Silent spreaders? study probes asymptomatic TB transmission
NCT ID NCT07312266
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether people with tuberculosis (TB) who have no symptoms can still pass the infection to others. Researchers will follow about 6,770 participants, including those with HIV, and use advanced genetic testing to track TB spread among close contacts. The goal is to better understand how asymptomatic TB contributes to the epidemic.
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 show that asymptomatic TB plays a key role in spreading the disease, potentially reshaping how we control TB outbreaks.
- What could go wrong
- This is an observational study, not a treatment trial. It may not prove direct transmission, and results might not apply to all populations or settings.
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 6,770 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2025
- Expected to finish
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May 2029
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
Participants attending routine HIV care at the Manhica District Hospital
- 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.
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.
Index cases: Inclusion Criteria: 1. 18 years of age or older 2. Documented HIV infection 3. Presenting at a health facility for routine HIV care Exclusion Criteria: 1. History of TB treatment in the last 12 months 2. Pregnant women 3. Refusal to provide consent for study procedures 4. Contra-indication to any sampling procedure required by the study Study 3 will utilize additional inclusion criteria: Inclusion criteria: 1. On ART for less than 6 months 2. No evidence of viral suppression 3. Documented CD4 count \>350 copies/ul 4. TB-suggestive x-ray 5. Verified absence of fever and cough, as ascertained through the symptom trackers Contacts: Inclusion criteria: All close contacts (household and close community contacts) will be offered to participate in the study, regardless of age or HIV status. Exclusion criteria: 1. Plans to migrate in the next 12 months 2. Pregnant women 3. Currently taking anti-tuberculosis treatment or preventive TB treatment 4. Contacts with co-prevalent TB identified at baseline
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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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Centro de Investigação em Saúde de Manhiça (CISM)
RECRUITINGManhiça, Maputo Province, Mozambique
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can 'Queen Mothers' bring HIV testing to the doorstep?
- Can a Once-Daily HIV pill with food match Twice-Daily dosing during TB treatment?
- Scientists map HIV's hiding spots in early infection
- Can simple sputum and urine tests catch tuberculosis earlier?
- Can a common virus be turned into a TB vaccine? scientists test VIR-1778
- Can local clinics keep more people with HIV in care?