Drugs / Pyrazinamide
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Pyrazinamide

Small molecule

Developed for
pulmonary tuberculosis · tuberculosis · HIV infectious disease · multidrug-resistant tuberculosis · meningeal tuberculosis · rifampicin-resistant tuberculosis · extensively drug-resistant tuberculosis · anterior uveitis
+3 more · ocular tuberculosis · tuberculosis, spinal · drug-resistant tuberculosis
Investigated by
National Institute of Allergy and Infectious Diseases (NIAID) · Huashan Hospital · Global Alliance for TB Drug Development · Beijing Chest Hospital · Radboud University Medical Center · Shanghai Pulmonary Hospital, Shanghai, China
+204 more · University College, London · Centers for Disease Control and Prevention · European and Developing Countries Clinical Trials Partnership (EDCTP) · Seoul National University Hospital · TASK Applied Science · Tuberculosis Research Centre, India · ANRS, Emerging Infectious Diseases · Anhui Chest Hospital · Chengdu Public Health Clinical Center · First Affiliated Hospital of Zhejiang University · GlaxoSmithKline · Institute of Tropical Medicine, Belgium · International Tuberculosis Research Center · Korean Center for Disease Control and Prevention · London School of Hygiene and Tropical Medicine · Makerere University · Michael Hoelscher · National University Hospital, Singapore · Shanghai Public Health Clinical Center · Sociedad Andaluza de Enfermedades Infecciosas · University of California, San Francisco · University of Oxford · Advancing Clinical Therapeutics Globally for HIV/AIDS and Other Infections · All India Institute of Medical Sciences · All India Institute of Medical Sciences, Jodhpur · Asan Medical Center · Asian Medical Center · Assistance Publique - Hôpitaux de Paris · Aurum Institute · Barcelona Institute for Global Health · Bayer Healthcare Pharmaceuticals, Inc./Bayer Schering Pharma · Beijing Chest Hospital, Capital Medical University · Beijing Ditan Hospital · Beijing Municipal Science & Technology Commission · Beijing Research Institute for Tuberculosis Control · Beijing YouAn Hospital · Biomedical Research and Training Institute, Zimbabwe · Boston University · Brighton & Sussex Medical School · Centre Hospitalier Cocody · Centre for Tuberculosis Control of Guangdong Province · Centre for the AIDS Programme of Research in South Africa · Changchun Infectious Disease Hospital · Chest Hospital of Guangxi Zhuang Autonomous Region · Chest of Hospital of Xinjiang Uygur Autonomous Region of the PRC · Chongqing Infectious Disease Medical Center · Chongqing Public Health Medical Center · Christian Medical College, Vellore, India · Critical Path Institute · Dankook University · David Boulware · Desmond Tutu TB Centre · Doctors Without Borders · Eduardo Mondlane University · Epicentre · European Lung Foundation · European Respiratory Society · European Union · Faculty of Medicine, University of Indonesia · Find · First Affiliated Hospital of Xinjiang Medical University · Foundation for Innovative New Diagnostics, Switzerland · Fourth Taiyuan People's Hospital, China · French National Institute of Health and Medical Research · Ganzhou Fifth People's Hospital, China · Gates Medical Research Institute · German Center for Infection Research · German Federal Ministry of Education and Research · Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control · Guangzhou National Laboratory · Guangzhou eighth People's Hospital ,Guangzhou Medilcal University · Guiyang Public Health Clinical Center · Guizhou Aerospace Hospital · Harbin Chest Hospital · all 210 on the full record

Regulatory milestones approvals, filings & regulatory actions · 1 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Approved US (FDA) PYRAZINAMIDE — 1971-06-03 fda.gov ↗

Trials 73 · started per year

today
US approved 1971
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PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 16 trials · 1 missed
Phase 1 NCT02700347 Feb → Apr 2016 tuberculosis National University Hospital, Singapore Completed Missed primary
Phase 1 NCT02602509 Nov 2015 → Feb 2016 tuberculosis National University Hospital, Singapore Completed No outcome recorded
Phase 1 NCT02457208 Jul 2015 → Jan 2018 tuberculosis University of Oxford Completed No outcome recorded
Phase 1 NCT02128308 Nov → Dec 2013 — Seoul National University Hospital Completed No outcome recorded
Phase 1 NCT00990990 Oct 2009 → May 2010 tuberculosis Sequella, Inc. Completed No outcome recorded
Phase 1 NCT00816426 Dec 2008 → Aug 2014 tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT04044001 Nov 2019 → Mar 2022 pulmonary tuberculosis Michael Hoelscher Completed No outcome recorded
Phase 219 trials · 4 met primary · 1 missed
Phase 2 NCT07467252 Sep 2026 → Dec 2027 expected pulmonary tuberculosis Ministry of Health, Saudi Arabia Not yet recruiting No outcome recorded
Phase 2 NCT07227779 Jul 2026 → Mar 2028 expected HIV infectious disease, meningeal tuberculosis David Boulware Recruiting No outcome recorded
Phase 2 NCT07129629 Aug 2025 → Dec 2026 expected pulmonary tuberculosis Shanghai Pulmonary Hospital, Shanghai, China Not yet recruiting No outcome recorded
Phase 2 NCT06748937 Mar 2025 → Mar 2026 overdue pulmonary tuberculosis TASK Applied Science Recruiting No outcome recorded
Phase 2 NCT06114628 Jan 2024 → Feb 2027 expected pulmonary tuberculosis University College, London Recruiting No outcome recorded
Phase 2 NCT05383742 Dec 2023 → Apr 2028 expected meningeal tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Recruiting No outcome recorded
Phase 2 NCT06041919 Sep 2023 → Jul 2024 pulmonary tuberculosis Thirty Respiratory Limited Terminated No outcome recorded
Phase 2 NCT05971602 Jul 2023 → Feb 2025 pulmonary tuberculosis Gates Medical Research Institute Terminated No outcome recorded
Phase 2 NCT05807399 Apr 2023 → Oct 2027 expected pulmonary tuberculosis Michael Hoelscher Recruiting No outcome recorded
Phase 2 NCT04694586 Nov 2022 → May 2024 pulmonary tuberculosis University Hospital, Linkoeping Suspended No outcome recorded Stop: Enrollment
Phase 2/35 trials · 2 met primary · 1 missed
Phase 2/3 NCT05766267 Nov 2023 → Dec 2026 expected pulmonary tuberculosis Centers for Disease Control and Prevention Active not recruiting No outcome recorded
Phase 2/3 NCT05401071 Jan 2023 → Oct 2024 overdue pulmonary tuberculosis Huashan Hospital Recruiting No outcome recorded
Phase 2/3 NCT03915366 Mar 2020 → Jan 2025 HIV infectious disease, cytomegalovirus infection, pneumonia, tuberculosis Hospital Universitario 12 de Octubre Completed Missed primary
Phase 2/3 NCT03338621 Jul 2018 → Jul 2021 multidrug-resistant tuberculosis, pulmonary tuberculosis Global Alliance for TB Drug Development Completed Met primary
Phase 2/3 NCT02454205 Nov 2015 → Dec 2020 extensively drug-resistant tuberculosis, multidrug-resistant tuberculosis University of Cape Town Completed Met primary
Phase 319 trials · 2 met primary · 3 missed
Phase 3 NCT07675954 Oct 2026 → Jun 2032 expected rifampicin-resistant tuberculosis Seoul National University Hospital Not yet recruiting No outcome recorded
Phase 3 NCT07268664 Dec 2025 → May 2028 expected pulmonary tuberculosis, rifampicin-resistant tuberculosis Beijing Chest Hospital Not yet recruiting No outcome recorded
Phase 3 NCT07163143 Nov 2025 → Nov 2028 expected tuberculosis University College, London Not yet recruiting No outcome recorded
Phase 3 NCT06905522 Jun 2025 → Jan 2029 expected pulmonary tuberculosis Shenzhen Third People's Hospital Recruiting No outcome recorded
Phase 3 NCT05917340 Mar 2024 → Sep 2027 expected meningeal tuberculosis Indian Council of Medical Research Not yet recruiting No outcome recorded
Phase 3 NCT05454345 Oct 2022 → Jun 2025 pulmonary tuberculosis First Affiliated Hospital of Zhejiang University Unknown No outcome recorded
Phase 3 NCT05081401 May 2022 → Dec 2026 expected extensively drug-resistant tuberculosis, multidrug-resistant tuberculosis, rifampicin-resistant tuberculosis Huashan Hospital Recruiting No outcome recorded
Phase 3 NCT04738812 Apr 2022 → Nov 2025 HIV infectious disease, immunodeficiency disease, tuberculosis ANRS, Emerging Infectious Diseases Completed No outcome recorded
Phase 3 NCT04117698 Nov 2019 → May 2023 anterior uveitis Assistance Publique - Hôpitaux de Paris Unknown No outcome recorded
Phase 3 NCT02975570 Aug 2017 → Aug 2021 multidrug-resistant tuberculosis Boston University Withdrawn No outcome recorded Stop: Business
Phase 416 trials · 4 missed
Phase 4 NCT06153069 Nov 2025 → Nov 2027 expected tuberculosis Huashan Hospital Recruiting No outcome recorded
Phase 4 NCT05278988 Apr 2021 → Oct 2024 multidrug-resistant tuberculosis Shanghai Pulmonary Hospital, Shanghai, China Completed No outcome recorded
Phase 4 NCT03867136 Jun 2020 → Aug 2024 multidrug-resistant tuberculosis Huashan Hospital Completed No outcome recorded
Phase 4 NCT03830671 Mar 2019 → Jun 2022 multidrug-resistant tuberculosis Beijing Chest Hospital Completed No outcome recorded
Phase 4 NCT03237182 Jun 2017 → Dec 2022 multidrug-resistant tuberculosis Centre for the AIDS Programme of Research in South Africa Terminated No outcome recorded
Phase 4 NCT02901288 Aug 2016 → Dec 2018 pulmonary tuberculosis Beijing Chest Hospital Unknown No outcome recorded
Phase 4 NCT02477852 Apr 2015 → Dec 2017 tuberculosis, spinal Beijing Chest Hospital Unknown No outcome recorded
Phase 4 NCT02057796 Sep 2014 → Apr 2018 HIV infectious disease ANRS, Emerging Infectious Diseases Completed Missed primary
Phase 4 NCT02331823 Jun 2013 → Dec 2015 pulmonary tuberculosis Shanghai Pulmonary Hospital, Shanghai, China Unknown No outcome recorded
Phase 4 NCT01782950 Feb 2013 → Mar 2016 tuberculosis Makerere University Unknown No outcome recorded
Phase not applicable7 trials
— NCT07608172 May 2026 → Jun 2028 expected pulmonary tuberculosis Shanghai Public Health Clinical Center Not yet recruiting No outcome recorded
— NCT04717908 Jan 2021 → Jun 2024 multidrug-resistant tuberculosis Huashan Hospital Completed No outcome recorded
— NCT00023374 Aug 2000 → Dec 2006 tuberculosis Centers for Disease Control and Prevention Completed No outcome recorded
— NCT00000950 ? → May 2002 HIV infectious disease, tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
— NCT00000636 ? → Oct 1997 HIV infectious disease, tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
— NCT00000638 ? → Sep 1999 HIV infectious disease, tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
— NCT00000796 ? → Oct 1998 HIV infectious disease, pulmonary tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Comparator or background therapy67 trials
Phase 0 NCT02099240 Comparator Mar 2014 → Nov 2018 osteomyelitis University of Louisville Terminated No outcome recorded Stop: Enrollment
Phase 1 NCT00004736 Background — HIV infectious disease, tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1/2 NCT03678688 Comparator Oct 2018 → Feb 2022 pulmonary tuberculosis Otsuka Pharmaceutical Development & Commercialization, Inc. Completed Missed primary
Phase 1/2 NCT02958709 Background Feb 2017 → Nov 2020 meningeal tuberculosis Johns Hopkins University Completed No outcome recorded
Phase 2 NCT07656012 Background Oct 2026 → Sep 2030 expected tuberculosis University of Wisconsin, Madison Not yet recruiting No outcome recorded

News releases announcing trial results or a regulatory action · 6

DateIssuerRelease
2025-11-19 Global Alliance for TB Drug Development Results Phase 2 Clinical Trial Results Show Potential to Shorten TB Treatment Time tballiance.org ↗
The 100 mg SPaL regimen had greater activity against TB than the standard of care HRZE (isoniazid, rifampin, pyrazinamide, and ethambutol), indicating the potential to shorten treatment time for active TB.
2019-11-13 Global Alliance for TB Drug Development Results Results of Phase 2B Clinical Trial Testing New Drug-Resistant TB Treatment Published in Lancet Respiratory Medicine tballiance.org ↗
Results of the Phase 2B trial, known as NC-005 have been published in The Lancet Respiratory Medicine.
2016-12-16 Global Alliance for TB Drug Development Results Clinical Trial of BPaMZ Regimen Will Replace Phase 3 STAND Trial tballiance.org ↗
In light of these results, where the BPaMZ regimen appears to be much more promising compared to the PaMZ (pretomanid + moxifloxacin + pyrazinamide) regimen, the STAND trial testing the PaMZ regimen will not be reopened to new patients.
2015-03-18 Global Alliance for TB Drug Development Results The Lancet: Results of Phase 2b Trial of Novel TB Regimen PaMZ Show Potential to Shorten, Improve TB Treatment tballiance.org ↗
Nearly twice (71 percent) as many TB patients treated with PaMZ had no TB in their sputum when cultured at the end of the 2-month course of the trial compared to patients treated with standard therapy (38 percent).
2015-01-29 Global Alliance for TB Drug Development Results Phase 2a Published Results Show the Potential of a New TB Regimen with Novel Drugs Bedaquiline and Pretomanid (PA-824) tballiance.org ↗
Specifically, the BPaZ regimen killed more than 99 percent of TB bacteria in patient’s sputum in two weeks, and appeared well tolerated and safe.
2012-07-23 Global Alliance for TB Drug Development Results Trial Signals Major Milestone in Hunt for New TB Drugs tballiance.org ↗
These results add to a growing body of evidence that the new regimen could reduce treatment by more than a year for some patients.

Evidence & citations 31 cited values

Every value below carries the sentence it was read from. 146 sources stand behind the page.

FieldValueCited text
Known as Pyrazinamide “This two-stage study will compare consented research participants with tuberculous meningitis receiving experimental Bedaquiline (B), Pretomanid (Pa), Linezolid (L);...” NCT07227779 ↗
139

“anti-bacterial tuberculosis drugs (pyrazinamide [PZA], ethambutol [EB, EMB], streptomycin [SM], kanamycin [KM, KAN], enviomycin [EVM], ethionamide [TH], cycloserine [CS],...” NCT02365623 ↗

“INTERVENTIONS: Patients were randomized to receive daily treatment with 4 drugs (rifampicin, isoniazid, pyrazinamide, ethambutol) given as an FDC (n = 798 patients) or...” PMID 21486974 ↗ Apr 2011

“This product is a compound preparation, consisting of 0.15g of rifampicin (C43H58N4O12), 0.075g of isoniazid (C6H7N3O), 0.4g of pyrazinamide (C5H5N3O), and 0.275g of ethambutol...” NCT06224036 ↗

“Experimental arms are seven oral regimens with a five-drug combination of the following: bedaquiline, linezolid, a fluoroquinolone (moxifloxacin or levofloxacin), cycloserine,...” NCT05081401 ↗

“FDC intensive phase containing 150 mg of rifampicin, 75 mg of isoniazid not 300mg, 400 mg of pyrazinamide, and 275 mg of ethambutol, while FDC continuation phase containing...” NCT05005637 ↗

“The standard six-month regimen is eight weeks of daily treatment with isoniazid, rifampin, ethambutol, and pyrazinamide followed by sixteen weeks of isoniazid and rifampin.” NCT03561753 ↗

“This study aimed to quantify the influence of food on the pharmacokinetics of isoniazid, rifampicin, ethambutol and pyrazinamide in TB patients starting anti-TB treatment.” PMID 26661397 ↗ Dec 2015

“SOC plus 6 months of tuberculosis treatment (isoniazid, rifampicin, pyrazinamide, and ethambutol for 2 months, plus isoniazid and rifampicin for 4 subsequent months)” PMID 42468541 ↗ Jul 2026

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

“RIFATER © (Isoniazid + Rifampicin + Pyrazinamide) + Ethambutol (13.5-20 mg / kg / day) for 2 months then RIFINAH © (Isoniazid + Rifampicin) for 4 months” NCT04117698 ↗

Show 129 more sources

Known as .alpha.-pyrazinamide ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗
Known as Aldinamid ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗
Known as Aldinamide ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗
Known as Eprazin ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗
Known as Farmizina ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗
Known as Isopas ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗
Known as MK-56 ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗
Known as Novamid ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗
Known as NSC-14911 ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗
Known as Pirazimida ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗
Known as Pirazinamid ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗
Known as Pirazinamida ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗
Known as Pirilene ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗
Known as Pyrafat ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗
Known as Pyramizade ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗
Known as Pyrazide ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗
Known as Pyrazinamide (Z) “Pyrazinamide (Z)” NCT07656012 ↗
Known as Pyrazinamide component of rifater ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗
Known as pyrazinamide tablets “pyrazinamide tablets” NCT02331823 ↗
Known as Pyrazinamidum ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗
Known as Pyrazine carboxylamide ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗
Known as PYZ “AI-optimised combination drug regimen consisting of Pyrazinamide (PYZ) and Hydroxychloroquine (HCQ) for treating drug-sensitive pulmonary tuberculosis.” NCT07467252 ↗
Known as PZA “Pyrazinamide (PZA) is a synthetic derivative of nicotinamide requiring ctivation by the mycobacterial enzyme pyrazinamidase, only active under acidic conditions which are...” NCT00816426 ↗
11

“Arm 1 participants will receive high-dose rifampicin for 8 weeks plus ethambutol at standard doses, in addition to standard doze pyrazinamide (PZA) and isoniazid.” NCT02958709 ↗

“The abbreviation of the name of the 3 drugs in the regimen is explained as follows: PZA-pyrazinamide,Am-Amikacin,Mfx-moxifloxacin)” NCT03830671 ↗

“pyrazinamide (PZA, Z) is also essential in the treatment of multidrug-resistant (MDR)-TB.” PMID 26038418 ↗ Jul 2012

“Coadministering pyrazinamide (PZA) with the xanthine oxidase inhibitor” PMID 28739782 ↗ Sep 2017

“regimen of rifampin (RMP), pyrazinamide (PZA) and ethambutol (EMB)” PMID 24903795 ↗ May 2014

“Pyrazinamide(PZA) 1500mg (500mg x 3 tab) qd” NCT02128308 ↗

“Drug: Pyrazinamide (PZA)” NCT05383742 ↗

“pyrazinamide (PZA \[Z\])” NCT02371681 ↗

“pyrazinamide (Z / PZA)” NCT02231229 ↗

“Pyrazinamide (PZA):” NCT07268664 ↗

Show 1 more source

Known as Rozide ChEMBL registry synonym — accepted as the source's own label CHEMBL614 ↗