NIH-funded research R21 grant

Understanding how specific mutations in tuberculosis bacteria lead to resistance against bedaquiline.

Official title: Comprehensive characterization of Rv0678 bedaquiline resistance-conferring polymorphisms

Funded at University of California, San Francisco · NIH-11088912 · Data updated 2026-11-12

This study is looking at how certain changes in the tuberculosis bacteria can make it resistant to a key antibiotic called bedaquiline, which is important for treating tough cases of tuberculosis, and the goal is to find better ways to test for these changes so that patients can get the most effective treatment.

Quick facts

Grant typeR21 grant
Study typeNIH-funded research
Funding institutionUniversity of California, San Francisco
NIH-funded
Lab location1 site (San Francisco, United States)
Project startMay 14, 2024
Project endMarch 31, 2026
Funding year2025
Award (this year)$246,000
NIH project number5R21AI180963-02
Project IDNIH-11088912 on NIH RePORTER

Who could benefit from this research

Could help

Ideal candidates for this research are individuals diagnosed with rifampin-resistant tuberculosis who may benefit from targeted treatment strategies.

Less likely to help

Patients with tuberculosis that is not resistant to rifampin or those who do not have access to bedaquiline may not benefit from this research.

What this research studies

This research investigates the genetic mutations in tuberculosis bacteria that cause resistance to the antibiotic bedaquiline, which is crucial for treating rifampin-resistant tuberculosis. By creating a library of bacterial clones with specific genetic changes, the researchers will screen these clones to identify which mutations confer resistance. This comprehensive approach aims to enhance the understanding of how these mutations affect treatment outcomes, ultimately leading to the development of better diagnostic tests that can guide effective treatment decisions for patients.

Why it matters

Potential benefit: If successful, this research could lead to improved diagnostic tests that help tailor tuberculosis treatments more effectively, potentially saving lives.

How similar studies have gone: Previous research has shown promise in understanding antibiotic resistance through genetic analysis, suggesting that this approach could yield valuable insights.

Where this research is happening

  • University of California, San Francisco
    San Francisco, United States
    Active

Researchers

  • Principal investigator: Metcalfe, John Zapata — University of California, San Francisco
  • Study coordinator: Metcalfe, John Zapata

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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.
Last reviewed 2026-11-14 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.