Table 5.
Summary of third Phase 2 trial: Study C209 (unpublished data [17])
| Study sites | Inclusion criteria for patients | Exclusion criteria | Study design and intervention | Number of MDR patients (BDQ + OBR) | Findings |
|---|---|---|---|---|---|
| 33 sites in Asia, South Africa, Eastern Europe, South America |
Newly and previously diagnosed smear positive patients with either: (a) MDR-TB (39.9%) (b) pre-XDR-TB (18.9%) (c) XDR (15.9%) . |
As for Table 3, except patients with HIV with a CD4 count <250 cells/μL were excluded |
Single arm study (a) 24 weeks of OBR and BDQ (400 mg daily for 2 weeks then 200 mg 3 times per week), Then, (b) Individualized 18-month to 24-month treatment for MDR-TB. |
233 (205a) |
Culture conversion up to 24 weeks (a) Median time to culture conversion, using time-point of 24 weeks: 57 days (b) Culture conversion (mITTa): 79.5% |
|
Mortality BDQ + OBR (12/205, 5.6%), up to trial reporting cut-offb Onset of death: median 376 days since last intake of study drug [17] |
BDQ bediquiline, HIV human immunodeficiency virus, MDR multi-drug resistant, mITT modified intention to treat, OBR optimized background regimen, TB tuberculosis, XDR extensively drug resistant
amITT: Only 205 patients were included in a ‘modified intention to treat analysis’ (excluding DS TB and people with no DST result)
bThe final study follow-up data has not yet been reported [17]