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Ganfeborole

Phase 2

Pulmonary Tuberculosis | Small molecule | Infectious Disease |GSK plc|Last Updated: Oct 6, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment2,500
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06114628Platform Assessing Regimens and Durations In a Global Multisite Consortium for TBPHASE2 RECRUITING 2,500Jan 9, 2024Aug 11, 2027Oct 6, 202511 Moldova, South Africa +3
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Study Endpoints
Primary Endpoints
Rate of change in log10(Time to Positivity of MGIT culture) (Phase 2B)
Over 0-12 weeks

Primary Efficacy Outcome in Phase 2B, rate of change in log10(Time to positivity)

Favourable/Unfavourable outcome (Phase 2C)
at 48 weeks from randomisation

Primary Efficacy Outcome in Phase 2C, the proportion of participants with a favourable outcome status

Secondary Endpoints
Grade 3/4/5 adverse events (Phase 2B)
Up to 26 weeks from randomisation
Grade 3/4/5 adverse events (Phase 2C)
Up to 26 weeks from randomisation
Serious adverse events (Phase 2B)
Up to 26 weeks from randomisation
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
A. Standard TB Regimen. 2HRZE/4HRACTIVE_COMPARATOR24 weeks treatment in both Phase 2B and 2C - 8 weeks Rifampicin, Isoniazid, Pyrazinamide, Ethambutol followed by 16 weeks Rifampicin and Isoniazid.
Arm B. BDMEXPERIMENTALBedaquiline, Delamanid, Moxifloxacin for 16 weeks in Phase 2B
Arm C. BDM + GanEXPERIMENTALBedaquiline, Delamanid, Moxifloxacin and Ganfeborole for 16 weeks in Phase 2B Bedaquiline, Delamanid, Moxifloxacin and Ganfeborole for 8-16 weeks in phase 2C
Arm D. BDZ + GanEXPERIMENTALBedaquiline, Delamanid, Pyrazinamide and Ganfeborole for 16 weeks in Phase 2B Bedaquiline, Delamanid, Pyrazinamide and Ganfeborole for 8-16 weeks in phase 2C
Arm E. BDL + 656EXPERIMENTALBedaquiline, Delamanid, Linezolid and Ganfeborole for 8 weeks followed by 8 weeks Bedaquiline, Delamanid and Ganfeborole in Phase 2B Bedaquiline, Delamanid, Linezolid and Ganfeborole for 8 weeks followed by 0-8 weeks Bedaquiline, Delamanid and Ganfeborole in Phase 2C
Arm F. BPaM + GanEXPERIMENTALBedaquiline, Pretomanid, Moxifloxacin and Ganfeborole for 16 weeks in Phase 2B Bedaquiline, Pretomanid, Moxifloxacin and Ganfeborolefor 8-16 weeks in Phase 2C
Arm G. BDM + BTZ-043EXPERIMENTALBedaquiline, Delamanid, Moxifloxacin and BTZ-043 for 16 weeks in Phase 2B Bedaquiline, Delamanid, Moxifloxacin and BTZ-043 for 8-16 weeks in phase 2C
Arm H. BDZ + BTZ-043EXPERIMENTALBedaquiline, Delamanid, Pyrazinamide and BTZ-043 for 16 weeks in Phase 2B Bedaquiline, Delamanid, Pyrazinamide and BTZ-043 for 8-16 weeks in phase 2C
Arm I. BDL + BTZ-043EXPERIMENTALBedaquiline, Delamanid, Linezolid and BTZ-043 for 8 weeks followed by 8 weeks Bedaquiline, Delamanid and BTZ-043 in Phase 2B Bedaquiline, Delamanid, Linezolid and BTZ-043 for 8 weeks followed by 0-8 weeks Bedaquiline, Delamanid and BTZ-043 in Phase 2C
Arm J. BPaM + BTZ-043EXPERIMENTALBedaquiline, Pretomanid, Moxifloxacin and BTZ-043 for 16 weeks in Phase 2B Bedaquiline, Pretomanid, Moxifloxacin and BTZ-043 for 8-16 weeks in Phase 2C
Arm K. BMZ + BTZ-043EXPERIMENTALBedaquiline, Moxifloxacin, Pyrazinamide and BTZ-043 for 16 weeks in Phase 2B Bedaquiline, Moxifloxacin, Pyrazinamide and BTZ-043 for 8-16 weeks in phase 2C
Arm L. BD + Gan + BTZ-043EXPERIMENTALBedaquiline, Delamanid, Ganfeborole and BTZ-043 for 16 weeks in Phase 2B Bedaquiline, Delamanid, Ganfeborole and BTZ-043 for 8-16 weeks in phase 2C
Arm M: BDM + QEXPERIMENTALBedaquiline, delamanid, moxifloxacin, quabodepistat for 16 weeks in Phase 2B
Arm N: BPAM + QEXPERIMENTALBedaquiline, pretomanid, moxifloxacin, quabodepistat for 16 weeks in Phase 2B
Arm O: BD + Gan + QEXPERIMENTALBedaquiline, delamanid, ganfeborole, quabodepistat for 16 weeks in Phase 2B
Arm P: BPa + Gan +QEXPERIMENTALBedaquiline, pretomanid, ganfeborole, quabodepistat for 16 weeks in Phase 2B
Arm Q: BPa + DZD + BTZ-043EXPERIMENTALBedaquiline, pretomanid, delpazolid, BTZ-043 for 16 weeks in Phase 2B
Interventions
NameTypeDescription
GanfeboroleDRUGOral daily dosage of 20mg.
BTZ-043DRUGOral daily dosage of 1000mg.
Bedaquiline (B)DRUGOral daily dosage of 400mg for the first 2 weeks, thereafter 100mg daily until end of treatment.
Delamanid (D)DRUGOral daily dosage of 300mg.
Pretomanid (Pa)DRUGOral daily dosage of 200mg.
Moxifloxacin (M)DRUGOral daily dosage of 400mg.
Linezolid (L)DRUGOral daily dosage of 600mg for the first 8 weeks.
Pyrazinamide (Z)DRUGOral daily dosage of 1200mg-2000mg depending on weight.
Rifampicin (R)DRUGOral daily dosage of 450mg-750mg depending on weight.
Isoniazid (H)DRUGOral daily dosage of 225mg-375mg depending on weight.
Ethambutol (E)DRUGOral daily dosage of 825mg-1375mg depending on weight.
Delpazolid (DZD)DRUGOral daily dosage of 1200mg
Quabodepistat (Q)DRUGOral daily dosage of 30mg
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites11

Inclusion Criteria: 1. Age 18 years or above at screening (or above age of legal consent at screening, if this is higher than 18 years in the jurisdiction in which the study is taking place) 2. Clinical evidence of active TB disease, meeting either or both of the following criteria: * Symptoms ...

Countries:MoldovaSouth AfricaTanzaniaUgandaVietnam
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Recent Changes (Last 90 Days)
LOWMay 24, 2026NCT06114628studyFirstPostDate: changed