Tuberculosis
Conditions
Keywords
Tuberculosis, EBA, WBA
Brief summary
PNU-100480 is being developed for the treatment of both drug resistant and sensitive tuberculosis. This is an efficacy and safety study to characterize the effect of PNU-100480 when given for 14 days to treatment-naive patients with drug-sensitive pulmonary tuberculosis.
Interventions
600 mg twice daily (BID) for 14 days
Combination tablet (RHZE) dosed by weight. Dosage strength per tablet is 150 mg Rifampicin (R)/75 mg Isoniazid (H)/400 mg Pyrazinamide (Z)/275 mg Ethambutol (E)
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult males or females between 18 and 65 years; women of childbearing potential must be willing to adhere to lifestyle requirements regarding contraception/pregnancy prevention. * Newly diagnosed sputum smear-positive pulmonary TB confirmed with acid-fast bacillus (AFB) smear and chest x-ray. Patients with TB more than 5 years ago who completed treatment, are healthy, and meet other inclusion criteria may be included. * Body weight between 40 and 90 kg, inclusive (in light clothing, no shoes). * Reasonably normal hemoglobin (\>=8 gm/dL), renal function (serum creatinine \<2 mg/dL), hepatic function (serum AST \<3xULN and total bilirubin \<1.3 mg/dL), and random glucose \<150 mg/dL.
Exclusion criteria
* HIV infection with helper/inducer T-lymphocytes (CD4 cell) count of \<=350x10-6/L. * Presence of significant hemoptysis. Subjects who cough up frank blood (more than blood streaked sputum) will not be eligible. * Pregnant or nursing females; females of childbearing potential unwilling or unable to adhere to contraception guidelines. * Significant respiratory impairment (respiratory rate \>35/minute). * Clinical suspicion of disseminated TB or tuberculosis meningitis. * Subjects with diabetes mellitus on insulin and/or who have poorly controlled disease. * Subjects with confirmed or suspected multi-drug resistant TB.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint is rate of change in sputum log CFU/mL count (EBA) from Days 0-2. | Days 0-2 |
Secondary
| Measure | Time frame |
|---|---|
| Safety assessments including physical exams, AEs, laboratory tests, ECGs, and vital signs. | Phys exam, AEs, and vitals are done at every visit (Screening through Day 15, Day 42/Follow-up) |
| Plasma concentrations of PNU-100480 and PNU-101603 will be used to determine PK parameters (AUCtau, AUC tau,ss, Cmax, Tmax, terminal half-life t1/2, Cavg, Rac) as data permit | Day 1 |
| Rate of change in sputum log CFU/mL count (extended EBA). | Days 2-14 |
| Rate of change in culture time to positivity (TTP) measured by MGIT and in log transformed TTP | Days 02-; 2-14; 0-14 |
| Cumulative whole blood bactericidal activity (measured as log reduction in CFU) against intracellular M. tuberculosis relative to administered dose and drug PK | Day 1 |
Countries
South Africa