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A Phase 2 Study to Evaluate the Safety and Activity of TMC207 combined with Background Regimen (BR) Medications for the Treatment of Children and Adolescents aged 0 Months to 18 Years with MDR-TB

A Phase 2, Open-label, Multicenter, Single-arm Study to Evaluate the Pharmacokinetics, Safety, Tolerability and Anti-mycobacterial Activity of TMC207 in Combination With a Background Regimen (BR) of Multidrug Resistant Tuberculosis (MDR-TB) Medications for the Treatment of Children and Adolescents 0 Months to less than 18 years of Age Who Have Confirmed or Probable Pulmonary MDR-TB

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2018/03/012637
Enrollment
60
Registered
2018-03-19
Start date
Unknown
Completion date
Unknown
Last updated
2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: null- Multidrug-Resistant Tuberculosis Health Condition 2: A15- Respiratory tuberculosis

Interventions

Intervention1: Bedaquiline (TMC207): Bedaquiline (TMC207) tablet formulation administered orally as 400 milligram (mg), once daily, for the first 2 weeks, followed by bedaquiline (TMC207) 200 mg 3 tim

Sponsors

Janssen Research Development LLC
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Participant must be a boy or girl, aged from birth (0 months) to less than 18 years at screening. Infants must be greater than or equal to 37 weeks gestation at baseline 2. Participant must weigh more than 4 kilogram (kg) at entry and be within the 5th and 95th percentiles (inclusive) for the participantâ??s age, based on the World Health Organization (WHO) child growth standards; Body Mass Index (BMI) for age 3. Heterosexually active girls may participate if they are of non-childbearing potential, or if they are using effective birth control methods and are willing to continue practicing birth control methods throughout Multidrug Resistant Tuberculosis (MDR-TB) treatment and for 6 months after stopping TMC207 treatment, or if they are non-heterosexually active or willing to practice sexual abstinence throughout MDR-TB treatment 4. Boys who engage in sexual activity that could lead to pregnancy of the female partner must use at minimum a male condom throughout MDR-TB treatment and for 3 months after stopping TMC207 treatment 5. Participants must be starting the initial MDR-TB regimen at baseline or have started an MDR-TB regimen within 8 weeks of baseline and are willing to modify it if necessary to an acceptable MDR-TB regimen for use with TMC207 6. Participant must be willing to permanently discontinue RMP from at least 7 days before the baseline visit

Exclusion criteria

Exclusion criteria: 1. Participant has a clinically significant active medical condition or the presence of any concomitant severe illness or rapidly deteriorating health condition, including immune deficiency, which in the opinion of the investigator would prevent 2. appropriate participation in the study, or that would make implementation of the protocol or interpretation of the study results difficult, or otherwise make the subject a poor candidate for a clinical study 3. Participant is a girl who is pregnant, or breast-feeding, or planning to become pregnant while enrolled in this study or within 6 months after stopping TMC207 treatment 4. Participant (or the mother if the potential subject is a child aged 5. Participant has known or presumed complicated or severe extrapulmonary manifestations of TB, including TB meningitis. Participants with adenopathy or adenitis are allowed to enter the study 6. Participant has a significant cardiac arrhythmia that requires medication or a history of risk factors for Torsade de Pointes, example heart failure, hypokalemia, known personal or family history of Long QT Syndrome, and untreated hypothyroidism

Design outcomes

Primary

MeasureTime frame
a) Number of Participants With Adverse Events or Serious Adverse Events b) Maximum Plasma Concentration c) Time to Reach Maximum Plasma Concentration d) Minimum Plasma Concentration e) Area Under the Plasma Concentration-time Curve From the Time of Dose Administration up to X Hours f) Elimination Half-life g) Area Under the Plasma Concentration-time Curve From the Time of Dose Administration up to 168 Hours h) Volume of Distribution i) Apparent Clearance (CL)Timepoint: a) 120 weeks b) Day 1,week 2,4,6,8,12,16,20,24 c) Day 1,week 2,4,6,8,12,16,20,24 d) Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 e) Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 f) Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 g) Pre-dose (time 0) at Day 1 up to 168 hour h) Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 i) Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120

Secondary

MeasureTime frame
Percentage of Participants with Favorable Treatment outcome (Sustained Positive Clinical Cure)Timepoint: Week 24, Week 120 (end of study);Time to First Confirmed Sputum Culture Conversion or Other Microbiology Specimen SampleTimepoint: Baseline (Day 1) up to Week 120

Countries

India, Philippines, Russian Federation, South Africa

Contacts

Public ContactDr Jitendra Dixit

Johnson & Johnson Private Limited

jdixit@its.jnj.com

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026