New drug candidate takes on stubborn lung infection
NCT ID NCT06004037
First seen Jul 10, 2026 · Last updated Jul 10, 2026
Summary
This study tests whether adding delpazolid to standard treatment can reduce bacterial levels in people with hard-to-treat Mycobacterium abscessus lung infections. Participants take delpazolid tablets daily for 12 weeks, with the option to continue up to one year if there is clinical benefit. The trial enrolls adults whose infection persists despite at least six months of guideline-based therapy.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Delpazolid (also called LCB01-0371)
- What this could lead to
- If successful, delpazolid could offer a new add-on option for people with hard-to-treat Mycobacterium abscessus lung infections, potentially improving bacterial clearance.
- What could go wrong
- This is a small, early-phase trial (24 participants) with no placebo group, so results may not be definitive. The drug may cause side effects or fail to show meaningful benefit.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
24 people
The number who actually took part.
- Started
-
Jan 2024
- Finished
-
Jun 2026
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
19 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Pre-screening: Adults aged 19 years or above * Pre-screening: Patients diagnosed with MABC (including subspecies abscessus, bolletii, and massiliense) pulmonary disease in radiologic and microbiologic evaluations * LCB01-0371 MIC ≤ 8 μg/mL for MABC * Patients who continue to show positivity for MABC even after treatments based on the guidelines of ATS/ERS/ESCMID/IDSA for at least 6 months prior to screening, and who meet all of the following criteria: 1. Patients who have been confirmed positive at least once in the last sputum or bronchoscopy sample culture performed prior to screening 2. Patients who have not achieved culture conversion (at least 3 consecutive negative mycobacteria cultures in the sputum or bronchoscopy sample collected at an interval of at least 4 weeks) within 6 months prior to screening * Patients who can voluntarily expectorate sputum at screening * Patients with a life expectancy of 12 weeks or more * Patients with adequate organ function who meet the following criteria: 1. Hemoglobin \> 9.0 g/dL (without transfusion within 2 weeks prior to measurement) 2. Absolute neutrophil count ≥ 1,500/µL (without administration of G-CSF within 2 weeks prior to measurement) 3. Platelet ≥ 100,000/µL 4. Total bilirubin ≤ 1.5 × upper limit of normal (ULN) 5. Alanine aminotransferase/aspartate aminotransferase (ALT/AST) ≤ 2.5 × ULN 6. Serum creatinine ≤ 1.5 × ULN or creatinine clearance \>30 mL/min (calculated with the Cockcroft-Gault formula) * Patients who voluntarily provided a written consent to participate in the clinical study Exclusion Criteria: * Patients who cannot swallow the study drug tablet due to dysphagia, nasogastric tube insertion, etc. * Patients diagnosed with cystic fibrosis * Patients who have received a lung transplant * Patients with disseminated or extrapulmonary nontuberculous mycobacteria * Patients with known active pulmonary tuberculosis * Patients with NTM infections other than MABC * Patients with an active pulmonary malignancy within 1 year prior to screening or Patients with other malignancies that require chemotherapy or radiotherapy * Patients who has received linezolid for MABC treatment within 3 months prior to screening * Patients with known HIV positivity or a suspected infection thereof or Patients with a known active hepatitis B or C infection * Patients who currently have a clinically significant cardiovascular disease 1. Patients with severe cardiac failure (New York Heart Association \[NYHA\] class III/IV) that occurred within 24 weeks prior to screening 2. Patients with pulmonary embolism or deep venous thrombosis that occurred within 24 weeks prior to screening * Patients whose multidrug therapy for treatment of MABC was changed within 4 weeks prior to screening (Discontinuation, dose adjustment, change of administration route, etc., are allowed.) * Patients for whom the administration of contraindicated concomitant drugs that correspond to the following cannot be discontinued during the clinical study or for whom their administration is necessary 1. Administration of a new antibacterial agent for the prioritized treatment of NTM, especially MABC, other than background therapy 2. Monoamine oxidase inhibitors 3. Serotonin reuptake inhibitor or serotonin 5-HT1 receptor agonists 4. Meperidine or buspirone 5. Drugs that lower epilepsy threshold; tramadol, etc. 6. Tricyclic Antidepressant 7. Other investigational products: If there is a history of administration within 30 days prior to screening, it falls under the exclusion criteria. * Pregnant or breastfeeding women and women of childbearing potential who do not agree to practice appropriate contraceptive methods\*:
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Asan Medical Center
Seoul, South Korea
-
Bundang Seoul National University Hospital
Seoul, South Korea
-
Samsung Medical Center
Seoul, South Korea
-
Seoul National University Bundang Hospital
Seoul, South Korea
-
Severance Hospital
Seoul, South Korea
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