Sputum DNA test aims to outsmart Drug-Resistant TB
NCT ID NCT05007795
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This trial tests a new DNA test that reads drug resistance directly from sputum samples in people with multidrug-resistant tuberculosis (MDR-TB). The goal is to see if this test helps doctors prescribe at least five effective drugs within 14 days of diagnosis, compared to current slower methods. About 280 adults with rifampicin-resistant TB will take part. If it works, this approach could lead to more personalized and effective treatment for drug-resistant TB.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Targeted sequencing test (GenoScreen Deeplex assay)
- What this could lead to
- If successful, this test could help doctors choose the right drugs faster for people with drug-resistant TB, potentially improving cure rates.
- What could go wrong
- This is a small, early-stage proof-of-concept trial. The test may not be faster or more accurate than current methods, and results may not apply to all 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.
- 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 280 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jun 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 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.
- 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.
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: Subjects are required to meet ALL of the following inclusion criteria to participate: * Newly diagnosed culture and/or Xpert/MTB Ultra positive pulmonary TB * Rifampicin resistance detected using GeneXpert * Provide written informed consent prior to all trial-related procedures * Male or female aged 18 years and older. * Patients on TB treatment for less than or equal to 7 days. * Patients receiving both the shorter and longer MDR-TB regimen will be eligible. Exclusion Criteria: Subjects will be excluded from participation if they meet ANY of the following criteria: * A subject who in the opinion of the investigator is unlikely to cope with regular visits to the trial site either because of travel constraints, or drug or alcohol abuse, or other reason. * Currently on MDR-TB treatment and completed 7 days of treatment. * Any participant with a clinically significant pre-existing medical condition that, in the opinion of the investigator, may be significantly worsened by the patient's participation in the study * Any subject with a Karnofsky score \< 50. * Having participated in other clinical studies within 8 weeks prior to trial start where investigational agents were used that may potentially impact current trial outcome. * Participant who is pregnant, breast-feeding (and not willing to stop), or planning to conceive a child within 6 months of cessation of treatment. * Any pre-existing laboratory abnormality, which in the opinion of the investigator will place the participant at risk (see detailed protocol for grade of abnormality).
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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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University of Cape Town
Cape Town, Western Cape, South Africa
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can newer tests match the gold standard for detecting Drug-Resistant TB?
- Can a 4-Drug combo cut TB treatment time in half?
- New 6-Month drug cocktail aims to tame resistant TB
- Can a shorter TB drug combo beat Drug-Resistant TB?
- New hope for kids with Drug-Resistant TB: pretomanid dose study completed
- New hope for Drug-Resistant TB: shorter Pill-Only regimen tested