Actively Recruiting

Age: 18Years +
All Genders
Healthy Volunteers
NCT07312266

Questioning the Epidemiology of Asymptomatic TB

Led by Barcelona Institute for Global Health · Updated on 2025-12-31

6770

Participants Needed

1

Research Sites

194 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Tuberculosis (TB) remains one of the world's leading causes of morbidity and mortality. Current TB control strategies focus largely on the binary paradigm of TB, which tackle Mtb infection and the symptomatic stages of the disease as the major drivers of the TB epidemic. However, prevalence surveys have shown that about 50% of cases in which Mycobacterium tuberculosis is isolated from sputum but do not report having symptoms. Therefore, asymptomatic TB may play an important role in TB transmission. However, no field study has demonstrated direct transmission from a subclinical TB case to a confirmed secondary case. TB-QUEST is an ERC-funded epidemiological field study that aims to provide direct evidence of effective transmission from asymptomatic TB cases to their close contacts using advanced genomic methods, and to better characterize the asymptomatic stage of TB within the natural history of disease.

CONDITIONS

Official Title

Questioning the Epidemiology of Asymptomatic TB

Who Can Participate

Age: 18Years +
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • 18 years of age or older
  • Documented HIV infection
  • Presenting at a health facility for routine HIV care
  • On ART for less than 6 months (for Study 3)
  • No evidence of viral suppression (for Study 3)
  • Documented CD4 count greater than 350 copies/ul (for Study 3)
  • TB-suggestive x-ray (for Study 3)
  • Verified absence of fever and cough through symptom trackers (for Study 3)
  • All close contacts, regardless of age or HIV status, will be offered participation
Not Eligible

You will not qualify if you...

  • History of TB treatment in the last 12 months
  • Pregnant women
  • Refusal to provide consent for study procedures
  • Contraindication to any sampling procedure required by the study
  • Plans to migrate in the next 12 months (for contacts)
  • Currently taking anti-tuberculosis treatment or preventive TB treatment (for contacts)
  • Contacts with co-prevalent TB identified at baseline

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Centro de Investigação em Saúde de Manhiça (CISM)

Manhiça, Maputo Province, Mozambique

Actively Recruiting

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Research Team

A

Alberto L. Garcia-Basteiro, MD

CONTACT

J

Joanna Ehrlich

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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Questioning the Epidemiology of Asymptomatic TB | DecenTrialz