Recent Updates
Recently added Catalysts

Bedaquiline, pretomanid and TBD09

Phase 2

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

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment315
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07517445Bactericidal Activity and Safety of Nicotinamide in Combination With Bedaquiline, Pretomanid, and Linezolid in Drug-susceptible Pulmonary TuberculosisPHASE2 RECRUITING 165Apr 13, 2026Jun 14, 2027Apr 22, 20264 South Africa
NCT07525427Bactericidal Activity of TBD09 in Combination With Other Drugs in Pulmonary TuberculosisPHASE2 RECRUITING 150Apr 10, 2026Nov 5, 2026Apr 30, 202613 South Africa
Unlock Drug Trial Details
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)
Unlock Study Endpoints
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
Unlock Study Design Details
Eligibility Criteria
Age Range18 Years — 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
Unlock Eligibility Criteria
Recent Changes (Last 90 Days)
LOWMay 24, 2026NCT07517445studyFirstPostDate: changed
LOWMay 24, 2026NCT07525427studyFirstPostDate: changed
LOWMay 21, 2026NCT07517445NEW_TRIAL: changed
LOWMay 21, 2026NCT07525427NEW_TRIAL: changed
LOWMay 21, 2026NCT07517445NEW_TRIAL: changed
LOWMay 21, 2026NCT07525427NEW_TRIAL: changed