About this trial
The goal of this interventional clinical trial is to demonstrate the complete BU lesion healing rate by 52 weeks after treatment initiation, without relapse and/or curative intent excision surgery, after 10-28 days of telacebec (T) treatment. Males and females age 18 and older will be included.
• Participants will attend visits every 2 weeks during treatment and thereafter every 2 weeks until week 24 Thereafter they will be followed by visits at weeks 30, 40, and 52. From week 10 to week 52, if the lesion has healed, follow-up visits may be remote.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Positive PCR or culture for confirmation of presence of mycobacterium ulcerans (MU).
Aged 18 years and older, except for those included in exclusion below.
Disqualifiers
Any non BU related condition where participation in the study, as judged by the Investigator, could compromise the well-being of the participant or prevent, limit or confound protocol specified treatment and assessments.
History or current ascites, jaundice, myasthenia gravis, clinically significant renal dysfunction [estimated glomerular filtration rate (eGFR) < 30 mls/min],
Compromised immune status (e.g. uncontrolled HIV-infection)
History of previous BU in the previous 12 months (except current infection)
Trial design
Single group
Treatments tested in this trial
Telacebec
DrugThe test product will be supplied as Telacebec 100mg tablets.
Treatment groups
Trial outcomes
Primary outcomes
Rate of complete lesion healing by 52 weeks from treatment initiation.
Ulcerated Lesions: Healing and re-epithelialisation of ulcerated area with stable scar formation. Non-ulcerated Lesions: resolution of induration of skin. Complete healing rate will be summarized as percentage with corresponding Clopper-Pearson 95% confidence interval.
Secondary outcomes
Median time to healing
Kaplan-Meier methods will be applied to estimate median time to healing.
Safety and Tolerability
Incidence of Treatment Emergent Adverse Events (TEAEs)
Sponsors and contacts
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Barwon Health
Lead sponsor
Global Alliance for TB Drug Development
Collaborator