Drugs / Bedaquiline
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Bedaquiline

Small molecule

Developed for
pulmonary tuberculosis · multidrug-resistant tuberculosis · tuberculosis · extensively drug-resistant tuberculosis · rifampicin-resistant tuberculosis · leprosy · pulmonary non-tuberculous mycobacterial infection · gram-positive bacterial infections
+4 more · latent tuberculosis infection · meningeal tuberculosis · multibacillary leprosy · Mycobacterium avium complex disease
Investigated by
Global Alliance for TB Drug Development · National Institute of Allergy and Infectious Diseases (NIAID) · Beijing Chest Hospital · Huashan Hospital · Tibotec BVBA · Institute of Tropical Medicine, Belgium
+159 more · Janssen Infectious Diseases BVBA · Otsuka Pharmaceutical Development & Commercialization, Inc. · University of California, San Francisco · Wits Health Consortium (Pty) Ltd · Janssen Research & Development, LLC · London School of Hygiene and Tropical Medicine · University College, London · University of Liverpool · Harvard Medical School (HMS and HSDM) · Medecins Sans Frontieres, Netherlands · Ministry of Health, Republic of Uzbekistan · Ministry of Public Health, Republic of Belarus · THINK TB & HIV Investigative Network · University of Cape Town · University of Stellenbosch · Anhui Chest Hospital · Beijing Chest Hospital, Capital Medical University · Bill and Melinda Gates Foundation · Doctors Without Borders · Drugs for Neglected Diseases · Epicentre · GlaxoSmithKline · Interactive Research and Development · Janssen Pharmaceutical K.K. · Johns Hopkins University · Ludwig-Maximilians - University of Munich · Otsuka Pharmaceutical Co., Ltd. · Partners in Health · Perinatal HIV Research Unit of the University of the Witswatersrand · Pfizer · Seoul National University Hospital · Shanghai Pulmonary Hospital, Shanghai, China · Shenzhen Third People's Hospital · Socios En Salud, Peru · Swiss Tropical & Public Health Institute · TASK Applied Science · TB Alliance · The University of Queensland · World Health Organization · eResearch Technology, Inc. · Asan Medical Center · Assistance Publique - Hôpitaux de Paris · Australian Government Department of Health and Ageing · Boston University · Brigham and Women's Hospital · Centers for Disease Control and Prevention · Centre for the AIDS Programme of Research in South Africa · Changsha Central Hospital · Chengdu Public Health Clinical Center · Children's Hospital Foundation · Chonnam National University Hospital · Chungbuk National University Hospital · Click-TB Consortium · Critical Path Institute · Cystic Fibrosis Foundation · Damien Foundation · Desmond Tutu TB Centre · DongGuk University · Elizabeth Glaser Pediatric AIDS Foundation · Erasmus Medical Center · Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) · European Lung Foundation · European Respiratory Society · Faculty of Medicine Universitas Padjadjaran · Find · First Affiliated Hospital of Zhejiang University · Fourth Taiyuan People's Hospital, China · Fudan University · Ganzhou Fifth People's Hospital, China · Gates Medical Research Institute · German Center for Infection Research · Griffith University · Guangzhou National Laboratory · Guizhou Aerospace Hospital · all 165 on the full record

Regulatory milestones approvals, filings & regulatory actions · 6 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansions (4) US (FDA) SIRTURO 2019-08-09 – 2025-07-28 fda.gov
Approved EU (EMA) Sirturo 2014-03-05 europa.eu
Approved US (FDA) SIRTURO 2012-12-28 fda.gov

Trials 76 · started per year

today
US approved 2012
EU approved 2014
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200520062007200820092010201120122013201420152016201720182019202020212022202320242025202620272028
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 112 trials
Phase 1 NCT07069582 Apr → Oct 2026 expected tuberculosis McGill University Health Centre/Research Institute of the McGill University Health Centre Not yet recruiting No outcome recorded
Phase 1 NCT04087759 Sep 2019 → Jan 2020 Janssen Research & Development, LLC Completed No outcome recorded
Phase 1 NCT03800550 Feb → Jun 2019 Janssen Research & Development, LLC Completed No outcome recorded
Phase 1 NCT01803373 Apr → Aug 2013 Janssen Infectious Diseases BVBA Completed No outcome recorded
Phase 1 NCT01341184 Oct 2011 → May 2012 tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1 NCT01291563 Feb → Apr 2011 Tibotec BVBA Completed No outcome recorded
Phase 1 NCT02216331 Mar → May 2010 tuberculosis Global Alliance for TB Drug Development Completed No outcome recorded
Phase 1 NCT01012284 Jan 2010 → Jan 2011 Tibotec BVBA Completed No outcome recorded
Phase 1 NCT00992069 Dec 2009 → Dec 2010 HIV infectious disease, tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1 NCT00946842 Aug 2009 → Mar 2010 Tibotec BVBA Completed No outcome recorded
Phase 1/22 trials
Phase 1/2 NCT03678688 Oct 2018 → Feb 2022 pulmonary tuberculosis Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 1/2 NCT02906007 Sep 2017 → Feb 2024 HIV infectious disease, tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 224 trials
Phase 2 NCT07485010 Apr 2027 → Apr 2031 expected pulmonary non-tuberculous mycobacterial infection The University of Queensland Not yet recruiting No outcome recorded
Phase 2 NCT07227779 Jul 2026 → Aug 2030 expected meningeal tuberculosis University of Minnesota Not yet 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 NCT06192160 Mar 2025 → Nov 2026 expected pulmonary tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) 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 NCT05007821 Sep 2022 → Mar 2025 multidrug-resistant tuberculosis, pulmonary tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 2 NCT05382312 Jul 2022 → May 2025 tuberculosis GlaxoSmithKline Completed No outcome recorded
Phase 2 NCT05406479 Jul 2022 → Jan 2023 leprosy Institute of Tropical Medicine, Belgium Completed No outcome recorded
Phase 2/312 trials
Phase 2/3 NCT06568484 May 2026 → Jul 2027 expected latent tuberculosis infection Johns Hopkins University Recruiting No outcome recorded
Phase 2/3 NCT06441006 Oct 2025 → Aug 2031 expected multidrug-resistant tuberculosis, pulmonary tuberculosis University of California, San Francisco Recruiting No outcome recorded
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 NCT05686356 Jul 2023 → Jan 2026 overdue tuberculosis The Aurum Institute NPC Active not recruiting No outcome recorded
Phase 2/3 NCT04630145 Jan 2021 → Nov 2024 Mycobacterium avium complex disease Janssen Pharmaceutical K.K. Completed No outcome recorded
Phase 2/3 NCT04207112 Oct 2020 → Aug 2022 extensively drug-resistant tuberculosis, multidrug-resistant tuberculosis, pulmonary tuberculosis Medecins Sans Frontieres, Netherlands Completed No outcome recorded
Phase 2/3 NCT04310930 Mar 2020 → Jun 2029 expected pulmonary non-tuberculous mycobacterial infection The University of Queensland Recruiting No outcome recorded
Phase 2/3 NCT04081077 Aug 2019 → Sep 2022 extensively drug-resistant tuberculosis, multidrug-resistant tuberculosis, pulmonary tuberculosis Medecins Sans Frontieres, Netherlands Unknown No outcome recorded
Phase 2/3 NCT03338621 Jul 2018 → Jul 2021 multidrug-resistant tuberculosis, pulmonary tuberculosis Global Alliance for TB Drug Development Completed No outcome recorded
Phase 2/3 NCT03474198 Mar 2018 → Jan 2022 pulmonary tuberculosis University College, London Completed No outcome recorded
Phase 316 trials
Phase 3 NCT07675954 Oct 2026 → Jun 2032 expected rifampicin-resistant tuberculosis Seoul National University Hospital Not yet recruiting No outcome recorded
Phase 3 NCT07486024 Apr 2026 → Aug 2030 expected multidrug-resistant tuberculosis Assistance Publique - Hôpitaux de Paris 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 NCT07209761 Oct 2025 → May 2027 expected pulmonary tuberculosis Otsuka Pharmaceutical Development & Commercialization, Inc. Recruiting No outcome recorded
Phase 3 NCT07076225 Jul 2025 → Jan 2030 expected pulmonary tuberculosis Shenzhen Third People's Hospital 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 NCT06649721 Nov 2024 → Feb 2027 expected pulmonary tuberculosis, rifampicin-resistant tuberculosis Huashan Hospital Active not recruiting No outcome recorded
Phase 3 NCT05597280 Mar 2023 → Mar 2027 expected leprosy Institute of Tropical Medicine, Belgium Recruiting 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 NCT03896685 Apr 2020 → Oct 2024 gram-positive bacterial infections, multidrug-resistant tuberculosis, pulmonary tuberculosis Doctors Without Borders Completed No outcome recorded
Phase 46 trials
Phase 4 NCT06476210 Jun 2024 → Jun 2025 pulmonary tuberculosis Beijing Chest Hospital Unknown No outcome recorded
Phase 4 NCT05381194 Dec 2022 → Dec 2027 expected multidrug-resistant tuberculosis Asan Medical Center Recruiting No outcome recorded
Phase 4 NCT05306223 May 2022 → Aug 2025 multidrug-resistant 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 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 not applicable3 trials
NCT07126639 Sep 2025 → Sep 2027 expected Wuhan Pulmonary Hospital Not yet recruiting No outcome recorded
NCT04717908 Jan 2021 → Jun 2024 multidrug-resistant tuberculosis Huashan Hospital Completed No outcome recorded
NCT04545788 Aug 2020 → Dec 2022 tuberculosis Beijing Chest Hospital Unknown No outcome recorded
Phase not stated1 trial
NCT01464762 tuberculosis Janssen Infectious Diseases BVBA Approved for marketing No outcome recorded
Also used as a comparator or background therapy in 15 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT07228702 Background Jan 2026 → Oct 2027 expected pulmonary non-tuberculous mycobacterial infection Vancouver Coastal Health Enrolling by invitation No outcome recorded
Phase 29 trials
Phase 2 NCT07517445 Comparator Apr 2026 → Jun 2027 expected primary pulmonary tuberculosis Gates Medical Research Institute Recruiting No outcome recorded
Phase 2 NCT07525427 Background Apr → Nov 2026 expected pulmonary tuberculosis Gates Medical Research Institute Recruiting No outcome recorded
Phase 2 NCT07170800 Background Sep 2025 → Feb 2026 overdue multidrug-resistant tuberculosis, rifampicin-resistant tuberculosis WestVac Biopharma Co., Ltd. Recruiting No outcome recorded
Phase 2 NCT06058299 Comparator Oct 2023 → Dec 2024 overdue pulmonary tuberculosis Global Alliance for TB Drug Development Active not recruiting No outcome recorded
Phase 2 NCT05926466 Background Sep 2023 → Aug 2024 pulmonary tuberculosis Michael Hoelscher Unknown No outcome recorded
Phase 33 trials
Phase 3 NCT06081361 Background Dec 2023 → Oct 2026 expected pulmonary tuberculosis, rifampicin-resistant tuberculosis Beijing Chest Hospital Active not recruiting No outcome recorded
Phase 3 NCT05824871 Comparator Sep 2022 → Dec 2025 overdue multidrug-resistant tuberculosis, rifampicin-resistant tuberculosis Shanghai Jiatan Pharmatech Co., Ltd Recruiting No outcome recorded
Phase 3 NCT05040126 Background Oct 2021 → Dec 2024 multidrug-resistant tuberculosis Tuberculosis Research Centre, India Unknown No outcome recorded
Phase 41 trial
Phase 4 NCT05494957 Background Aug 2022 → Aug 2024 pulmonary non-tuberculous mycobacterial infection Shanghai Pulmonary Hospital, Shanghai, China Unknown No outcome recorded
Phase not applicable1 trial
NCT07198685 Background Sep 2025 → Sep 2027 expected Wuhan Pulmonary Hospital Not yet recruiting No outcome recorded

Press releases naming this drug 2 releases

DateIssuerRelease
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

Evidence & citations 12 cited values

Every value below carries the sentence it was read from. 96 sources stand behind the page.

FieldValueCited text
Known as bedaquiline Bedaquiline (Sirturo, TMC207), a diarylquinoline that inhibits mycobacterial ATP synthase, has been associated with accelerated sputum-culture conversion in patients with...” PMID 25140958 Aug 2014
73

“The objective of this study is to analyze the efficacy of a new regimen using Bedaquiline, Pretomanid, Linezolid, and Moxifloxacin for 24 weeks or Bedaquiline, Pretomanid,...” NCT05381194

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

Bedaquiline 400 mg once daily for 2 weeks then 100 mg once daily for 15 weeks + Pretomanid 200 mg QD for 17 weeks + Quabodepistat 30 mg once daily for 17 weeks + Moxifloxacin...” NCT07209761

“The candidated drugs to be selected are:Cs-Cycloserine,Pto-Protionamide,Clr-Clarithromycin,PAS-sodium para-aminosalicylate,E-ethambutol,Bdq-Bedaquiline,Cfz-Clofazimine,Lzd-linezolid” NCT03830671

“Investigators have selected a number of new drugs, including bedaquiline, to form a regimen to conduct clinical studies for the treatment of severe NTM lung disease.” NCT05494957

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

Bedaquiline (B): For the first 2 weeks, 400 mg qd; then adjust to 200 mg tiw.” NCT07170800

bedaquiline, pretomanid, linezolid, moxifloxacin, and pyrazinamide” NCT07227779

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

“clofazimine, bedaquiline, delaminid, para-aminosalicylic acid” NCT03237182

“Stage 2: 30 mg OPC-167832 + 400 mg Bedaquiline (BDQ)” NCT03678688

“Drug:bedaquiline 100mg tablets” NCT06476210

Bedaquiline (BDQ):” NCT07268664

NCT05971602

NCT02454205

NCT05686356

NCT02354014

NCT07076225

NCT07485010

NCT03338621

NCT05382312

NCT07486024

NCT02333799

NCT05766267

NCT06114628

NCT05597280

NCT07069582

NCT03896685

NCT04630145

NCT02409290

NCT05406479

NCT06649721

NCT02589782

NCT05007821

NCT05926466

NCT04608955

NCT06441006

NCT07126639

NCT04310930

NCT05221502

NCT04087759

NCT03800550

NCT04081077

NCT03086486

NCT07198685

NCT05306223

NCT07517445

NCT07228702

NCT04629378

NCT05040126

NCT03474198

NCT06081361

NCT04545788

NCT06192160

NCT07525427

NCT03384641

NCT04207112

NCT06568484

NCT02193776

NCT04062201

NCT02906007

NCT05824871

NCT02583048

NCT04179500

NCT07129629

NCT03828201

NCT05556746

NCT06058299

NCT04550832

NCT04717908

NCT03959566

NCT06905522

NCT02754765

Known as BDQ “Our objective is to evaluate the effectiveness, safety and tolerability of various doses and duration of linezolid (LZD) in combination with bedaquiline (BDQ) and pretomanid...” PMID 36038181 Aug 2022
8

“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

“Participants received bedaquiline (BDQ) once per day through intensive PK sampling visit, then 3 times per week on Monday, Wednesday and Friday through the week 24 visit.” NCT02906007

“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 purpose of the study is to evaluate the efficacy of bedaquiline (BDQ) compared with rifamycin when administered as part of a treatment regimen” NCT04630145

“A six - month regimen containing bedaquiline (BDQ), pretomanid (Pa), linezolid (LZD), and moxifloxacin (MFX)” NCT07126639

“Regimen A (bedaquiline [Bdq]+linezolid [Lzd]+moxifloxacin [Mfx]+cycloserine [Cs]+pyrazinamide [Pza])” PMID 37567554 Aug 2023

“Stage 2: 30 mg OPC-167832 + 400 mg Bedaquiline (BDQ)” NCT03678688

“Bedaquiline (BDQ):” NCT07268664

Known as Bdq-Bedaquiline “The candidated drugs to be selected are:Cs-Cycloserine,Pto-Protionamide,Clr-Clarithromycin,PAS-sodium para-aminosalicylate,E-ethambutol,Bdq-Bedaquiline,Cfz-Clofazimine,Lzd-linezolid” NCT03830671
Known as Bedaquilina ChEMBL registry synonym — accepted as the source's own label CHEMBL376488
Known as BEDAQUILINE FUMARATE ChEMBL registry synonym — accepted as the source's own label CHEMBL376488
Known as R-207910 ChEMBL registry synonym — accepted as the source's own label CHEMBL376488
Known as R-403323 ChEMBL registry synonym — accepted as the source's own label CHEMBL376488
Known as Sirturo “Bedaquiline (Sirturo, TMC207), a diarylquinoline that inhibits mycobacterial ATP synthase, has been associated with accelerated sputum-culture conversion in patients with...” PMID 25140958 Aug 2014
Known as TMC207 “The purpose of this study is to determine the relative oral bioavailability (the extent to which a medication or other substance becomes available to the body as compared with...” NCT00946842
18

“One tablet equivalent to a single 100-mg dose of TMC207 taken orally (by mouth) once.” NCT01803373

“Bedaquiline (TMC207) oral tablet adult formulation” NCT02354014

NCT01464762

NCT00992069

NCT01341184

NCT01215110

NCT00523926

NCT00910806

NCT01691534

NCT02216331

NCT02365623

NCT01291563

NCT00449644

NCT00910871

NCT01215851

NCT01600963

NCT01012284

NCT00828529

Action Inhibit “that inhibits mycobacterial ATP synthase” PMID 30024924 Jul 2018
Modality Small molecule “a diarylquinoline” PMID 30024924 Jul 2018
Route Oral “Subjects will receive orally 25 mg TMC207 po q.d. (Treatment A), 100 mg TMC207 po q.d. (Treatment B) or 400 mg TMC207 po q.d. (Treatment C)” NCT00523926