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Recruiting Phase 2 NCT07525427

NCT07525427 Bactericidal Activity of TBD09 in Combination With Other Drugs in Pulmonary Tuberculosis

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Clinical Trial Summary
NCT ID NCT07525427
Status Recruiting
Phase Phase 2
Sponsor Gates Medical Research Institute
Condition Drug Susceptible Pulmonary Tuberculosis
Study Type INTERVENTIONAL
Enrollment 150 participants
Start Date 2026-04-14
Primary Completion 2026-11-05

Eligibility & Interventions

Sex All sexes
Min Age 18 Years
Max Age 65 Years
Study Type INTERVENTIONAL
Interventions
Bedaquiline, pretomanid and TBD09Bedaquiline, pretomanid and TBD09Bedaquiline, pretomanid and TBD09

Eligibility Fast-Check

Enter your details for a quick preliminary check. This does not replace medical advice.

What to Expect as a Participant

You will actively receive the study intervention — which may be a drug, biologic, device, or procedure.

In Phase 2, researchers evaluate early signs of effectiveness. You may be randomized to receive the active treatment or a comparator. Monitoring continues closely.

This trial targets 150 participants in total. It began in 2026-04-14 with a primary completion date of 2026-11-05.

⚠ This information is for research awareness only. Always consult your physician before joining any clinical trial. Participation is voluntary and you may withdraw at any time.

Brief Summary

The purpose of this study is to evaluate if TBD09 in combination with other active agents in adults with drug sensitive pulmonary tuberculosis has potential to be safe and effective.

Eligibility Criteria

Inclusion Criteria: * Age 18-65 years at consent * Body weight 35-100 kg at screening * Written informed consent obtained * Newly diagnosed rifampicin-sensitive pulmonary TB * Molecular confirmation of M. tuberculosis on Xpert MTB/RIF Ultra * ≥1+ AFB smear or Xpert Ultra low, medium, or high semi-quantitative result * Rifampicin sensitivity on molecular test * Chest X-ray consistent with TB (Investigator assessment) * Able to spontaneously produce sputum * Reproductive requirements met * Women of childbearing potential: 2 approved contraceptive methods or abstinence * Males: contraception or abstinence through 90 days post-dose Exclusion Criteria: * Prior anti-TB treatment for the current TB episode within 60 days * Prior medication active against Mtb within 3 months * Evidence of extra-thoracic TB, per investigator judgement * Prior treatment completion for TB within 3 years * 2 or more prior episodes of TB * Clinically significant history of or current medical condition posing safety risk * If HIV positive: * Not on ARVs or taking ARVs for \<3 months prior to screening OR * CD4+ count \<200cells/uL at screening OR * HIV viral load \>200 copies /mL at screening OR * AIDS infection or malignancies * Meets any of the following laboratory values during screening: * AST, ALT, or ALP ≥2.5× ULN * Total bilirubin ≥1.2× ULN * eGFR \<60 mL/min/1.73 m² * Hemoglobin \<9.0 g/dL (male) or \<8.5 g/dL (female) * White blood cell count \<2,000/mm³ * Absolute neutrophil count \<800/mm³ * Platelet count ≤100,000/mm³ * Positive hepatitis B surface antigen * Positive hepatitis C antibody * HbA1c ≥8.0% * Current or recent systemic immunosuppressive therapy, including corticosteroids * Significant drug or alcohol abuse affecting compliance or safety * Pregnant or breastfeeding, positive pregnancy test, or planning pregnancy shortly after treatment

Contact & Investigator

Central Contact

Gates MRI

✉ clinical.trials@gatesmri.org

📞 +1 857 702 2108

Principal Investigator

Gates MRI

STUDY DIRECTOR

Gates Medical Research Institute

Frequently Asked Questions

Who can join the NCT07525427 clinical trial?

This trial is open to participants of all sexes, aged 18 Years or older, up to 65 Years, studying Drug Susceptible Pulmonary Tuberculosis. Full inclusion and exclusion criteria are listed in the Eligibility Criteria section. Always confirm your eligibility with the research team before applying.

What phase is the NCT07525427 trial and what does that mean for participants?

Phase 2 trials evaluate whether the treatment shows signs of effectiveness while continuing to monitor safety. More participants are enrolled than in Phase 1 to help refine the treatment protocol.

Is NCT07525427 currently recruiting?

Yes, NCT07525427 is actively recruiting participants. Contact the research team at clinical.trials@gatesmri.org for enrollment information.

Where is the NCT07525427 trial being conducted?

This trial is being conducted at Durban, South Africa, George, South Africa, Johannesburg, South Africa, Tembisa, South Africa and 9 additional locations.

Who is sponsoring the NCT07525427 clinical trial?

NCT07525427 is sponsored by Gates Medical Research Institute. The principal investigator is Gates MRI at Gates Medical Research Institute. The trial plans to enroll 150 participants.

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ClinicalMetric — Independent clinical trial intelligence platform. Not affiliated with NIH, ClinicalTrials.gov, the U.S. FDA, or any pharmaceutical company, hospital, or clinical research organization. Trial data is sourced from ClinicalTrials.gov for informational purposes only and does not constitute medical advice. Do not make any treatment, enrollment, or health decisions based solely on information found here — always consult a qualified healthcare professional. Full Disclaimer  ·  Last Reviewed: November 2026  ·  Data Methodology