AI x-rays and mobile testing aim to catch missed TB and COVID cases
NCT ID NCT05220163
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether AI-powered X-ray analysis and portable molecular tests can help find tuberculosis (TB) and COVID-19 cases in African communities where many cases go undetected. Over 26,000 adults will be screened using these tools, and researchers will measure how quickly and accurately cases are identified. The goal is to see if these technologies can improve disease detection and reduce the number of missed cases.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- CAD (AI software for X-ray analysis) and Xpert (molecular test for TB)
- What this could lead to
- If successful, this could show that AI-assisted X-rays and community-based testing can find more TB and COVID-19 cases, helping to control these diseases in high-burden areas.
- What could go wrong
- This is an observational study, not a treatment trial. The tools may not work as well in real-world settings, and results may not apply to other regions.
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.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 26,200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2022
- Expected to finish
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Dec 2026
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.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Participants willing to complete community-based symptom screening, finger-prick and venepuncture blood sampling, urine testing, and/or undergo TB and/or COVID-19 diagnostic testing. * Provision of informed consent. * Participant 18 years or above. * HIV-positive or negative participants will be included. Exclusion Criteria: * Inability to provide informed consent (e.g., mentally impaired). * Participants who have completed TB treatment in the last two months, or who have self-presented to their local TB clinic and are currently being worked up for suspected TB. * Participants already diagnosed with active TB on treatment. * Participants unable to commit to at least a two-month follow-up. * Female participants who are pregnant or who refuse a urine pregnancy test. * Participants in the community who cannot access healthcare due to severe ill health or lack of access to the local clinic.
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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
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Helen Ayles
Lusaka, Zambia
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Junior Mutsvangwa
Harare, Zimbabwe
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University of Cape Town
Cape Town, Western Cape, South Africa
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