NCT04421495

Brief Summary

The purpose of this study is to monitor and evaluate the safety and effectiveness of Delamanid in combination with an optimal background regimen (OBR) of anti-TB drugs for treatment of MDR-TB.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
608

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Jul 2020

Longer than P75 for phase_4

Geographic Reach
1 country

25 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 1, 2020

Completed
8 days until next milestone

First Posted

Study publicly available on registry

June 9, 2020

Completed
1 month until next milestone

Study Start

First participant enrolled

July 16, 2020

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 16, 2022

Completed
2.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

July 16, 2024

Completed
Last Updated

July 7, 2022

Status Verified

July 1, 2022

Enrollment Period

1.9 years

First QC Date

June 1, 2020

Last Update Submit

July 5, 2022

Conditions

Keywords

safetyDelamanideffectiveness

Outcome Measures

Primary Outcomes (2)

  • Proportion of participants experiencing all-cause mortality

    the percentage of participants who died during the trial.

    from enrollment to the completion of the trial ,an average of 30-32months

  • Proportion of participants experiencing treatment-emergent AEs

    the percentage of participants who experienced adverse effect during treatment phase.

    the whole treatment phase,an average of 18-20 months

Secondary Outcomes (2)

  • The Percentage of Participants With Sputum Culture Conversion

    up to 24 weeks after enrollment

  • The Median Time to Sputum Culture Conversion

    upto 24 weeks after enrollment

Study Arms (1)

delamanid containing regimen arm

EXPERIMENTAL

the only one arm to be studied with delamid-containing regimen.

Drug: Delamanid

Interventions

the eligible patients will be give damanid-containing regimen

Also known as: anti-TB new drug containing regimen
delamanid containing regimen arm

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients with microbiologically confirmed multidrug-resistant/rifampicin resistant tuberculosis ;
  • Age 18 to 65 years old;
  • MDR-TB treatment has not been started, or treatment has been started but treatment regimen need to be intensified;
  • According to the guidelines of WHO's consolidated guidelines for the treatment of drug-resistant TB and the consensus of Chinese experts in the treatment of multidrug-resistant and rifampicin resistant TB (2019 edition), effective treatment regimens can only be formed by adding Delamanid based on the results of drug susceptibility testing and the previous treatment history;
  • No history of respiratory failure, no history of cardiac dysfunction and clinically significant arrhythmia, QTcF \< 450ms;
  • Patients should be able to take medicines and clinical monitoring according to the requirements of the trial during the treatment and follow-up phases, and adverse effects should be reported to the responsible doctor timely ;
  • Patients should sign the informed consent.

You may not qualify if:

  • A history of allergy to nitroimidazole and pyrrole drugs such as Delamanid, metronidazole, tinidazole, or any excipient.
  • Serum transaminase increased ≥3 times the upper limit of normal value or total bilirubin increased ≥2.5 times the upper limit of normal, serum albumin \<2.8 g / dL, severe renal impairment.
  • Taking strong CYP3A4 inducer drugs (such as carbamazepine).
  • Is known to be pregnant (or planning to become pregnant) .
  • Participants took part in trials of other new unlisted drugs within the past three months;
  • Congenital QT interval prolongation is known or has any disease that may prolong the QT interval or QTc no less than 500 ms;
  • A history of symptomatic arrhythmia or suffering from clinically related bradycardia;
  • Any cardiac disease that can induce arrhythmias, such as severe hypertension, left ventricular hypertrophy (including hypertrophic cardiomyopathy), or congestive heart failure with reduced left ventricular ejection fraction;
  • Electrolyte disturbance, especially hypokalemia, hypocalcemia or hypomagnesemia;
  • Taking drugs known to prolong the QT interval such as the following drugs (but not limited to) :
  • ① Anti-arrhythmic drugs, such as amiodarone, disopyramide, dofetilide, ibutilide, procainamide, quinidine, hydroquinidine, sotalol, etc .;
  • Antipsychotic drugs, such as phenothiazine, sertindole, sultopride, chlorpromazine, haloperidol, mesoridazine, pimozide or thioridazine, and antidepressants; ③ Certain antibiotics, including:
  • Macrolides, such as erythromycin, clarithromycin, etc ;
  • Moxifloxacin, Sparfloxacin;
  • Triazole antifungal drugs;
  • +10 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (25)

Beijing Chest Hospital, Capital Medical University

Beijing, 101149, China

Location

Changsha Central Hospital

Changsha, China

Location

Public Health Clinical Center of Chengdu

Chengdu, China

Location

Chongqing Infectious Disease Medical Center

Chongqing, China

Location

Fuzhou Pulmonary Hospital of Fujian

Fuzhou, China

Location

Guangzhou Chest Hospital

Guangzhou, China

Location

Guiyang Public Health Clinical Center

Guiyang, China

Location

Heilongjiang Province center for tuberculosis Control and Prevention

Haerbin, China

Location

Hangzhou Red Cross Hospital

Hangzhou, China

Location

Jiamusi Tumor Hospital

Jiamusi, China

Location

Tuberculosis Hospital in Jilin Province

Jilin, China

Location

Shandong Provincial Chest Hospital

Jinan, China

Location

The Third People's Hospital of Kunming City

Kunming, China

Location

Lanzhou Pulmonary Hospital

Lanzhou, China

Location

Longtan Hospital of Guangxi Zhuang Autonomous Region

Liuchow, China

Location

Jiangxi Chest (Third People) Hospital

Nanchang, China

Location

Shanghai Pulmonary Hospital

Shanghai, China

Location

Hebei Chest Hospital

Shijiangzhuang, China

Location

The Fifth People Hospital of Suzhou

Suzhou, China

Location

The Fourth People's Hospital of Taiyuan

Taiyuan, China

Location

Wuhan Institute For Tuberculosis Control

Wuhan, China

Location

Wuhan Jinyintan Hospital

Wuhan, China

Location

Shanxi Provincial Tuberculosis Institute

Xi'an, China

Location

Xi'an Chest Hospital

Xi'an, China

Location

Henan Provincial Chest Hospital

Zhengzhou, China

Location

Related Publications (2)

  • Qin Y, Chen Y, Cai Q. Interim efficacy and safety analysis of the regimen containing delamanid in the treatment of multidrug resistant/rifampicin-resistant/extensively drug-resistant tuberculosis: a single-arm, prospective, monocentric, observational study. BMC Infect Dis. 2025 Dec 19. doi: 10.1186/s12879-025-11945-9. Online ahead of print.

  • Yang F, Yin M, Jiang X, Zhao X, An X, Liu Y, Yuan Y. Delamanid-containing regimens over 24 weeks for the treatment of multidrug-resistant/rifampicin-resistant tuberculosis: preliminary results from a single center in a multicenter, prospective, observational study. Front Med (Lausanne). 2025 Sep 29;12:1631030. doi: 10.3389/fmed.2025.1631030. eCollection 2025.

MeSH Terms

Conditions

Tuberculosis, Multidrug-Resistant

Interventions

OPC-67683

Condition Hierarchy (Ancestors)

TuberculosisMycobacterium InfectionsActinomycetales InfectionsGram-Positive Bacterial InfectionsBacterial InfectionsBacterial Infections and MycosesInfections

Study Officials

  • Liang Li

    Beijing Chest Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Vice president

Study Record Dates

First Submitted

June 1, 2020

First Posted

June 9, 2020

Study Start

July 16, 2020

Primary Completion

June 16, 2022

Study Completion

July 16, 2024

Last Updated

July 7, 2022

Record last verified: 2022-07

Locations