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NCT01131351

Safety and Pharmacokinetics (PK) in Multidrug-Resistant (MDR) Refractive Tuberculosis

Terminated Phase 2 Results posted Last updated 11 November 2021
What this trial tests

Phase 2 trial testing Delamanid in Tuberculosis in 10 participants. Terminated before completion.

Timeline
19 February 2010
Primary endpoint
12 May 2011
12 May 2011

Quick facts

Lead sponsorOtsuka Pharmaceutical Development & Commercialization, Inc.
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment10
Start date19 February 2010
Primary completion12 May 2011
Estimated completion12 May 2011
Sites3 locations across Lithuania, Latvia

Drugs / interventions tested

Conditions studied

Sponsor

Otsuka Pharmaceutical Development & Commercialization, Inc. — full company profile →

Who can join

Adults 18 to 64, any sex, with Tuberculosis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants With Potentially Clinically Significant Abnormalities in Vital Signs Primary · Up to approximately 40 weeks

Vital signs included body weight \[kilogram (kg)\], body temperature \[degree Celsius (°C)\], heart rate \[beats per minute (BPM)\], respiratory rate (breaths/minute), systolic and diastolic blood pressure \[millimeter of mercury (mmHg)\]. The criteria for clinically significant abnormal value were: body weight (kg): increase \>=5% or decrease \>=5%; body temperature (°C): \>=38.5°C and increase of \>=1.1°C; heart rate (BPM): \>=120 bpm and increase of \>=15 bpm, or \<=60 bpm and decrease of \>=15 bpm; systolic blood pressure (mmHg): \>=160 mmHg and increase of \>=20 mmHg, or \<=90 mmHg and de

Weight: Decrease of >=5% in Body Weight
GroupValue95% CI
Delamanid 250 mg BID + OBR60.0
Delamanid 300 mg BID + OBR0.0
Weight: Increase of >=5% in Body Weight
GroupValue95% CI
Delamanid 250 mg BID + OBR20.0
Delamanid 300 mg BID + OBR0.0
Heart Rate: <=60 bpm + Decrease of >=15 bpm
GroupValue95% CI
Delamanid 250 mg BID + OBR40.0
Delamanid 300 mg BID + OBR20.0
Systolic Blood Pressure: <= 90 mmHg + Decrease of >=20 mmHg
GroupValue95% CI
Delamanid 250 mg BID + OBR40.0
Delamanid 300 mg BID + OBR0.0
Respiration Rate: >30 Breaths Per Minute
GroupValue95% CI
Delamanid 250 mg BID + OBR20.0
Delamanid 300 mg BID + OBR0.0
Percentage of Participants With Potentially Clinically Significant Abnormalities in Electrocardiogram (ECG) Results Primary · Up to approximately 40 weeks

The criteria for clinically significant abnormal ECG values were- ventricular rate outlier (\<50 bpm and decrease of \>=25%, \>100 bpm and increase of \>=25%), PR outlier \[increase of \>=25% when PR \>200 milliseconds (ms)\], QRS outlier (increase of \>=25% when QRS \>100 ms), QT (new onset (in treatment period but not at Baseline) \[\>500 ms\]), QT interval corrected by Bazett's formula (QTcB) (new onset \[\>450, \>480, \>500 ms\], increase of \>=30 ms and \<= 60 ms or increase of \>60 ms), QT interval corrected by Fridericia's formula (QTcF) (new onset \[\>450, \>480, \>500 ms\], increase o

Vent Rate Outliers: Notable Decreases
GroupValue95% CI
Delamanid 250 mg BID + OBR40.00
Delamanid 300 mg BID + OBR0.00
Vent Rate Outliers: Notable Increases
GroupValue95% CI
Delamanid 250 mg BID + OBR40.00
Delamanid 300 mg BID + OBR0.00
QTcB: New Onset (>500 msec)
GroupValue95% CI
Delamanid 250 mg BID + OBR0.00
Delamanid 300 mg BID + OBR20.00
QTcB: New Onset (>480 msec)
GroupValue95% CI
Delamanid 250 mg BID + OBR0.00
Delamanid 300 mg BID + OBR40.00
QTcB: New Onset (>450 msec)
GroupValue95% CI
Delamanid 250 mg BID + OBR40.00
Delamanid 300 mg BID + OBR40.00
QTcB: Change >=30, <=60 msec
GroupValue95% CI
Delamanid 250 mg BID + OBR40.00
Delamanid 300 mg BID + OBR80.00
QTcF: New Onset (>500 msec)
GroupValue95% CI
Delamanid 250 mg BID + OBR0.00
Delamanid 300 mg BID + OBR20.00
QTcF: New Onset (>480 msec)
GroupValue95% CI
Delamanid 250 mg BID + OBR0.00
Delamanid 300 mg BID + OBR20.00
Percentage of Participants With Potentially Clinically Significant Laboratory Values Primary · Up to approximately 40 weeks

Clinical laboratory tests included hematology, coagulation, chemistry, and urinalysis. The participants were categorized based on the clinically significant laboratory values as per protocol predefined criteria. The categories with at least one participant with clinically significant value outside the normal range for laboratory assessments are reported.

Lactic Dehydrogenase [units per liter (U/L)]
GroupValue95% CI
Delamanid 250 mg BID + OBR0.0
Delamanid 300 mg BID + OBR20.0
Potassium [milliequivalents per liter (mEq/L)]
GroupValue95% CI
Delamanid 250 mg BID + OBR60.0
Delamanid 300 mg BID + OBR20.0
Sodium (mEq/L)
GroupValue95% CI
Delamanid 250 mg BID + OBR0.0
Delamanid 300 mg BID + OBR20.0
Triglycerides [milligrams per deciliter (mg/dL)]
GroupValue95% CI
Delamanid 250 mg BID + OBR0.0
Delamanid 300 mg BID + OBR20.0
Uric acid (mg/dL)
GroupValue95% CI
Delamanid 250 mg BID + OBR0.0
Delamanid 300 mg BID + OBR20.0
Lymphocytes [percentage (%)]
GroupValue95% CI
Delamanid 250 mg BID + OBR0.0
Delamanid 300 mg BID + OBR20.0
Lymphocytes, Absolute [thousand cells per microliter (thous/µL)]
GroupValue95% CI
Delamanid 250 mg BID + OBR0.0
Delamanid 300 mg BID + OBR20.0
Mean Corpuscular Volume [femtoliter (fL)]
GroupValue95% CI
Delamanid 250 mg BID + OBR20.0
Delamanid 300 mg BID + OBR20.0
Percentage of Participants With Abnormal Audiometry Assessment Values Primary · Up to approximately 40 weeks
GroupValue95% CI
Delamanid 250 mg BID + OBR100.0
Delamanid 300 mg BID + OBR80.0
Percentage of Participants With Abnormal Visual Acuity Assessment Values Primary · Up to approximately 40 weeks
GroupValue95% CI
Delamanid 250 mg BID + OBR40.0
Delamanid 300 mg BID + OBR20.0
Percentage of Participants Taking Concomitant Anti-Tuberculosis (TB) Medication During the Trial Primary · Up to approximately 40 weeks
Total Participants Using One or More Medications
GroupValue95% CI
Delamanid 250 mg BID + OBR100.0
Delamanid 300 mg BID + OBR100.0
Participants Taking Antibacterials for Systemic Use
GroupValue95% CI
Delamanid 250 mg BID + OBR80.0
Delamanid 300 mg BID + OBR80.0
Participants Taking Antimycobacterials
GroupValue95% CI
Delamanid 250 mg BID + OBR100.0
Delamanid 300 mg BID + OBR100.0
Percentage of Participants Taking Concomitant (Excluding Anti-TB) Medication During the Trial Primary · Up to approximately 40 weeks
Total Participants Using One or More Medications
GroupValue95% CI
Delamanid 250 mg BID + OBR100.0
Delamanid 300 mg BID + OBR100.0
Participants Taking Agents Acting on the Renin-Angiotensin System
GroupValue95% CI
Delamanid 250 mg BID + OBR20.0
Delamanid 300 mg BID + OBR20.0
Participants Taking Analgesics
GroupValue95% CI
Delamanid 250 mg BID + OBR40.0
Delamanid 300 mg BID + OBR0.0
Participants Taking Antidiarrheals, Intestinal Antiinflammatory
GroupValue95% CI
Delamanid 250 mg BID + OBR20.0
Delamanid 300 mg BID + OBR0.0
Participants Taking Antiepileptics
GroupValue95% CI
Delamanid 250 mg BID + OBR20.0
Delamanid 300 mg BID + OBR0.0
Participants Taking Antigout Preparations
GroupValue95% CI
Delamanid 250 mg BID + OBR0.0
Delamanid 300 mg BID + OBR20.0
Participants Taking Antihemorrhagics
GroupValue95% CI
Delamanid 250 mg BID + OBR20.0
Delamanid 300 mg BID + OBR20.0
Participants Taking Antihypertensives
GroupValue95% CI
Delamanid 250 mg BID + OBR20.0
Delamanid 300 mg BID + OBR0.0
Percentage of Participants With Adverse Events (AEs) Primary · Up to approximately 40 weeks

An AE was defined as any new medical problem, or exacerbation of an existing problem, experienced by a participant while enrolled in the trial, whether or not it was considered drug-related by the investigator.

GroupValue95% CI
Delamanid 250 mg BID + OBR100.0
Delamanid 300 mg BID + OBR100.0
Percentage of Participants With Immediately Reportable Events (IREs) Primary · Up to approximately 40 weeks

An AE was considered serious if it was fatal; life-threatening; persistently or significantly disabling or incapacitating; required in-participant hospitalization or prolonged hospitalization; a congenital anomaly/birth defect; or other medically significant event that, based upon appropriate medical judgment, may have jeopardized the participant and may have required medical or surgical intervention to prevent one of the outcomes listed above. The following were considered as IREs- serious adverse events (SAEs), pregnancies in trial participants or their partners, and all events involving ove

GroupValue95% CI
Delamanid 250 mg BID + OBR40.0
Delamanid 300 mg BID + OBR40.0
Cmax: Maximal Peak Plasma Concentration for Delamanid Primary · At 24 hours post dose on Days 1, 14, 28, 56, 112 and 196
Day 1
GroupValue95% CI
Delamanid 250 mg BID + OBR142± 68.2
Delamanid 300 mg BID + OBR192± 93.5
Day 14
GroupValue95% CI
Delamanid 250 mg BID + OBR521± 132
Delamanid 300 mg BID + OBR514± 99.3
Day 28
GroupValue95% CI
Delamanid 250 mg BID + OBR558± 113
Delamanid 300 mg BID + OBR573± 117
Day 56
GroupValue95% CI
Delamanid 250 mg BID + OBR558± 239
Delamanid 300 mg BID + OBR503± 126
Day 112
GroupValue95% CI
Delamanid 250 mg BID + OBR441± 286
Delamanid 300 mg BID + OBR427± 114
Day 196
GroupValue95% CI
Delamanid 250 mg BID + OBR494± 129
Delamanid 300 mg BID + OBR499± 241
Tmax: Time to Reach Maximal Peak Plasma Concentration for Delamanid Primary · At 24 hours post dose on Days 1, 14, 28, 56, 112 and 196
Day 1
GroupValue95% CI
Delamanid 250 mg BID + OBR2.952.95 – 12.15
Delamanid 300 mg BID + OBR3.203.00 – 11.88
Day 14
GroupValue95% CI
Delamanid 250 mg BID + OBR2.950.00 – 3.27
Delamanid 300 mg BID + OBR3.022.53 – 3.05
Day 28
GroupValue95% CI
Delamanid 250 mg BID + OBR2.952.95 – 3.00
Delamanid 300 mg BID + OBR3.033.00 – 8.92
Day 56
GroupValue95% CI
Delamanid 250 mg BID + OBR2.950.00 – 8.95
Delamanid 300 mg BID + OBR3.003.00 – 8.97
Day 112
GroupValue95% CI
Delamanid 250 mg BID + OBR2.950.00 – 3.00
Delamanid 300 mg BID + OBR3.033.00 – 3.05
Day 196
GroupValue95% CI
Delamanid 250 mg BID + OBR2.950.00 – 8.95
Delamanid 300 mg BID + OBR3.003.00 – 3.00
AUC0-24h: Area Under the Plasma Concentration-Time Curve From 0 To 24 Hours for Delamanid Primary · At 24 hours post dose on Days 1, 14, 28, 56, 112 and 196

AUC0-24h was calculated as 2×AUC0-12h.

Day 1
GroupValue95% CI
Delamanid 250 mg BID + OBR2020± 708
Delamanid 300 mg BID + OBR2650± 1280
Day 14
GroupValue95% CI
Delamanid 250 mg BID + OBR9580± 2790
Delamanid 300 mg BID + OBR10400± 1950
Day 28
GroupValue95% CI
Delamanid 250 mg BID + OBR9840± 3090
Delamanid 300 mg BID + OBR11200± 2450
Day 56
GroupValue95% CI
Delamanid 250 mg BID + OBR10500± 4490
Delamanid 300 mg BID + OBR9720± 2400
Day 112
GroupValue95% CI
Delamanid 250 mg BID + OBR8020± 5470
Delamanid 300 mg BID + OBR8470± 3080
Day 196
GroupValue95% CI
Delamanid 250 mg BID + OBR9420± 2340
Delamanid 300 mg BID + OBR8640± 2890

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of study drug through end of study (Up to approximately 40 weeks). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Delamanid 250 mg BID + OBR
Serious: 2/5 (40%)
Deaths: 0/5
Delamanid 300 mg BID + OBR
Serious: 2/5 (40%)
Deaths: 1/5

Serious adverse events (10 terms)

ReactionSystemDelamanid 250 mg BID + OBRDelamanid 300 mg BID + OBR
TuberculosisInfections and infestations
Lung lobectomySurgical and medical procedures
AnaemiaBlood and lymphatic system disorders
Acute myocardial infarctionCardiac disorders
Atrial fibrillationCardiac disorders
Coronary artery diseaseCardiac disorders
Post procedural haemorrhageInjury, poisoning and procedural complications
Electrocardiogram QT prolongedInvestigations
Alcohol abusePsychiatric disorders
PneumonectomySurgical and medical procedures
Other adverse events (53 terms — click to expand)

ReactionSystemDelamanid 250 mg BID + OBRDelamanid 300 mg BID + OBR
HyperglycaemiaMetabolism and nutrition disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
HepatomegalyHepatobiliary disorders
TuberculosisInfections and infestations
Viral upper respiratory tract infectionInfections and infestations
Decreased appetiteMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
Abdominal distensionGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Chest painGeneral disorders
Weight decreasedInvestigations
HyperkalaemiaMetabolism and nutrition disorders
InsomniaPsychiatric disorders
AsthmaRespiratory, thoracic and mediastinal disorders
Atrioventricular block first degreeCardiac disorders
Sinus tachycardiaCardiac disorders
TinnitusEar and labyrinth disorders
Abdominal discomfortGastrointestinal disorders
DyspepsiaGastrointestinal disorders
ToothacheGastrointestinal disorders
Feeling coldGeneral disorders
Oedema peripheralGeneral disorders
PyrexiaGeneral disorders
UlcerGeneral disorders
Hepatic painHepatobiliary disorders
BronchitisInfections and infestations
Otitis media chronicInfections and infestations
Viral infectionInfections and infestations
Procedural painInjury, poisoning and procedural complications
Blood potassium increasedInvestigations
Electrocardiogram ST-T changeInvestigations
Reticulocyte count increasedInvestigations
HyperuricaemiaMetabolism and nutrition disorders
HypoalbuminaemiaMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
Muscular weaknessMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Tuberculosis, Lung lobectomy, Anaemia, Acute myocardial infarction, Atrial fibrillation, Coronary artery disease, Post procedural haemorrhage, Electrocardiogram QT prolonged.

Data from ClinicalTrials.gov NCT01131351 adverse events section.

Sponsor's own description

The purpose of this study is: * To evaluate the safety and tolerability of orally administered OPC-67683 when administered two times daily to MDR tuberculosis (TB) participants refractory to treatment with an optimized background regimen of anti-TB medications (OBR). * To evaluate the pharmacokinetics (PK) of OPC-67683 and metabolites.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Nitroimidazoles for the treatment of TB: past, present and future.
    Mukherjee T, Boshoff H. · · 2011 · cited 77× · PMID 21879846 · DOI 10.4155/fmc.11.90
  2. Population Pharmacokinetic Analysis of Delamanid in Patients with Pulmonary Multidrug-Resistant Tuberculosis.
    Wang X, Mallikaarjun S, Gibiansky E. · · 2020 · cited 23× · PMID 33106258 · DOI 10.1128/aac.01202-20
  3. Recently developed drugs for the treatment of drug-resistant tuberculosis: a research and development case study.
    Perrin C, Athersuch K, Elder G, Martin M, et al · · 2022 · cited 15× · PMID 35440441 · DOI 10.1136/bmjgh-2021-007490

Verify or expand the search:

Other trials of Delamanid

Trials testing the same drug.

Other recruiting trials for Tuberculosis

Currently open trials in the same condition.

Other Otsuka Pharmaceutical Development & Commercialization, Inc. trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01131351.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing