    Time frame: Intensive PK Week 1 or 2, Week 8, and Week 24, (if intensive then pre dose, and post dose at 2, 4, 6, 8 hours) and if not intensive then pre dose only.

  13. Geometric Mean of Trough Concentration (Ctrough) Bedaquiline

    PK parameter determined from plasma concentration-time profiles, dosing information and participant covariates using the final population PK model. Lowest concentration at end of the dosing interval which is approximately 24h after dose at Intensive PK (Week 1 or 2) and 48-72h at Weeks 8 and 24.

    Time frame: Intensive PK (Week 1 or 2) 24h post dose and Weeks 8 and 24 48-72h post dose

  14. Geometric Mean of Trough Concentration (Ctrough) Bedaquiline Mono-desmethyl Metabolite (M2)

    PK parameter determined from plasma concentration-time profiles, dosing information and participant covariates using the final population PK model. Lowest concentration at end of the dosing interval which is approximately 24h after dose at Intensive PK (Week 1 or 2) and 48-72h at Weeks 8 and 24.

    Time frame: Intensive PK (Week 1 or 2) 24h post dose and Weeks 8 and 24 48-72h post dose

  15. Median of Time of Maximal Concentration (Tmax) Bedaquiline

    PK parameter determined from plasma concentration-time profiles, dosing information and participant covariates using the final population PK model

    Time frame: Intensive PK (Week 1 or 2) pre-dose and 2, 4, 6, 8 hours post dose

  16. Median of Time of Maximal Concentration (Tmax) Bedaquiline Mono-desmethyl Metabolite (M2)

    PK parameter determined from plasma concentration-time profiles, dosing information and participant covariates using the final population PK model

    Time frame: Intensive PK (Week 1 or 2) pre dose and 2, 4, 6, 8 hours post dose

  17. Geometric Mean of Oral Clearance (CL/F) Bedaquiline

    Individual clearance (CL) relative to bioavailability (F) determined from plasma concentration-time profiles, dosing information and participant covariates using the final population PK model

    Time frame: Week 24

  18. Geometric Mean of Theoretical Steady State AUC (AUC0-168h)

    Calculated PK parameter determined from weekly continuation phase dose divided by oral clearance at week 24

    Time frame: Week 24

  19. Median Quantitative Post-treatment Bedaquiline Concentrations

    PK assessments were performed to determine plasma concentrations of BDQ at selected time points. All concentrations reported to be below the limit of quantification were imputed to zero in these calculations

    Time frame: Weeks 8, 16, 24, 36, 48, 72, and 96 after BDQ discontinuation

  20. Percentage of Participants With Post-treatment Bedaquiline Concentrations Below Limit of Quantifications (BLQ)

    PK assessments were performed to determine plasma concentrations of BDQ at selected time points. "

    Time frame: Weeks 8, 16, 24, 36, 48, 72, and 96 after BDQ discontinuation

07

Results

Posted Mar 21, 2025

Participant flow

The first enrollment to the study was in September 2017 and enrollment was completed in August 2023 with a total of 54 participants who initiated study drug. There enrollments were from one site in Haiti - Les Centres Gheskio INLR CRS, and three sites from South Africa - Desmond Tutu TB Center - Stellenbosch University, Sizwe CRS, and PHRU Matlosana CRS.

Participant flow — Overall Study
MilestoneCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Started181818
Completed171817
Not completed101
Withdrew: Physician decision001
Withdrew: Died100

Outcome measures

PrimaryPercentage of Participants With Adverse Events of ≥ Grade 3 Severity

At entry and follow-up, all lab results, signs and symptoms, and diagnoses were recorded. The core team reviewed and confirmed the sites assessment of event relatedness to study drug. An adverse event (AE) is any unfavorable and unintended sign, symptom, or diagnosis that occurs in a study participant during the conduct of the study REGARDLESS of the attribution. Adverse events are graded on a scale from 1-5: 1=mild, 2=moderate, 3=severe, 4= potentially life-threatening, 5=death. AE grading was per Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table V2.1).

Time frame:
Measured from entry through Week 24
Reported as:
Number · percentage of participants
Percentage of Participants With Adverse Events of ≥ Grade 3 Severity
percentage of participantsCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Percentage of Participants With Adverse Events of ≥ Grade 3 Severity38.9 (17.3 to 64.3)11.1 (1.4 to 34.7)83.3 (58.6 to 96.4)
PrimaryPercentage of Participants With Adverse Events of ≥ Grade 3 Assessed by the Core Team to be at Least Possibly Related to the Study Drug

At entry and follow-up, all lab results, signs and symptoms, and diagnoses were recorded. The core team reviewed and confirmed the sites assessment of event relatedness to study drug. An adverse event (AE) is any unfavorable and unintended sign, symptom, or diagnosis that occurs in a study participant during the conduct of the study REGARDLESS of the attribution. Adverse events are graded on a scale from 1-5: 1=mild, 2=moderate, 3=severe, 4= potentially life-threatening, 5=death. AE grading was per Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table V2.1.

Time frame:
Measured from entry through Week 24
Reported as:
Number · percentage of participants
Percentage of Participants With Adverse Events of ≥ Grade 3 Assessed by the Core Team to be at Least Possibly Related to the Study Drug
percentage of participantsCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Percentage of Participants With Adverse Events of ≥ Grade 3 Assessed by the Core Team to be at Least Possibly Related to the Study Drug5.6 (0.1 to 27.3)0 (0 to 18.5)0 (0 to 18.5)
PrimaryPercentage of Participants Who Were Terminated From Study Treatment Due to a Drug-related Adverse Event

At entry and follow-up, all lab results, signs and symptoms, and diagnoses were recorded. The core team reviewed and confirmed the sites assessment of event relatedness to study drug. An adverse event (AE) is any unfavorable and unintended sign, symptom, or diagnosis that occurs in a study participant during the conduct of the study REGARDLESS of the attribution. Adverse events are graded on a scale from 1-5: 1=mild, 2=moderate, 3=severe, 4= potentially life-threatening, 5=death. AE grading was per Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table V2.1.

Time frame:
Measured from entry through Week 24
Reported as:
Number · percentage of participants
Percentage of Participants Who Were Terminated From Study Treatment Due to a Drug-related Adverse Event
percentage of participantsCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Percentage of Participants Who Were Terminated From Study Treatment Due to a Drug-related Adverse Event0 (0 to 18.5)0 (0 to 18.5)0 (0 to 18.5)
PrimaryPercentage of Participants Who Died

At entry and follow-up, all lab results, signs and symptoms, and diagnoses were recorded. The core team reviewed and confirmed the sites assessment of event relatedness to study drug. An adverse event (AE) is any unfavorable and unintended sign, symptom, or diagnosis that occurs in a study participant during the conduct of the study REGARDLESS of the attribution. Adverse events are graded on a scale from 1-5: 1=mild, 2=moderate, 3=severe, 4=life-threatening, 5=death. AE grading was per Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table V2.0.

Time frame:
Measured from entry through Week 24
Reported as:
Number · percentage of participants
Percentage of Participants Who Died
percentage of participantsCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Percentage of Participants Who Died5.6 (0.1 to 27.3)0 (0 to 18.5)0 (0 to 18.5)
PrimaryPercentage of Participants With Unstable Dysrhythmias Requiring Hospitalization and Treatment

At entry and follow-up, any participant who experienced unstable dysrhythmias that required hospitalization and treatment were considered as an adverse event. The core team reviewed and confirmed the sites assessment of event relatedness to study drug.

Time frame:
Measured from entry through Week 24
Reported as:
Number · percentage of participants
Percentage of Participants With Unstable Dysrhythmias Requiring Hospitalization and Treatment
percentage of participantsCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Percentage of Participants With Unstable Dysrhythmias Requiring Hospitalization and Treatment0 (0 to 18.5)0 (0 to 18.5)0 (0 to 18.5)
PrimaryPercentage of Participants With Absolute Corrected QT Interval by Fridericia (QTcF) ≥ 500 Msec

Evaluation of the Electrocardiogram (ECG) QTcF was performed per protocol. ECGs conducted at these visits should be performed in triplicate (if possible). Consultation with the protocol cardiologist was available and encouraged for any abnormal or equivocal ECG findings and/or questions related to cardiac toxicities and assessment. Participants were included if they had QTcF ≥ 500 msec at any study visit from entry to Week 24.

Time frame:
All participants had ECG performed at Screening and Entry visits and through week 24.
Reported as:
Number · percentage of participants
Percentage of Participants With Absolute Corrected QT Interval by Fridericia (QTcF) ≥ 500 Msec
percentage of participantsCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Percentage of Participants With Absolute Corrected QT Interval by Fridericia (QTcF) ≥ 500 Msec5.6 (0.1 to 27.3)0 (0 to 18.5)0 (0 to 18.5)
PrimaryGeometric Mean of Area Under the Concentration Versus Time Curve (AUC0-24h or AUC0-168h) Bedaquiline

PK parameter determined from plasma concentration-time profiles, dosing information and participant covariates using the final population PK model The final population PK model was developed using a nonlinear mixed effects model (NNMEM, version 7.5). * Developed a population PK model as part of the final PK analysis * Data used in the population PK analysis included the intensive PK visit (Week 1 or Week 2), sparse PK samples from Weeks 4, 8, 12, 16, 20, 24, etc,as available at time of final analysis (when all participants have at least Week 24 PK samples) * Estimated individual AUC values at given time points for each participant using the developed model

Time frame:
Intensive PK Week 1 or 2, Week 8, and Week 24, (if intensive then pre dose, and post dose at 2, 4, 6, 8 hours) and if not intensive then predose only.
Reported as:
Geometric mean · hour*mg/L
Geometric Mean of Area Under the Concentration Versus Time Curve (AUC0-24h or AUC0-168h) Bedaquiline
hour*mg/LCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Intensive PK (week 1 or 2) (AUC0-24)32.6 ± 59.856.5 ± 32.760.3 ± 52.1
Week 8 (AUC0-168h)121 ± 51.3179 ± 19.4194 ± 58.3
Week 24 (AUC0-168h)125 ± 50.8180 ± 20.3202 ± 51.8
SecondaryPercentage of Participants With Adverse Events ≥ Grade 3 Severity

At entry and follow-up, all lab results, signs and symptoms, and diagnoses were recorded. The core team reviewed and confirmed the sites assessment of event relatedness to study drug. An adverse event (AE) is any unfavorable and unintended sign, symptom, or diagnosis that occurs in a study participant during the conduct of the study REGARDLESS of the attribution. Adverse events are graded on a scale from 1-5: 1=mild, 2=moderate, 3=severe, 4= potentially life-threatening, 5=death. AE grading was per Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table V2.1). A higher grade indicates worse outcome.

Time frame:
Measured from entry through study completion, up to 120 weeks
Reported as:
Number · percentage of participants
Percentage of Participants With Adverse Events ≥ Grade 3 Severity
percentage of participantsCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Percentage of Participants With Adverse Events ≥ Grade 3 Severity38.8 (17.3 to 64.3)33.3 (13.3 to 59.0)83.3 (58.6 to 96.4)
SecondaryPercentage of Participants With Adverse Events ≥ Grade 3 Severity Assessed by the Core Team to be at Least Possibly Related to the Study Drug.

At entry and follow-up, all lab results, signs and symptoms, and diagnoses were recorded. The core team reviewed and confirmed the sites assessment of event relatedness to study drug. An adverse event (AE) is any unfavorable and unintended sign, symptom, or diagnosis that occurs in a study participant during the conduct of the study REGARDLESS of the attribution. Adverse events are graded on a scale from 1-5: 1=mild, 2=moderate, 3=severe, 4= potentially life-threatening, 5=death. AE grading was per Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table V2.1). A higher grade indicates worse outcome.

Time frame:
Measured from entry through study completion, up to 120 weeks
Reported as:
Number · percentage of participants
Percentage of Participants With Adverse Events ≥ Grade 3 Severity Assessed by the Core Team to be at Least Possibly Related to the Study Drug.
percentage of participantsCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Percentage of Participants With Adverse Events ≥ Grade 3 Severity Assessed by the Core Team to be at Least Possibly Related to the Study Drug.5.6 (0.1 to 27.3)0 (0.0 to 18.5)0 (0.0 to 18.5)
SecondaryPercentage of Participants With Absolute Corrected QT Interval by Fridericia (QTcF) ≥ 500 Msec

Evaluation of the Electrocardiogram (ECG) QTcF was performed per protocol. ECGs conducted at these visits should be performed in triplicate (if possible). Consultation with the protocol cardiologist was available and encouraged for any abnormal or equivocal ECG findings and/or questions related to cardiac toxicities and assessment. Participants were included if they had QTcF ≥ 500 msec at any study visit from entry to Week 40.

Time frame:
Measured from entry through study week 40
Reported as:
Number · percentage of participants
Percentage of Participants With Absolute Corrected QT Interval by Fridericia (QTcF) ≥ 500 Msec
percentage of participantsCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Percentage of Participants With Absolute Corrected QT Interval by Fridericia (QTcF) ≥ 500 Msec5.6 (0.1 to 27.3)0 (0.0 to 18.5)0 (0.0 to 18.5)
SecondaryPercentage of Participants With Unstable Dysrhythmias Requiring Hospitalization and Treatment

At entry and follow-up, all lab results, signs and symptoms, and diagnoses were recorded. The core team reviewed and confirmed the sites assessment of event relatedness to study drug. An adverse event (AE) is any unfavorable and unintended sign, symptom, or diagnosis that occurs in a study participant during the conduct of the study REGARDLESS of the attribution. Adverse events are graded on a scale from 1-5: 1=mild, 2=moderate, 3=severe, 4= potentially life-threatening, 5=death. AE grading was per Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table V2.1). A higher grade indicates worse outcomes.

Time frame:
Measured from entry through study completion, up to 120 weeks
Reported as:
Number · percentage of participants
Percentage of Participants With Unstable Dysrhythmias Requiring Hospitalization and Treatment
percentage of participantsCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Percentage of Participants With Unstable Dysrhythmias Requiring Hospitalization and Treatment0 (0.0 to 18.5)0 (0.0 to 18.5)0 (0.0 to 18.5)
SecondaryPercentage of Participants Who Died

At entry and follow-up, death of all causes

Time frame:
Measured from entry through study completion, up to 120 weeks
Reported as:
Number · percentage of participants
Percentage of Participants Who Died
percentage of participantsCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Percentage of Participants Who Died5.6 (0.1 to 27.3)0.0 (0.0 to 18.5)0.0 (0.0 to 18.5)
SecondaryPercentage of Participants With TB Treatment Outcomes at End of Rifampin Resistant (RR) Treatment Among Those Not Living With HIV

TB treatment outcomes were evaluated by team-identified independent endpoint reviewers through end of RR treatment and end of study. TB Treatment outcomes in children were defined as bacteriologic cure, probable cure, death, treatment failure, TB recurrence, and loss to follow-up as per protocol.

Time frame:
Measured from entry through end of RR treatment, up to 81 weeks
Reported as:
Number · percentage of participants
Percentage of Participants With TB Treatment Outcomes at End of Rifampin Resistant (RR) Treatment Among Those Not Living With HIV
percentage of participantsCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Bacteriological Cure92.3 (64.0 to 99.8)29.4 (10.3 to 56.0)31.3 (11.0 to 58.7)
Probable Cure7.7 (0.2 to 36.0)70.6 (44.0 to 89.7)68.8 (41.3 to 89.0)
SecondaryPercentage of Participants With TB Treatment Outcomes at End of Rifampin Resistant (RR) Treatment Among Those Living With HIV

TB treatment outcomes were evaluated by team-identified independent endpoint reviewers through end of RR treatment and end of study. TB Treatment outcomes in children were defined as bacteriologic cure, probable cure, death, treatment failure, TB recurrence, and loss to follow-up as per protocol.

Time frame:
Measured from entry through end of RR treatment, up to 81 weeks
Reported as:
Number · percentage of participants
Percentage of Participants With TB Treatment Outcomes at End of Rifampin Resistant (RR) Treatment Among Those Living With HIV
percentage of participantsCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Bacteriological Cure40.0 (5.3 to 85.3)0.0 (0.0 to 97.5)50.0 (1.3 to 98.7)
Probable Cure40.0 (5.3 to 85.3)100 (2.5 to 100)50.0 (1.3 to 98.7)
Death20.0 (0.5 to 71.6)0.0 (0.0 to 97.5)0.0 (0.0 to 84.2)
SecondaryPercentage of Participants With TB Treatment Outcomes at End of Study Among Those Not Living With HIV

TB treatment outcomes were evaluated by team-identified independent endpoint reviewers through end of study. TB Treatment outcomes in children were defined as bacteriologic cure, probable cure, death, treatment failure, TB recurrence, and loss to follow-up as per protocol.

Time frame:
Measured from entry through study completion, up to 120 weeks
Reported as:
Number · percentage of participants
Percentage of Participants With TB Treatment Outcomes at End of Study Among Those Not Living With HIV
percentage of participantsCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Bacteriological Cure84.6 (54.6 to 98.1)29.4 (10.3 to 56.0)31.3 (11.0 to 58.7)
Probable Cure with no TB recurrence7.7 (0.2 to 36.0)70.6 (44.0 to 89.7)62.5 (35.4 to 84.8)
TB recurrence7.7 (0.2 to 36.0)0.0 (0.0 to 19.5)6.3 (0.2 to 30.2)
SecondaryPercentage of Participants With TB Treatment Outcomes at End of Study Among Those Living With HIV

TB treatment outcomes were evaluated by team-identified independent endpoint reviewers through end of study. TB Treatment outcomes in children were defined as bacteriologic cure, probable cure, death, treatment failure, TB recurrence, and loss to follow-up as per protocol.

Time frame:
Measured from entry through study completion, up to 120 weeks
Reported as:
Number · percentage of participants
Percentage of Participants With TB Treatment Outcomes at End of Study Among Those Living With HIV
percentage of participantsCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Bacteriological Cure40.0 (5.3 to 85.3)0.0 (0.0 to 97.5)50.0 (1.3 to 98.7)
Probable Cure with no TB recurrence40.0 (5.3 to 85.3)100 (2.5 to 100)50.0 (1.3 to 98.7)
Death20.0 (0.5 to 71.6)0.0 (0.0 to 97.5)0.0 (0.0 to 84.2)
SecondaryGeometric Mean of Area Under the Concentration Versus Time Curve (AUC0-24h or AUC0-168h) Bedaquiline Mono-desmethyl Metabolite (M2)

PK parameter determined from plasma concentration-time profiles, dosing information and participant covariates using the final population PK model The final population PK model was developed using a nonlinear mixed effects model (NNMEM, version 7.5). * Developed a population PK model as part of the final PK analysis * Data used in the population PK analysis included the intensive PK visit (Week 1 or Week 2), sparse PK samples from Weeks 4, 8, 12, 16, 20, 24, etc,as available at time of final analysis (when all participants have at least Week 24 PK samples) * Estimated individual AUC values at given time points for each participant using the developed model

Time frame:
Intensive PK Week 1 or 2, Week 8, and Week 24, (if intensive then pre dose, and post dose at 2, 4, 6, 8 hours) and if not intensive then predose only.
Reported as:
Geometric mean · hour*mg/L
Geometric Mean of Area Under the Concentration Versus Time Curve (AUC0-24h or AUC0-168h) Bedaquiline Mono-desmethyl Metabolite (M2)
hour*mg/LCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Intensive PK (Week 1 or 2) (AUC0-24)9.14 ± 30.611.3 ± 50.28.63 ± 57.9
Week 8 (AUC0-168h)28.4 ± 40.141.4 ± 32.033.0 ± 56.6
Week 24 (AUC0-168h)32.6 ± 39.645.0 ± 29.539.3 ± 48.3
SecondaryGeometric Mean of Maximal Concentration (Cmax) Bedaquiline

PK parameter determined from plasma concentration-time profiles, dosing information and participant covariates using the final population PK model The final population PK model was developed using a nonlinear mixed effects model (NNMEM, version 7.5). * Developed a population PK model as part of the final PK analysis * Data used in the population PK analysis included the intensive PK visit (Week 1 or Week 2), sparse PK samples from Weeks 4, 8, 12, 16, 20, 24, etc,as available at time of final analysis (when all participants have at least Week 24 PK samples) * Estimated individual AUC values at given time points for each participant using the developed model

Time frame:
Intensive PK Week 1 or 2, Week 8, and Week 24, (if intensive then pre dose, and post dose at 2, 4, 6, 8 hours) and if not intensive then pre dose only.
Reported as:
Geometric mean · mg/L
Geometric Mean of Maximal Concentration (Cmax) Bedaquiline
mg/LCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Intensive PK (Week 1 or 2) (Cmax)2.16 ± 54.23.72 ± 34.84.22 ± 43.4
Week 8 (Cmax)1.92 ± 34.32.37 ± 20.52.73 ± 31.1
Week 24 (Cmax)2.01 ± 35.32.42 ± 19.32.66 ± 33.6
SecondaryGeometric Mean of Maximal Concentration (Cmax) Bedaquiline Mono-desmethyl Metabolite (M2)

PK parameter determined from plasma concentration-time profiles, dosing information and participant covariates using the final population PK model

Time frame:
Intensive PK Week 1 or 2, Week 8, and Week 24, (if intensive then pre dose, and post dose at 2, 4, 6, 8 hours) and if not intensive then pre dose only.
Reported as:
Geometric mean · mg/L
Geometric Mean of Maximal Concentration (Cmax) Bedaquiline Mono-desmethyl Metabolite (M2)
mg/LCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Intensive PK (Week 1 or 2) (Cmax)0.389 ± 30.30.481 ± 48.90.369 ± 57.2
Week 8 (Cmax)0.180 ± 37.20.260 ± 32.20.216 ± 52.6
Week 24 (Cmax)0.206 ± 38.20.282 ± 29.00.248 ± 44.6
SecondaryGeometric Mean of Trough Concentration (Ctrough) Bedaquiline

PK parameter determined from plasma concentration-time profiles, dosing information and participant covariates using the final population PK model. Lowest concentration at end of the dosing interval which is approximately 24h after dose at Intensive PK (Week 1 or 2) and 48-72h at Weeks 8 and 24.

Time frame:
Intensive PK (Week 1 or 2) 24h post dose and Weeks 8 and 24 48-72h post dose
Reported as:
Geometric mean · mg/L
Geometric Mean of Trough Concentration (Ctrough) Bedaquiline
mg/LCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Intensive PK (Week 1 or 2)0.774 ± 75.11.27 ± 36.71.07 ± 79.8
Week 80.356 ± 61.20.596 ± 23.10.650 ± 62.5
Week 240.792 ± 86.20.949 ± 38.30.935 ± 60.1
SecondaryGeometric Mean of Trough Concentration (Ctrough) Bedaquiline Mono-desmethyl Metabolite (M2)

PK parameter determined from plasma concentration-time profiles, dosing information and participant covariates using the final population PK model. Lowest concentration at end of the dosing interval which is approximately 24h after dose at Intensive PK (Week 1 or 2) and 48-72h at Weeks 8 and 24.

Time frame:
Intensive PK (Week 1 or 2) 24h post dose and Weeks 8 and 24 48-72h post dose
Reported as:
Geometric mean · mg/L
Geometric Mean of Trough Concentration (Ctrough) Bedaquiline Mono-desmethyl Metabolite (M2)
mg/LCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Intensive PK (Week 1 or 2)0.381 ± 31.60.465 ± 52.10.351 ± 58.6
Week 80.160 ± 43.60.236 ± 33.40.189 ± 59.0
Week 240.196 ± 40.30.270 ± 30.20.232 ± 46.8
SecondaryMedian of Time of Maximal Concentration (Tmax) Bedaquiline

PK parameter determined from plasma concentration-time profiles, dosing information and participant covariates using the final population PK model

Time frame:
Intensive PK (Week 1 or 2) pre-dose and 2, 4, 6, 8 hours post dose
Reported as:
Median · h
Median of Time of Maximal Concentration (Tmax) Bedaquiline
hCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Median of Time of Maximal Concentration (Tmax) Bedaquiline5.91 (3.16 to 6.58)5.08 (3.09 to 6.88)5.74 (4.03 to 6.98)
SecondaryMedian of Time of Maximal Concentration (Tmax) Bedaquiline Mono-desmethyl Metabolite (M2)

PK parameter determined from plasma concentration-time profiles, dosing information and participant covariates using the final population PK model

Time frame:
Intensive PK (Week 1 or 2) pre dose and 2, 4, 6, 8 hours post dose
Reported as:
Median · h
Median of Time of Maximal Concentration (Tmax) Bedaquiline Mono-desmethyl Metabolite (M2)
hCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Median of Time of Maximal Concentration (Tmax) Bedaquiline Mono-desmethyl Metabolite (M2)0 (0 to 24.3)13.4 (0 to 24.2)13.6 (0 to 24.3)
SecondaryGeometric Mean of Oral Clearance (CL/F) Bedaquiline

Individual clearance (CL) relative to bioavailability (F) determined from plasma concentration-time profiles, dosing information and participant covariates using the final population PK model

Time frame:
Week 24
Reported as:
Geometric mean · L/h
Geometric Mean of Oral Clearance (CL/F) Bedaquiline
L/hCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Geometric Mean of Oral Clearance (CL/F) Bedaquiline3.22 ± 58.01.45 ± 35.21.03 ± 62.0
SecondaryGeometric Mean of Theoretical Steady State AUC (AUC0-168h)

Calculated PK parameter determined from weekly continuation phase dose divided by oral clearance at week 24

Time frame:
Week 24
Reported as:
Geometric mean · hour*mg/L
Geometric Mean of Theoretical Steady State AUC (AUC0-168h)
hour*mg/LCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Geometric Mean of Theoretical Steady State AUC (AUC0-168h)140 ± 42.6207 ± 35.2259 ± 68.7
SecondaryMedian Quantitative Post-treatment Bedaquiline Concentrations

PK assessments were performed to determine plasma concentrations of BDQ at selected time points. All concentrations reported to be below the limit of quantification were imputed to zero in these calculations

Time frame:
Weeks 8, 16, 24, 36, 48, 72, and 96 after BDQ discontinuation
Reported as:
Median · mg/L
Median Quantitative Post-treatment Bedaquiline Concentrations
mg/LCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Week 8 post BDQ0.254 (0.0983 to 1.404)0.3435 (0.1878 to 1.295)0.5911 (0.08292 to 3.363)
Week 16 post BDQ0.172 (0.0618 to 0.7774)0.2335 (0.123 to 0.515)0.376 (0.04411 to 1.068)
Week 24 post BDQ0.158 (0.0281 to 0.4911)0.149 (0.0794 to 0.4932)0.1646 (0.02976 to 2.039)
Week 36 post BDQ0.10375 (0.00656 to 0.3744)0.05803 (0.03361 to 0.2044)0.1457 (0 to 1.441)
Week 48 post BDQ0.068255 (0 to 0.166)0.03466 (0 to 0.2197)0.08087 (0 to 0.4946)
Week 72 post BDQ0.025 (0 to 0.102)0 (0 to 0.05338)0.02665 (0 to 0.4403)
Week 96 post BDQ0 (0 to 0.0689)0 (0 to 0.02752)0.02778 (0 to 0.3045)
SecondaryPercentage of Participants With Post-treatment Bedaquiline Concentrations Below Limit of Quantifications (BLQ)

PK assessments were performed to determine plasma concentrations of BDQ at selected time points. "

Time frame:
Weeks 8, 16, 24, 36, 48, 72, and 96 after BDQ discontinuation
Reported as:
Number · percentage of participants
Percentage of Participants With Post-treatment Bedaquiline Concentrations Below Limit of Quantifications (BLQ)
percentage of participantsCohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)
Week 8 post BDQ000
Week 16 post BDQ000
Week 24 post BDQ000
Week 36 post BDQ006.666667
Week 48 post BDQ18.7518.181827.142857
Week 72 post BDQ43.7566.6666740
Week 96 post BDQ69.2307791.6666744.44444

Adverse events

Collected over From entry through end of study follow-up with a maximum of 120 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cohort 1: >= 6 to < 18 Years1/18 (5.6%)5/18 (27.8%)18/18 (100%)
Cohort 2: >= 2 to < 6 Years0/18 (0%)2/18 (11.1%)18/18 (100%)
Cohort 3: >= 0 to < 2 Years0/18 (0%)4/18 (22.2%)18/18 (100%)
Most frequent serious events
Showing 10 of 15
Most frequent serious events
EventCohort 1: >= 6 to < 18 YearsCohort 2: >= 2 to < 6 YearsCohort 3: >= 0 to < 2 Years
AnaemiaBlood and lymphatic system disorders0/181/180/18
Drug-induced liver injuryHepatobiliary disorders1/180/180/18
Hepatitis viralInfections and infestations0/180/181/18
Lower respiratory tract infectionInfections and infestations1/180/180/18
Otitis media staphylococcalInfections and infestations1/180/180/18
Tooth abscessInfections and infestations0/180/181/18
Head injuryInjury, poisoning and procedural complications1/180/180/18
Radius fractureInjury, poisoning and procedural complications1/180/180/18
Thermal burnInjury, poisoning and procedural complications0/180/181/18
Blood bicarbonate decreasedInvestigations0/180/181/18
Most frequent other events
Showing 10 of 126
Most frequent other events
EventCohort 1: >= 6 to < 18 YearsCohort 2: >= 2 to < 6 YearsCohort 3: >= 0 to < 2 Years
Blood bicarbonate decreasedInvestigations18/1818/1817/18
Blood sodium decreasedInvestigations7/1814/1815/18
Haemoglobin decreasedInvestigations9/1815/189/18
Blood creatinine increasedInvestigations9/1812/1811/18
Blood potassium increasedInvestigations9/187/1812/18
Aspartate aminotransferase increasedInvestigations9/1811/187/18
Blood lactic acid abnormalInvestigations11/180/181/18
Blood calcium increasedInvestigations1/183/1810/18
VomitingGastrointestinal disorders8/184/182/18
Alanine aminotransferase increasedInvestigations8/187/184/18

Baseline characteristics

Age, Continuous
Age, Continuous(years)Cohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)Total
Median12.7 (7.0 to 13.8)3.4 (2.8 to 4.4)1.2 (0.7 to 1.8)3.4 (1.8 to 7.0)
Sex: Female, Male
Sex: Female, Male(Participants)Cohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)Total
Female129930
Male69924
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Cohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)Total
Black African15101540
Coloured37313
Mixed0101
HIV-1 status
HIV-1 status(Participants)Cohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)Total
not living with HIV13171646
living with HIV5128
Weight
Weight(kilogram (kg))Cohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)Total
Median36 (20 to 41)13 (11 to 15)9 (7 to 10)13 (10 to 20)
Height
Height(centimeter (cm))Cohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)Total
Median151 (117 to 159)95 (86 to 100)74 (68 to 79)95 (79 to 117)
TB disease spectrum
TB disease spectrum(Participants)Cohort 1 (≥ 6 to < 18 Years)Cohort 2 (≥ 2 to < 6 Years)Cohort 3 (≥ 0 to < 2 Years)Total
Pulmonary TB (PTB)15171749
Extra Pulmonary TB (EPTB)1001
PTB and EPTB2114
08

Study locations

4 sites
  • Les Centres GHESKIO Clinical Research Site (GHESKIO-INLR) CRS
    Port-au-Prince, HT-6110, Haiti
  • Sizwe CRS
    Johannesburg, Gauteng, South Africa
  • PHRU Matlosana CRS
    Klerksdorp, North West 2574, South Africa
  • Desmond Tutu TB Centre - Stellenbosch University (DTTC-SU) CRS
    Cape Town, Western Cape 7505, South Africa
09

References and documents

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2017 to primary completion in Feb 2024, 76 months.

Results were first posted in Mar 2025, 1 year 1 month after primary completion.

Of 18 phase 1/2 interventional studies under Tuberculosis, half reached primary completion within 39 months of starting (the median), counting those still running; a quarter within 25 and three quarters within 53. This study's 76 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 14, 2016
First posted
Sep 19, 2016
StartActual
Sep 21, 2017
Primary completionActual
Feb 7, 2024
CompletionActual
Apr 2, 2025
Results first posted
Mar 21, 2025
Last update
Jul 10, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02906007
Responsible party
Sponsor
First posted
Sep 19, 2016
Start date
Sep 21, 2017
Primary completion
Feb 7, 2024
Completion
Apr 2, 2025
Results posted
Mar 21, 2025
Last update
Jul 10, 2026

Study contacts

Anneke Hesseling, M.D., Ph.D.
study chair · Desmond Tutu TB Centre, Stellenbosch University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Bedaquiline

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