Fast light-based test to find hard-to-treat drug-resistant TB

Rapid phenotypic detection of complex and emergent TB drug-resistance using a next-generation nanoluciferase reporter phage

NIH-funded research Columbia University Health Sciences · NIH-11419782

This project tests a new rapid laboratory test that uses a light-producing virus to find TB bacteria that are resistant to current antibiotics so people can get the right medicines sooner.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionColumbia University Health Sciences NIH-funded
Lab location1 site (New York, United States)
Project IDNIH-11419782 on NIH RePORTER

What this research studies

If you have TB, researchers are developing a quicker lab test that uses harmless bacteriophages carrying a light-making gene to report whether TB bacteria survive specific drugs. The test makes infected bacteria glow unless an antibiotic stops them, letting lab staff read drug susceptibility without waiting for slow culture growth. The team aims to detect resistance to newer TB drugs, including those used in all-oral short-course treatments, so emerging resistance is found earlier. The work is being done in specialized labs and would be applied to patient samples sent from clinics.

Who could benefit from this research

Good fit: People with suspected or confirmed pulmonary TB—especially those with prior TB treatment, known exposure to drug-resistant TB, or HIV co-infection—would be the ideal candidates for this testing approach.

Not a fit: People without active TB, with infections caused by organisms other than Mycobacterium tuberculosis, or in settings that cannot send samples to a specialized lab may not directly benefit from this test.

Why it matters

Potential benefit: Could let clinicians identify drug-resistant TB much faster so patients start effective therapy sooner and avoid ineffective drugs.

How similar studies have performed: Reporter-phage assays have shown promise in lab and pilot studies for rapid TB drug-susceptibility, but applying them to detect resistance to newer drugs like bedaquiline is relatively new and still being validated.

Where this research is happening

New York, 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.
Conditions Acquired Immune Deficiency SyndromeAcquired Immunodeficiency Syndrome
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.