Biomarker Test for Diagnosis and Monitoring of Extrapulmonary Tuberculosis
Official title: Biomarker Analysis for Diagnosing and Treatment Monitoring in Extrapulmonary Tuberculosis Patients, in Nairobi, Kenya
Run by Nagasaki University · NCT07901387 · Data updated 2026-11-12
This study tests biomarker-based methods to help diagnose extrapulmonary TB and monitor treatment in adults, including people living with HIV, using samples from affected sites in Kenya.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 700 (estimated) |
| Sponsor | Nagasaki University Academic / other |
| Locations | 2 sites (Nairobi and 1 other locations) |
| Status | Recruiting |
| Started | April 8, 2025 |
| Main results expected | October 31, 2028 |
| Study ends | March 30, 2030 |
| Registry record updated | October 28, 2026 |
| Trial ID | NCT07901387 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 years and older with clinically suspected active extrapulmonary TB, with or without HIV, able to provide samples from affected sites and give informed consent.
✕Probably not a fit
Patients not expected to benefit include those with cancers or on recent immunosuppressive therapy, pregnant women, or those unable to donate required urine or other samples.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is an observational study conducted at Kenyatta National Hospital and Mbagathi County Referral Hospital in Nairobi, Kenya, led by Nagasaki University. It aims to identify and evaluate biomarkers, such as lipoarabinomannan, to improve diagnosis and monitoring of extrapulmonary TB in a resource-limited setting. Adults with clinically suspected active extrapulmonary TB, with or without HIV, will provide samples from affected sites for biomarker analysis. The study does not describe any interventions and will observe biomarker performance in real-world clinical specimens to inform future diagnostic approaches.
Why it matters
Potential benefit: If successful, the biomarker approach could enable earlier, non-invasive diagnosis and better monitoring of extrapulmonary TB, potentially reducing morbidity.
How similar studies have gone: Biomarker-based approaches for extrapulmonary TB have shown promise in some settings, but this study explores their utility specifically in Nairobi among HIV-infected and uninfected individuals.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 18 years and above * Clinically suspected active EPTB assessed by study clinicians * Patients with HIV with and without HIV infection * Patients whose samples can be collected from affected sites (such as lymph node aspirations and biopsies, pleural aspirations, and cerebral spinal fluid aspiration according to type of EPTB suspected) * Informed consent from patient Exclusion Criteria: * Pregnant women: Due to complexities in follow-ups and obtaining samples * Patient with any type of cancer who is given anti-cancer treatment within the last one year or who has undergone surgery for cancer within the last one year * Patient who is taking immunosuppressive medications within the last one year: To minimize the impact medication-induced immune responses on TB disease progression and the accuracy of biomarker measurements * Patient who has anuria or oliguria and unable to provide 30-50ml of urine * Given TB treatment within one year: To avoid confounding effects from recent therapy * Patient who is mentally unstable
Where it's running
-
Kenyatta National Hospital
Nairobi, Kenya Recruiting -
Mbagathi County Referral Hospital
Nairobi, Kenya Recruiting
Study contacts
- Study coordinator: Nobuo Saito, MD, PhD
- Email: nsaito@nagasaki-u.ac.jp
- Phone: +2540773406090
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.