Understanding brain injury in kids with tuberculous meningitis (iThemba)
Official title: Understanding ischemia in children with tuberculous meningitis (iThemba)
Funded at Stellenbosch University · NIH-11474075 · Data updated 2026-11-12
A study in children with TB meningitis in South Africa will look at how inflammation and blood-clotting factors relate to brain injury and infarcts.
Quick facts
| Grant type | R01 grant |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Stellenbosch University NIH-funded |
| Lab location | 1 site (Stellenbosch, SOUTH AFRICA) |
| Project start | August 1, 2022 |
| Project end | May 31, 2027 |
| Funding year | 2026 |
| Award (this year) | $204,288 |
| NIH project number | 3R01HD107063-05S1 |
| Project ID | NIH-11474075 on NIH RePORTER |
Who could benefit from this research
✓Could help
Ideal candidates are children (0-11 years old) with probable or confirmed TB meningitis in settings with access to MRI and FDG PET/CT.
✕Less likely to help
Children not meeting criteria or unable to undergo MRI/FDG PET/CT may not benefit from this specific protocol.
What this research studies
This project will enroll up to 80 children with probable or confirmed TB meningitis over 30 months, collecting blood and CSF samples and performing MRI and FDG PET/CT at baseline and after 2 weeks. Researchers will explore how endothelial and inflammatory processes contribute to brain infarction and disability in TBM, using proteomics, transcriptomics, and radiology to build a comprehensive picture. Participation involves imaging, fluid sampling, and follow-up assessments, with careful monitoring and supportive care provided through the study. The team has extensive expertise in pediatric TBM, neuroimaging, and data analysis to translate findings into better understanding and future therapies.
Why it matters
Potential benefit: Findings could clarify why TBM causes brain injury in children and guide future treatments to reduce disability.
How similar studies have gone: Prior pediatric TBM research has advanced knowledge, but this project offers a deeper look at vessel inflammation and thrombosis with advanced imaging and omics.
Where this research is happening
-
Stellenbosch University
Stellenbosch, South Africa Active
Researchers
- Principal investigator: Seddon, James Alexander — Stellenbosch University
- Study coordinator: Seddon, James Alexander
Related research
Other NIH-funded projects on the same topics.
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Personalized Immunomodulatory Therapy for HIV-related Cryptococcal Meningitis
A patient-focused study investigates a personalized treatment approach to improve outcomes for people with HIV who develop cryptococcal meningitis.
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Improving Diagnostics and Neurocognitive Outcomes in HIV/AIDS-related Meningitis
A study in Uganda aims to use faster, better tests and a new antifungal to help people with HIV who develop meningitis.
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TB meningitis diagnostic test compare and cost study in sub-Saharan Africa
Researchers are testing a new CSF urine-based test (SILVAMP TB LAM) to improve diagnosis of TB meningitis in people with HIV, to help speed treatment and reduce death in Sub-Saharan Africa.
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Minimally Invasive Sampling to Improve HIV-Associated M meningitis Diagnosis in Africa
A research study is testing easier, less invasive ways to diagnose meningitis in people living with HIV, with a focus on making diagnosis faster and more accurate in Africa and the US.
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Serological clues to survival in HIV-related cryptococcal meningitis
This grant looks for antibody signals in the blood that could predict who survives cryptococcal meningitis in people with HIV.
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Blood-brain barrier problems during bacterial meningitis
Researchers are studying why the brain’s protective barrier fails during bacterial meningitis and how that leads to brain injury, with a focus on how bacteria invade brain cells and disrupt protective transporters.
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.