Understanding TB Infection Risks in Health Workers

THWART-TB: Testing Health Workers At Risk to Advance Our Understanding of TB Infection

Beth Israel Deaconess Medical Center · NCT06221488

This study is trying to understand how health workers in Cape Town respond to tuberculosis infections over a year to find better ways to protect them from getting sick.

Quick facts

Study typeObservational
Enrollment300 (estimated)
Ages18 Years to 100 Years
SexAll
SponsorBeth Israel Deaconess Medical Center (other)
Locations1 site (Cape Town)
Trial IDNCT06221488 on ClinicalTrials.gov

What this trial studies

This observational study focuses on health workers in Cape Town, South Africa, who are at high risk for tuberculosis (TB) infection. It aims to evaluate immune responses to TB through frequent testing every three months over a year, using a combination of novel assays. By characterizing the dynamic immune responses at the time of initial infection, the study seeks to improve understanding of TB infection and identify individuals at risk of developing active TB disease. The findings will help inform targeted preventive strategies for those exposed to TB.

Who should consider this trial

Good fit: Ideal candidates for this study are health workers aged 18 and older who can provide informed consent.

Not a fit: Patients with a prior history of TB or those who have previously tested positive for TB infection will not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to better identification of individuals at risk for developing active TB, enabling more effective prevention strategies.

How similar studies have performed: While there have been studies on TB infection, this approach of using a combination of novel assays in a high-risk cohort is relatively novel and has not been extensively tested.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* ≥18 years old
* Health worker
* Able to provide informed consent

Exclusion Criteria:

* Prior history of TB or known prior positive IGRA
* Current or prior history of taking anti-TB treatment

Where this trial is running

Cape Town

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, TB, TB infection, Health worker

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.