• Phase 3 endTB trial demonstrates that five all-oral 9-month regimens are as effective as standard 18-24 month treatment for rifampin-resistant tuberculosis, with four regimens proving noninferior.
• New treatment combinations incorporating bedaquiline, clofazimine, levofloxacin, and pyrazinamide show favorable outcomes, though concerns about hepatotoxicity and peripheral neuropathy persist.
• The successful trial highlights the importance of community-researcher trust, while emphasizing the need to address ongoing toxicity concerns in future treatment developments.