Testing JDB0131 Tablets for Drug-sensitive Pulmonary Tuberculosis

A Randomized, Open, Multicenter, Phase IIa Clinical Study on the Early Bactericidal Activity, Safety, Tolerance and Pharmacokinetics of JDB0131 Benzenesulfonate Tablets in Drug Sensitive Pulmonary Tuberculosis Patients

This study is testing if JDB0131 tablets can effectively treat people with drug-sensitive pulmonary tuberculosis compared to standard medications.

Quick facts

• Phase: Phase 2
• Study type: Interventional
• Enrollment: 52 (estimated)
• Ages: 18 Years to 65 Years
• Sex: All
• Sponsor: Beijing Chest Hospital (Academic / other)
• Locations: 2 sites (Wuhan, Hubei and 1 other locations)
• Trial ID: NCT06224036 on ClinicalTrials.gov

What this trial studies

This clinical study evaluates the effectiveness and safety of JDB0131 benzenesulfonate tablets in patients with drug-sensitive pulmonary tuberculosis. Participants will be randomly assigned to different treatment groups receiving varying dosages of JDB0131 or standard anti-tuberculosis medications. The study aims to assess early bactericidal activity, safety, tolerance, and pharmacokinetics of the drug. Participants will be monitored for their response to the treatment over the course of the study.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 to 65 with clinically confirmed pulmonary tuberculosis who have not received anti-tuberculosis therapy in the past two years.

Not a fit: Patients who are pregnant, lactating, or have received anti-tuberculosis therapy within the last two years may not benefit from this study.

Why it matters

Potential benefit: If successful, this treatment could provide a more effective option for managing drug-sensitive pulmonary tuberculosis.

How similar studies have performed: While there have been studies on tuberculosis treatments, the specific approach of using JDB0131 is novel and has not been extensively tested.

Eligibility criteria

Inclusion Criteria:

* (Those who must meet all the selection criteria can enter the group)

  1. Age of study participants: 18 years old≤ age ≤ 65 years old, male or female;
  2. Study participant weight: 40kg≤ body weight≤90kg
  3. Patients with clinically confirmed pulmonary tuberculosis, and have not received anti-tuberculosis therapy within 2 years, at least one positive sputum acid-fast bacilli smear (AFB at least 1+);
  4. Be willing to provide a blood sample for HIV testing;
  5. Non-lactating and non-pregnant women who agree to use highly effective contraception throughout the study period, and male study participants must agree to use appropriate contraceptive methods throughout the study period;
  6. The study participants fully understand the purpose, nature, methods and possible adverse reactions of the trial, voluntarily act as research participants, and sign informed consent;
  7. Those who are willing to complete the test according to the requirements of the program.

Exclusion Criteria:

* (Meet any of the following criteria will be excluded)

  1. Rifampicin resistance;
  2. Positive for human immunodeficiency virus (HIV) antibodies; positive for hepatitis B surface antigen (HBsAg); positive for hepatitis C virus (HCV) antibodies; positive for treponemal antibodies;
  3. Clear hepatobiliary disease, including but not limited to chronic active hepatitis and/or severe hepatic insufficiency; Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \> 3 times the upper limit of normal; Total serum bilirub (TBIL) \> 2 times the upper limit of normal;
  4. Have a history of kidney disease or manifestations related to renal disease: 1) history of unstable or rapidly progressive kidney disease; 2) Moderate/severe renal impairment or end-stage renal disease (eGFR\<60mL/min/1.73m2); 3) Serum creatinine (Cr) ≥ 133 μmol/L (1.5 mg/mL) in men, Cr ≥ 124 μmol/L (1.4 mg/mL) in women;
  5. Have a family history of QT prolongation syndrome or are taking drugs that cause QT interval prolongation, such as: quinidine, procainamide, amiodarone, sotalol, etc.;
  6. ECG showed the following abnormalities: 1) QTcF\>450 ms (corrected by Fridericia formula); 2) pathological Q wave (defined as \>40ms or depth \>0.4-0.5mV); 3) ECG suggests pre-excitation syndrome; 4) ECG suggests left bundle branch block or right bundle branch block; 5) ECG shows second- or third-degree heart block; 6) QRS duration \> 120ms indoor conduction delay; 7) Sinus heart rate \< bradycardia of 50bpm;
  7. Those who have any of the following cardiovascular diseases or other conditions within 6 months before enrollment: 1) myocardial infarction; 2) Cardiac surgery or coronary revascularization (coronary artery bypass grafting/percutaneous transluminal coronary angioplasty); 3) unstable angina; 4) congestive heart failure (New York Cardiology Society Cardiac Function Class III or IV); 5) transient ischemic attack or severe cerebrovascular disease;
  8. Anyone who is unable to comply with the uniform diet due to allergies or special dietary requirements;
  9. Those with a history of gastrointestinal surgery or resection that may affect the absorption and/or excretion of oral medications;
  10. Those who have abnormal ophthalmic examination during the screening period and are judged by the investigator to be unsuitable for participating in this trial;
  11. Depression: those with a score higher than 7 on the Hamilton Depression Scale (17 items, see Appendix 2);
  12. Those who are judged to have any unstable or severe cardiovascular, renal, liver, hematology, tumor, endocrine metabolism, psychiatric or rheumatic diseases and therefore consider them unsuitable to participate in this trial;
  13. Those who cannot control the consumption of alcohol or alcohol-containing products from 48 h before administration to the completion of the last pharmacokinetic blood sample collection, and do not consume any food or beverage containing or metabolizing caffeine or xanthines (such as coffee, strong tea, cola, chocolate);
  14. Patients who have used other clinical trial study drugs within 3 months prior to administration;
  15. Patients with a history of alcohol dependence or substance abuse within 6 months prior to screening, which the investigator believes may affect the safety of study participants and affect trial adherence;
  16. Use of psychotropic drugs such as barbiturates, opioids, and phenothiazines within 30 days;
  17. Chronic systemic corticosteroid therapy, defined as any dose of systemic corticosteroid therapy, cumulative use for more than 4 weeks in the 3 months prior to enrollment;
  18. Those who are allergic to any investigational drug or related substances confirmed by the clinical judgment of the investigator;
  19. Strong inducers or inhibitors of cytochrome P450 enzyme (e.g., carbamazepine, phenytoin, rifampicin, clarithromycin, ritonavir, ketoconazole, itraconazole, etc.) within 30 days before treatment;
  20. Women with a positive pregnancy test or breastfeeding during screening;
  21. Those who received live attenuated vaccine within 4 weeks before the study drug (except inactivated influenza vaccine such as seasonal influenza vaccine for injection);
  22. Any condition that, in the judgment of the investigator, affects the study participant's adherence to the study protocol, or incorporates any serious medical or psychological condition that may affect the interpretation of efficacy and safety data, or that the study participant's participation in the trial may affect his or her own safety.

Where this trial is running

Wuhan, Hubei and 1 other locations

• Wuhan Chest Hospital (Wuhan Institute For Tuberculosis Control) — Wuhan, Hubei, China (Recruiting)
• West China Hospital, Sichuan University — Chendu, Sichuan, China (Recruiting)

Study contacts

• Study coordinator: Naihui Chu, Dr.

Conditions Drug-resistant Tuberculosis