Tuberculosis
not only claims a lot of life, it is not easy to diagnose. Its infectious
nature and the recent natural calamities which have caused massive deaths have
left us helpless. Besides, the pharmaceutical industries are inclined towards
lifestyle diseases and so the prevention methods, availability of sophisticated
diagnostic instruments and symptoms should be highly educated among the masses.
Another serious issue lies with the uncontrolled use of antibiotics by patients
to supress the symptoms without knowing that they have TB. The emergence of
drug-resistant strains in patients requires a careful and very long period
therapeutic regiment, which needs to be monitored. The availability of complete genome sequences and
computer-aided analysis to discover potential anti-TB drug targets has become a
new trend.
The available in
silico tools enable us to
decipher the interactions between therapeutic targets and novel drugs, making
them invaluable in the quest for new tuberculosis treatments. Targeting the mycobacterium
can be done by cell wall synthesis
hindrance or inhibiting its crucial enzymes. One of the targets to utilize is resuscitation-promoting factor B (RpfB) for the computational
studies, which may be taken for further translational studies.
In a recent phase 1 clinical trial experiment, A
new compound, named TBAJ-876, belonging to the diarylquinoline class of antibiotics
has shown promising results. Currently it is in the later phases of clinical
trials for the efficacy and safety study.
It comes more than the reliability on allopathic medicines and its related research in science globally to combat TB. It is highly necessary to look for novel science at least in TB.
TB Drugs at different stages of clinical trials
TBI-223 |
Drug/Molecule or Their Combinations |
Trial Stage |
1 |
TBI-223 |
Phase 1 |
2 |
SPR720 |
Phase 1 |
3 |
BTZ-043 |
Phase 1 |
4 |
TBAJ-876 Diarylquinoline |
Phase 1 |
5 |
TBI-166 |
Phase 1 |
6 |
TBA-7371 |
Phase 1 |
7 |
Macozinone (MCZ, PBTZ-169) |
Phase 1 |
8 |
OPC-167832 |
Phase 1 |
9 |
Telacebec (Q203) |
Phase 2 |
10 |
Rifampicin |
Phase 2 |
11 |
Macozinone (MCZ, PBTZ-169) |
Phase 2 |
12 |
GSK 3036656 |
Phase 2 |
13 |
Bedaquiline, Pretomanid,
Moxifloxacin, Pyrazidamide (BPaMZ) |
Phase 2 |
14 |
SQ109 |
Phase 2 |
15 |
Sutezolid |
Phase 2 |
16 |
Delpazolid (LCB01-0371) |
Phase 2 |
17 |
Auranofin |
Phase 2 |
18 |
Levofloxacin |
Phase 2 |
19 |
CC-11050, Auranofin,
Everolimus, Vitamin D3 plus Rifabutin |
Phase 2 |
20 |
INH, RIF, PZA, MOX |
Phase 2 |
21 |
Bedaquiline - Delamanid with
MBT for MDR |
Phase 2 |
22 |
Nitazoxanide |
Phase 2 |
23 |
TRUNCATE-TB |
Phase 3 |
24 |
Delamanid |
Phase 3 |
25 |
Bedaquiline |
Phase 3 |
26 |
Rifapentine |
Phase 3 |
27 |
Bedaquiline - Pretomanid -
Linezolid |
Phase 3 |
28 |
Clofazimine |
Phase 3 |
29 |
Rifampicin |
Phase 3 |
30 |
Rifampicin |
Phase 3 |
31 |
Bedaquiline - Linezolid -
Levofloxacin with OBR |
Phase 3 |
32 |
Pretomanid, Moxifloxacin,
Pyrazidamide (PaMZ) |
Phase 3 |