Tuberculosis (TB) is a leading infectious cause of death worldwide. Current strategies for monitoring TB treatment response are culture dependent and insensitive. New methods of assessing treatment response in vivo could inform new drug development and other treatment strategies. Cell-free DNA (cfDNA) - small circulating fragments of DNA - is widely used in maternofetal medicine and oncology for diagnosis and assessment of treatment response. This study aims to investigate whether pathogen derived Mycobacterium tuberculosis-specific cfDNA (Mtb-cfDNA) can be used to monitor TB treatment response. This feasibility study will take place at Mae RaMat TB Center in Thailand and includes two study groups: 1. Assay Development and Validation 2. Longitudinal Assessment of Mtb-cfDNA levels
This study is funded by the Wellcome Trust; grant reference number: 223099/Z/21/Z
Study Type
OBSERVATIONAL
Enrollment
140
Shoklo Malaria Research Unit (SMRU)
Tak, Thailand
RECRUITINGMtb-cfDNA trajectories
Rate of Mtb-cfDNA clearance derived from serial Mtb-cfDNA measurements
Time frame: Day 0 - 168 (or end of treatment)
Percentage of participants completing sampling schedule
Time frame: Day 0 - 168 (or end of treatment)
Exploratory analysis is planned and will compare Mtb-cfDNA levels to clinical, microbiological and radiological features
Time frame: Day 0 - 168 (or end of treatment)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.