Drugs / Pretomanid
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Pretomanid

Small molecule

Developed for
pulmonary tuberculosis · multidrug-resistant tuberculosis · tuberculosis · extensively drug-resistant tuberculosis · meningeal tuberculosis · rifampicin-resistant tuberculosis
Investigated by
Global Alliance for TB Drug Development · National Institute of Allergy and Infectious Diseases (NIAID) · University of California, San Francisco · London School of Hygiene and Tropical Medicine · University College, London · University of Liverpool
+75 more · Wits Health Consortium (Pty) Ltd · GlaxoSmithKline · Medecins Sans Frontieres, Netherlands · Ministry of Health, Republic of Uzbekistan · Ministry of Public Health, Republic of Belarus · Radboud University Medical Center · THINK TB & HIV Investigative Network · Drugs for Neglected Diseases · Johns Hopkins University · Ludwig-Maximilians - University of Munich · Otsuka Pharmaceutical Development & Commercialization, Inc. · Swiss Tropical & Public Health Institute · TB Alliance · World Health Organization · eResearch Technology, Inc. · Asan Medical Center · Brighton & Sussex Medical School · Centre for the AIDS Programme of Research in South Africa · Chonnam National University Hospital · Chungbuk National University Hospital · Click-TB Consortium · Critical Path Institute · David Boulware · DongGuk University · Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) · European Lung Foundation · European Respiratory Society · Find · Gates Medical Research Institute · German Center for Infection Research · Hackensack Meridian Health · Helmholtz Zentrum München · Incheon St.Mary's Hospital · Infectious Diseases Institute, Uganda · Instituto Nacional de Saúde, Mozambique · Instituto de Saude Publica da Universidade do Porto · Janssen Pharmaceuticals · Janssen, LP · KNCV Tuberculosis Foundation · LigaChem Biosciences, Inc. · Lygature · Mbarara University of Science and Technology · Meningitis Foundation · Michael Hoelscher · Minsk Republican Research and Practical Centre for Pulmonology and Tuberculosis · National Institute for Medical Research, Tanzania · National Institute of Mental Health (NIMH) · National Medical Center, Seoul · Otsuka Pharmaceutical Co., Ltd. · Pusan National University Hospital · Research Center Borstel · Research Institute for Development · Rutgers, The State University of New Jersey · Samsung Medical Center · Seoul National University Hospital · Sequella, Inc. · Severance Hospital · Soon Chun Hyang University · Stichting Katholieke Universiteit · TASK Applied Science · The Aurum Institute NPC · The Catholic University of Korea · Tuberculosis Network European Trialsgroup · Ulsan University Hospital · University of Cambridge · University of Cape Town · University of Hamburg-Eppendorf · University of Milano · University of Minnesota · University of Oxford · University of St Andrews · University of Stellenbosch · Uppsala University · Vita-Salute San Raffaele University · all 81 on the full record

Regulatory milestones approvals, filings & regulatory actions · 4 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed extensively drug-resistant tuberculosis 1 milestone
Filed EU (EMA) — extensively drug-resistant tuberculosis 2019-08-14

“In addition to the U.S. FDA, TB Alliance has submitted pretomanid as part of the BPaL regimen for review by the European Medicines Agency” tballiance.org ↗

Approved Indication not stated 3 milestones
Label expansion US (FDA) PRETOMANID — 2024-11-22 fda.gov ↗
Approved EU (EMA) Dovprela (previously Pretomanid FGK) — 2020-07-31 europa.eu ↗
Approved US (FDA) PRETOMANID — 2019-08-14 fda.gov ↗

Trials 39

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 110 trials · 1 met primary
Phase 1 NCT03896750 Apr → Aug 2024 impaired renal function disease, tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1 NCT05586230 Oct 2023 → Apr 2026 rifampicin-resistant tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1 NCT04309656 Jan → Feb 2020 multidrug-resistant tuberculosis Global Alliance for TB Drug Development Completed Met primary
Phase 1 NCT02422524 Mar 2018 → Aug 2023 tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Terminated No outcome recorded Stop: Enrollment
Phase 1 NCT01674218 Sep → Dec 2012 tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1 NCT01571414 May 2012 → May 2013 tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1 NCT01768273 Dec 2009 → Jan 2010 tuberculosis Global Alliance for TB Drug Development Completed No outcome recorded
Phase 1 NCT01830439 Sep 2009 → Jan 2010 tuberculosis Global Alliance for TB Drug Development Completed No outcome recorded
Phase 1 NCT01828827 Mar 2007 tuberculosis Global Alliance for TB Drug Development Completed No outcome recorded
Phase 1 NCT03202693 Mar → May 2006 tuberculosis Global Alliance for TB Drug Development Completed No outcome recorded
Phase 216 trials · 3 met primary
Phase 2 NCT07227779 Jul 2026 → Mar 2028 expected HIV infectious disease, meningeal tuberculosis David Boulware Recruiting No outcome recorded
Phase 2 NCT07672405 Jul 2026 → May 2027 expected pulmonary tuberculosis Global Alliance for TB Drug Development 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 NCT06058299 Oct 2023 → Dec 2024 overdue pulmonary tuberculosis Global Alliance for TB Drug Development 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 NCT05807399 Apr 2023 → Oct 2027 expected pulmonary tuberculosis Michael Hoelscher Recruiting No outcome recorded
Phase 2 NCT05382312 Jul 2022 → May 2025 tuberculosis GlaxoSmithKline Completed No outcome recorded
Phase 2 NCT04179500 Sep 2021 → Jun 2023 multidrug-resistant tuberculosis, pulmonary tuberculosis Global Alliance for TB Drug Development Completed No outcome recorded
Phase 2 NCT02256696 Apr 2015 → May 2022 pulmonary tuberculosis Johns Hopkins University Completed Mixed
Phase 2/36 trials · 2 met primary
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 NCT05686356 Jul 2023 → Jan 2026 overdue tuberculosis The Aurum Institute NPC Active not recruiting 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 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 Met primary
Phase 2/3 NCT02589782 Jan 2017 → Aug 2022 extensively drug-resistant tuberculosis, multidrug-resistant tuberculosis, pulmonary tuberculosis Medecins Sans Frontieres, Netherlands Completed Met primary
Phase 34 trials
Phase 3 NCT07209761 Oct 2025 → May 2027 expected pulmonary tuberculosis Otsuka Pharmaceutical Development & Commercialization, Inc. Recruiting No outcome recorded
Phase 3 NCT03086486 Nov 2017 → Feb 2021 extensively drug-resistant tuberculosis, multidrug-resistant tuberculosis, pulmonary tuberculosis Global Alliance for TB Drug Development Completed No outcome recorded
Phase 3 NCT02333799 Mar 2015 → Jan 2019 pulmonary tuberculosis Global Alliance for TB Drug Development Completed No outcome recorded
Phase 3 NCT02342886 Feb 2015 → Jan 2018 multidrug-resistant tuberculosis, pulmonary tuberculosis Global Alliance for TB Drug Development Completed No outcome recorded
Phase 42 trials
Phase 4 NCT05381194 Dec 2022 → Dec 2027 expected multidrug-resistant tuberculosis Asan Medical Center Recruiting 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 applicable1 trial
— NCT07126639 Sep 2025 → Sep 2027 expected — Wuhan Pulmonary Hospital Not yet recruiting No outcome recorded
Comparator or background therapy5 trials
Phase 2 NCT07773610 Background Sep 2026 → Dec 2027 expected pulmonary tuberculosis TASK Applied Science Not yet recruiting No outcome recorded
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 3 NCT06905522 Comparator Jun 2025 → Jan 2029 expected pulmonary tuberculosis Shenzhen Third People's Hospital Recruiting No outcome recorded
Phase 3 NCT05040126 Background Oct 2021 → Dec 2024 multidrug-resistant tuberculosis Tuberculosis Research Centre, India Unknown No outcome recorded

News releases announcing trial results or a regulatory action · 11

DateIssuerRelease
2025-11-19 Global Alliance for TB Drug Development Results Promising New Data on Pediatric Use of Pretomanid in Children with Drug-Resistant Tuberculosis Presented at 2025 Union Conference tballiance.org ↗
These findings are an important advance toward the goal of making pretomanid-containing regimens available to children.
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.
2019-08-14 Global Alliance for TB Drug Development Regulatory FDA Approves New Treatment for Highly Drug-Resistant Forms of Tuberculosis tballiance.org ↗
Pretomanid, a novel compound developed by the non-profit organization TB Alliance, was approved by the U.S. Food & Drug Administration (FDA) today for treating some of the most drug-resistant forms of tuberculosis (TB).
2019-08-14 Janssen Research & Development, LLC Regulatory Statement on U.S. FDA Approval of Pretomanid as Part of Bedaquiline-Containing “BPaL” Regimen jnj.com ↗
the accelerated approval by the U.S. Food & Drug Administration (FDA) of pretomanid—a novel medicine developed by the TB Alliance—as part of a combination regimen
2019-06-06 Global Alliance for TB Drug Development Regulatory FDA Advisory Committee Votes Favorably on the Question of the Effectiveness and Safety of Pretomanid in Combination with Bedaquiline and Linezolid for Treatment of Highly Drug-Resistant Forms of Tuberculosis tballiance.org ↗
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.
2016-12-06 Shanghai Fosun Pharmaceutical Industrial Development Co. Ltd. Regulatory Approval for Clinical Trial on Tuberculosis Drug of Fosun Pharma’s Controlling Subsidiaries fosunpharma.com ↗
Shanghai SunTech Pharmaceutical Co., Ltd. and Shanghai Fosun Pharmaceutical Industrial Development Co., Ltd, its controlling subsidiaries, have received approval from the China Food and Drug Administration in relation to clinical trial
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.

All press releases naming this drug 14 releases

DateIssuerRelease

Evidence & citations 5 cited values

Every value below carries the sentence it was read from. 46 sources stand behind the page.

FieldValueCited text
Known as Pretomanid “This two-stage study will compare consented research participants with tuberculous meningitis receiving experimental Bedaquiline (B), Pretomanid (Pa), Linezolid (L);...” NCT07227779 ↗
29

“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 ↗

“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 ↗

“One moxifloxacin (M) 400 mg tablet plus one Pretomanid (PA-824) 100 mg tablet plus three pyrazinamide 500 mg tablets taken once daily for 8 weeks” NCT01498419 ↗

“PA-824, a nitroimidazooxazine, used in prior studies of pretomanid is a novel TB treatment” NCT03896750 ↗

“Pretomanid (PA-824) is a nitroimidazooxazine.” NCT02422524 ↗

“terizidone, pretomanid, linezolid, sutezolid” NCT03237182 ↗

NCT05686356 ↗

NCT05807399 ↗

NCT07773610 ↗

NCT04081077 ↗

Show 19 more sources

Known as Dovprela (previously pretomanid fgk) ChEMBL registry synonym — accepted as the source's own label CHEMBL227875 ↗
Known as PA-824 ClinicalTrials.gov intervention name — accepted as the source's own label NCT02342886 ↗
15

NCT03202693 ↗

NCT00944021 ↗

NCT01691534 ↗

NCT02333799 ↗

NCT01768273 ↗

NCT00567840 ↗

NCT01215851 ↗

NCT02256696 ↗

NCT02193776 ↗

NCT03896750 ↗

Show 5 more sources

Modality Small molecule “PA-824 is a novel antituberculosis nitroimidazole in late-phase clinical development.” PMID 24957823 ↗ Jun 2014
Route Oral “14 consecutive days of oral administration of PA-824” NCT00567840 ↗