A Phase 2, Open-label, Multicenter, Single-arm Study to Evaluate the Pharmacokinetics, Safety, Tolerability and Anti-mycobacterial Activity of TMC207 in Combination With a Background Regimen (BR) of Multidrug Resistant Tuberculosis (MDR-TB) Medications for the Treatment of Children and Adolescents 0 Months to less than 18 years of Age Who Have Confirmed or Probable Pulmonary MDR-TB
试验速览
- 阶段
- 2 期
- 状态
- Other
- 入组人数
- 60
- 试验地点
- 3
- 主要终点
- b)Maximum Plasma Concentration
研究概览
简要总结
The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics (explores what the body does to the drug), and anti-mycobacterial activity of bedaquiline (TMC207) in children and adolescents (0 months to less than [<] 18 years of age) diagnosed with confirmed or probable pulmonary multidrug resistant tuberculosis (MDR-TB), in combination With a Background Regimen (BR) of MDRTB Medications.
研究设计
- 研究类型
- Interventional
- 分配方式
- Not Applicable
- 盲法
- Open Label
入排标准
- 年龄范围
- 0.00 Month(s) 至 18.00 Year(s)(—)
- 性别
- All
入选标准
- •1.Participant must be a boy or girl, aged from birth (0 months) to less than 18 years at screening.
- •Infants must be greater than or equal to 37 weeks gestation at baseline 2.Participant must weigh more than 4 kilogram (kg) at entry and be within the 5th and 95th percentiles (inclusive) for the participant’s age, based on the World Health Organization (WHO) child growth standards; Body Mass Index (BMI) for age 3.Heterosexually active girls may participate if they are of non-childbearing potential, or if they are using effective birth control methods and are willing to continue practicing birth control methods throughout Multidrug Resistant Tuberculosis (MDR-TB) treatment and for 6 months after stopping TMC207 treatment, or if they are non-heterosexually active or willing to practice sexual abstinence throughout MDR-TB treatment 4.Boys who engage in sexual activity that could lead to pregnancy of the female partner must use at minimum a male condom throughout MDR-TB treatment and for 3 months after stopping TMC207 treatment 5.Participants must be starting the initial MDR-TB regimen at baseline or have started an MDR-TB regimen within 8 weeks of baseline and are willing to modify it if necessary to an acceptable MDR-TB regimen for use with TMC207 6.Participant must be willing to permanently discontinue RMP from at least 7 days before the baseline visit.
排除标准
- •1.Participant has a clinically significant active medical condition or the presence of any concomitant severe illness or rapidly deteriorating health condition, including immune deficiency, which in the opinion of the investigator would prevent 2.appropriate participation in the study, or that would make implementation of the protocol or interpretation of the study results difficult, or otherwise make the subject a poor candidate for a clinical study 3.Participant is a girl who is pregnant, or breast-feeding, or planning to become pregnant while enrolled in this study or within 6 months after stopping TMC207 treatment 4.Participant (or the mother if the potential subject is a child aged <6 months) has a test positive for Human Immunodeficiency Virus (HIV) at screening or within 1 month before screening 5.Participant has known or presumed complicated or severe extrapulmonary manifestations of TB, including TB meningitis.
- •Participants with adenopathy or adenitis are allowed to enter the study 6.Participant has a significant cardiac arrhythmia that requires medication or a history of risk factors for Torsade de Pointes, example heart failure, hypokalemia, known personal or family history of Long QT Syndrome, and untreated hypothyroidism.
结局指标
主要结局
b)Maximum Plasma Concentration
时间窗: a)120 weeks | b)Day 1,week 2,4,6,8,12,16,20,24 | c)Day 1,week 2,4,6,8,12,16,20,24 | d)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | e)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | f)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | g)Pre-dose (time 0) at Day 1 up to 168 hour | h)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | i) Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120
a)Number of Participants With Adverse Events or Serious Adverse Events
时间窗: a)120 weeks | b)Day 1,week 2,4,6,8,12,16,20,24 | c)Day 1,week 2,4,6,8,12,16,20,24 | d)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | e)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | f)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | g)Pre-dose (time 0) at Day 1 up to 168 hour | h)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | i) Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120
e)Area Under the Plasma Concentration-time Curve From the Time of Dose Administration up to X Hours
时间窗: a)120 weeks | b)Day 1,week 2,4,6,8,12,16,20,24 | c)Day 1,week 2,4,6,8,12,16,20,24 | d)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | e)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | f)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | g)Pre-dose (time 0) at Day 1 up to 168 hour | h)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | i) Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120
c)Time to Reach Maximum Plasma Concentration
时间窗: a)120 weeks | b)Day 1,week 2,4,6,8,12,16,20,24 | c)Day 1,week 2,4,6,8,12,16,20,24 | d)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | e)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | f)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | g)Pre-dose (time 0) at Day 1 up to 168 hour | h)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | i) Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120
h)Volume of Distribution
时间窗: a)120 weeks | b)Day 1,week 2,4,6,8,12,16,20,24 | c)Day 1,week 2,4,6,8,12,16,20,24 | d)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | e)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | f)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | g)Pre-dose (time 0) at Day 1 up to 168 hour | h)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | i) Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120
d)Minimum Plasma Concentration
时间窗: a)120 weeks | b)Day 1,week 2,4,6,8,12,16,20,24 | c)Day 1,week 2,4,6,8,12,16,20,24 | d)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | e)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | f)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | g)Pre-dose (time 0) at Day 1 up to 168 hour | h)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | i) Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120
f)Elimination Half-life
时间窗: a)120 weeks | b)Day 1,week 2,4,6,8,12,16,20,24 | c)Day 1,week 2,4,6,8,12,16,20,24 | d)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | e)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | f)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | g)Pre-dose (time 0) at Day 1 up to 168 hour | h)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | i) Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120
g)Area Under the Plasma Concentration-time Curve From the Time of Dose Administration up to 168 Hours
时间窗: a)120 weeks | b)Day 1,week 2,4,6,8,12,16,20,24 | c)Day 1,week 2,4,6,8,12,16,20,24 | d)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | e)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | f)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | g)Pre-dose (time 0) at Day 1 up to 168 hour | h)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | i) Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120
i) Apparent Clearance (CL)
时间窗: a)120 weeks | b)Day 1,week 2,4,6,8,12,16,20,24 | c)Day 1,week 2,4,6,8,12,16,20,24 | d)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | e)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | f)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | g)Pre-dose (time 0) at Day 1 up to 168 hour | h)Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120 | i) Day 1, week 2, 4,6,8,12,16,20,24,28,32,40,48,60,72,84,96,108,120
次要结局
- Percentage of Participants with Favorable Treatment outcome (Sustained Positive Clinical Cure)(Week 24, Week 120 (end of study))
- Time to First Confirmed Sputum Culture Conversion or Other Microbiology Specimen Sample(Baseline (Day 1) up to Week 120)
