Finding the Optimal Regimen for Mycobacterium Abscessus Treatment
Summary
Mycobacterium abscessus (MABS) is a group of rapid-growing, multi-drug resistant non-tuberculous mycobacteria (NTM) causing infections in humans. MABS pulmonary disease (MABS-PD) can result in significant morbidity, increased healthcare utilisation, accelerated lung function decline, impaired quality of life, more challenging lung transplantation, and increased mortality. While the overall numbers affected is small, the prevalence of infections is increasing worldwide. The Finding the Optimal Regimen for Mycobacterium abscessus Treatment (FORMaT) trial aims to produce high quality evidence for the best treatment regimens to maximise health outcomes and minimise toxicity and treatment burden, as well as developing biomarkers (serology, gene expression signatures, and radiology) to guide decisions for starting treatment and measuring disease severity in patients with MABS PD.
Timeline
- Start
- 2020-03-02
- Primary completion
- 2029-06-30
- Completion
- 2030-06-30
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Subject | Amikacin | Small molecule | 5 mg/kg | Intravenous |
| Subject | Amikacin | Small molecule | 7.5 mg/kg | Intravenous |
| Subject | Amikacin | Small molecule | 15 mg/kg | Intravenous |
| Subject | Amikacin | Small molecule | 20 mg/kg | Intravenous |
| Subject | Amikacin | Small molecule | 25 mg/kg | Intravenous |
| Subject | Amikacin | Small molecule | 30 mg/kg | Intravenous |
| Subject | Amikacin | Small molecule | 500 mg | Intravenous |
| Subject | Azithromycin | Small molecule | 10 mg/kg | Oral |
| Subject | Azithromycin | Small molecule | 250 mg | Oral |
| Subject | Azithromycin | Small molecule | 500 mg | Oral |
| Subject | Bedaquiline | Small molecule | 400 mg | Oral |
| Subject | Cefoxitin | Small molecule | 50 mg/kg | Intravenous |
| Subject | Cefoxitin | Small molecule | 200 mg/kg | Intravenous |
| Subject | Clarithromycin | Small molecule | 7.5 mg/kg | Oral |
| Subject | Clarithromycin | Small molecule | 62.5 mg | Oral |
| Subject | Clarithromycin | Small molecule | 125 mg | Oral |
| Subject | Clarithromycin | Small molecule | 187.5 mg | Oral |
| Subject | Clarithromycin | Small molecule | 250 mg | Oral |
| Subject | Clarithromycin | Small molecule | 500 mg | Oral |
| Subject | Clofazimine | Small molecule | 3 mg/kg | Oral |
| Subject | Clofazimine | Small molecule | 5 mg/kg | Oral |
| Subject | Clofazimine | Small molecule | 50 mg | Oral |
| Subject | Clofazimine | Small molecule | 100 mg | Oral |
| Subject | Doxycycline | Small molecule | 2 mg/kg | Oral |
| Subject | Doxycycline | Small molecule | 100 mg | Oral |
| Subject | Ethambutol | Small molecule | 15 mg/kg | Oral |
| Subject | Ethambutol | Small molecule | 20 mg/kg | Oral |
| Subject | Ethambutol | Small molecule | 25 mg/kg | Oral |
| Subject | IMIPENEM ANHYDROUS | Small molecule | 15 mg/kg | Intravenous |
| Subject | IMIPENEM ANHYDROUS | Small molecule | 25 mg/kg | Intravenous |
| Subject | IMIPENEM ANHYDROUS | Small molecule | 500 mg | Intravenous |
| Subject | IMIPENEM ANHYDROUS | Small molecule | 1 g | Intravenous |
| Subject | Linezolid | Other / unclassified | 10 mg/kg | Oral |
| Subject | Linezolid | Other / unclassified | 300 mg | Oral |
| Subject | Linezolid | Other / unclassified | 600 mg | Oral |
| Subject | Moxifloxacin | Small molecule | 10 mg/kg | Oral |
| Subject | Moxifloxacin | Small molecule | 15 mg/kg | Oral |
| Subject | Moxifloxacin | Small molecule | 400 mg | Oral |
| Subject | Rifabutin | Small molecule | 5 mg/kg | Oral |
| Subject | Tigecycline | Small molecule | 1.2 mg/kg | Intravenous |
| Subject | Tigecycline | Small molecule | 50 mg | Intravenous |
| Subject | trimethoprim-sulfamethoxazole | Unknown | 5 mg/kg | Oral |
| Subject | trimethoprim-sulfamethoxazole | Unknown | 160 mg | Oral |