Yearly TB check may shield vulnerable patients from a hidden threat

NCT ID NCT07731672

First seen Jul 28, 2026 · Last updated Jul 31, 2026 · Updated 2 times

Summary

This trial investigates whether annual re-screening for tuberculosis infection using a blood test (IGRA) can prevent active TB in people with autoimmune rheumatic diseases who are taking biologic or immunosuppressive medications. Participants who initially test negative for TB are randomly assigned to either yearly re-screening or standard care without routine re-screening. Those who convert to a positive test receive preventive treatment. The study aims to see if this approach lowers the number of active TB cases in this higher-risk group.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
annual tuberculosis re-screening using IGRA blood test
What this could lead to
If effective, annual TB re-screening could become a standard preventive practice for patients with autoimmune rheumatic diseases on immunosuppressive therapy, reducing cases of active tuberculosis.
What could go wrong
This is a single-center study, and results may not apply to all populations. The benefit of annual screening may be small if TB conversion rates are low, and false positives could lead to unnecessary treatment.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Rheumatology Division, Faculdade de Medicina da USP, São Paulo, SP

    São Paulo, São Paulo, 01246-903, Brazil

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