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PNU-100480 In Newly Diagnosed, Drug Sensitive Patients With Pulmonary TB; Early Bactericidal Activity; Whole Blood Assay

A Phase 2a, Open-Label, Randomized Study In Treatment-Naive, Sputum Smear Positive Subjects With Drug-Sensitive Pulmonary Tuberculosis To Assess Early Bactericidal Activity (EBA) And Whole Blood Activity (WBA) Of PNU-100480 (PF-02341272)

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01225640
Enrollment
59
Registered
2010-10-21
Start date
2011-08-31
Completion date
2011-12-31
Last updated
2016-01-14

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

Conditions

Tuberculosis

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

DRUGRHZE

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

Sequella, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

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

MeasureTime frame
The primary endpoint is rate of change in sputum log CFU/mL count (EBA) from Days 0-2.Days 0-2

Secondary

MeasureTime 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 permitDay 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 TTPDays 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 PKDay 1

Countries

South Africa

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 8, 2026