NCT07672405RecruitingPhase 2
Sorfequiline-based Regimens in Adults With Newly Diagnosed Drug-sensitive Pulmonary TB
A Phase 2b, Randomised, Multi-center, Partially Blinded Trial Assessing the Safety and Efficacy of Regimens Containing Sorfequiline, Pretomanid and Linezolid in Adults With Newly Diagnosed, Drug-sensitive, Smear Positive Pulmonary Tuberculosis
Source: ClinicalTrials.gov · Last updated 19 Aug 2026
Brief summary (registry, in English)
The goal of this interventional trial is to evaluate the safety and efficacy of the loading dose regimen 200/100SPaL-4/13 weeks, and the 100SPaL -17 weeks regimen in adults with newly diagnosed, drug-sensitive, smear-positive pulmonary tuberculosis. Participants (18-65 years) will be randomised 1:1, stratified by country and disease severity, to receive either : 1. a sorfequiline loading-dose regimen (200 mg daily for 4 weeks followed by 100 mg daily for 13 weeks) plus pretomanid 200 mg and linezolid 600 mg daily, or 2. sorfequiline 100 mg daily for 17 weeks plus pretomanid 200 mg and linezolid 600 mg daily. Study treatment is administered orally once daily with food. The primary objective is to assess safety through 17 weeks of treatment, including treatment-emergent adverse events, ECG findings, vital signs, laboratory assessments, visual acuity, and peripheral neuropathy. Secondary objectives include assessments of efficacy (time to stable sputum culture conversion; favorable outcome and treatment failure/relapse at 26 and 52 weeks after end of treatment) and pharmacokinetics of trial drugs, with exploratory analyses including predictors of culture conversion, exposure-response relationships, and quality of life.
- Status (registry)
- Recruiting
- Phase (registry)
- Phase 2
- Study type
- Interventional
- Enrollment
- 100 (estimated)
- First submitted
- 15 Jun 2026
- Start date
- 9 Jul 2026
- Primary completion date
- 28 May 2027
- Lead sponsor
- Global Alliance for TB Drug Development
- Diseases
- Tuberculosis
- NCT number
- NCT07672405
What you commit to
- Study type: Interventional · Phase 2
- Planned participants: 100
- From 9 Jul 2026 to the primary completion date, 28 May 2027
- 12 sites in 2 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Lab values
- Cardiovascular or QT prolongation risk factors Pregnant or breast-feeding
- Laboratory abnormalities as defined in the protocol. • For participants living with HIV only:
- CD4+ count\<200 cells/μL.
- WHO Clinical Stage 4 HIV disease
- Participant does not agree to use DTG/TFV/3TC during study treatment if ARV therapy is indicated
- If initiation of ARV therapy is indicated, participants who are known to be intolerant, non-responsive to DTG/TFV/3TC or have DTG/TFV/3TC as a contraindication.
Other
- Karnofsky score \< 60 at screening
- Any evidence of extrapulmonary TB
Who the study is looking for
- DS-TB as defined as sensitive to rifampicin and isoniazid by rapid sputum-based test AND either newly diagnosed for TB or have a history of being untreated for at least 3 years after cure from a previous episode of TB
- Of non-childbearing potential OR using effective birth control methods
- Body weight ≥ 35 k
Age in the registry: 18 years to 65 years · Sex: All · Does not accept healthy volunteers
Sites (12)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| INUKA Africa Coordinator of this site? Confirm its status | Dar es Salaam | Tanzania | Not yet recruiting |
| NIMR-Mbeya Coordinator of this site? Confirm its status | Mbeya | Tanzania | Not yet recruiting |
| Kilimanjaro Clinical Research Institute (KCRI) Coordinator of this site? Confirm its status | Moshi | Tanzania | Not yet recruiting |
| NIMRI-Mwanza Coordinator of this site? Confirm its status | Mwanza | Tanzania | Not yet recruiting |
| Madiberg Centre for Research Coordinator of this site? Confirm its status | Brits | South Africa | Recruiting |
| University of Capetown Lung Institute Coordinator of this site? Confirm its status | Cape Town | South Africa | Recruiting |
| Synergy Biomed Research Institute Coordinator of this site? Confirm its status | East London | South Africa | Not yet recruiting |
| Perinatal HIV Research Unit, Tshepong Hospital Coordinator of this site? Confirm its status | Klerksdorp | South Africa | Not yet recruiting |
| Isango Lethemba TB Research Unit Coordinator of this site? Confirm its status | Port Elizabeth | South Africa | Recruiting |
| The Aurum Institute - Rustenburg Coordinator of this site? Confirm its status | Rustenburg | South Africa | Recruiting |
| Setshaba Research Centre Coordinator of this site? Confirm its status | Soshanguve | South Africa | Recruiting |
| - Coordinator of this site? Confirm its status | Wentworth | South Africa | Recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.