TB treatment mystery: why do some patients suddenly worsen?

NCT ID NCT04052022

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study aims to understand why some people with tuberculosis (TB) experience a paradoxical reaction, where they initially improve on treatment but then suddenly get worse. Researchers will follow 140 adults with TB, with or without signs of this reaction, using blood tests, urine samples, and PET/CT scans over 6 to 18 months. The goal is to identify immune and imaging patterns that could help predict and manage these reactions in the future.

What this could mean

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

What this could lead to

If successful, this could help doctors predict and manage paradoxical reactions in TB patients, improving treatment outcomes.

What could go wrong

This is an observational study, not a treatment trial. It may not lead to immediate clinical changes, and results depend on a small, specific group of participants.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

immune reconstitution inflammatory syndrome tuberculosis

As listed by the trial registrant

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

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Mexican Emerging Infectious Diseases Clinical Research Network (LaRed)

    RECRUITING

    Alcaldia Tlalpan, 14050, Mexico

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • National Institutes of Health Clinical Center

    RECRUITING

    Bethesda, Maryland, 20892, United States

    Contact Phone: •••-•••-•••• Email: •••••@•••••