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TuberculosisPhase 1NCT04865536

Study to Evaluate Safety, Tolerability, and the PK Profile of TBI-223 in Healthy Subjects

A Phase 1 study testing TBI-223 1800 mg and TBI-223 2400mg in people with Tuberculosis and Tuberculosis, Pulmonary, run by Global Alliance for TB Drug Development at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A Phase 1, Partially-Blinded, Placebo-Controlled, Randomized, Multiple Ascending Dose Study to Include A Single Dose Food-Effect Study to Evaluate the Safety, Tolerability, and the PK Profile of TBI-223 in Healthy Subjects Read more about this study

Who is it for?
Ages 19 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Tuberculosis, Tuberculosis, Pulmonary
What is being tested?
TBI-223 1800 mg and TBI-223 2400mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
28 participants
Where
1 siteUnited States
Study dates
3 Feb 2021to 17 May 2022
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 19 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • All volunteers must satisfy the following criteria to be considered for study participation:
  • Is a healthy adult male or female, 19 to 50 years of age (inclusive) at the time of screening.
  • Has a body mass index (BMI) ≥18.5 and ≤32.0 (kg/m2) and a body weight of no less than 50.0 kg.
  • Is medically healthy with no clinically significant screening results (e.g., laboratory profiles normal or up to Grade 1 per Division of Microbiology and Infectious Diseases Toxicity Tables), as deemed by the Investigator.
  • Has not used tobacco- or nicotine-containing products (including smoking cessation products), for a minimum of 6 months before dosing.
  • If assigned to receive study drug under fed conditions, is willing and able to consume the entire high-calorie, high-fat breakfast meal in the timeframe required.

Who cannot join

  • History or presence of clinically significant cardiovascular (heart murmur), pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, psychiatric disease or any other condition that, in the opinion of the Investigator, would jeopardize the safety of the subject or the validity of the study results.
  • Any presence of musculoskeletal toxicity (severe tenderness with marked impairment of activity, or frank necrosis).
  • Has a positive test for hepatitis B surface antigen, hepatitis C antibody, or HIV at screening.
  • QTcF interval >450 msec for males or >470 msec for females at screening, Day -1, or Day 1 (predose), or history of prolonged QT syndrome. For the triplicate 12-lead ECGs taken at screening and on Day -1, the average QTcF interval of the three 12-lead ECG recordings were used to determine qualification.
  • Family history of long-QT syndrome or sudden death without a preceding diagnosis of a condition that was causative of sudden death (such as known coronary artery disease, congestive heart failure, or terminal cancer).
  • History of any of the following:
Show all 13Show fewer
  • Serotonin syndrome
  • Seizures or seizure disorders, other than childhood febrile seizures
  • Brain surgery
  • History of head injury in the last 5 years
  • Any serious disorder of the nervous system particularly one that lowered the seizure threshold.
  • Lactose intolerant.
  • History of sensitivity or contraindication to use of linezolid, tedizolid, or any study investigational products

Trial locations and contacts

1 site in 1 country.

United States1 site
  • TKL Research, Inc.

    Fair Lawn, New Jersey, 07410

Other trials in United States

About this study

Official title: A Phase 1, Partially-Blinded, Placebo-Controlled, Randomized, Multiple Ascending Dose Study to Include A Single Dose Food-Effect Study to Evaluate the Safety, Tolerability, and the PK Profile of TBI-223 in Healthy Subjects

A Phase 1, Partially-Blinded, Placebo-Controlled, Randomized, Multiple Ascending Dose Study to Include A Single Dose Food-Effect Study to Evaluate the Safety, Tolerability, and the PK Profile of TBI-223 in Healthy Subjects

Read the detailed description

This study was a partially-blinded, placebo-controlled, randomized multiple ascending dose (MAD) study conducted at one study center. Cohorts 1 (1800 mg) and 2 (2400mg) began dosing of TBI-223 or placebo on Day 1 under fasted conditions, followed by a 3-day washout period and then by multiple doses of TBI-223 administered after a high-calorie, high-fat meal (Fed) from Day 4 through Day 17 (total of 14 days). Cohort 1 subjects only received slow-release formulations (SR1) tablets and Cohort 2 subjects received a combination of SR1 tablets with one immediate-release (IR) tablet. Cohort 3 with higher doses was planned in the protocol but as allowed by the protocol, a decision was made to halt the study after the second cohort due to mean Cmax and AUC0-24 after 14 days of dosing at 2400 mg in the second cohort exceeded values that were predicted to be achieved at 3000 mg in the third cohort.

Safety was assessed throughout the study for all subjects. Safety assessments included physical and detailed neurological examinations, vital signs (blood pressure (BP), pulse rate (PR), respiration rate, temperature, and pulse oximetry), 12-lead electrocardiograms (12-lead ECGs), cardiac monitoring, adverse events (AEs), and clinical laboratory tests (including hematology, serology, serum chemistry, coagulation, and urinalysis).

Being tested
TBI-223 1800 mg, TBI-223 2400mg, TBI-223 Placebo
Keywords
TB, Tuberculosis, TBI-223, Pulmonary Tuberculosis
Medical subject headings
Tuberculosis, Tuberculosis, Pulmonary

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TBI-223 1800 mgDrug

    3 x 600 mg SR1 tablets

  • TBI-223 2400mgDrug

    3 x 600 mg SR1 tablets and 1 x 600 mg IR tablets

  • TBI-223 PlaceboDrug

    Placebo SR and IR tablets for TBI-223

Study groups in NCT04865536
Study groupRoleWhat they receive
TBI-223 1800 mgActive comparatorCohort 1, 3 x 600 mg slow release (SR1) tablets. Administered on Day 1 under fasted conditions, followed by a 3-day washout period and then by multiple doses of TBI-223 administered after a high-calorie, high-fat meal (Fed) from Day 4 through Day 17 (total of 14 days), (n=9)
Receives: Drug: TBI-223 1800 mg
TBI-223 2400mgActive comparatorCohort 2, 3 x 600 mg SR1 tablets and 1 x 600 mg immediate release (IR) tablets. Administered on Day 1 under fasted conditions, followed by a 3-day washout period and then by multiple doses of TBI-223 administered after a high-calorie, high-fat meal (Fed) from Day 4 through Day 17 (total of 14 days), (n=13)
Receives: Drug: TBI-223 2400mg
TBI-223 PlaceboPlacebo comparatorDose matching placebo tablets. Administered on Day 1 under fasted conditions, followed by a 3-day washout period and then by multiple doses of dose matched placebo administered after a high-calorie, high-fat meal (Fed) from Day 4 through Day 17 (total of 14 days), (n=6)
Receives: Drug: TBI-223 Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety assessment Vital Signs - Blood pressure

    Blood pressure measured.

    Measured: through study completion, 12 weeks.

  2. Safety assessment Vital Signs - Pulse rate

    Pulse rate measured.

    Measured: through study completion, 12 weeks.

  3. Safety assessment Vital Signs - Respiration rate

    Respiration rate measured.

    Measured: through study completion, 12 weeks.

  4. Safety assessment Vital Signs - Temperature

    Temperature measured.

    Measured: through study completion, 12 weeks.

  5. Safety assessment Vital Signs - Pulse oximetry

    Pulse oximetry measured.

    Measured: through study completion, 12 weeks.

  6. Safety assessment - Cardiac monitoring

    Safety 12-lead ECGs including ECG QT interval will be recorded and printed for on-site review by the Principal Investigator or designee.

    Measured: through study completion, 12 weeks.

  7. Safety assessment - Adverse Events (AEs)

    AEs recorded.

    Measured: through study completion, 12 weeks.

  8. Safety assessment Clinical Laboratory Tests - Hematology

    Hematology recorded: hemoglobin, hematocrit, total and differential leukocyte count, red blood cell count (RBC), and platelet count.

    Measured: through study completion, 12 weeks.

  9. Safety assessment Clinical Laboratory Tests - Serology

    Serology tests recorded: hepatitis B surface antigen, hepatitis C antibody, and HIV.

    Measured: through study completion, 12 weeks.

  10. Safety assessment Clinical Laboratory Tests - Serum Chemistry

    Serum chemistry recorded: albumin, blood urea nitrogen (BUN), creatinine, total bilirubin, alkaline phosphatase (ALP), aspartate transaminase (AST), alanine transaminase (ALT), sodium (Na+), potassium (K+), chloride (Cl-), lactate dehydrogenase (LDH), calcium (Ca), uric acid, glucose, gamma-glutamyltransferase (GGT), and magnesium.

    Measured: through study completion, 12 weeks.

  11. Safety assessment Clinical Laboratory Tests - Coagulation

    Coagulation recorded: prothrombin time (PT), partial thromboplastin time (PTT), and international normalized ratio (INR).

    Measured: through study completion, 12 weeks.

  12. Safety assessment Clinical Laboratory Tests - Urinalysis

    Urinalysis recorded.

    Measured: through study completion, 12 weeks.

  13. Safety assessment - Serum Pregnancy Testing

    Blood collection from female subjects for serum pregnancy testing.

    Measured: through study completion, 12 weeks.

  14. Safety assessment - Follicle-stimulating hormone (FSH) Levels

    Blood collection from postmenopausal women to measure FSH levels.

    Measured: through study completion, 12 weeks.

  15. Pharmacokinetics, non-food-effect cohorts - AUCtau

    AUCtau measured.

    Measured: Day 1

  16. Pharmacokinetics, non-food-effect cohorts - Cmax

    Cmax measured.

    Measured: Day 1

  17. Pharmacokinetics, non-food-effect cohorts - C24

    C24 measured.

    Measured: Day 1

  18. Pharmacokinetics, non-food-effect cohorts - Cavg

    Cavg measured.

    Measured: Day 1

  19. Pharmacokinetics, non-food-effect cohorts - Tmax

    Tmax measured.

    Measured: Day 1

  20. Pharmacokinetics, non-food-effect cohorts - AUCinf

    AUCinf measured if AUCtau ≥ 70% of AUCinf.

    Measured: Day 1

  21. Pharmacokinetics, non-food-effect cohorts - AUCextrap

    AUCextrap measured if AUCtau ≥ 70% of AUCinf.

    Measured: Day 1

  22. Pharmacokinetics, non-food-effect cohorts - CL/F

    CL/F measured if AUCtau ≥ 70% of AUCinf.

    Measured: Day 1

  23. Pharmacokinetics, non-food-effect cohorts - Vz/F

    Vz/F measured if AUCtau ≥ 70% of AUCinf.

    Measured: Day 1

  24. Pharmacokinetics, non-food-effect cohorts - lambaZ

    lambaZ measured if AUCtau ≥ 70% of AUCinf.

    Measured: Day 1

  25. Pharmacokinetics, non-food-effect cohorts - t1/2

    t1/2 measured if AUCtau ≥ 70% of AUCinf.

    Measured: Day 1

  26. Pharmacokinetics, non-food-effect cohorts - AUCtau

    AUCtau measured.

    Measured: Day 14

  27. Pharmacokinetics, non-food-effect cohorts - Cmax

    Cmax measured.

    Measured: Day 14

  28. Pharmacokinetics, non-food-effect cohorts - Cmin

    Cmin measured.

    Measured: Day 14

  29. Pharmacokinetics, non-food-effect cohorts - Ctrough

    Ctrough (i.e., C0) measured.

    Measured: Day 14

  30. Pharmacokinetics, non-food-effect cohorts - C24

    C24 measured.

    Measured: Day 14

  31. Pharmacokinetics, non-food-effect cohorts - Cavg

    Cavg measured.

    Measured: Day 14

  32. Pharmacokinetics, non-food-effect cohorts - Tmax

    Tmax measured.

    Measured: Day 14

  33. Pharmacokinetics, non-food-effect cohorts - CL/F

    CL/F measured.

    Measured: Day 14

  34. Pharmacokinetics, non-food-effect cohorts - Vz/F

    Vz/F measured.

    Measured: Day 14

  35. Pharmacokinetics, non-food-effect cohorts - lambaZ

    lambaZ measured.

    Measured: Day 14

  36. Pharmacokinetics, non-food-effect cohorts - t1/2

    t1/2 measured.

    Measured: Day 14

  37. Pharmacokinetics, non-food-effect cohorts - RAUC

    RAUC measured.

    Measured: Day 14

  38. Pharmacokinetics, non-food-effect cohorts - RCmax measured.

    RCmax measured.

    Measured: Day 14

  39. Pharmacokinetics, food-effect cohorts - AUCtau

    AUCtau measured.

    Measured: Day 1

  40. Pharmacokinetics, food-effect cohorts - AUCextrap

    AUCextrap measured.

    Measured: Day 1

  41. Pharmacokinetics, food-effect cohorts - AUCinf

    AUCinf measured.

    Measured: Day 1

  42. Pharmacokinetics, food-effect cohorts - Cmax

    Cmax measured.

    Measured: Day 1

  43. Pharmacokinetics, food-effect cohorts - C24

    C24 measured

    Measured: Day 1

  44. Pharmacokinetics, food-effect cohorts - Clast

    Clast measured.

    Measured: Day 1

  45. Pharmacokinetics, food-effect cohorts - Tmax

    Tmax measured.

    Measured: Day 1

  46. Pharmacokinetics, food-effect cohorts - Tlast

    Tlast measured.

    Measured: Day 1

  47. Pharmacokinetics, food-effect cohorts - CL/F

    CL/F measured.

    Measured: Day 1

  48. Pharmacokinetics, food-effect cohorts - Vz/F

    Vz/F measured.

    Measured: Day 1

  49. Pharmacokinetics, food-effect cohorts - lambaZ

    lambaZ measured.

    Measured: Day 1

  50. Pharmacokinetics, food-effect cohorts - t1/2

    t1/2 measured.

    Measured: Day 1

  51. Pharmacokinetics, food-effect cohorts - AUCtau

    AUCtau measured. lambaZ, t1/2 should be included if AUCtau ≥ 70% of AUCinf

    Measured: Day 4

  52. Pharmacokinetics, food-effect cohorts - Cmax

    Cmax measured.

    Measured: Day 4

  53. Pharmacokinetics, food-effect cohorts - C24

    C24 measured.

    Measured: Day 4

  54. Pharmacokinetics, food-effect cohorts - Cavg

    Cavg measured.

    Measured: Day 4

  55. Pharmacokinetics, food-effect cohorts - Tmax

    Tmax measured.

    Measured: Day 4

  56. Pharmacokinetics, food-effect cohorts - AUCinf

    AUCinf measured if AUCtau ≥ 70% of AUCinf.

    Measured: Day 4

  57. Pharmacokinetics, food-effect cohorts - AUCextrap

    AUCextrap measured if AUCtau ≥ 70% of AUCinf.

    Measured: Day 4

  58. Pharmacokinetics, food-effect cohorts - CL/F

    CL/F measured if AUCtau ≥ 70% of AUCinf.

    Measured: Day 4

  59. Pharmacokinetics, food-effect cohorts - Vz/F

    Vz/F measured if AUCtau ≥ 70% of AUCinf.

    Measured: Day 4

  60. Pharmacokinetics, food-effect cohorts - lambaZ

    lambaZ measured if AUCtau ≥ 70% of AUCinf.

    Measured: Day 4

  61. Pharmacokinetics, food-effect cohorts - t1/2

    t1/2 measured if AUCtau ≥ 70% of AUCinf.

    Measured: Day 4

  62. Pharmacokinetics, food-effect cohorts - AUCtau

    AUCtau measured.

    Measured: Day 17

  63. Pharmacokinetics, food-effect cohorts - Cmax

    Cmax measured.

    Measured: Day 17

  64. Pharmacokinetics, food-effect cohorts - Cmin

    Cmin measured.

    Measured: Day 17

  65. Pharmacokinetics, food-effect cohorts - Ctrough

    Ctrough (i.e., C0) measured.

    Measured: Day 17

  66. Pharmacokinetics, food-effect cohorts - C24

    C24 measured.

    Measured: Day 17

  67. Pharmacokinetics, food-effect cohorts - Cavg

    Cavg measured.

    Measured: Day 17

  68. Pharmacokinetics, food-effect cohorts - Tmax

    Tmax measured.

    Measured: Day 17

  69. Pharmacokinetics, food-effect cohorts - CL/F

    CL/F measured.

    Measured: Day 17

  70. Pharmacokinetics, food-effect cohorts - Vz/F

    Vz/F measured.

    Measured: Day 17

  71. Pharmacokinetics, food-effect cohorts - lambaZ

    lambaZ measured.

    Measured: Day 17

  72. Pharmacokinetics, food-effect cohorts - t1/2

    t1/2 measured.

    Measured: Day 17

  73. Pharmacokinetics, food-effect cohorts - RAUC

    RAUC measured.

    Measured: Day 17

  74. Pharmacokinetics, food-effect cohorts - RCmax

    RCmax measured.

    Measured: Day 17

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Apr 2021
  2. Study start3 Feb 2021
  3. Primary completion17 May 2021
  4. Study completion17 May 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
28 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04865536
Sponsor's protocol ID
TBI-223-CL-002
Status last verified
Jun 2025
First submitted
22 Feb 2021
Last updated
5 Jun 2025
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Lombardi A, Pappas F, Bruinenberg P, Nedelman J, Taneja R, Hickman D, Beumont M, Sun E. Pharmacokinetics, tolerability, and safety of TBI-223, a novel oxazolidinone, in healthy participants. Antimicrob Agents Chemother. 2025 Apr 2;69(4):e0154224. doi: 10.1128/aac.01542-24. Epub 2025 Mar 11.

    PubMed 40067046

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing TBI-223 1800 mg and TBI-223 2400mg in people with Tuberculosis and Tuberculosis, Pulmonary, run by Global Alliance for TB Drug Development at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety assessment Vital Signs - Blood pressure (time frame: through study completion, 12 weeks.). The study lists 74 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04865536, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Jun 2025.

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