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Trial · NCT02193776

A Phase 2 to Evaluate the Efficacy, Safety and Tolerability of Combinations of Bedaquiline, Moxifloxacin, PA-824 and Pyrazinamide in Adult Subjects With Drug-Sensitive or Multi Drug-Resistant Pulmonary Tuberculosis.

NCT02193776, Phase 2, Completed, Global Alliance for TB Drug Development; results first posted 2019-07-26

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Phase 2 to Evaluate the Efficacy, Safety and Tolerability of Combinations of Bedaquiline, Moxifloxacin, PA-824 and Pyrazinamide in Adult Subjects With Drug-Sensitive or Multi Drug-Resistant Pulmonary Tuberculosis. Trials, record NCT02193776. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02193776

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Phase 2 to Evaluate the Efficacy, Safety and Tolerability of Combinations of Bedaquiline, Moxifloxacin, PA-824 and Pyrazinamide in Adult Subjects With Drug-Sensitive or Multi Drug-Resistant Pulmonary Tuberculosis.
NCT number
NCT02193776
Status
Completed
Phases
Phase 2
Enrollment
240 participants, actual
Lead sponsor
Global Alliance for TB Drug Development
Conditions
Tuberculosis
Interventions
PA-824, bedaquiline, moxifloxacin, pyrazinamide, isoniazid, rifampicin, pyrazinamide and ethambutol combination tablet
First posted
2014-07-18
Last updated
2019-07-26
Results first posted
2019-07-26

Source ClinicalTrials.gov

Registered outcomes2

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryRate of Change in Time to Sputum Culture Positivity (TTP) Over 8 Weeks in the Mycobacterial Growth Indicator Tube (MGIT) SystemDay 0 to Day 56 (8 weeks)
The bactericidal activity (BA) was determined by the rate of change in TTP collected from overnight sputum samples over 8 weeks of treatment in the liquid culture media MGIT system, represented by the model-fitted log(TTP) results as calculated by the regression of the observed log(TTP) results over time. The bactericidal activity of log(TTP) over Day 0 to Day 56 (BATTP\[0-56\]) was presented and expressed as the daily percentage change in TTP from Day 0 to Day 56. The mean BATTP (0-56) was calculated from Bayesian non-linear mixed effects regression models fitted to log(TTP) collected from sputum samples (observed from Day 0 to Day 56).
SecondaryNumber of Participants With Treatment Emergent Adverse Events (TEAEs)
First study drug administration (Day 1) up to and including the Day 70 follow-up visit (or up to and including 14 days after last study drug administration for participants not having the Day 70 follow-up visit) (70 days)
A TEAE was defined as any AE which started or worsened on or after first study drug administration up to and including the Day 70 follow-up visit (or up to and including 14 days after last study drug administration for participants not having Day 70 follow-up visit). Drug-related TEAEs were defined as TEAEs for which relationship to study drug was indicated as 'possible', 'probable', 'certain' or missing. TEAEs leading to death were defined as TEAEs resulted 'fatal' outcome. Serious TEAEs were defined as TEAEs for which serious was indicated as 'yes'. TEAEs leading to discontinuation of study drug were defined as TEAEs for which action taken with study drug was indicated as 'study drug stopped'. TEAEs leading to early withdrawal from study were defined as TEAEs resulted study discontinuation. Grade III and IV TEAEs were defined as TEAEs for which severity (DMID grade) was indicated as 'Grade 3 (severe)' and 'Grade 4 (potentially life-threatening)' or missing, respectively.

Outcomes2

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYRate of Change in Time to Sputum Culture Positivity (TTP) Over 8 Weeks in the Mycobacterial Growth Indicator Tube (MGIT) SystemDay 0 to Day 56 (8 weeks)
The modified intention-to-treat analysis population included all participants included in the safety analysis population for whom valid corresponding efficacy data were available. Pyrazinamide resistant participants were excluded from this analysis population (applicable to both participants with DS-TB and MDR-TB).
percentage change in TTP/dayMEAN
SECONDARYNumber of Participants With Treatment Emergent Adverse Events (TEAEs)
First study drug administration (Day 1) up to and including the Day 70 follow-up visit (or up to and including 14 days after last study drug administration for participants not having the Day 70 follow-up visit) (70 days)
The safety analysis population included all participants who were randomized (for the DS participant population) or assigned (for the MDR participant population) to study drug and received at least 1 administration of study drug.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group40

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Rate of Change in Time to Sputum Culture Positivity (TTP) Over 8 Weeks in the Mycobacterial Growth Indicator Tube (MGIT) SystemDS-TB: Bedaquiline (Loading Dose/t.i.w)+ PA-824 + Pyrazinamide4.878Standard Deviation 1.604percentage change in TTP/day
Rate of Change in Time to Sputum Culture Positivity (TTP) Over 8 Weeks in the Mycobacterial Growth Indicator Tube (MGIT) SystemDS-TB: Bedaquiline (200 mg) + PA-824 + Pyrazinamide5.182Standard Deviation 1.466percentage change in TTP/day
Rate of Change in Time to Sputum Culture Positivity (TTP) Over 8 Weeks in the Mycobacterial Growth Indicator Tube (MGIT) SystemDS-TB: HRZE (Isoniazid+Rifampicin+Pyrazinamide+Ethambutol)4.046Standard Deviation 1.129percentage change in TTP/day
Rate of Change in Time to Sputum Culture Positivity (TTP) Over 8 Weeks in the Mycobacterial Growth Indicator Tube (MGIT) SystemMDR-TB: Bedaquiline (200 mg)+Moxifloxacin+PA-824+Pyrazinamide5.194Standard Deviation 1.068percentage change in TTP/day
Number of Participants With Treatment Emergent Adverse Events (TEAEs)DS-TB: Bedaquiline (Loading Dose/t.i.w)+ PA-824 + PyrazinamideAny TEAE50Participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)DS-TB: Bedaquiline (200 mg) + PA-824 + PyrazinamideAny TEAE45Participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)DS-TB: HRZE (Isoniazid+Rifampicin+Pyrazinamide+Ethambutol)Any TEAE44Participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)MDR-TB: Bedaquiline (200 mg)+Moxifloxacin+PA-824+PyrazinamideAny TEAE57Participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)DS-TB: Bedaquiline (Loading Dose/t.i.w)+ PA-824 + PyrazinamideDrug-related TEAE38Participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)DS-TB: Bedaquiline (200 mg) + PA-824 + PyrazinamideDrug-related TEAE29Participants

Participant flow20

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDDS-TB: Bedaquiline (Loading Dose/t.i.w)+ PA-824 + Pyrazinamide59
Overall StudySTARTEDDS-TB: Bedaquiline (200 mg) + PA-824 + Pyrazinamide60
Overall StudySTARTEDDS-TB: HRZE (Isoniazid+Rifampicin+Pyrazinamide+Ethambutol)61
Overall StudySTARTEDMDR-TB: Bedaquiline (200 mg)+Moxifloxacin+PA-824+Pyrazinamide60
Overall StudyCompleted Day 70 Follow-upDS-TB: Bedaquiline (Loading Dose/t.i.w)+ PA-824 + Pyrazinamide54
Overall StudyCompleted Day 70 Follow-upDS-TB: Bedaquiline (200 mg) + PA-824 + Pyrazinamide56
Overall StudyCompleted Day 70 Follow-upDS-TB: HRZE (Isoniazid+Rifampicin+Pyrazinamide+Ethambutol)60
Overall StudyCompleted Day 70 Follow-upMDR-TB: Bedaquiline (200 mg)+Moxifloxacin+PA-824+Pyrazinamide60
Overall StudyCompleted Day 140 Follow-upDS-TB: Bedaquiline (Loading Dose/t.i.w)+ PA-824 + Pyrazinamide52
Overall StudyCompleted Day 140 Follow-upDS-TB: Bedaquiline (200 mg) + PA-824 + Pyrazinamide52

Adverse events160

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherBlood uric acid increasedInvestigationsDS-TB: Bedaquiline (Loading Dose/t.i.w)+ PA-824 + Pyrazinamide1559
otherBlood uric acid increasedInvestigationsDS-TB: Bedaquiline (200 mg) + PA-824 + Pyrazinamide1360
otherBlood uric acid increasedInvestigationsDS-TB: HRZE (Isoniazid+Rifampicin+Pyrazinamide+Ethambutol)961
otherBlood uric acid increasedInvestigationsMDR-TB: Bedaquiline (200 mg)+Moxifloxacin+PA-824+Pyrazinamide2760
otherAlanine aminotransferase increasedInvestigationsDS-TB: Bedaquiline (Loading Dose/t.i.w)+ PA-824 + Pyrazinamide359
otherAlanine aminotransferase increasedInvestigationsDS-TB: Bedaquiline (200 mg) + PA-824 + Pyrazinamide560
otherAlanine aminotransferase increasedInvestigationsDS-TB: HRZE (Isoniazid+Rifampicin+Pyrazinamide+Ethambutol)261
otherAlanine aminotransferase increasedInvestigationsMDR-TB: Bedaquiline (200 mg)+Moxifloxacin+PA-824+Pyrazinamide260
otherAspartate aminotransferase increasedInvestigationsDS-TB: Bedaquiline (Loading Dose/t.i.w)+ PA-824 + Pyrazinamide359
otherAspartate aminotransferase increasedInvestigationsDS-TB: Bedaquiline (200 mg) + PA-824 + Pyrazinamide360

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityDS-TB: Bedaquiline (Loading Dose/t.i.w)+ PA-824 + Pyrazinamide259
Total, all-cause mortalityDS-TB: Bedaquiline (200 mg) + PA-824 + Pyrazinamide360
Total, all-cause mortalityDS-TB: HRZE (Isoniazid+Rifampicin+Pyrazinamide+Ethambutol)261
Total, all-cause mortalityMDR-TB: Bedaquiline (200 mg)+Moxifloxacin+PA-824+Pyrazinamide460
Total, other adverse eventsDS-TB: Bedaquiline (Loading Dose/t.i.w)+ PA-824 + Pyrazinamide5059
Total, other adverse eventsDS-TB: Bedaquiline (200 mg) + PA-824 + Pyrazinamide4560
Total, other adverse eventsDS-TB: HRZE (Isoniazid+Rifampicin+Pyrazinamide+Ethambutol)4461
Total, other adverse eventsMDR-TB: Bedaquiline (200 mg)+Moxifloxacin+PA-824+Pyrazinamide5760
Total, serious adverse eventsDS-TB: Bedaquiline (Loading Dose/t.i.w)+ PA-824 + Pyrazinamide459
Total, serious adverse eventsDS-TB: Bedaquiline (200 mg) + PA-824 + Pyrazinamide360

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
31732485DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02193776

GET https://conductscience.org/api/trials/v1/NCT02193776/results?page=2