# Cardiodynamic evaluation of sorfequiline (TBAJ-876): results from a first-in-human study

**Authors:** Borje Darpo, Jerry Nedelman, Rebecca Bruning-Barry, Dean Hickman, Robert Kleiman, Antonio Lombardi, Hongqi Xue

PMC · DOI: 10.1128/aac.01273-25 · Antimicrobial Agents and Chemotherapy · 2026-01-30

## TL;DR

This study evaluated the heart effects of a new tuberculosis drug in humans and found no significant changes in cardiac repolarization.

## Contribution

The first-in-human assessment of sorfequiline's cardiodynamic effects provides critical safety data for its development.

## Key findings

- ΔΔQTcF ranged from −11.4 to +2.4 ms without dose dependency.
- Concentration–QTc modeling showed a shallow, non-significant slope.
- The predicted mean effect on ΔΔQTcF at the M3 metabolite's Cmax was −1.1 ms.

## Abstract

Sorfequiline (TBAJ-876) is a novel diarylquinoline under development for tuberculosis. In a first-in-human, multiple-ascending-dose study, electrocardiogram and pharmacokinetic data were analyzed to assess cardiac repolarization. Placebo-corrected change-from-baseline in QTcF (ΔΔQTcF) ranged from −11.4 to +2.4 ms without dose dependency. Concentration–QTc modeling showed a shallow, non-significant slope. The predicted mean effect on ΔΔQTcF at the maximum geometric mean Cmax of sorfequiline’s M3 metabolite was −1.1 ms (90% CI −9.5 to 7.4).

This study is registered with ClinicalTrials.gov as NCT06058299.

## Linked entities

- **Chemicals:** sorfequiline (PubChem CID 155510360), TBAJ-876 (PubChem CID 155510360)
- **Diseases:** tuberculosis (MONDO:0018076)

## Full-text entities

- **Diseases:** tuberculosis (MESH:D014376)
- **Chemicals:** Sorfequiline (-), TBAJ-876 (MESH:C000711567), diarylquinoline (MESH:D064687)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12959150/full.md

## References

18 references — full list in the complete paper: https://tomesphere.com/paper/PMC12959150/full.md

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Source: https://tomesphere.com/paper/PMC12959150