About BPaL

LIFT-TB focuses on speeding access to pretomanid-based regimens. World Health Organization guidelines allow for the programmatic treatment of most DR-TB with pretomanid-based regimens – either BPaL ( pretomanid +bedaquiline + linezolid), or BPaLM (BPaL + moxifloxacin). TB Alliance has studied the BPaL regimen in multiple clinical trials, including Nix-TB and ZeNix, which enrolled people with XDR-TB as well as treatment-intolerant or non-responsive MDR-TB. BPaL has been approved by 16 regulatory authorities, including the U.S. FDA and European Medicines Agency.

  • Treatment of Highly Drug-Resistant Pulmonary Tuberculosis (NEJM) Download PDF

    Final Results of the NIX-TB Clinical Study of the BPaL Regimen for Highly Resistant Tuberculosis (CROI 2021) Download PDF

    Bedaquiline–Pretomanid–Linezolid Regimens for Drug-Resistant Tuberculosis Download PDF

  • Budgetary impact of using BPaL for treating extensively drug-resistant tuberculosis (BMJ Global Health) Download PDF

    Cost-effectiveness of bedaquiline, pretomanid and linezolid for treatment of extensively drug- resistant tuberculosis in South Africa, Georgia and the Philippines (BMJ Open) Download PDF

  • Pretomanid Full Prescribing Information (U.S. FDA) Download PDF

    WHO Rapid communication: Key changes to the treatment of drug-resistant tuberculosis (issued 2022) Download PDF

    WHO consolidated guidelines on tuberculosis; Drug-resistant tuberculosis treatment (issued 2020) Download PDF

    WHO operational handbook on tuberculosis; Drug-resistant tuberculosis treatment (issued 2020) Download PDF

  • BPaL introduction and scale-up under operational research conditions - Generic Protocol (version 5) Download PDF

    Clinical Guide for the Introduction of the BPaL Treatment Regimen (Philippines) Download PDF

    BPaL Operational Research Exclusion and Inclusion Criteria (Philippines) Download PDF

    Schedule of Baseline, Routine and Post-Treatment Monitoring Evaluations for the BPaL Operational Research (Philippines) Download PDF

    Acceptable BPaL Regimen Modifications Under Operational Research (Philippines) Download PDF

    Severity Grading Scales for Adverse Events of Special Interest in the BPaL Operational Research (Philippines) Download PDF

  • Programmatic introduction of the BPaL regimen: A practical implementation guide Download PDF

    LIFT-TB Implementation Plan (Philippines) Download PDF

  • Projected use of pretomanid, bedaquiline and linezolid in all-oral regimens for multi-drug resistant tuberculosis from 2021-2025 (SSRN) Download PDF

Training of the Trainers: Training Kit

  • Session Overview Download PDF

    Rationale for BPaL Regimen Download PDF

    Updates on PMDT and the Role of BPaL Regimen in the Philippines View Video

    BPaL Operation Research Protocol (Philippines) Pt 1 Download PDF

    BPaL Operation Research Protocol (Philippines) Pt 2 Download PDF

    Implementing Structure for the Pilot Study to Test the Effectiveness and Safety of the Bedaquiline-Pretomanid-Linezolid (BPaL) Treatment Regimen in the Philippines Download PDF

    Diagnostic Testing in the TB Laboratory Network Download PDF

  • Session Overview Download PDF

    Specimen Handling and Other TB Laboratory-Related Procedures Download PDF

    Phenotypic DST Of BPaL And EQC Material For LPA Download PDF

    Active TB Drug-Safety Monitoring and Management (aDSM) in the Philippines Download PDF

    aDSM in the BPaL OR: Component Drugs in the BPaL Regimen Download PDF

    Modification, Interruption and Discontinuation in BPaL Download PDF

    aDSM Application - Clinical Monitoring of AESIs Download PDF

    aDSM Application - Clinical Management of AESIs Download PDF

  • Session Overview Download PDF

    Case Studies on the BPaL Regimen Download PDF

    Role of TBMAC in BPaL Research Download PDF

    Support of ACCESS TB Project on PMDT & BPaL OR Download PDF

    Guidance on BPaL OR Data Collection Download PDF

    BPaL Data Management and REDCap Presentation Download PDF

    BPaL Project Monitoring Download PDF

    Reminders on Good Clinical Practice Download PDF

DST & LPA Training Materials

  • Phenotypic Drug Susceptibility Testing for BPaL: MGIT without TBeXIST View video

    Phenotypic Drug Susceptibility Testing for BPaL: MGIT without TBeXIST Download PPT

    External QC for HAIN MTBDRsl View video

    External QC for HAIN MTBDRsl Download PDF

    Guidelines on Xpert MTB/XDR Download PDF

  • Phenotypic Drug Susceptibility Testing for BPaL: MGIT without TBeXIST View video

Advocacy Training Materials

Videos

Videos on the launch, status, and impact of LIFT-TB

Dr. Zaw Myint on Launch of LIFT-TB in Myanmar

Dr. Tauhidul Islam on the Impact of LIFT-TB on the Western Pacific