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Bedaquiline, pretomanid and TBD09

Phase 2

Drug Susceptible Pulmonary Tuberculosis | Small molecule | Infectious Disease |IQVIA Holdings, Inc.|Last Updated: Apr 30, 2026

Target and mechanism

ModalitySmall molecule

Also known as Bedaquiline, pretomanid, linezolid

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment315

FDA Designations

No designations recorded

Clinical trial landscape

Bedaquiline, pretomanid and TBD09 · 2 trials · 1 indication

Phase 2 2
NCT07517445Bactericidal Activity and Safety of Nicotinamide in Combination With Bedaquiline, Pretomanid, and Linezolid in Drug-susceptible Pulmonary TuberculosisDrug Susceptible Pulmonary Tuberculosis
RECRUITING165 Analytics
NCT07525427Bactericidal Activity of TBD09 in Combination With Other Drugs in Pulmonary TuberculosisDrug Susceptible Pulmonary Tuberculosis
RECRUITING150 Analytics
PHASE2RECRUITING
Bactericidal Activity and Safety of Nicotinamide in Combination With Bedaquiline, Pretomanid, and Linezolid in Drug-susceptible Pulmonary Tuberculosis
Drug Susceptible Pulmonary TuberculosisUnlock trial analytics
PHASE2RECRUITING
Bactericidal Activity of TBD09 in Combination With Other Drugs in Pulmonary Tuberculosis
Drug Susceptible Pulmonary TuberculosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Bactericidal Activity
From randomization through Day 64 (EOT)

Proportion of participants with sputum culture conversion SCC to negative for Mtb in MGIT liquid culture by Week 8 (Day 56, End of Treatment \[EOTx\]), defined as two consecutive Mtb-negative culture results, collected at least 1 day apart (i.e., not collected on the same day), occurring by Week 9 (Day 64) with no subsequent Mtb-positive cultures through Week 9 (Day 64)

Safety: SAEs
From randomization through Day 64 (EOT)

Proportion of participants with this event

Safety: TEAEs
From randomization through Day 64 (EOT)

Proportion of participants with this event

Safety: AESIs
From randomization through Day 64 (EOT)

Proportion of participants with this event

Safety: TEAEs leading to treatment discontinuation
From randomization through Day 64 (EOT)

Proportion of participants with this event

Safety: TEAEs leading to NAM dose reduction
From randomization through Day 64 (EOT)

Proportion of participants with this event

Safety: AEs leading to treatment discontinuation
Screening through Day 35 (EOS)

Proportion of participants with this event

Secondary Endpoints

Bactericidal Activity
Randomization through Day 64 (EOT)
Evaluate the PK of NAM when administered with BPaL in Group 1 and 2
Day 1 and Day 14
Safety: Hematologic Effect
Randomization through Day 35 (EOS)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
BPAL/NAM1500EXPERIMENTALNicotinamide, bedaquiline, pretomanid, linezolid
BPAL/NAM2500EXPERIMENTALNicotinamide, bedaquiline, pretomanid, linezolid
BPALACTIVE_COMPARATORBedaquiline, pretomanid, linezolid
Group 1EXPERIMENTALThe combination of TBD09 (100 mg three times weekly, TIW), bedaquiline and pretomanid
Group 2EXPERIMENTALThe combination of TBD09 (100 mg QD), bedaquiline and pretomanid
Group 3EXPERIMENTALThe combination of TBD09 (300 mg QD), bedaquiline and pretomanid
Group 4EXPERIMENTALThe combination of TBD09 (500 mg QD), bedaquiline and pretomanid
Group 5ACTIVE_COMPARATORThe combination of linezolid (600 mg QD), bedaquiline and pretomanid

Interventions

NameTypeDescription
Bedaquiline, pretomanid, linezolidDRUGGroup 1 (Approximately 55 participants), Combination of NAM 1500 mg twice daily (BID) with bedaquiline (200 mg once daily \[QD\]), pretomanid (200 mg QD), and linezolid (600 mg QD), 56 days
Nicotinamide (NAM)DIETARY_SUPPLEMENTGroup 1 (Approximately 55 participants), Combination of NAM 2500 mg twice daily (BID) with bedaquiline (200 mg once daily \[QD\]), pretomanid (200 mg QD), and linezolid (600 mg QD), 56 days
Bedaquiline, pretomanid and TBD09DRUGGroup 1 (30 participants): The combination of TBD09 (100 mg three times weekly, TIW), bedaquiline (200 mg daily, QD), and pretomanid (200 mg QD), 28 days
Bedaquiline, pretomanid and linezolidDRUGGroup 5 (30 participants): The combination of linezolid (600 mg QD), bedaquiline (200 mg QD), and pretomanid (200 mg QD), 28 days
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites4

Inclusion Criteria: * Age 18-65 years at consent * Body weight 40-100 kg at screening * Written informed consent obtained * Newly diagnosed pulmonary TB, rifampicin- and isoniazid-sensitive * ≥1+ AFB smear OR positive Xpert semi-quantitative result * Molecular confirmation of M. tuberculosis *...

Countries:South Africa
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Frequently asked questions about Bedaquiline, pretomanid and TBD09

What is Bedaquiline, pretomanid and TBD09 used for?

Bedaquiline, pretomanid and TBD09 is an investigational combination being studied for the treatment of drug susceptible pulmonary tuberculosis. It is in Phase 2 clinical development and is not yet approved by regulatory authorities.

Who makes Bedaquiline, pretomanid and TBD09?

Bedaquiline, pretomanid and TBD09 is being developed by IQVIA Holdings, Inc., which trades under the ticker symbol IQV. The company is conducting clinical trials to evaluate this combination in patients with drug susceptible pulmonary tuberculosis.

What phase is Bedaquiline, pretomanid and TBD09 in?

Bedaquiline, pretomanid and TBD09 is in Phase 2 clinical development. It is an investigational combination therapy and has not been approved by the FDA or other regulatory agencies. Two Phase 2 trials are currently recruiting participants.

What clinical trials is Bedaquiline, pretomanid and TBD09 in?

Bedaquiline, pretomanid and TBD09 is being studied in two Phase 2 trials in South Africa. NCT07517445 evaluates nicotinamide combined with bedaquiline, pretomanid, and linezolid in 165 patients, and NCT07525427 evaluates TBD09 in combination with other drugs in 150 patients.

Is Bedaquiline, pretomanid and TBD09 the same as Bedaquiline, pretomanid, linezolid?

Bedaquiline, pretomanid and TBD09 is also known as Bedaquiline, pretomanid, linezolid. The combination includes bedaquiline, pretomanid, and linezolid, with TBD09 being an additional component studied in certain trials.