[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"tuberculosis-multi-drug-resistant-active\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:tuberculosis-multi-drug-resistant-active":28},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,53],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":30,"overallStatus":40,"whyStopped":4,"lastUpdateSubmitDate":41,"lastUpdatePostDateStruct":42,"startDateStruct":45,"completionDateStruct":47,"leadSponsor":49,"locationsCount":52},"100629626","phase-4-linezolid-tolerance-during-the-bpal-regimen-with-dosage-personalization-based-on-therapeutic-drug-monitoring-tdm-during-multidrug-resistant-tuberculosis-treatment-100629626",false,"NCT07477119","Linezolid Tolerance During the BPaL Regimen With Dosage Personalization Based on Therapeutic Drug Monitoring (TDM) During Multidrug-Resistant Tuberculosis Treatment","Tolérance du Linézolide Pendant le Régime BPaL Avec Personnalisation de la Posologie Basée Sur la Surveillance Thérapeutique Des Médicaments (TDM) au Cours du Traitement de la Tuberculose Multirésistante","PLOT-TB","Inclusion Criteria:\n\n* 1\\. Confirmed diagnosis of MDR-TB\n* 2\\. Linezolid prescribed as part of the BPaL\u002FBPaL-M regimen\n* 3\\. Age 15 years or older\n* 4\\. Informed consent obtained from the participant or assent from the parent\u002Flegal guardian for participants under 18 years of age.\n\nExclusion Criteria:\n\n* 1\\. Pregnancy or breastfeeding\n* 2\\. Severe liver or kidney failure\n* 3\\. Known hypersensitivity to linezolid\n* 4\\. Concomitant use of medications with drug interactions potential with linezolid","ALL","15 Years",{"count":20,"type":21},150,"ESTIMATED","INTERVENTIONAL",[24],"PHASE4","Multidrug-resistant tuberculosis (MDR-TB) poses a significant challenge to global public health.\n\nGlobally, the World Health Organization (WHO) estimates the number at 400,000 patients with MDR-TB for 2023. Only 44% were diagnosed and put on treatment, the therapeutic success rate of the 2021 cohort is only 68%.\n\nIn Guinea, the number of patients with MDR-TB is estimated at 450, and the treatment success rate is 74% for the 2021 cohort, primarily with the 9-months short oral regimen.\n\nSince 2022, the WHO has recommended the use of the 6-month short course of BPaL\u002FBPaL-M for national tuberculosis control programs and Guinea began implementing this new regime within the programmatic framework starting in January 2025.\n\nLinezolid, a key component of new therapeutic regimens such as BPaL\u002FBPaL-M, shows high bactericidal activity, although it is associated with serious adverse effects in a high percentage of patients, including myelosuppression, neuropathy and, in some cases, fatal lactic acidosis. In particular, peripheral neuropathy, an adverse event often irreversible that may lead to linezolid and the BPaL\u002FBPaL-M regimen discontinuation, is reported in approximately 24% of patients receiving linezolid at 600 mg.\n\nA linezolid blood trough level of above 2 mg\u002Fl is associated with side effects, but its pharmacokinetics varies considerably between individuals and over time.\n\nThere is little data on the role of therapeutic drug monitoring (TDM) in guiding its administration, some studies showing how the standard dose of 600 mg could exceed the toxicity target and the reduced dose of 300 mg might not achieve the target efficacy.\n\nThe main objective of this study is to determine the role of TDM in the optimization of linezolid dosage in TB-MDR patients treated with the BPaL\u002FBPaL-M regimen.\n\nThe specific objectives aim to evaluate:\n\n* the variation in the occurrence of adverse events between patients who undergo a modification of the linezolid dose based on the TDM and patients taking linezolid standard dose\n* the treatment outcome in patients who undergo a modification of the linezolid dose based on TDM and patients taking linezolid standard dose\n* variations in the distribution of TDM throughout treatment in order to identify potential common trends.",[27,28,29],"Linezolid","Tuberculosis Multi Drug Resistant Active","Therapeutic Drug Monitoring (TDM)",[31,32,33,34,35,36,37,38,39],"linezolid","TDM","Therapeutic Drug Monitoring","MDR-TB","Guinea","Adverse Drug Reaction","Peripheral Neuropathy","Myelosuppression","Tuberculosis","RECRUITING","2026-05-11",{"date":43,"type":44},"2026-05-13","ACTUAL",{"date":46,"type":21},"2026-04",{"date":48,"type":21},"2028-04",{"name":50,"class":51},"Marco Schiuma","OTHER",1,{"id":54,"slug":55,"hasResults":11,"nctId":56,"briefTitle":57,"officialTitle":58,"acronym":59,"eligibilityCriteria":60,"healthyVolunteers":11,"sex":17,"minAge":61,"maxAge":4,"enrollmentInfo":62,"targetDuration":4,"studyType":22,"phases":64,"briefSummary":66,"conditions":67,"keywords":70,"overallStatus":73,"whyStopped":4,"lastUpdateSubmitDate":74,"lastUpdatePostDateStruct":75,"startDateStruct":77,"completionDateStruct":78,"leadSponsor":80,"locationsCount":52},"100630311","phase-3-feasibility-of-the-application-of-a-new-six-month-treatment-for-multidrug-resistant-tuberculosis-mdr-tb-patients-in-france-fast-mdr-100630311","NCT07486024","Feasibility of the Application of a New Six-month Treatment for Multidrug-resistant Tuberculosis (MDR-TB) Patients in France (FAST-MDR)","Feasibility of the Application of a New Six-month Treatment for Multidrug-resistant Tuberculosis (MDR-TB) Patients in France - FAST-MDR","FAST-MDR","Inclusion criteria\n\n1. Is 18 years old or more\n2. Is affected by bacteriologically- or molecularly-confirmed tuberculosis, due to strains of M. tuberculosis resistant to rifampicin (with or without resistance to isoniazid) according to a rapid molecular test\n3. Is willing and able to give informed consent to be enrolled in the research project (signed or witnessed consent if the patient is illiterate)\n4. Patients seen in consultation or hospitalized in one of the centers involved for rifampicin-resistant TB, with screening results available and compatible within 14 days following consent signature;\n5. Is willing to use effective\\* contraception: women with childbearing potential\\*\\* must agree to use effective contraception, unless their partner has had a vasectomy, for the duration of study treatment and up to 6 months after the end of study treatment; men who have not had a vasectomy must agree to use effective contraception for the duration of study treatment and up to 3 months after the end of study treatment;\n\n   * The following contraception methods are considered effective, according to local regulation (CTFG recommendations, March 2024):\n\n     1. Combined hormonal contraception (oestrogen + progestin)\n     2. Progestin-only hormonal contraception\n     3. Intrauterine device (IUD)\n     4. Intrauterine hormone-releasing system (IUS)\n     5. Bilateral tubal occlusion\n     6. Vasectomised partner\n\n        * A woman is considered of childbearing potential (WOCBP), i.e. fertile, following menarche and until becoming post-menopausal unless permanently sterile. Permanent sterilisation methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy. A postmenopausal state is defined as no menses for 12 months without an alternative medical cause. A high follicle stimulating hormone (FSH) level in the postmenopausal range may be used to confirm a post-menopausal state in women not using hormonal contraception or hormonal replacement therapy. However in the absence of 12 months of amenorrhea, a single FSH measurement is insufficient.\n6. Is affiliated to a social security system (as beneficiary) or has state medical aid (AME) or has an ongoing demand for AMEor has an ongoing demand for an emergency medical care (dispositif de soins d'urgence, as applicable for tuberculosis)\n\nExclusion criteria :\n\n1. Is unable to take oral drugs\n2. Has known allergies, hypersensitivity or intolerance or any other medical condition and contra indications to any drug of the regimen\n3. Unwilling to comply to study procedures, at the clinician appreciation\n4. Has proven or likely resistance to bedaquiline, clofazimine, linezolid, pretomanid or moxifloxacine, or has had exposure (for 30 days or more) in past five years to bedaquiline, clofazimine, delamanid, linezolid, or pretomanid\n5. Is taking or needs to take contraindicated medications in association with investigational medicinal products\n6. Has ≥500 msec QTcF interval on any ECG taken at screening or baseline visits, or has any cardiac risk factor for severe arrhythmia\n7. Has severe extrapulmonary TB, including meningo-encephalitis, brain abscess, osteo-arthritis, osteomyelitis\n8. Is concurrently participating in another trial of any medicinal product\n9. Is already on a MDR\u002FRR-TB treatment regimen since 4 weeks or more, and has no need to change the treatment regimen (i.e. adverse events, treatment failure)\n10. Has significant and uncorrectable lab abnormalities at baseline: haemoglobin ≤7.9 g\u002FdL, platelet count \\\u003C75 000\u002Fmm3; absolute neutrophil count \\\u003C1 000\u002F mm3; potassium \\\u003C3.0 mEq\u002FL; serum creatinine \\>3 x upper level of normality (ULN); alanine aminotransferase (ALT) ≥3 x ULN\n11. Has peripheral neuropathy of grade 3 or 4 (CTCAE scale)\n12. Has any other condition (social or medical) which, in the opinion of the site investigator, would make the study participant unsafe\n13. Is known to be pregnant or is unwilling or unable to stop breastfeeding an infant\n14. Individuals permanently legally incompetent adults, under judicial or administrative protection and vulnerable persons","18 Years",{"count":63,"type":21},55,[65],"PHASE3","The FAST-MDR trial is an externally-controlled, multicentre trial with one prospective arm, evaluating the non-inferiority of the effectiveness of BPaLM in the interventional arm versus the effectiveness of the long, conventional regimen in a French historical cohort of MDR-TB patients (2006-2022). In light of recent WHO recommendations suggesting using BPaLM as a first choice for routine MDR-TB treatment and of the expected benefits of BPaLM over the standard treatment, there will be no internal comparator arm in the study.",[34,28,68,69],"Antibiotic Resistance","Mycobacterium Tuberculosis",[34,71,72],"BPaLM","Tuberculosis Multi Drug Resistant","NOT_YET_RECRUITING","2026-03-17",{"date":76,"type":44},"2026-03-20",{"date":46,"type":21},{"date":79,"type":21},"2032-02",{"name":81,"class":51},"Assistance Publique - Hôpitaux de Paris"]