Simple fluid test could replace needle biopsy for TB of the lung lining
NCT ID NCT06646237
First seen Jun 24, 2026 · Last updated Sep 04, 2026 · Updated 3 times
Summary
This study tests a new liquid biopsy that measures TB DNA in fluid from around the lungs to diagnose tuberculous pleuritis, a common form of TB. Current methods often require invasive tissue biopsies or have low accuracy. The trial will enroll 350 adults with new-onset pleural effusion to see if this simple fluid test can reliably tell TB from other causes, potentially avoiding the need for a biopsy.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- MTB cell-free DNA assay (liquid biopsy)
- What this could lead to
- If successful, this could provide a quick, less invasive way to diagnose tuberculous pleuritis, reducing the need for tissue biopsies.
- What could go wrong
- The test was developed on a small, selected group, so it may not work as well in a broader, real-world population. Also, it is still being validated and is not yet available for routine use.
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 350 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2026
- Expected to finish
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Dec 2028
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 definite or probably TBP will be recruited as positive control. Patients without TBP will be recruited as negative control.
- 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.
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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: * Patients hospitalised for new-onset unilateral pleural effusion. * Thoracentesis will be performed for pleural fluid analysis. * Age equals or is above 18 years old * Written informed consent is obtained Exclusion Criteria: * History of intrapleural therapy (including talc and fibrinolytic), surgical decortication or surgical pleurodesis in the ipsilateral pleural space in the past 3 months * Concomitant use of at least two anti-TB medications (including isoniazid, rifampicin, pyrazinamide, ethambutol, amikacin, streptomycin, levofloxacin, moxifloxacin, linezolid) for more than consecutive 7 days in the past 3 months * Failed to obtain informed consent due to patient's refusal or cognitive impairment. * History of TBP in the ipsilateral pleural space * Expected survival of less than three months from a different pathology (e.g. advanced metastatic malignancy) as that further pleural investigations may not be able to carry out if negative initial workup. * Use of agents under research or not registered in the 30 days prior to the study
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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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Chinese University of Hong Kong
RECRUITINGHong Kong, Hong Kong, Hong Kong
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