A Phase III Study of Oral Sudapyridine (WX-081) Tablets in Rifampicin-Resistant Pulmonary Tuberculosis Patients

Last updated: June 25, 2025
Sponsor: Shanghai Jiatan Pharmatech Co., Ltd
Overall Status: Active - Recruiting

Phase

3

Condition

Hiv

Lung Disease

Treatment

Sudapyridine

Bedaquiline

Clinical Study ID

NCT05824871
JYP0081M301
  • Ages 18-65
  • All Genders

Study Summary

This is a multicenter, randomized, double-blind, active-controlled Phase III study to evaluate the efficacy and safety of Sudapyridine (WX-081) combined with a background regimen (BR) in patients with rifampicin-resistant pulmonary tuberculosis.

Approximately 450 participants will be screened over a period of up to 2 weeks and randomized in a 2:1 ratio to receive either Sudapyridine or bedaquiline, in combination with placebo tablets and BR, for 24 weeks. After the treatment period, participants will enter a background regimen period up to Week 72, during which they will continue to receive BR.

A subset of participants will be included in the C-QT sub-study to assess intensive PK sampling and 12-lead ECG evaluations on Day 1 pre-dose, Day 14, and Week 24.

The study aims to provide robust data to support the use of Sudapyridine as a treatment option for rifampicin-resistant pulmonary tuberculosis.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • • Body mass index (BMI) and body weight of subjects: 15.0≤BMI≤28.0 kg/m2, and 40kg≤body weight ≤90kg;

  • For clinically diagnosed patients with tuberculosis whose drug sensitivity testhas proved to be at least resistant to rifampicin, phenotypic or molecular drugsensitivity test results within 3 months before the subject signs informedconsent can be accepted;

  • Direct sputum smear positive for acid-fast bacilli (AFB at least 1+);

  • Willing to discontinue all previous anti-tuberculosis drugs and accept a 7-daywashout period;

  • Non-lactating and pregnant women who agree to use contraception throughout thetreatment; Or the male patient's spouse agrees to use contraception throughoutthe treatment.

Exclusion

Exclusion Criteria:

  • • Allergic to any study drug or its ingredients;

  • A history of alcohol dependence or drug abuse;

  • With hematogenous disseminated pulmonary tuberculosis or extrapulmonarytuberculosis;

  • Drug susceptibility test before screening showed resistance to more than 4 ofthe 8 antituberculosis drugs in this study;

  • Have taken Bedaquiline before;

  • HIV-positive patients;

  • Laboratory obvious abnormalities;

  • A history of pointy torsion ventricular tachycardia or cardiac risk factors forpointy torsion ventricular tachycardia;

  • Repeated QTcF intervals > 450ms; Clinically significant ventricular arrhythmiasthat may require medical or surgical treatment;

  • Documented cardiovascular diseases;

  • Peripheral neuropathy CTCAE grade 3 or grade 4; Grade 1 or grade 2 neuropathythat the investigator believes is likely to progress/worsen over the course ofthe study; optic neuritis;

  • Any serious cardiovascular, kidney, liver, blood, tumor, endocrine andmetabolic, autoimmune or rheumatic diseases.

Study Design

Total Participants: 450
Treatment Group(s): 2
Primary Treatment: Sudapyridine
Phase: 3
Study Start date:
September 02, 2022
Estimated Completion Date:
October 22, 2026

Study Description

This Phase III clinical study is designed to evaluate the efficacy and safety of Sudapyridine (WX-081) in combination with a background regimen (BR) for the treatment of rifampicin-resistant pulmonary tuberculosis. The study will be conducted at multiple centers, employing a randomized, double-blind, active-controlled design.

The study will consist of three phases:

Screening Phase:

Duration: Up to 2 weeks. Approximately 450 participants with rifampicin-resistant pulmonary tuberculosis will be screened for eligibility.

Treatment Phase:

Participants will be randomized in a 2:1 ratio into two groups:

  1. Sudapyridine Group: Sudapyridine (WX-081) with placebo and BR.

  2. Bedaquiline Group: Bedaquiline with placebo and BR. Treatment duration: 24 weeks.

Background Regimen Phase:

After completing the treatment phase, participants in both groups will continue to receive the background regimen (BR) until Week 72.

The study aims to test the hypothesis that Sudapyridine (WX-081), when combined with a background regimen, is effective and safe for treating rifampicin-resistant pulmonary tuberculosis. The data collected from this study will include primary and secondary endpoints related to efficacy and safety, PK/PD data, and cardiac safety evaluations.

The sample size of approximately 450 participants is designed to provide adequate power to detect a statistically significant difference in outcomes between treatment groups. Comprehensive data validation procedures and a robust statistical analysis plan will ensure the reliability and accuracy of the results.

Connect with a study center

  • Beijing Chest Hospital affiliated to Capital Medical University

    Beijing, Beijing 101149
    China

    Site Not Available

  • Beijing Chest Hospital, Capital Medical University

    Beijing, Beijing 101149
    China

    Active - Recruiting

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