Automated, culture-free sequencing test to detect drug-resistant tuberculosis

Automated Sequencing for Culture-free Diagnosis of Drug Resistant TB

NIH-funded research University of California, San Diego · NIH-11397352

This project will develop an automated sequencing test that works directly on patient samples to quickly show which tuberculosis drugs are likely to work for people with drug-resistant TB.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of California, San Diego NIH-funded
Lab location1 site (La Jolla, United States)
Project IDNIH-11397352 on NIH RePORTER

What this research studies

This project will build a next-generation sequencing (NGS) test that runs directly on patient sputum or other samples without the need to grow TB in culture, so results can be faster. The team will simplify and automate the lab steps so the test can be run mostly hands-free by technicians who already perform common molecular tests, lowering cost and technical skill needed. The test aims to detect genetic mutations that cause resistance to key drugs including bedaquiline, pretomanid, linezolid, and delamanid. The goal is a practical workflow suitable for lower-resource clinics so treatment can be matched to a patient’s resistance profile before starting therapy.

Who could benefit from this research

Good fit: People with suspected or confirmed drug-resistant tuberculosis who need rapid drug susceptibility information before starting or changing therapy are the ideal candidates.

Not a fit: People without tuberculosis or whose samples have very low bacterial loads that prevent direct sequencing may not benefit from this approach.

Why it matters

Potential benefit: If successful, this could give clinicians fast, comprehensive drug-resistance results so patients receive effective TB drugs sooner and avoid ineffective treatments.

How similar studies have performed: Previous pilot work has shown culture-free NGS can detect TB resistance but existing workflows are complex and not yet practical for routine use, so this project focuses on simplifying and automating them.

Where this research is happening

La Jolla, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.