Clinical trial Recruiting at 2 sites Observational Ages 12 and up

C3PO: Predicting tuberculosis recurrence with blood and sputum tests

Official title: Candidate Clinical Correlate of Prognostic Outcome for TB Study

Run by University of California, San Francisco · NCT07018076 · Data updated 2026-11-12

This project will test whether new blood and sputum-based tests can identify people who are likely to get tuberculosis again after finishing standard treatment.

Quick facts

Study typeObservational
Ages12 Years and up
SexAll
Enrollment750 (estimated)
SponsorUniversity of California, San Francisco
Academic / other
Locations3 sites (Kampala and 2 other locations)
StatusRecruiting
StartedNovember 25, 2025
Main results expectedMay 31, 2027
Study endsMay 31, 2027
Registry record updatedJuly 20, 2026
Trial IDNCT07018076 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

People aged 12 years or older who have just completed the standard 6-month HRZE treatment for drug-susceptible pulmonary tuberculosis and can return for follow-up visits are ideal candidates.

Probably not a fit

People with drug-resistant TB, those still taking anti-mycobacterial drugs for other reasons, those who finished treatment more than 14 days before screening, or those unwilling to return for follow-up are unlikely to benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

C3PO is an observational supplement within the R2D2 TB Network that follows people who completed the 6-month HRZE regimen to look for markers that predict TB coming back. The study collects sputum and blood samples to measure non-culture pharmacodynamic markers such as the RS ratio and host immune-response assays and links those measurements to later recurrence under routine programmatic care. By comparing these biomarkers to clinical outcomes, the study aims to find faster, more accurate predictors of relapse than sputum culture. The work is conducted across multiple outpatient sites in Uganda and Vietnam with academic and federal collaborators.

Why it matters

Potential benefit: If successful, the biomarkers could allow shorter, more informative TB drug trials and help target follow-up care to people at higher risk of recurrence.

How similar studies have gone: Preliminary research on markers like the RS ratio and host immune assays has shown promise, but these approaches are not yet validated in large prospective cohorts for predicting TB recurrence.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. . individuals age ≥ 12 years;
2. . have completed treatment for drug-susceptible tuberculosis with the standard 6-month regimen of isoniazid, rifampin, pyrazinamide, and ethambutol (HRZE).

Exclusion Criteria:

1. completed treatment for drug-susceptible tuberculosis \>14 days prior to screening/enrollment;
2. routinely taking any medication with anti-mycobacterial activity (including fluoroquinolones) for any reason not related to tuberculosis treatment within the last 14 days;
3. unwilling to provide informed consent or return for study follow-up visits.

Where it's running

  • Kisenyi Health Center
    Kampala, Uganda
    Recruiting
  • Mulago Outpatient Department
    Kampala, Uganda
    Recruiting
  • Hanoi Lung Hospital, Outpatient departments
    Hanoi, Vietnam
    Not yet recruiting

Study contacts

  • Principal investigator: Adithya Cattamanchi, MD — University of California San Francisco; University of California Irvine
  • Study coordinator: Adithya Cattamanchi, MD
  • Email: adithya.cattamanchi@ucsf.edu
  • Phone: 415-206-5489

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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.