MedPath

Pretomanid

Generic Name
Pretomanid
Brand Names
ๆ™ฎ็‘žๅฐผ, Dovprela (previously Pretomanid FGK)
Drug Type
Small Molecule
Chemical Formula
C14H12F3N3O5
CAS Number
187235-37-6
Unique Ingredient Identifier
2XOI31YC4N
Background

Persistent forms of tuberculosis (TB) have proven to be a major cause of global morbidity and mortality and a cause for significant concern. Research in recent years has been geared toward the development of novel therapies that target persistent forms of this disease, which have shown resistance to standard therapy regimens. Pretomanid is an antimycobacterial agent that is administered with Bedaquiline and Linezolid to treat resistant forms of pulmonary TB. It was the first TB drug developed by a nonprofit organization, known as TB Alliance, and was granted FDA approval on August 14, 2019. Unlike other therapeutic regimens for the treatment of resistant TB, which may take 18 months or longer and may not be effective, the pretomanid-containing regimen allows for a more efficacious and shorter duration of treatment with fewer drugs.

Indication

Pretomanid is indicated, as part of a combination regimen with bedaquiline and linezolid, for the treatment of adults with pulmonary tuberculosis (TB) that is resistant to isoniazid, rifamycins, a fluoroquinolone and a second-line injectable antibacterial drug or adults with pulmonary TB resistant to isoniazid and rifampin, who are treatment-intolerant or non-responsive to standard therapy.

Associated Conditions
Pulmonary Rifampicin- and Isoniazid-Resistant Tuberculosis, Pulmonary Tuberculosis resistant to isoniazid, rifamycins, a fluoroquinolone and a second line injectable antibacterial drug

Single-dose Study in Two Panels of Healthy Adult Participants to Assess Immediate-Release and Dispersible Formulations of Pretomanid

Phase 1
Completed
Conditions
Multi-drug Resistant Tuberculosis
Interventions
First Posted Date
2020-03-16
Last Posted Date
2024-07-24
Lead Sponsor
Global Alliance for TB Drug Development
Target Recruit Count
48
Registration Number
NCT04309656
Locations
๐Ÿ‡บ๐Ÿ‡ธ

Worldwide Clinical Trials Early Phase Services, LLC, San Antonio, Texas, United States

Economic Evaluation of New MDR TB Regimens

Phase 2
Completed
Conditions
Multi-drug Resistant Tuberculosis
Extensively Drug-Resistant Tuberculosis
Pulmonary Tuberculoses
Interventions
First Posted Date
2019-12-20
Last Posted Date
2024-04-22
Lead Sponsor
Medecins Sans Frontieres, Netherlands
Target Recruit Count
73
Registration Number
NCT04207112
Locations
๐Ÿ‡ฟ๐Ÿ‡ฆ

THINK Clinical Trial Unit, Hillcrest, Durban, KwaZulu-Natal, South Africa

๐Ÿ‡ฟ๐Ÿ‡ฆ

King DinuZulu Hospital, Durban, KwaZulu-Natal, South Africa

๐Ÿ‡ง๐Ÿ‡พ

Republican Scientific and Practical Centre for Pulmonology and Tuberculosis hospital, Minsk, Belarus

and more 4 locations

A Trial to Evaluate the Male Reproductive Safety of Pretomanid in Adult Male Participants With Drug Resistant Pulmonary Tuberculosis

Phase 2
Completed
Conditions
Tuberculosis, Pulmonary
Tuberculosis, Multidrug-Resistant
Tuberculosis
Tuberculosis, MDR
Drug-Resistant Tuberculosis
Interventions
First Posted Date
2019-11-27
Last Posted Date
2025-01-17
Lead Sponsor
Global Alliance for TB Drug Development
Target Recruit Count
26
Registration Number
NCT04179500
Locations
๐Ÿ‡ฟ๐Ÿ‡ฆ

CHRU, Sizwe Tropical Diseases Hospital, Johannesburg, South Africa

๐Ÿ‡ฟ๐Ÿ‡ฆ

Isango Lethemba TB Research Unit Empilweni TB Hospital, Port Elizabeth, South Africa

๐Ÿ‡ฟ๐Ÿ‡ฆ

The Aurum Institute: Rustenburg Clinical Research Centre, Rustenburg, South Africa

and more 1 locations

PRACTECAL-PKPD Sub Study

Phase 2
Conditions
Multi-drug Resistant Tuberculosis
Extensively Drug-Resistant Tuberculosis
Pulmonary Tuberculosis
Interventions
First Posted Date
2019-09-09
Last Posted Date
2021-05-14
Lead Sponsor
Medecins Sans Frontieres, Netherlands
Target Recruit Count
240
Registration Number
NCT04081077
Locations
๐Ÿ‡ง๐Ÿ‡พ

Republican Scientific and Practical Centre for Pulmonology and Tuberculosis hospital, Minsk, Belarus

๐Ÿ‡ฟ๐Ÿ‡ฆ

King DinuZulu Hospital, Durban, KwaZulu-Natal, South Africa

๐Ÿ‡ฟ๐Ÿ‡ฆ

THINK Clinical Trial Unit, Hillcrest, Durban, KwaZulu-Natal, South Africa

and more 2 locations

Patient-reported Experiences and Quality of Life Outcomes in the TB-PRACTECAL Clinical Trial

Completed
Conditions
Multidrug Resistant Tuberculosis
Interventions
First Posted Date
2019-05-08
Last Posted Date
2024-05-29
Lead Sponsor
Medecins Sans Frontieres, Netherlands
Target Recruit Count
137
Registration Number
NCT03942354
Locations
๐Ÿ‡ง๐Ÿ‡พ

Republican Scientific and Practical Centre for Pulmonology and Tuberculosis hospital, Minsk, Belarus

๐Ÿ‡บ๐Ÿ‡ฟ

Sh Alimov Republican Specialised Scientific-Practical Medical Centre for Phthysiology and Pulmonology Hospital, Tashkent, Uzbekistan

๐Ÿ‡ฟ๐Ÿ‡ฆ

Helen Jospeh Hospital, Johannesburg, South Africa

and more 3 locations

Single-Dose Study to Evaluate the PKs of Pretomanid in Participants With Renal Impairment Compared to Participants With Normal Renal Function

Phase 1
Completed
Conditions
Renal Impairment
Tuberculosis
Interventions
First Posted Date
2019-04-01
Last Posted Date
2025-05-06
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Target Recruit Count
12
Registration Number
NCT03896750
Locations
๐Ÿ‡บ๐Ÿ‡ธ

Advanced Pharma - Miami, Miami, Florida, United States

๐Ÿ‡บ๐Ÿ‡ธ

Saint Louis University Center for Vaccine Development, Saint Louis, Missouri, United States

๐Ÿ‡บ๐Ÿ‡ธ

Alliance for Multispecialty Research, LLC - Knoxville, Knoxville, Tennessee, United States

Trial to Evaluate the Efficacy, Safety and Tolerability of BPaMZ in Drug-Sensitive (DS-TB) Adult Patients and Drug-Resistant (DR-TB) Adult Patients

Phase 2
Completed
Conditions
Tuberculosis, Pulmonary
Tuberculosis, Multidrug-Resistant
Tuberculosis, MDR
Tuberculosis
Drug-Resistant Tuberculosis
Interventions
First Posted Date
2017-11-09
Last Posted Date
2024-03-07
Lead Sponsor
Global Alliance for TB Drug Development
Target Recruit Count
455
Registration Number
NCT03338621
Locations
๐Ÿ‡ฟ๐Ÿ‡ฆ

University of Cape Town Lung Institute, Cape Town, South Africa

๐Ÿ‡ฟ๐Ÿ‡ฆ

Madibeng Centre for Research, Brits, South Africa

๐Ÿ‡ฟ๐Ÿ‡ฆ

CHRU, Empilweni TB Hospital, Port Elizabeth, South Africa

and more 23 locations

A Study of the Safety, Tolerability, and Absorption, Metabolism, and Excretion of PA-824 in Healthy Adult Male Subjects.

Phase 1
Completed
Conditions
Tuberculosis
Interventions
First Posted Date
2017-06-28
Last Posted Date
2018-08-02
Lead Sponsor
Global Alliance for TB Drug Development
Target Recruit Count
6
Registration Number
NCT03202693
Locations
๐Ÿ‡บ๐Ÿ‡ธ

Covance Clinical Research Unit, Madison, Wisconsin, United States

Various Doses and Durations of Linezolid Plus Bedaquiline & Pretomanid in Participants With Drug Resistant Tuberculosis

Phase 3
Completed
Conditions
Tuberculosis, Multidrug-Resistant
XDR-TB
Extensively Drug-Resistant Tuberculosis
Tuberculosis, Pulmonary
Tuberculosis
Tuberculosis, MDR
Pre-XDR-TB
Interventions
First Posted Date
2017-03-22
Last Posted Date
2023-06-29
Lead Sponsor
Global Alliance for TB Drug Development
Target Recruit Count
181
Registration Number
NCT03086486
Locations
๐Ÿ‡ฟ๐Ÿ‡ฆ

Tshepong Hospital, Klerksdorp, North - West, South Africa

๐Ÿ‡ฒ๐Ÿ‡ฉ

Institute of Phthisiopneumology Chiril Draganiuc, Chisinau, Moldova, Republic of

๐Ÿ‡ท๐Ÿ‡บ

Moscow City Research and Practice Tuberculosis Treatment Centre, Moscow, Russian Federation

and more 8 locations

Pragmatic Clinical Trial for a More Effective Concise and Less Toxic MDR-TB Treatment Regimen(s)

Phase 2
Completed
Conditions
Tuberculosis, Multidrug-Resistant
Extensively Drug-Resistant Tuberculosis
Tuberculosis, Pulmonary
Interventions
Drug: Locally accepted standard of care which is consistent with the WHO recommendations for the treatment of M/XDR-TB.
First Posted Date
2015-10-28
Last Posted Date
2024-05-01
Lead Sponsor
Medecins Sans Frontieres, Netherlands
Target Recruit Count
552
Registration Number
NCT02589782
Locations
๐Ÿ‡ฟ๐Ÿ‡ฆ

King DinuZulu Hospital, Durban, KwaZulu-Natal, South Africa

๐Ÿ‡บ๐Ÿ‡ฟ

Republican TB Hospital No. 2, Nukus, Karakalpakstan, Uzbekistan

๐Ÿ‡ง๐Ÿ‡พ

Republican Scientific and Practical Centre for Pulmonology and Tuberculosis hospital, Minsk, Belarus

and more 4 locations
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