Can a finger-prick test improve TB screening in hard-to-reach areas?
NCT ID NCT05526885
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested two ways to find tuberculosis (TB) in communities in Lesotho and South Africa. One method used a chest X-ray analyzed by computer software (CAD4TB). The other added a finger-prick blood test (CRP) for people whose X-ray results were unclear. Both methods were followed by a confirmatory test. The goal was to see if adding the blood test finds as many TB cases while being more cost-effective. About 20,000 adults took part.
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 approach could make TB screening cheaper and more accessible in high-burden communities, helping find more cases earlier.
- What could go wrong
- The trial is completed but results are not yet widely reported. The approach may not be as effective in other settings or populations.
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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20,000 people
The number who actually took part.
- Started
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Sep 2022
- Finished
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Dec 2024
- 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.
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: * Willing and able to provide signed written consent or witnessed oral consent in the case of illiteracy, prior to undertaking any study-related procedure * Adults (≥18 years) Exclusion Criteria: * Any condition for which participation in the study, as judged by the investigator or a designated staff member, could compromise the well-being of the subject or prevent, limit or confound protocol specified assessments * Seriously ill person who needs immediate medical care * Current anti-TB treatment (preventive TB treatment permitted) * Lesotho only: Pregnancy (self-reported)
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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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Human Sciences Research Council
Pietermaritzburg, KwaZulu-Natal, South Africa
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SolidarMed
Maseru, Lesotho
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Other studies related to the condition(s) this trial covers.
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