drugset / Trial / NCT04044001
BTZ-043 - Multiple Ascending Dose (MAD) to Evaluate Safety, Tolerability and Early Bactericidal Activity (EBA)
Phase 1/2
Completed
78 enrolled
Michael Hoelscher
European and Developing Countries Clinical Trials Partnership (EDCTP) · collabGerman Federal Ministry of Education and Research · collabRadboud University Medical Center · collab
RandomizedSequentialSingle-blindTreatment
Summary
This is a prospective, open label, two-centre, randomized, controlled, two-stage, phase Ib/IIa study to evaluate the safety, tolerability, PK, drug-drug interaction and bactericidal activity of BTZ-043 administered orally once daily over 14 days to participants with newly diagnosed, uncomplicated, smear-positive, drug-susceptible pulmonary tuberculosis. The primary objective is to assess the safety and tolerability of BTZ-043 given over 14 days by evaluation of adverse events during treatment and follow-up period in patients with newly diagnosed, uncomplicated, smear-positive, drug-susceptible pulmonary tuberculosis.
Timeline
- Start
- 2019-11-15
- Primary completion
- 2022-03-03
- Completion
- 2022-05-31
Publications
- McClean MCW, Koele SE, Dreisbach J, Mirold-Mei S, Njeleka F, Mapamba D, Mtafya B, Phillips PPJ, De Jager VR, Dawson R, Narunsky K, Diacon AH, Svensson EM, Heinrich N, Casale FP, Hoelscher M. Modeling Treatment Response in Tuberculosis Early Bactericidal Activity Trials. CPT Pharmacometrics Syst Pharmacol. 2026 Aug;15(8):e70311. doi: 10.1002/psp4.70311.
- Heinrich N, de Jager V, Dreisbach J, Gross-Demel P, Schultz S, Gerbach S, Kloss F, Dawson R, Narunsky K, Matt L, Wildner L, McHugh TD, Fuhr U, Aldana BH, Mouhdad C, Brake LT, Boeree MJ, Aarnoutse RE, Svensson EM, Gong X, P J Phillips P, Diacon AH, Hoelscher M; PanACEA-TB consortium. Safety, bactericidal activity, and pharmacokinetics of the antituberculosis drug candidate BTZ-043 in South Africa (PanACEA-BTZ-043-02): an open-label, dose-expansion, randomised, controlled, phase 1b/2a trial. Lancet Microbe. 2025 Feb;6(2):100952. doi: 10.1016/j.lanmic.2024.07.015. Epub 2025 Jan 7.
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Subject | BTZ-043 | Small molecule | 250 mg | Oral |
| Subject | BTZ-043 | Small molecule | 500 mg | Oral |
| Subject | BTZ-043 | Small molecule | 750 mg | Oral |
| Subject | BTZ-043 | Small molecule | 1000 mg | Oral |
| Subject | BTZ-043 | Small molecule | 1250 mg | Oral |
| Subject | BTZ-043 | Small molecule | 1500 mg | Oral |
| Subject | BTZ-043 | Small molecule | 1750 mg | Oral |
| Subject | BTZ-043 | Small molecule | 2000 mg | Oral |
| Subject | Caffeine | Small molecule | 150 mg | Oral |
| Subject | Dextromethorphan | Unknown | 30 mg | Oral |
| Subject | Digoxin | Other / unclassified | 0.5 mg | Oral |
| Subject | Dolutegravir | Other / unclassified | 50 mg | Oral |
| Subject | Ethambutol | Small molecule | 825 mg | Oral |
| Subject | Ethambutol | Small molecule | 1100 mg | Oral |
| Subject | Ethambutol | Small molecule | 1375 mg | Oral |
| Subject | Isoniazid | Small molecule | 225 mg | Oral |
| Subject | Isoniazid | Small molecule | 300 mg | Oral |
| Subject | Isoniazid | Small molecule | 375 mg | Oral |
| Subject | Midazolam | Small molecule | 2 mg | Oral |
| Subject | Pyrazinamide | Small molecule | 1200 mg | Oral |
| Subject | Pyrazinamide | Small molecule | 1600 mg | Oral |
| Subject | Pyrazinamide | Small molecule | 2000 mg | Oral |
| Subject | Rifampicin | Small molecule | 450 mg | Oral |
| Subject | Rifampicin | Small molecule | 600 mg | Oral |
| Subject | Rifampicin | Small molecule | 750 mg | Oral |
| Subject | Tolbutamide | Small molecule | 125 mg | Oral |