A Phase 2/3 interventional study of Bedaquiline and Clarithromycin in Treatment-refractory Mycobacterium Avium Complex-lung Disease (MAC-LD), sponsored by Janssen Pharmaceutical K.K.. Completed at 55 sites in 3 countries. Open to participants aged 20 Years to 79 Years. Per ClinicalTrials.gov, last updated 2026-04-15.
Sponsored by Janssen Pharmaceutical K.K. (part of Johnson & Johnson) · Phase 2/3, Interventional, and Treatment
The purpose of the study is to evaluate the efficacy of bedaquiline (BDQ) compared with rifamycin when administered as part of a treatment regimen with clarithromycin (CAM) and ethambutol (EB) in adult participants with treatment-refractory Mycobacterium avium complex-lung disease (MAC-LD) at Week 24 for microbiological assessment in mycobacteria growth indicator tube (MGIT).
Janssen Pharmaceutical K.K. is the lead sponsor of 126 studies on the registry; none are open to participants now.
Of its 14 completed or terminated interventional studies of FDA-regulated products, 7 (50%) have results posted.
Counted across the registry records on this site, refreshed daily.
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.
Exclusion Criteria:
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.
Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.
COPD
Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Participants will receive BDQ 400 milligrams (mg) (4\*100 mg tablets) once daily (qd) from Week 1-2 (loading phase), BDQ 200 mg (2\*100mg tablets) bi-weekly (biw) from Week 3 to 48 (maintenance phase) and CAM 400 mg or 500 mg twice daily (2\*200 mg tablets) along with EB 500-750 mg or 15 mg/kg once a day or maximum daily dose of 1.0 gram for up to Week 48.
Drug: Bedaquiline · Drug: Clarithromycin · Drug: Ethambutol
Participants will receive maximum of 4 capsules of RFP 450 mg daily (or maximum daily dose of 600 mg), CAM 400 mg or 500 mg (2\*200 mg tablets) twice a day along with EB 500-750 mg daily or 15 mg/kg once a day or maximum daily dose of 1.0 gram for up to Week 48, followed by 2 capsules of RBT 300 mg or 150 mg once a day.
Drug: Clarithromycin · Drug: Ethambutol · Drug: Rifampicin · Drug: Rifabutin
Participants will receive BDQ tablets only/
Participants will receive CAM 400 or 500 mg twice a day.
Participants will receive 500 to 750 mg daily (maximum daily dose of 1.0 gram \[g\]) or 15 mg/kg once a day.
Participants will receive daily dose is 450 mg (maximum 600 mg) RFP capsule once a day.
Participants will receive daily dose of RBT 300 mg or 150 mg capsules once a day.
Number of Participants With Sputum Culture Conversion in Mycobacteria Growth Indicator Tube (MGIT) at Week 24
Number of participants with sputum culture conversion in MGIT at Week 24 was reported. Sputum culture conversion was defined as 3 consecutive negative sputum cultures taken at least 25 days apart.
Time frame: At Week 24
Number of Participants With Sputum Culture Conversion in 7H11 Agar Media at Week 24
Number of participants with sputum culture conversion in 7H11 agar media at Week 24 was reported. Sputum culture conversion was defined as 3 consecutive negative sputum cultures taken at least 25 days apart based on actual collection dates.
Time frame: At week 24
Change From Baseline in Patient Reported Health Status on Total Score of St. George's Respiratory Questionnaire (SGRQ) at Week 24
SGRQ is a 50-item questionnaire with 76 weighted responses. It provides a total score and three component scores: Symptoms (distress caused by respiratory symptoms), Activity (physical activities that cause or are limited by breathlessness), and Impacts (social and psychological effects of the disease). The composite total score is derived from the 3 domain scores. Each domain score and the total score has a range of 0 to 100, with 0 indicating the best possible quality of life. An increase in score indicates worsening health.
Time frame: Baseline (Day 1), Week 24
Percentage of Participants With Sputum Culture Conversion in MGIT at Week 48
Time frame: At Week 48
Percentage of Participants With Sputum Culture Conversion in 7H10 or 7H11 Agar Media at Week 48
Time frame: At Week 48
Percentage of Participants With Sputum Culture Negativity in MGIT
Time frame: From Week 2 to Week 60
Percentage of Participants With Sputum Culture Negativity in 7H10 or 7H11 Agar Media
Time frame: From Week 2 to Week 60
Time to Sputum Culture Conversion in MGIT up to Week 48
Time frame: From baseline (Day 1) up to Week 48
Time to Positivity in MGIT up to Week 48
Time frame: From baseline (Day 1) up to Week 48
Change From Baseline in Patient-Reported Health Status on Total Score of SGRQ at Weeks 48 and 60
Time frame: Baseline (Day 1), Week 48 and Week 60
Change From Baseline in Lung Function Parameters at Week 24
Change from baseline in lung function parameters (Forced expiratory volume in one second, Forced vital capacity, Inspiratory capacity, Functional residual capacity, Total lung capacity) at Week 24 was reported.
Time frame: Baseline (Day 1), Week 24
Change From Baseline in Lung Function Parameters at Weeks 48 and 60
Time frame: Baseline (Day 1), Week 48 and Week 60
Percentage of Participants Who Underwent a Change in Their Mycobacterium Avium Complex-lung Disease (MAC-LD) Treatment Regimen by Week 24
Percentage of participants who underwent a change in their Mycobacterium avium Complex-lung disease (MAC-LD) treatment regimen by Week 24 was reported.
Time frame: Baseline (Day 1) up to Week 24
Percentage of Participants Who Underwent a Change in Their Mycobacterium Avium Complex-lung Disease (MAC-LD) Treatment Regimen by Week 48 and Week 60
Time frame: Baseline (Day 1), Week 48 and Week 60
Percentage of Participants With Sputum Culture Conversion in MGIT at Week 60
Time frame: At Week 60
Percentage of Participants With Sputum Culture Conversion in 7H10 or 7H11 Agar Media at Week 60
Time frame: At Week 60
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Time frame: From Baseline (Day 1) up to Week 60
Number of Participants With Clinically Significant Changes in Laboratory Tests
Time frame: From Baseline (Day 1) up to Week 60
Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG)
Time frame: From Baseline (Day 1) up to Week 60
Number of Participants With Clinically Significant Changes in Vital Signs
Time frame: From Baseline (Day 1) up to Week 60
Number of Participants With Clinically Significant Changes in Physical Examination
Time frame: From Baseline (Day 1) up to Week 60
Number of Participants With Clinically Significant Changes in Visual Examination
Time frame: From Baseline (Day 1) up to Week 60
Number of Participants With Clinically Significant Changes in Audiology
Time frame: From Baseline (Day 1) up to Week 60
Minimum Plasma Concentration Between 0 Hour and the Dosing Interval (Tau) (Ctrough) of BDQ and Its Metabolite M2
Time frame: Day 1, Weeks 2, 8, 12, 24 and Week 48
Minimum Plasma Concentration Between 0 Hour and the Dosing Interval (Tau) (Ctrough) of Clarithromycin and Its Metabolite 4-OH CAM
Time frame: Day 1, Weeks 2, 8, 12 and 24
| Milestone | Rifamycin (RFP or RBT) + Clarithromycin (CAM) + Ethambutol (EB) | Bedaquiline (BDQ) + Clarithromycin (CAM) + Ethambutol (EB) |
|---|---|---|
| Started | 64 | 65 |
| Completed | 59 | 63 |
| Not completed | 5 | 2 |
| Withdrew: Adverse event | 1 | 1 |
| Withdrew: Physician decision | 2 | 0 |
| Withdrew: Withdrawal by subject | 2 | 1 |
Number of participants with sputum culture conversion in MGIT at Week 24 was reported. Sputum culture conversion was defined as 3 consecutive negative sputum cultures taken at least 25 days apart.
| Participants | Rifamycin (RFP or RBT) + Clarithromycin (CAM) + Ethambutol (EB) | Bedaquiline (BDQ) + Clarithromycin (CAM) + Ethambutol (EB) |
|---|---|---|
| Number of Participants With Sputum Culture Conversion in Mycobacteria Growth Indicator Tube (MGIT) at Week 24 | 3 | 16 |
Number of participants with sputum culture conversion in 7H11 agar media at Week 24 was reported. Sputum culture conversion was defined as 3 consecutive negative sputum cultures taken at least 25 days apart based on actual collection dates.
| Participants | Rifamycin (RFP or RBT) + Clarithromycin (CAM) + Ethambutol (EB) | Bedaquiline (BDQ) + Clarithromycin (CAM) + Ethambutol (EB) |
|---|---|---|
| Number of Participants With Sputum Culture Conversion in 7H11 Agar Media at Week 24 | 3 | 16 |
SGRQ is a 50-item questionnaire with 76 weighted responses. It provides a total score and three component scores: Symptoms (distress caused by respiratory symptoms), Activity (physical activities that cause or are limited by breathlessness), and Impacts (social and psychological effects of the disease). The composite total score is derived from the 3 domain scores. Each domain score and the total score has a range of 0 to 100, with 0 indicating the best possible quality of life. An increase in score indicates worsening health.
| Score on scale | Rifamycin (RFP or RBT) + Clarithromycin (CAM) + Ethambutol (EB) | Bedaquiline (BDQ) + Clarithromycin (CAM) + Ethambutol (EB) |
|---|---|---|
| Change From Baseline in Patient Reported Health Status on Total Score of St. George's Respiratory Questionnaire (SGRQ) at Week 24 | -0.2 ± 8.10 | -3.8 ± 9.41 |
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Change from baseline in lung function parameters (Forced expiratory volume in one second, Forced vital capacity, Inspiratory capacity, Functional residual capacity, Total lung capacity) at Week 24 was reported.
| milliliters | Rifamycin (RFP or RBT) + Clarithromycin (CAM) + Ethambutol (EB) | Bedaquiline (BDQ) + Clarithromycin (CAM) + Ethambutol (EB) |
|---|---|---|
| Forced expiratory volume in one second | -6.9 ± 83.36 | -14.3 ± 123.26 |
| Forced vital capacity | 0.7 ± 103.99 | -16.0 ± 209.99 |
| Inspiratory capacity | -7.8 ± 212.55 | -37.7 ± 178.86 |
| Functional residual capacity | 15.5 ± 330.42 | 26.8 ± 271.52 |
| Total lung capacity | 11.7 ± 336.36 | -1.6 ± 302.86 |
Results for this outcome have not been posted.
Percentage of participants who underwent a change in their Mycobacterium avium Complex-lung disease (MAC-LD) treatment regimen by Week 24 was reported.
| percentage of participants | Rifamycin (RFP or RBT) + Clarithromycin (CAM) + Ethambutol (EB) | Bedaquiline (BDQ) + Clarithromycin (CAM) + Ethambutol (EB) |
|---|---|---|
| Percentage of Participants Who Underwent a Change in Their Mycobacterium Avium Complex-lung Disease (MAC-LD) Treatment Regimen by Week 24 | 1.6 | 1.5 |
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Collected over All-cause mortality: From screening (Week -10) up to Week 24; Serious/other adverse events: From Baseline (Day 1) up to Week 24. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Rifamycin (RFP or RBT) + Clarithromycin (CAM) + Ethambutol (EB) | 0/64 (0%) | 2/64 (3.1%) | 29/64 (45.3%) |
| Bedaquiline (BDQ) + Clarithromycin (CAM) + Ethambutol (EB) | 0/65 (0%) | 4/65 (6.2%) | 42/65 (64.6%) |
| Event | Rifamycin (RFP or RBT) + Clarithromycin (CAM) + Ethambutol (EB) | Bedaquiline (BDQ) + Clarithromycin (CAM) + Ethambutol (EB) |
|---|---|---|
| Atrial FibrillationCardiac disorders | 1/64 | 0/65 |
| Breast CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/64 | 0/65 |
| Covid-19Infections and infestations | 0/64 | 1/65 |
| PneumoniaInfections and infestations | 0/64 | 1/65 |
| Pneumonia BacterialInfections and infestations | 0/64 | 1/65 |
| UreterolithiasisRenal and urinary disorders | 0/64 | 1/65 |
| Event | Rifamycin (RFP or RBT) + Clarithromycin (CAM) + Ethambutol (EB) | Bedaquiline (BDQ) + Clarithromycin (CAM) + Ethambutol (EB) |
|---|---|---|
| DiarrhoeaGastrointestinal disorders | 3/64 | 12/65 |
| HeadacheNervous system disorders | 4/64 | 7/65 |
| Covid-19Infections and infestations | 6/64 | 6/65 |
| Back PainMusculoskeletal and connective tissue disorders | 4/64 | 6/65 |
| Taste DisorderNervous system disorders | 0/64 | 6/65 |
| RashSkin and subcutaneous tissue disorders | 5/64 | 5/65 |
| NauseaGastrointestinal disorders | 3/64 | 5/65 |
| MalaiseGeneral disorders | 2/64 | 5/65 |
| PyrexiaGeneral disorders | 2/64 | 5/65 |
| DysgeusiaNervous system disorders | 2/64 | 5/65 |
| Age, Continuous(years) | Rifamycin (RFP or RBT) + Clarithromycin (CAM) + Ethambutol (EB) | Bedaquiline (BDQ) + Clarithromycin (CAM) + Ethambutol (EB) | Total |
|---|---|---|---|
| Mean | 62.2 ± 11.4 | 64.6 ± 9.34 | 63.4 ± 10.45 |
| Age, Customized(Participants) | Rifamycin (RFP or RBT) + Clarithromycin (CAM) + Ethambutol (EB) | Bedaquiline (BDQ) + Clarithromycin (CAM) + Ethambutol (EB) | Total |
|---|---|---|---|
| 59 years and under | 23 | 21 | 44 |
| 60 to 69 years | 23 | 18 | 41 |
| 70 years and over | 18 | 26 | 44 |
| Sex: Female, Male(Participants) | Rifamycin (RFP or RBT) + Clarithromycin (CAM) + Ethambutol (EB) | Bedaquiline (BDQ) + Clarithromycin (CAM) + Ethambutol (EB) | Total |
|---|---|---|---|
| Female | 54 | 52 | 106 |
| Male | 10 | 13 | 23 |
| Ethnicity (NIH/OMB)(Participants) | Rifamycin (RFP or RBT) + Clarithromycin (CAM) + Ethambutol (EB) | Bedaquiline (BDQ) + Clarithromycin (CAM) + Ethambutol (EB) | Total |
|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 0 |
| Not Hispanic or Latino | 64 | 65 | 129 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Rifamycin (RFP or RBT) + Clarithromycin (CAM) + Ethambutol (EB) | Bedaquiline (BDQ) + Clarithromycin (CAM) + Ethambutol (EB) | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 64 | 65 | 129 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 |
| White | 0 | 0 | 0 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Region of Enrollment(Participants) | Rifamycin (RFP or RBT) + Clarithromycin (CAM) + Ethambutol (EB) | Bedaquiline (BDQ) + Clarithromycin (CAM) + Ethambutol (EB) | Total |
|---|---|---|---|
| JAPAN | 59 | 59 | 118 |
| SOUTH KOREA | 3 | 3 | 6 |
| TAIWAN | 2 | 3 | 5 |
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: Yes — The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu
Data sharing details ↗ · www.janssen.com
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Studies of the drug tested here: Bedaquiline