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 · 2 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Approved EU (EMA) Deltyba 2014-04-27 europa.eu
Refused (EMA) EU (EMA) Deltyba 2013-07-25 europa.eu

Trials 31 · a red edge is where a trial was stopped

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
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 No outcome recorded
Phase 214 trials
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 No outcome recorded
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 No outcome recorded
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
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 No outcome recorded
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
Phase 3 NCT02754765 Dec 2016 → Jun 2023 multidrug-resistant tuberculosis, pulmonary tuberculosis Doctors Without Borders Completed No outcome recorded
Phase 3 NCT01424670 Sep 2011 → Jul 2016 multidrug-resistant tuberculosis Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
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
Also used as a comparator or background therapy in 7 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 26 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 No outcome recorded
Phase 2 NCT05926466 Background Sep 2023 → Aug 2024 pulmonary tuberculosis Michael Hoelscher Unknown 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 No outcome recorded
Phase 2 NCT04550832 Background Oct 2021 → Jan 2023 pulmonary tuberculosis LigaChem Biosciences, Inc. Completed No outcome recorded
Phase not applicable1 trial
NCT07126639 Comparator Sep 2025 → Sep 2027 expected Wuhan Pulmonary Hospital Not yet recruiting No outcome recorded

Press releases naming this drug 17 releases

DateIssuerRelease
2021-10-06 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka Announces Approval in EU of Pediatric, 25 mg Dispersible-Tablet Formulation of Deltyba™ for Multidrug-Resistant Tuberculosis otsuka.co.jp
2021-08-10 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka Awarded Grant for Phase 2 Trial Combining Novel Anti-Tuberculosis Compound OPC-167832 with Delamanid and Bedaquiline otsuka.co.jp
2021-08-09 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka Awarded Grant for Phase 2 Trial Combining Novel Anti-Tuberculosis Compound OPC-167832 with Delamanid and Bedaquiline otsuka-us.com
2020-05-25 Otsuka Pharmaceutical Development & Commercialization, Inc. Deltyba (delamanid) approved in Russian Federation for treatment of pulmonary multidrug-resistant tuberculosis (MDR-TB)® otsuka.co.jp
2018-03-23 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka's DELTYBA Approved in China for the Treatment of Multidrug-resistant Tuberculosis otsuka.co.jp
2018-01-29 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka Awarded Grant to Advance Development of Novel Anti-Tuberculosis Compound OPC-167832 with Delamanid otsuka.co.jp
2018-01-29 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka Awarded Grant to Advance Development of Novel Anti-Tuberculosis Compound OPC-167832 with Delamanid otsuka-us.com
2017-12-14 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka Pharmaceutical Co., Ltd. Receives the Japan Medical R&D Grand Prize for Development of Delamanid, a Drug for Multidrug-resistant Tuberculosis Japanese Government Grants Award for the First Time otsuka.co.jp
2016-02-25 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka Announces Worldwide Access Plan for Delamanid with Stop TB Partnership's Global Drug Facility otsuka.co.jp
2015-07-16 Otsuka Pharmaceutical Development & Commercialization, Inc. 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
2014-09-08 Otsuka Pharmaceutical Development & Commercialization, Inc. A Change in the Treatment of Multidrug-Resistant Tuberculosis Begins New Antituberculosis Drug Deltyba in 50 mg Tablets, Available to Patients in Japan Starting September 26 ® otsuka.co.jp
2014-07-04 Otsuka Pharmaceutical Development & Commercialization, Inc. 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

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 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
36

“The investigational MDR-END Plus regimen consists of oral anti-tuberculosis drugs including bedaquiline, delamanid, delpazolid, levofloxacin, and pyrazinamide.” NCT07675954

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

“Drug:delamanid 50mg tablets” NCT06476210

NCT07129629

NCT01859923

NCT02583048

NCT02573350

NCT02754765

NCT02975570

NCT06649721

NCT06081361

NCT00685360

NCT03828201

NCT04421495

NCT07126639

NCT05382312

NCT03678688

NCT01856634

NCT05926466

NCT02619994

NCT06224036

NCT04550832

NCT03959566

NCT03896685

NCT04062201

NCT05971602

NCT07198685

NCT01131351

NCT03141060

NCT03568383

NCT05556746

NCT06114628

NCT01424670

NCT05221502

NCT05007821

NCT07170800

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