Tuberculosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adults: Age 18+ years (or 21+ years); Children & adolescents: Age 12 months-17 (or 20) years; Screening for TB: A positive TB screen may include: the WHO-recommended four-symptom screen (W4SS) OR parenchymal abnormalities on chest radiography (CXR) OR Failure of antibiotics for pneumonia OR TB risk factor(s) including HIV-infection, history of TB treatment, at risk of undernutrition, at risk of alcohol use disorders or use of tobacco Willing to provide the specimens needed for testing. Written informed consent and agreement to follow-up after enrollment.
Exclusion criteria
Exclusion criteria: Current anti-TB treatment (counting from the third dose). Any anti-TB treatment within 60 days prior to enrollment and any TB preventive therapy within 6 months prior to enrollment. Lack of informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Point estimates of sensitivity and specificity with 95% confidence intervals of evaluated tools in HIV-positive and HIV-negative participants. | — |
Secondary
| Measure | Time frame |
|---|---|
| Crude and additional diagnosis yield of new tools compared to AlereLAM (urine) as well as smear, culture, and Xpert Ultra (sputum and urine) among all patients identified as having TB by extended microbiological reference standard . ;Diagnosis performance and accuracy of FujiLAM II with UCD in HIV-positive and HIV-negative adults and children. ;Secondary endpoints related to operational feasibility indicators such as turnaround time, repeatability, and rate of non-actionable results (indeterminate, error, etc). Endpoints for user preferences will be based on an aggregate acceptability score calculated from bespoke indicators within 8 constructs of Sekhon et al.’s acceptability framework for healthcare interventions. Health economic indicators include cost per specimen processed and cost per case detected. | — |
Countries
Cameroon, Nigeria, Viet Nam
Contacts
Analyst Stop TB Partnership