BPaL regimen (Bedaquiline + Pretomanid + Linezolid)

Treatment for Extensively Drug Resistant Tuberculosis

Typical Dosage: Bedaquiline: 400mg daily for 2 weeks, then 200mg 3x/week for 22 weeks; Pretomanid: 200mg daily for 26 weeks; Linezolid: 600mg daily for 26 weeks (may be reduced to 300mg daily)

Effectiveness
88%
Safety Score
40%
Clinical Trials
1
Participants
1K

Comparative Safety Scale(Higher is safer)

Cyanide☠️
Meth💀
Cigarettes🚬
Chemo☢️
Alcohol🍺
Morphine💊
Antibiotics💉
Tylenol💊
Exercise🏃
Water💧
40
DangerousModerateSafe
Treatment Details
Dosage Range
Bedaquiline: 400mg daily for 2 weeks, then 200mg 3x/week for 22 weeks; Pretomanid: 200mg daily for 26 weeks; Linezolid: 600mg daily for 26 weeks (may be reduced to 300mg daily)
Time to Effect
3-6 months
Treatment Duration
6-9 months
Evidence Quality
HIGH
Confidence Score
90%confidence in effectiveness data
Health Economics
Annual Cost of Care
Drug Cost:$15,000
Monitoring:$3,500
Side Effect Mgmt:$2,000
Total Annual:$20,500
Cost-Effectiveness Analysis
Cost-Effectiveness Rating
EXCELLENT
ICER
$10,000/QALY
QALYs Gained
2
Outcome-Based Costs
Cost per Responder
$24,118
Cost per Remission
$24,118
Comparison vs Conventional individualized XDR-TB regimen (older drugs, injectables)
Cost Difference
$-15,000/year
Less expensive
QALY Difference
+0.75 QALYs
Better outcomes
Dominance
DOMINATESBetter + cheaper
BPaL regimen (Bedaquiline + Pretomanid + Linezolid) Outcomes

for Extensively Drug Resistant Tuberculosis

Efficacy Outcomes
Overall Effectiveness
+88%
Response Rate
+85%
Remission Rate
+85%
Common Side Effects
Peripheral neuropathy
+60%
Myelosuppression
+15%
QT prolongation
+12%
Hepatotoxicity
+8%
Nausea/Vomiting/Diarrhea
+30%

WARNING: LIMITED TRIALS AVAILABLE

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Active Clinical Trials
No active trials currently recruiting for this treatment

No active trials found in ClinicalTrials.gov