Evaluating new biomarkers for managing tuberculosis

Optimization of Tuberculosis Diagnosis and Management Using Four Immunological Biomarkers

NA · Hospices Civils de Lyon · NCT04271397

This study is testing new blood tests to see if they can help doctors better manage tuberculosis and improve treatment for patients.

Quick facts

PhaseNA
Study typeInterventional
Enrollment60 (estimated)
Ages18 Years and up
SexAll
SponsorHospices Civils de Lyon (other)
Locations1 site (Lyon)
Trial IDNCT04271397 on ClinicalTrials.gov

What this trial studies

This study aims to improve the management of tuberculosis (TB) by evaluating the diagnostic accuracy and outcome prediction of four novel biomarkers. These include a double IGRA test, a whole blood transcriptomic analysis of mRNA expression, a whole blood proteomic analysis, and ex vivo immunophenotyping of lymphocyte populations. By analyzing multiple blood samples, the study seeks to enhance treatment adherence and efficacy monitoring for patients with active TB. The ultimate goal is to provide better patient care and reduce the risk of relapse and drug resistance.

Who should consider this trial

Good fit: Ideal candidates for this study are adults aged 18 and older with proven active tuberculosis or latent tuberculosis infection.

Not a fit: Patients with certain malignancies, chronic infections like HIV or hepatitis, or those on immunosuppressive treatments may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to more effective monitoring and management of tuberculosis, improving patient outcomes.

How similar studies have performed: Other studies have explored biomarkers in TB management, but the specific combination of approaches in this study may offer novel insights.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

Adult ≥ 18 year-old

* Patients having given written consent
* Patients accepting a follow up ≥ 6 months
* Proven active tuberculosis (positive direct examination and/or PCR)
* Latent tuberculosis infection assessed by positive IGRA

Exclusion Criteria:

* Malignant solid tumor
* Malignant hemopathy
* Solid organ transplantation or hematopoietic stem cell transplantation
* Immunosuppressive treatments (i.e. biologics, calcineurin inhibitors, corticosteroids)
* Auto-inflammatory disease
* Chronic liver diseases
* Chronic infection with HIV, HCV (hepatitis C virus) or HBV (hepatitis B virus)
* Antimycobacterial treatment initiated \> 7 days
* Pregnancy or breastfeeding
* Refusal to participate to the study
* Persons deprived of their liberty by judicial or administrative decision
* Protected adults
* Patients not affiliated to health-care social security
* The homeless

Where this trial is running

Lyon

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Tuberculosis, Tuberculosis Infection

Last reviewed 2026-05-15 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.