A rapid test to solve the TB lymph node puzzle
NCT ID NCT07778082
First seen Aug 21, 2026 · Last updated Sep 01, 2026 · Updated 2 times
Summary
This study tests whether a molecular assay (MBLA) can tell apart two causes of swollen lymph nodes in people being treated for extrapulmonary tuberculosis: a paradoxical immune reaction (IRIS) or actual treatment failure. Researchers will compare MBLA results from routine lymph node samples with standard culture and Xpert tests, and track patient outcomes. If accurate, MBLA could offer a faster, culture-free way to guide treatment decisions and avoid unnecessary changes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Molecular Bacterial Load Assay (MBLA) on lymph node aspirates
- What this could lead to
- If successful, this test could help doctors quickly tell whether swollen lymph nodes during TB treatment are a sign of treatment failure or a harmless immune reaction, reducing unnecessary treatment changes.
- What could go wrong
- This is a diagnostic study, not a treatment trial. The test's accuracy is still being evaluated, and it may not perfectly match culture results or predict patient outcomes in all cases.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients with tuberculosis and progressive or persistant lymphadenopathy after at least 3 months of TB treatment will be recruited at the study sites. Eligible patients will be contacted by the clinicians responsible for TB treatment and/or follow-up care or by the local principal investigator.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patient with extrapulmonary tuberculosis * Progressive or persistant lymphadenopathy * Treatment for tuberculosis for at least 3 months * Age ≥ 18 years * Capacity to provide informed consent * Written informed consent to participate in the study Exclusion Criteria: * Lack of capacity to provide informed consent * Age \< 18 years
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Research Center Borstel, Leibniz Lung Center
Borstel, 23845, Germany
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