Drugs / Delamanid
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Delamanid

also known as DLM · OPC-67683 · Deltyba

Small molecule

Developed for
multidrug-resistant tuberculosis · pulmonary tuberculosis · rifampicin-resistant tuberculosis · tuberculosis · extensively drug-resistant tuberculosis · gram-positive bacterial infections · drug-resistant tuberculosis
Investigated by
Otsuka Pharmaceutical Development & Commercialization, Inc. · Beijing Chest Hospital · National Institute of Allergy and Infectious Diseases (NIAID) · Harvard Medical School (HMS and HSDM) · Huashan Hospital · Anhui Chest Hospital
+98 more · Bill and Melinda Gates Foundation · Boston University · Doctors Without Borders · Epicentre · GlaxoSmithKline · Institute of Tropical Medicine, Belgium · Interactive Research and Development · Otsuka Pharmaceutical Co., Ltd. · Partners in Health · Perinatal HIV Research Unit of the University of the Witswatersrand · Seoul National University Hospital · Shanghai Pulmonary Hospital, Shanghai, China · Socios En Salud, Peru · University of California, San Francisco · University of Cape Town · Asan Medical Center · Brigham and Women's Hospital · Centers for Disease Control and Prevention · Changsha Central Hospital · Chengdu Public Health Clinical Center · Click-TB Consortium · Critical Path Institute · Dankook University · Desmond Tutu TB Centre · Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) · European Lung Foundation · European Respiratory Society · Find · Fourth Taiyuan People's Hospital, China · Ganzhou Fifth People's Hospital, China · Gates Medical Research Institute · German Center for Infection Research · Global Alliance for TB Drug Development · Guangzhou National Laboratory · Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic · Harvard School of Public Health (HSPH) · Helmholtz Zentrum München · Hunan Chest Hospital · Incheon St.Mary's Hospital · Instituto de Saude Publica da Universidade do Porto · International Tuberculosis Research Center · Janssen Pharmaceuticals · Janssen, LP · KNCV Tuberculosis Foundation · Korea University · Korea University Ansan Hospital · Korean Center for Disease Control and Prevention · Korean Institute of Tuberculosis · London School of Hygiene and Tropical Medicine · Ludwig-Maximilians - University of Munich · Lygature · National Institute of Health, Korea · National Lung Hospital, Vietnam · National Medical Center for Infectious Diseases · National Medical Center, Seoul · No.85 Hospital, Changning, Shanghai, China · Novartis Pharmaceuticals · Otsuka Frankfurt Research Institute GmbH · Pfizer · Pusan National University Hospital · Pusan National University Yangsan Hospital · Radboud University Medical Center · Regents of the University of California · Research Center Borstel · Research Institute for Development · SMG-SNU Boramae Medical Center · Samsung Medical Center · Seoul National University · Severance Hospital · Shandong Public Health Clinical Center · Shanghai Public Health Clinical Center · Shanghai Pudong New Area Pulmonary Hospital, China · TASK Applied Science · TB Alliance · all 104 on the full record

Regulatory milestones approvals, filings & regulatory actions · 4 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed primary pulmonary tuberculosis 3 milestones
Refused (EMA) EU (EMA) Deltyba primary pulmonary tuberculosis 2013-07-25

“the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) has adopted a negative opinion for delamanid” otsuka.co.jp ↗

authority europa.eu ↗

Filed Japan (PMDA) — primary pulmonary tuberculosis 2013-03-27

“filed an application with the Pharmaceutical and Medical Devices Agency in Japan (PMDA) to market its novel compound delamanid” otsuka.co.jp ↗

Filed EU (EMA) — primary pulmonary tuberculosis —

“A Marketing Authorization Application (MAA) is currently under review by the European Medicines Agency (EMA)” otsuka.co.jp ↗

Approved Indication not stated 1 milestone
Approved EU (EMA) Deltyba — 2014-04-27 europa.eu ↗

Trials 31

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT01856634 Jun 2013 → Dec 2017 multidrug-resistant tuberculosis Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 1/22 trials · 1 missed
Phase 1/2 NCT03141060 Feb 2019 → Apr 2025 HIV infectious disease, tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1/2 NCT03678688 Oct 2018 → Feb 2022 pulmonary tuberculosis Otsuka Pharmaceutical Development & Commercialization, Inc. Completed Missed primary
Phase 214 trials · 3 met primary
Phase 2 NCT07129629 Aug 2025 → Dec 2026 expected pulmonary tuberculosis Shanghai Pulmonary Hospital, Shanghai, China Not yet recruiting No outcome recorded
Phase 2 NCT06114628 Jan 2024 → Feb 2027 expected pulmonary tuberculosis University College, London Recruiting No outcome recorded
Phase 2 NCT05556746 Nov 2023 → Jun 2025 overdue HIV infectious disease, pulmonary tuberculosis Brigham and Women's Hospital Active not recruiting No outcome recorded
Phase 2 NCT05971602 Jul 2023 → Feb 2025 pulmonary tuberculosis Gates Medical Research Institute Terminated No outcome recorded
Phase 2 NCT05382312 Jul 2022 → May 2025 tuberculosis GlaxoSmithKline Completed No outcome recorded
Phase 2 NCT03828201 Jun 2022 → May 2027 expected multidrug-resistant tuberculosis Boston University Active not recruiting No outcome recorded
Phase 2 NCT05221502 Apr 2022 → Apr 2024 pulmonary tuberculosis Otsuka Pharmaceutical Development & Commercialization, Inc. Completed Met primary
Phase 2 NCT02583048 Aug 2016 → Jan 2019 HIV infectious disease, tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 2 NCT02619994 Jan 2016 → Jun 2021 multidrug-resistant tuberculosis Seoul National University Hospital Completed Met primary
Phase 2 NCT01859923 Jul 2013 → Jan 2020 multidrug-resistant tuberculosis Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT05766267 Nov 2023 → Dec 2026 expected pulmonary tuberculosis Centers for Disease Control and Prevention Active not recruiting No outcome recorded
Phase 39 trials · 2 missed
Phase 3 NCT07675954 Oct 2026 → Jun 2032 expected rifampicin-resistant tuberculosis Seoul National University Hospital Not yet recruiting No outcome recorded
Phase 3 NCT06649721 Nov 2024 → Feb 2027 expected pulmonary tuberculosis, rifampicin-resistant tuberculosis Huashan Hospital Active not recruiting No outcome recorded
Phase 3 NCT06081361 Dec 2023 → Oct 2026 expected pulmonary tuberculosis, rifampicin-resistant tuberculosis Beijing Chest Hospital Active not recruiting No outcome recorded
Phase 3 NCT03896685 Apr 2020 → Oct 2024 gram-positive bacterial infections, multidrug-resistant tuberculosis, pulmonary tuberculosis Doctors Without Borders Completed Missed primary
Phase 3 NCT04062201 Aug 2019 → Apr 2024 extensively drug-resistant tuberculosis, multidrug-resistant tuberculosis, rifampicin-resistant tuberculosis Wits Health Consortium (Pty) Ltd Completed No outcome recorded
Phase 3 NCT03568383 Jun 2019 → Jan 2027 expected multidrug-resistant tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Active not recruiting No outcome recorded
Phase 3 NCT02975570 Aug 2017 → Aug 2021 multidrug-resistant tuberculosis Boston University Withdrawn No outcome recorded Stop: Business
Phase 3 NCT02754765 Dec 2016 → Jun 2023 multidrug-resistant tuberculosis, pulmonary tuberculosis Doctors Without Borders Completed Mixed
Phase 3 NCT01424670 Sep 2011 → Jul 2016 multidrug-resistant tuberculosis Otsuka Pharmaceutical Development & Commercialization, Inc. Completed Missed primary
Phase 43 trials
Phase 4 NCT06476210 Jun 2024 → Jun 2025 pulmonary tuberculosis Beijing Chest Hospital Unknown No outcome recorded
Phase 4 NCT05278988 Apr 2021 → Oct 2024 multidrug-resistant tuberculosis Shanghai Pulmonary Hospital, Shanghai, China Completed No outcome recorded
Phase 4 NCT04421495 Jul 2020 → Jun 2022 multidrug-resistant tuberculosis Beijing Chest Hospital Unknown No outcome recorded
Phase not applicable1 trial
— NCT07198685 Sep 2025 → Sep 2027 expected — Wuhan Pulmonary Hospital Not yet recruiting No outcome recorded
Comparator or background therapy7 trials
Phase 2 NCT07170800 Comparator Sep 2025 → Feb 2026 overdue multidrug-resistant tuberculosis, rifampicin-resistant tuberculosis WestVac Biopharma Co., Ltd. Recruiting No outcome recorded
Phase 2 NCT06224036 Comparator Oct 2023 → Mar 2024 drug-resistant tuberculosis Beijing Chest Hospital Unknown Met primary
Phase 2 NCT05926466 Background Sep 2023 → Dec 2024 pulmonary tuberculosis Michael Hoelscher Completed No outcome recorded
Phase 2 NCT05007821 Background Sep 2022 → Mar 2025 multidrug-resistant tuberculosis, pulmonary tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Completed Missed primary
Phase 2 NCT04550832 Background Oct 2021 → Jan 2023 pulmonary tuberculosis LigaChem Biosciences, Inc. Completed Met primary

News releases announcing trial results or a regulatory action · 14

DateIssuerRelease
2025-12-16 MicuRx Results “世界肺部健康大会”传佳音 含康替唑胺的创新抗结核方案绽光彩 micurx.com ↗
INSPIRE-CODA研究团队纳入的212例患者的临床数据显示,含康替唑胺的创新短程方案不仅早期疗效非劣于传统长程方案,更在安全性上实现突破——神经系统与血液系统不良反应发生率较传统方案显著降低。
2024-03-22 Otsuka Pharmaceutical Development & Commercialization, Inc. Results Otsuka Announces Interim Data from Phase 2b/c Trial Indicating New Investigational Compound May Shorten Tuberculosis Treatment otsuka.co.jp ↗
These results show that sputum culture conversion rates -- or effectiveness of the treatment combination in killing the bacteria -- at the end of treatment in the pooled QBS-based, three-drug regimen arms were on par with existing standard four-drug TB treatment.
2024-03-21 Otsuka Pharmaceutical Development & Commercialization, Inc. Results Otsuka Announces Interim Data from Phase 2b/c Trial Indicating New Investigational Compound May Shorten Tuberculosis Treatment otsuka-us.com ↗
These results show that sputum culture conversion rates — or effectiveness of the treatment combination in killing the bacteria — at the end of treatment in the pooled QBS-based, three-drug regimen arms were on par with existing standard four-drug TB treatment.
2021-10-06 Otsuka Pharmaceutical Development & Commercialization, Inc. Regulatory Otsuka Announces Approval in EU of Pediatric, 25 mg Dispersible-Tablet Formulation of Deltyba™ for Multidrug-Resistant Tuberculosis otsuka.co.jp ↗
Otsuka Pharmaceutical Co., Ltd. (Otsuka Pharmaceutical) is pleased to announce that Otsuka Novel Products GmbH, a Germany based subsidiary of Otsuka Pharmaceutical, has obtained regulatory approval from the European Commission for the Deltyba™ (delamanid) 25-mg dispersible tablet formulation.
2020-05-25 Otsuka Pharmaceutical Development & Commercialization, Inc. Regulatory Deltyba (delamanid) approved in Russian Federation for treatment of pulmonary multidrug-resistant tuberculosis (MDR-TB)® otsuka.co.jp ↗
Otsuka Pharmaceutical Co., Ltd. (Otsuka) announces that the oral anti-tuberculosis (TB) drug Deltyba (delamanid) has been approved in Russia.
2020-05-24 R-Pharm Regulatory Дельтиба (деламанид) одобрен в РФ для лечения туберкулеза с множественной лекарственной устойчивостью r-pharm.com ↗
2018-03-23 Otsuka Pharmaceutical Development & Commercialization, Inc. Regulatory Otsuka's DELTYBA Approved in China for the Treatment of Multidrug-resistant Tuberculosis otsuka.co.jp ↗
Otsuka Pharmaceutical Co., Ltd. announces that on March 12, DELTYBA Tablets 50 mg (generic name: delamanid) received regulatory approval by the China Food and Drug Administration.
2015-07-16 Otsuka Pharmaceutical Development & Commercialization, Inc. Results Efficacy Results of Otsuka's Delamanid (Deltyba) for Extensively Drug-Resistant Tuberculosis (XDR-TB) Published in the New England Journal of Medicine™ otsuka.co.jp ↗
The analysis found that patients receiving delamanid, plus a World Health Organization (WHO)- recommended optimized background regimen (OBR), had a higher proportion of 2-month sputum culture conversion (SCC), a measurement by which patients are no longer infectious, compared to patients receiving placebo plus OBR alone (7/16, 43.8% vs. 1/10, 10%, p=0.0989).
2014-07-04 Otsuka Pharmaceutical Development & Commercialization, Inc. Regulatory After 40 Years, A New Drug For The Treatment Of Tuberculosis In Japan Deltyba (delamanid) Is The First Drug Approved In Japan Specifically For Pulmonary Multidrug-Resistant Tuberculosis (MDR-TB)® otsuka.co.jp ↗
Otsuka Pharmaceutical Co., Ltd. (Otsuka) today received regulatory approval from the Ministry of Health, Labour and Welfare (MHLW) for Deltyba (delamanid) as part of an appropriate combination regimen for pulmonary multidrug-resistant tuberculosis (MDR-TB) in adult patients.
2014-04-30 Otsuka Pharmaceutical Development & Commercialization, Inc. Regulatory Otsuka Wins European Marketing Authorization for Deltyba (delamanid)™ otsuka.co.jp ↗
First grant of a marketing authorization of Otsuka's novel drug for multidrug-resistant tuberculosis (MDR-TB).
2013-11-25 Otsuka Pharmaceutical Development & Commercialization, Inc. Regulatory CHMP Recommends Otsuka's Deltyba (delamanid) for EU Approval for Treatment of Multidrug-Resistant Tuberculosis (MDR-TB) in Combination with Optimized Background Regimen (OBR)™ otsuka.co.jp ↗
Otsuka Pharmaceutical Co., Ltd. (Otsuka) today announced that the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency has recommended approval of DeltybaTM (delamanid) in combination with a WHO recommended optimized background regimen (OBR) for the treatment of pulmonary multidrug-resistant tuberculosis (MDR-TB) .
2013-07-26 Otsuka Pharmaceutical Development & Commercialization, Inc. Regulatory Otsuka Receives Opinion from CHMP on Delamanid otsuka.co.jp ↗
Otsuka Pharmaceutical Co., Ltd. (Otsuka) today announced the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) has adopted a negative opinion for delamanid for the treatment of pulmonary multidrug-resistant tuberculosis (MDR-TB) in combination with an optimised background regimen (OBR) according to WHO guidelines in patients.

All press releases naming this drug 21 releases

DateIssuerRelease

Evidence & citations 7 cited values

Every value below carries the sentence it was read from. 41 sources stand behind the page.

FieldValueCited text
Known as Delamanid “The investigational MDR-END Plus regimen consists of oral anti-tuberculosis drugs including bedaquiline, delamanid, delpazolid, levofloxacin, and pyrazinamide.” NCT07675954 ↗
36

“PRS Regimen V(bedaquiline, delamanid, clofazimine, pyrazinamide)” NCT05278988 ↗

“Drug:delamanid 50mg tablets” NCT06476210 ↗

NCT02975570 ↗

NCT06081361 ↗

NCT01424670 ↗

NCT03959566 ↗

NCT06649721 ↗

NCT05971602 ↗

NCT05221502 ↗

NCT03141060 ↗

Show 26 more sources

Known as Deltyba ChEMBL registry synonym — accepted as the source's own label CHEMBL218650 ↗
Known as DLM “Delamanid (D or DLM) is added to the bedaquiline (B or BDQ), moxifloxacin (M), pyrazinamide (Z), (BMZ) regimen for first 8 weeks and continued for next 9 weeks with bedaquiline...” NCT05766267 ↗
5

“This study evaluated the safety, tolerability, and pharmacokinetics of the anti-tuberculosis (TB) drugs bedaquiline (BDQ) and delamanid (DLM), alone and in combination, among...” NCT02583048 ↗

“This study aims to assess the efficacy and safety of a 24-week regimen that includes Delamanid (Dlm) for patients with these resistant forms of tuberculosis.” PMID 41419836 ↗ Dec 2025

“6-month all-oral regimen, consisting of Bedaquiline (BDQ, B), Delamanid (DLM, D), Linezolid (LZD, L), Levofloxacin (LFX) , as known as BDLL regimen” NCT07198685 ↗

“The FQs - sensitive group was treated with the BDLL regimen (bedaquiline (BDQ), delamanid (DLM), linezolid (LZD), and levofloxacin (LFX))” NCT07126639 ↗

“Delamanid (DLM)” NCT03568383 ↗

Known as OPC-67683 “A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel Group Trial to Evaluate the Safety and Efficacy of Delamanid (OPC-67683) Administered Orally as...” NCT01424670 ↗
1

NCT00401271 ↗

Action Inhibit “inhibits mycolic acid synthesis” PMID 22670901 ↗ Jun 2012
Modality Small molecule “Delamanid (OPC-67683), a nitro-dihydro-imidazooxazole derivative” PMID 22670901 ↗ Jun 2012
Route Oral “OPC-67683, administered orally” NCT00401271 ↗