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Table 1 Summary of Experimental Regimens in MDR-TB Clinical Trials Underway or Planned

From: Issues in design and interpretation of MDR-TB clinical trials: report of the first Global MDR-TB Clinical Trials Landscape Meeting

Trial Name (funding source)

Duration of Experimental Regimen (months)

Comparator

Experimental Arm(s)

GOAL

    

Shorten

All-oral

Improve tolerability

Improve cure rates

C 213/Phase 3 Delamanid (Otsuka)

24

WHO Std

DLM + OBT

   

X

NeXT (MRC-SA)

6-9

SA Std

BDQ+LZD+LFX+ETA/INHH+PZA

X

X

 

X

endTB (PIH-MSF)

9

WHO Std (+/- new drug)

BDQ+LZD+MXF (HD)+PZA

BDQ+CFZ+LZD+LFX+PZA

DLM+LZD+MXF (HD)+PZA

DLM+CFZ+LZD+LFX+PZA

DLM+CFZ+MXF+PZA

X

X

X

X

TB-PRACTECAL (MSF)

6

WHO Std (+/- new drug)

BDQ+PRT+LZD+MXF

BDQ+PRT+LZD+CFZ

BDQ+PRT+LZD

X

X

X

X

STREAM

Stage 1

(USAID+)

9

WHO Std

CFZ+EMB+MXF+PZA+4(KM+INHH+PTO)

X

  

X

STREAM

Stage 2

(USAID+)

6:

9:

WHO Std

9 mo. Regimen

BDQ+LFX+CFZ+PZA+2(INHH+KM)

BDQ+CFZ+EMB+LFX+PZA+4(INHH+PTO)

X

X

 

X

NC-005* (GATB)

2

None for MDR Arm

BDQ+PRT+MXF+PZA

Note: this is a phase 2 study in DS & MDR-TB

X

X

X

X

NiX-TB

6-9

None

BDQ+PRT+LZD

X

X

X

X

STAND* (GATB)

4-6

None for MDR Arm

PRT+MXF+PZA

X

X

X

X

Novartis

24

WHO Std

CFZ+OBT

   

X

Opti-Q

6

LFX 11 mg/kg + OBT

LFX 14, 17 ands 20 mg/kg (all + OBT)

   

X

  1. BDQ - Bedaquiline
  2. CFZ - Clofazimine
  3. DLM – Delamanid
  4. EMB – Ethambutol
  5. INH - Isoniazid
  6. LFX - Levofloxacin
  7. LZD – Linezolid
  8. MXF – Moxifloxacin
  9. PRT- Pretomanid (PA-824)
  10. PZA - Pyrazinamide
  11. OBT= optimized background therapy
  12. HD=high dose
  13. *Primarily DS-TB study with nonrandomized comparator MDR-TB arm; patients with PZA or MXF resistance excluded