drugset / Trial / NCT04630145

A Study of Bedaquiline Administered as Part of a Treatment Regimen With Clarithromycin and Ethambutol in Adult Patients With Treatment-refractory Mycobacterium Avium Complex-lung Disease (MAC-LD)

NCT04630145 ↗

Phase 2/3 Completed 129 enrolled Janssen Pharmaceutical K.K.
RandomizedParallel-groupOpen-labelTreatment

Summary

The purpose of the study is to evaluate the efficacy of bedaquiline (BDQ) compared with rifamycin when administered as part of a treatment regimen with clarithromycin (CAM) and ethambutol (EB) in adult participants with treatment-refractory Mycobacterium avium complex-lung disease (MAC-LD) at Week 24 for microbiological assessment in mycobacteria growth indicator tube (MGIT).

Timeline

Start
2021-01-08
Primary completion
2024-11-06
Completion
2025-11-14

Outcome

Met primary endpoint

registry analysis (superiority test); Rifamycin (RFP or RBT) + Clarithromycin (CAM) + Ethambutol (EB) vs Bedaquiline (BDQ) + Clarithromycin (CAM) + Ethambutol (EB); p =0.002 NCT04630145 ↗

Drugs

EvaluationDrugModalityDoseRoute
Subject Bedaquiline Small molecule 200 mg —
Comparator Rifabutin Small molecule 150 mg —
Comparator Rifabutin Small molecule 300 mg —
Comparator Rifampicin Small molecule 450 mg —
Comparator Rifampicin Small molecule 600 mg —
Background Clarithromycin Small molecule 400 mg —
Background Clarithromycin Small molecule 500 mg —
Background Ethambutol Small molecule 15 mg/kg —
Background Ethambutol Small molecule 500 mg —
Background Ethambutol Small molecule 750 mg —
Background Ethambutol Small molecule 1 g —