Pulmonary tuberculosis
MONDO:0006052A bacterial infection that affects the lungs and is caused by Mycobacterium tuberculosis. Most patients with tuberculosis do not have symptoms (latent tuberculosis) and are not contagious. When signs and symptoms occur (active tuberculosis), patients become contagious. The signs and symptoms include chronic cough with blood-tinged sputum, night sweats, fever, fatigue, and weight loss.
Also known as: lung TB, lung tuberculosis, pulmonary TB
132 clinical trials for this condition and its sub-types.
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Broader categories
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Could vitamin B3 help beat TB? new trial launches
Disease control Recruiting nowThis phase 2 trial tests whether adding nicotinamide (a form of vitamin B3) to a standard three-drug regimen can safely and effectively treat drug-susceptible pulmonary tuberculosis. About 165 adults with newly diagnosed TB will receive one of two doses of nicotinamide plus the s…
Phase: PHASE2 • Sponsor: Gates Medical Research Institute • Aim: Disease control
Last updated Jul 04, 2026 00:00 UTC
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New TB cocktails aim to speed up recovery
Disease control Recruiting nowThis study tests new combinations of drugs for adults with lung tuberculosis (TB). The goal is to see if these new regimens work faster and are safer than the current standard treatment. About 315 participants will receive either an experimental drug combo or the usual care for 8…
Phase: PHASE2 • Sponsor: National Institute of Allergy and Infectious Diseases (NIAID) • Aim: Disease control
Last updated Jun 27, 2026 14:02 UTC
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Old antibiotic, new hope: doxycycline may shield TB patients from lasting lung harm
Disease control Recruiting nowThis Phase 3 trial tests whether adding doxycycline to standard tuberculosis treatment can reduce permanent lung damage and lower the risk of heart problems. Researchers will give 150 adults either doxycycline or a placebo for 8 weeks alongside their TB medication. The main goal …
Phase: PHASE3 • Sponsor: National University Hospital, Singapore • Aim: Disease control
Last updated Jun 27, 2026 13:04 UTC
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Could a 2-Month TB cure replace 6 months of pills for kids?
Disease control Recruiting nowThis study tests whether a 2-month combination of four drugs can cure drug-susceptible tuberculosis in children under 10 as safely and effectively as the standard 4- to 6-month regimen. Researchers will enroll 860 children, including those with HIV, to compare the shorter treatme…
Phase: PHASE3 • Sponsor: Johns Hopkins University • Aim: Disease control
Last updated Jun 27, 2026 13:01 UTC
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New TB combo drug trial aims to shorten treatment
Disease control Recruiting nowThis study tests whether a new drug called TBD09, when used with other TB medicines, is safe and works well in adults with drug-sensitive tuberculosis (TB). About 150 people will take part. The main goals are to see how quickly the drug combination kills TB bacteria and to check …
Phase: PHASE2 • Sponsor: Gates Medical Research Institute • Aim: Disease control
Last updated Jun 27, 2026 13:00 UTC
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New TB drug could cut treatment time by two months
Disease control Recruiting nowThis study tests whether a new drug called quabodepistat can shorten treatment for drug-resistant tuberculosis (TB) from 6 months to 4 months. About 532 adults and teens with rifampicin-resistant or multidrug-resistant TB will be randomly assigned to receive either the new shorte…
Phase: PHASE3 • Sponsor: Otsuka Pharmaceutical Development & Commercialization, Inc. • Aim: Disease control
Last updated Jun 27, 2026 12:29 UTC
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New calculator could help sick newborns get the right antibiotic dose faster
Disease control Recruiting nowThis study tests whether using early drug monitoring and a dose-adjustment calculator can help infants under 90 days old with sepsis reach target vancomycin levels more quickly. Currently, doctors must wait 24-48 hours to check drug levels, which can delay effective treatment. Th…
Phase: PHASE4 • Sponsor: Murdoch Childrens Research Institute • Aim: Disease control
Last updated Jun 27, 2026 12:10 UTC
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New study tests if pulmonary rehab can prevent Long-Term lung damage after TB
Disease control Recruiting nowThis study tests whether an 8-week or 24-week pulmonary rehabilitation program (exercise and breathing training) helps people recover lung function after completing tuberculosis (TB) treatment. About 690 adults with confirmed TB will be randomly assigned to one of two rehab progr…
Phase: NA • Sponsor: Johns Hopkins University • Aim: Disease control
Last updated Jun 27, 2026 12:01 UTC
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Antibiotic shot under skin could replace IV drip for serious infections
Disease control Recruiting nowThis study is testing whether a powerful antibiotic called piperacillin/tazobactam can be given as a continuous shot under the skin instead of through an IV line. About 240 adults with serious bacterial infections will be randomly assigned to receive the drug either subcutaneousl…
Phase: PHASE2 • Sponsor: Azienda Sanitaria Universitaria Friuli Centrale • Aim: Disease control
Last updated Jun 27, 2026 11:03 UTC
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New antibiotic dosing method could help sepsis patients recover faster
Disease control Recruiting nowThis study compares two ways of giving the antibiotic cefepime to very sick patients with sepsis in the ICU. The new method adjusts the dose based on the patient's kidney function, using only standard doses. The main goal is to see if this approach is easy for doctors to use and …
Phase: NA • Sponsor: Mayo Clinic • Aim: Disease control
Last updated Jun 27, 2026 09:02 UTC
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Urine test could personalize TB treatment and save lives
Disease control Recruiting nowThis study tests whether adjusting the dose of the TB drug rifampin based on a simple urine test can improve treatment outcomes. Researchers will enroll 200 adults and children with active, drug-sensitive tuberculosis in Tanzania. The goal is to see if personalized dosing helps m…
Phase: PHASE1 • Sponsor: University of Virginia • Aim: Disease control
Last updated Jun 27, 2026 09:00 UTC
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New hope for Drug-Resistant TB: shorter, safer treatment on the horizon?
Disease control Recruiting nowThis study tests whether a shorter treatment regimen (13-24 weeks) using a combination of drugs (bedaquiline, linezolid, pretomanid, and moxifloxacin) works as well as the standard longer treatment for people with a type of drug-resistant tuberculosis. About 400 adults with fluor…
Phase: PHASE2, PHASE3 • Sponsor: University of California, San Francisco • Aim: Disease control
Last updated Jun 27, 2026 08:12 UTC
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Could a higher dose of rifampicin beat TB faster?
Disease control Recruiting nowThis study tests whether a higher dose of the antibiotic rifampicin (1800 mg daily) is safe and works better than the standard dose for adults with pulmonary tuberculosis. About 164 participants will be randomly assigned to either the optimized or standard dose. Researchers will …
Phase: PHASE3 • Sponsor: Radboud University Medical Center • Aim: Disease control
Last updated Jun 27, 2026 08:12 UTC
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New inhaled TB drug shows promise in early trial
Disease control Recruiting nowThis study tests a new inhaled medicine called RESP30TB in 24 adults with newly diagnosed, drug-sensitive tuberculosis of the lungs. The main goals are to see if the drug is safe and how well it kills TB bacteria in the early days of treatment. Participants will inhale the drug a…
Phase: PHASE2 • Sponsor: Thirty Respiratory Limited • Aim: Disease control
Last updated Jun 27, 2026 08:10 UTC
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Could a simple zinc pill save thousands of newborns from deadly infections?
Disease control Recruiting nowThis study tests whether giving zinc supplements along with standard antibiotics can reduce deaths and improve recovery in young infants (0-59 days old) hospitalized with severe infections like sepsis or pneumonia. About 3,250 babies in Tanzania will receive either zinc or a plac…
Phase: PHASE3 • Sponsor: Harvard School of Public Health (HSPH) • Aim: Disease control
Last updated Jun 27, 2026 08:03 UTC
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New 2-Month TB pill cocktail could replace 6-Month regimen
Disease control Recruiting nowThis study tests a new ultra-short treatment for both drug-sensitive and drug-resistant tuberculosis (TB). The goal is to see if a 2-3 month regimen works as well as or better than the standard 4-6 month treatment. About 610 adults with active TB will take part. The approach coul…
Phase: PHASE3 • Sponsor: Shenzhen Third People's Hospital • Aim: Disease control
Last updated Jun 27, 2026 08:00 UTC
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Could TB treatment be cut from 6 months to 8 weeks? major trial launches
Disease control Recruiting nowThis study tests new drug combinations to treat pulmonary tuberculosis (TB) faster than the standard 24-week regimen. About 2500 adults with TB will receive one of several experimental combinations, including two new drugs (BTZ-043 and GSK3036656), for 8 to 16 weeks. Researchers …
Phase: PHASE2 • Sponsor: University College, London • Aim: Disease control
Last updated Jun 27, 2026 07:53 UTC
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New TB drug cocktail aims to shorten treatment
Disease control Recruiting nowThis clinical trial is testing new combinations of tuberculosis (TB) drugs to see if they work better than the standard treatment. The study involves 390 adults with newly diagnosed, drug-sensitive TB. Researchers are comparing different drug regimens, including a new drug called…
Phase: PHASE2 • Sponsor: Michael Hoelscher • Aim: Disease control
Last updated Jun 27, 2026 07:53 UTC
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Could a common statin help beat tuberculosis?
Disease control Recruiting nowThis study tests whether adding atorvastatin, a widely used cholesterol-lowering drug, to standard tuberculosis (TB) antibiotics can help clear the infection faster and reduce lung damage. About 440 adults with pulmonary TB will receive either standard treatment alone or with dif…
Phase: PHASE2 • Sponsor: Obafemi Awolowo University Teaching Hospital • Aim: Disease control
Last updated Jun 27, 2026 07:51 UTC
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Could a Two-Drug HIV pill work for TB patients?
Disease control Recruiting nowThis study tests whether a two-drug HIV regimen (dolutegravir plus lamivudine) works as well as the standard three-drug regimen in people who also have tuberculosis and are on TB treatment. About 150 participants who have never taken HIV medication will be randomly assigned to on…
Phase: PHASE3 • Sponsor: Johns Hopkins University • Aim: Disease control
Last updated Jun 27, 2026 07:51 UTC
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Your phone's mic could detect TB in seconds: new trial recruits 1,751
Diagnosis Recruiting nowThis study tests whether a smartphone app can tell the difference between a TB cough and other coughs by analyzing audio recordings. Researchers will collect cough sounds from 1,751 people with a cough lasting at least two weeks, then use machine learning to build a quick screeni…
Sponsor: University of Stellenbosch • Aim: Diagnosis
Last updated Jun 27, 2026 12:29 UTC
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Massive global study aims to slash TB deaths with smarter testing
Diagnosis Recruiting nowThis study aims to find faster, simpler, and cheaper ways to diagnose tuberculosis (TB), a disease that kills over a million people each year. Researchers will test new diagnostic tools on over 26,000 adults in 10 countries who have a cough lasting two weeks or more, or who have …
Phase: NA • Sponsor: University of California, San Francisco • Aim: Diagnosis
Last updated Jun 27, 2026 12:29 UTC
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New scan could reveal hidden lung damage in TB survivors
Diagnosis Recruiting nowThis study is testing whether a special PET scan tracer called 18F-FAPI-74 can detect scarring (fibrosis) in the lungs of people with active tuberculosis. About 30 adults with confirmed TB will get the tracer and a whole-body PET/CT scan during and after treatment. The goal is to…
Sponsor: Children's Hospital Medical Center, Cincinnati • Aim: Diagnosis
Last updated Jun 27, 2026 12:02 UTC
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New PET scan aims to spot hidden scar tissue
Diagnosis Recruiting nowThis study tests a special PET/CT scan that uses a tracer called FAPI-74 to find fibrosis (scar-like tissue) in the body. It includes 45 adults with conditions like head and neck cancer or tuberculosis that can cause fibrosis. The goal is to see how well the scan shows fibrosis, …
Phase: PHASE1 • Sponsor: Abramson Cancer Center at Penn Medicine • Aim: Diagnosis
Last updated Jun 27, 2026 09:03 UTC
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New scan could light up hidden infections
Diagnosis Recruiting nowThis early study is testing a radioactive tracer called [18F]F-TMP that is injected into the body and then tracked with a PET/CT scan. The goal is to see if the tracer collects at sites of bacterial infection, making them visible on the scan. Twenty adults with known or suspected…
Phase: PHASE1 • Sponsor: University of Pennsylvania • Aim: Diagnosis
Last updated Jun 27, 2026 09:02 UTC
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AI reads chest x-rays to catch TB earlier in china
Diagnosis Recruiting nowThis study tests whether an artificial intelligence (AI) system can help doctors find tuberculosis (TB) faster in primary-care clinics in Yichang, China. About 22,000 people with TB symptoms will get a chest X-ray, and the AI will help flag possible cases. The goal is to see if A…
Phase: NA • Sponsor: Xuelin Yang • Aim: Diagnosis
Last updated Jun 27, 2026 08:07 UTC
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New TB skin test could improve diagnosis accuracy
Diagnosis Recruiting nowThis Phase 3 trial is testing a new skin test called EEC to see how well it detects tuberculosis (TB) infection in people aged 3 and older. The study will compare EEC to existing tests like EC, TB-PPD, and IGRA in about 1,784 participants, including TB patients, healthy people, a…
Phase: PHASE3 • Sponsor: Chengdu CoenBiotech Co., Ltd • Aim: Diagnosis
Last updated Jun 26, 2026 13:23 UTC
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New pump lets kids get antibiotics at home, not hospital
Symptom relief Recruiting nowThis study tests whether giving antibiotics through a small, portable pump over 24 hours is safe and cost-effective for children with serious bacterial infections. About 150 kids who are stable enough for home care will receive the pump instead of multiple daily hospital injectio…
Phase: PHASE3 • Sponsor: Tampere University Hospital • Aim: Symptom relief
Last updated Jun 27, 2026 12:30 UTC
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New drug combo aims to prevent oxygen drops during lung scope procedures
Symptom relief Recruiting nowThis study tests whether adding remimazolam to standard sedation (propofol and alfentanil) can lower the risk of low oxygen levels in high-risk patients during painless tracheoscopy. About 360 participants with serious health conditions (ASA class 3-4) will be randomly assigned t…
Phase: PHASE4 • Sponsor: First Affiliated Hospital of Zhejiang University • Aim: Symptom relief
Last updated Jun 27, 2026 09:08 UTC
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Ear acupuncture may help TB patients beat drug side effects
Symptom relief Recruiting nowThis study tests if press-needle ear acupuncture can reduce nausea and vomiting caused by tuberculosis (TB) medicines. About 58 people with TB who experience these side effects will be randomly assigned to receive real ear acupuncture or a placebo. Researchers will compare sympto…
Phase: NA • Sponsor: Indonesia University • Aim: Symptom relief
Last updated Jun 27, 2026 08:03 UTC
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Aging immune system under the microscope: study seeks clues to infection risk in seniors
Knowledge-focused Recruiting nowThis study looks at how the immune system changes with age and how that affects the risk of infections in people 60 and older. Researchers will collect blood, urine, stool, and other samples from elderly patients with infections and healthy older adults. By analyzing immune cells…
Sponsor: Huashan Hospital • Aim: Knowledge-focused
Last updated Jul 01, 2026 00:00 UTC
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NIH launches study to better handle bioterrorism and outbreak exposures
Knowledge-focused Recruiting nowThis study aims to improve how doctors evaluate and manage people who have been exposed to bioterrorism agents (like anthrax) or emerging infectious diseases (like SARS or new flu strains). Up to 200 participants, including patients and healthcare workers, will be monitored and t…
Sponsor: National Institute of Allergy and Infectious Diseases (NIAID) • Aim: Knowledge-focused
Last updated Jun 27, 2026 14:00 UTC
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Blood marker may predict lung disease worsening in NTM patients
Knowledge-focused Recruiting nowThis study looks at whether a substance in the blood called soluble PD-1 can help predict if a certain type of lung disease caused by NTM bacteria will get worse. Researchers will follow 500 adults from different countries to see if higher levels of this marker are linked to more…
Sponsor: National Taiwan University Hospital • Aim: Knowledge-focused
Last updated Jun 27, 2026 13:08 UTC
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Scientists probe immune secrets of tuberculosis to find better treatments
Knowledge-focused Recruiting nowThis study looks at how different types of mycobacterial infections, including drug-resistant tuberculosis and nontuberculous mycobacteria, change the body's immune response. Researchers will collect blood and other samples from 120 participants, including healthy people and thos…
Sponsor: First Affiliated Hospital of Ningbo University • Aim: Knowledge-focused
Last updated Jun 27, 2026 13:05 UTC
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New rapid test could speed up sepsis diagnosis in ER
Knowledge-focused Recruiting nowThis study is testing a new rapid diagnostic device called In-Dx to quickly identify infections and antibiotic resistance in emergency patients with suspected sepsis. Researchers will compare the device's results to standard lab cultures using stored samples from 2,500 patients. …
Sponsor: Michigan State University • Aim: Knowledge-focused
Last updated Jun 27, 2026 13:05 UTC
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Hotspot vs clinic: which TB hunt saves more lives?
Knowledge-focused Recruiting nowThis study compares two strategies for finding undiagnosed tuberculosis (TB) in peri-urban Uganda. One strategy sets up screening at a large health clinic, while the other sends mobile screening teams into local hotspots where TB is thought to be most common. Researchers will tra…
Phase: NA • Sponsor: Johns Hopkins University • Aim: Knowledge-focused
Last updated Jun 27, 2026 13:00 UTC
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Could personalized antibiotic dosing save lives in liver cirrhosis?
Knowledge-focused Recruiting nowThis study is observing 1,000 people with liver cirrhosis who have bacterial infections and are being treated with β-lactam antibiotics. Researchers want to see how the body processes these drugs and whether personalized dosing could improve survival. The study is observational, …
Sponsor: The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School • Aim: Knowledge-focused
Last updated Jun 27, 2026 12:38 UTC
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Can a simple breath test diagnose diseases in children?
Knowledge-focused Recruiting nowThis study aims to see if analyzing the chemicals in a child's breath can help diagnose and monitor diseases like asthma, neurological disorders, and type 1 diabetes. Researchers will collect breath samples from up to 3,600 children and teens to find patterns linked to these cond…
Sponsor: University Children's Hospital Basel • Aim: Knowledge-focused
Last updated Jun 27, 2026 12:30 UTC
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Cash for health: study tests if money can boost TB screening in poor, rural areas
Knowledge-focused Recruiting nowThis study tests whether offering a small cash payment to households can encourage more people to get screened for tuberculosis (TB) in rural Tanzania. Researchers will enroll 360 people recently diagnosed with TB and their families. Half will receive the usual care, and half wil…
Phase: NA • Sponsor: University of Virginia • Aim: Knowledge-focused
Last updated Jun 27, 2026 12:29 UTC
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Scientists probe lung microbiome to unlock TB secrets
Knowledge-focused Recruiting nowThis study looks at the bacteria living in the lungs of people with active tuberculosis (TB) and how they change with treatment. Researchers will compare lung bacteria in diseased and healthy areas, and also check the mouth, nose, and gut. They aim to understand how these microbe…
Sponsor: University of Stellenbosch • Aim: Knowledge-focused
Last updated Jun 27, 2026 12:29 UTC
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Tiny probe could give doctors a window into infant brains
Knowledge-focused Recruiting nowThis study tests a new, lightweight ultrasound device called NeoDoppler that can be gently placed on a newborn's soft spot (fontanelle) to continuously measure blood flow in the brain. Researchers will enroll 180 preterm and full-term infants, including those with conditions like…
Sponsor: St. Olavs Hospital • Aim: Knowledge-focused
Last updated Jun 27, 2026 12:23 UTC
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Blood markers could spot sepsis risk early
Knowledge-focused Recruiting nowThis study is looking at whether early signs of inflammation in the blood can help identify which patients with infections are at risk for serious complications like sepsis. Researchers will follow 4,200 adults with confirmed or suspected infections, as well as healthy controls, …
Sponsor: Beth Israel Deaconess Medical Center • Aim: Knowledge-focused
Last updated Jun 27, 2026 12:08 UTC
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Blood test could revolutionize TB treatment monitoring
Knowledge-focused Recruiting nowThis study explores whether measuring tiny DNA fragments from the TB bacteria in the blood can help doctors monitor how well treatment is working. Researchers will enroll 140 adults with newly diagnosed TB in Thailand, taking blood samples over time to see if the DNA levels drop …
Sponsor: University of Oxford • Aim: Knowledge-focused
Last updated Jun 27, 2026 12:06 UTC
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Teens needed for First-Ever antibiotic safety study
Knowledge-focused Recruiting nowThis early-stage study is testing whether a single dose of an experimental antibiotic combination (sulopenem etzadroxil plus probenecid) is safe and tolerable in 12 adolescents already receiving standard antibiotics for a bacterial infection. Researchers will measure how the drug…
Phase: PHASE1 • Sponsor: Iterum Therapeutics, International Limited • Aim: Knowledge-focused
Last updated Jun 27, 2026 12:01 UTC
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New study aims to perfect antibiotic dosing for sickest kids
Knowledge-focused Recruiting nowThis study looks at how the antibiotic ceftazidime avibactam behaves in 30 children with severe infections who are in intensive care, some on life support. Researchers will measure drug levels in the blood to understand the right dose. The goal is to improve treatment for life-th…
Sponsor: Children's Hospital of Fudan University • Aim: Knowledge-focused
Last updated Jun 27, 2026 11:01 UTC
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New study tracks antifungal drug in sick kids
Knowledge-focused Recruiting nowThis study looks at how the antifungal medicine caspofungin behaves in children with severe infections, especially those with liver problems or on life support like ECMO. Researchers will measure drug levels in the blood to understand dosing needs. About 60 children in intensive …
Sponsor: Children's Hospital of Fudan University • Aim: Knowledge-focused
Last updated Jun 27, 2026 09:06 UTC
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Massive 10-Year study aims to map childhood infections in chinese ICUs
Knowledge-focused Recruiting nowThis study will collect data from 2,000 children admitted to pediatric intensive care units (PICUs) with severe infections across major Chinese cities. Over 10 years, researchers will track which germs cause these infections, how they are treated, and patient outcomes. The goal i…
Sponsor: Children's Hospital of Fudan University • Aim: Knowledge-focused
Last updated Jun 27, 2026 09:05 UTC
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Which antibiotic combo is kinder to kidneys? new study aims to find out
Knowledge-focused Recruiting nowThis study looks at two common antibiotic combinations given to hospitalized adults with infections: vancomycin plus piperacillin-tazobactam, or vancomycin plus cefepime. The goal is to see if one is less likely to cause kidney injury than the other, using more sensitive markers …
Phase: PHASE4 • Sponsor: University of Pennsylvania • Aim: Knowledge-focused
Last updated Jun 27, 2026 09:05 UTC
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Cholesterol drug could boost TB treatment – new study tests best dose
Knowledge-focused Recruiting nowThis study looks at how the cholesterol-lowering drug atorvastatin behaves in the body when taken alongside standard tuberculosis (TB) medicines. Researchers will measure drug levels in 80 adults with pulmonary TB to find the best dose of atorvastatin that could help treat TB mor…
Phase: PHASE2 • Sponsor: Obafemi Awolowo University Teaching Hospital • Aim: Knowledge-focused
Last updated Jun 27, 2026 08:13 UTC
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TB dosing gets a custom fit: new study tests precision medicine
Knowledge-focused Recruiting nowThis study tests whether using computer models to personalize tuberculosis (TB) drug doses can help patients reach optimal drug levels faster. Researchers will monitor 30 adults with pulmonary TB who are already on standard treatment. The goal is to see if this approach helps doc…
Sponsor: Karolinska Institutet • Aim: Knowledge-focused
Last updated Jun 27, 2026 07:58 UTC
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Sweat sensors could replace needles for drug monitoring
Knowledge-focused Recruiting nowThis pilot study is testing whether a smart wristband can accurately measure drug levels in sweat compared to standard blood tests. Researchers will collect sweat, saliva, and blood samples from 100 patients with chronic or infectious diseases who are taking medications like cycl…
Sponsor: City of Hope Medical Center • Aim: Knowledge-focused
Last updated Jun 27, 2026 07:56 UTC
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New study aims to spot sepsis faster in ERs
Knowledge-focused Recruiting nowThis study is looking for new ways to diagnose sepsis, a life-threatening reaction to infection, earlier in the emergency room. Researchers will study the immune responses of 3,300 adults with suspected infections to find patterns that signal sepsis. The goal is to improve diagno…
Sponsor: Amsterdam University Medical Centers (UMC), Location Academic Medical Center (AMC) • Aim: Knowledge-focused
Last updated Jun 27, 2026 07:53 UTC
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TB survivors may face hidden lung damage, UK study aims to find out
Knowledge-focused Recruiting nowThis study will check the lung health of 50 adults who finished treatment for tuberculosis (TB) in Liverpool, UK, about one year after their treatment ended. Participants will take a breathing test and answer questions about their health and wellbeing. The goal is to find out how…
Sponsor: Liverpool School of Tropical Medicine • Aim: Knowledge-focused
Last updated Jun 26, 2026 18:12 UTC