Actively Recruiting

Age: 18Years - 100Years
All Genders
ID06221488

THWART-TB: Testing Health Workers At Risk to Advance Our Understanding of TB Infection

Led by Beth Israel Deaconess Medical Center · Updated on 2025-05-23

300

Participants Needed

1

Research Sites

52 weeks

Total Duration

On this page

Sponsors

B

Beth Israel Deaconess Medical Center

Lead Sponsor

U

University of Stellenbosch

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying tuberculosis (TB) infection in health workers in Cape Town, South Africa, where the risk of TB infection is notably high. The study aims to better understand immune responses to TB infection, especially early after exposure, using new and established tests. This research hopes to improve how we identify those at greatest risk of developing active TB disease, which can be life-threatening, and to inform better prevention strategies. Health workers will be tested every three months over one year using a combination of established and novel diagnostic tests, including interferon gamma release assays (IGRAs), blood RNA biosignatures, antibody responses, and tests detecting TB DNA. This approach allows researchers to observe changes in immune and pathogen markers over time and to see if early positive test results are temporary or persistent. The study will also collect samples for future research. Participants will undergo serial testing at months 0, 3, 6, 9, 12, and 24. Researchers will monitor TB infection status and the occurrence of active TB disease through these visits. Data from these tests will help understand the timing and nature of immune responses and pathogen presence during early TB infection. The study duration for each participant extends to two years, with ongoing assessments to evaluate risk and protection against TB.

CONDITIONS

Brief Title

Testing Health Workers At Risk to Advance Our Understanding of TB Infection

Who Can Participate

Age: 18Years - 100Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • 18 years old or older
  • Currently working as a health worker
  • Able to provide informed consent
Not Eligible

You will not qualify if you...

  • Prior history of tuberculosis (TB) or known prior positive interferon gamma release assay (IGRA)
  • Current or prior history of taking anti-TB treatment

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Monitoring

Duration - 12 months

Participants undergo serial testing every 3 months for one year using established and novel tests to evaluate for TB infection and disease.

Visits every 3 months for a total of 5 visits during the first year

Long-term Monitoring

Duration - Additional 12 months after initial monitoring

Participants continue to be assessed for TB infection and disease at 24 months to understand longer-term outcomes.

1 visit at 24 months

Trial Site Locations

Total: 1 location

1

Stellenbosch University

Cape Town, South Africa

Actively Recruiting

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Research Team

R

Ruvandhi Nathavitharana, MBBS MPH

G

Grant Theron, PhD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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Published Research Related To This Trial

Predicting Airborne Infection Risk: Association Between Personal Ambient Carbon Dioxide Level Monitoring and Incidence of Tuberculosis Infection in South African Health Workers.

Ruvandhi R Nathavitharana, Hridesh Mishra, Amanda Sullivan...

https://pubmed.ncbi.nlm.nih.gov/35348657