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CompletedNCT06585683CoVPN3008TBUpdated Jan 26, 2026

Post-Trial Tuberculosis Case Finding: A Substudy of CoVPN 3008

An observational study in Tuberculosis, sponsored by COVID-19 Prevention Network. Completed at 41 sites in 7 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-01-26.

Sponsored by COVID-19 Prevention Network · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
5,694
Ages
18 Years and older
Sex
All
01

Study summary

This substudy aims to identify cases of tuberculosis after the CoVPN 3008 clinical trial is completed.

Read the detailed description

This observational substudy will involve participants from the CoVPN 3008 trial, regardless of their HIV status, to study tuberculosis (TB). At the start, all participants will be screened for TB, even if they have no symptoms. They will receive chest x-rays and provide sputum samples for TB testing using Xpert Ultra, smear microscopy, and culture.

The study has two main groups. Group 1 includes participants with confirmed TB, and Group 2 includes participants without TB who will act as controls.

Participants with confirmed TB will start treatment and have a first follow-up visit on Day 4 to reassess TB symptoms and collect blood samples. A second follow-up visit will take place at week 26 to evaluate their treatment progress, clinical outcomes, and TB status, ensuring they receive the necessary care.

Participants without TB will have a single follow-up visit on Day 4 to reassess TB symptoms and collect blood samples. The study aims to identify potential biomarkers of TB by analyzing blood samples from both cases and controls, focusing on gene expression linked to TB, including hidden (subclinical) TB.

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Conditions studied

  • Tuberculosis

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Keywords

  • TB
03

In context

Tuberculosis

1,170 studies on the registry are indexed under Tuberculosis; 175 are open to participants now.

This study's enrollment of 5,694 is above the median of 253 across 317 observational studies indexed under Tuberculosis.

Browse Tuberculosis studies →

Lead sponsor

COVID-19 Prevention Network is the lead sponsor of 4 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

This study will involve approximately 6,000 volunteers who previously participated in the parent study, CoVPN 3008. Although volunteers may meet the inclusion/exclusion criteria, certain medical, psychiatric, occupational, or other conditions could complicate the evaluation of safety and/or immunogenicity, making some individuals unsuitable for enrollment or retention in the trial.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Enrollment into the CoVPN 3008 clinical trial.
  • Able and willing to complete the process: Volunteer demonstrates an understanding of this substudy.
  • Willingness to discuss TB status, undergo related testing/monitoring labs, and receive referrals for TB care.

Exclusion criteria

Exclusion Criteria:

  • Investigator's concern for difficulty with venous access based on clinical history and physical examination.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
5,694 participants (actual)
Patient registry
No

Groups and cohorts

  • Confirmed TB

    Participants with confirmed TB will start treatment and have a follow-up visit soon after to check their TB symptoms again and collect blood samples. They will also have a second follow-up visit at week 26 to assess their treatment progress and TB status.

    Diagnostic Test: Clinical Evaluation at Day 4 · Diagnostic Test: Laboratory Evaluation at Day 4 · Diagnostic Test: Clinical Evaluation at week 26 · Diagnostic Test: Laboratory Evaluation at week 26

  • no TB (control)

    Participants without TB will have a single follow-up visit to reassess TB symptoms and collect blood samples.

    Diagnostic Test: Clinical Evaluation at Day 4 · Diagnostic Test: Laboratory Evaluation at Day 4

Interventions

  • Diagnostic testClinical Evaluation at Day 4

    Participants will undergo an abbreviated physical exam, assessment of concomitant medications, and reassessment for signs/symptoms of TB

  • Diagnostic testLaboratory Evaluation at Day 4

    Peripheral blood samples, including serum, PBMC, and whole blood, are collected from participants. A tongue swab is also collected from each participant.

  • Diagnostic testClinical Evaluation at week 26

    Participants will undergo another complete physical exam and have their medical (including TB) history, potential TB signs/symptoms, and concomitant medications reassessed. Chest radiography will be obtained for all participants. An assessment of TB outcomes will also be performed.

  • Diagnostic testLaboratory Evaluation at week 26

    Peripheral blood samples, including serum, PBMC, and whole blood, will be collected. Participants not previously identified as living with HIV will undergo HIV diagnostic testing, while participants living with HIV will have their HIV viral load and CD4+ T-cell count measured.

06

What researchers measure

Primary outcomes

  1. Proportion of participants with TB

    The 95% confidence interval on the proportion of participants with TB will be estimated using the "score" method

    Time frame: Measured at Day 1, Day 4 and week 26

  2. Association parameters of each demographic variable with confirmed TB.

    Proportions and 95% CIs will be estimated using the score method. A multivariate analysis will also be conducted using generalized linear regression models with TB as the outcome.

    Time frame: Measured at Day 1, Day 4 and week 26

  3. Proportion of participants with confirmed TB at the six-month follow visit out of the total number of participants that are screened at the six-month visit and who had confirmed TB at their enrollment visit.

    Proportion and 95% CI will be estimated using the score method.

    Time frame: Measured at Day 1, Day 4 and week 26

  4. Peripheral blood biomarkers associated with diagnosis of TB, including subclinical TB.

    TB risk scores will be computed from RNA sequencing data generated from each participant's baseline whole-blood sample (Tempus tube) provided upon enrollment into CoVPN 3008. Association of each score with confirmed TB will be assessed using cross-validated ROC curve analysis with area under curve (AUC) 95% CI estimated using the Delong method.

    Time frame: Measured at Day 1, Day 4 and week 26

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Study locations

41 sites
  • Gaborone CRS
    Gaborone, Botswana
  • Eswatini Prevention Center CRS
    Mbabane, Eswatini
  • Moi University Clinical Research Centre
    Eldoret, Kenya
  • Kisumu Crs
    Kisumu, Kenya
  • Kombewa Clinical Research Center
    Kisumu, Kenya
  • Blantyre CRS
    Blantyre, Malawi
  • Malawi CRS
    Lilongwe, Malawi
  • Synergy Biomed Research Institute
    East London, Eastern Cape, South Africa
  • Nelson Mandela Academic Research Unit CRS
    Mthatha, Eastern Cape, South Africa
  • PHOENIX Pharma (Pty) Ltd
    Port Elizabeth, Eastern Cape, South Africa
  • Josha Resarch CRS
    Bloemfontein, Free State, South Africa
  • MeCRU CRS
    Ga-Rankuwa, Gauteng, South Africa
  • Clinical HIV Research Unit (CHRU)/ Helen Joseph CRS
    Johannesburg, Gauteng, South Africa
  • Newtown Clinical Research
    Johannesburg, Gauteng, South Africa
  • Soweto - Bara CRS
    Johannesburg, Gauteng, South Africa
  • Wits RHI Ward 21 CRS
    Johannesburg, Gauteng, South Africa
  • Tembisa Clinic 4 CoVPN CRS
    Tembisa, Gauteng, South Africa
  • CAPRISA eThekwini CRS
    Durban, KwaZulu-Natal, South Africa
  • Tongaat CRS
    Durban, KwaZulu-Natal, South Africa
  • Vulindlela CRS
    Durban, KwaZulu-Natal, South Africa
  • Isipingo CRS
    Isipingo, KwaZulu-Natal, South Africa
  • Qhakaza Mbokodo Research Clinic CRS
    Ladysmith, KwaZulu-Natal, South Africa
  • Aurum Institute Klerksdorp CRS
    Klerksdorp, North West, South Africa
  • Rustenburg CRS
    Rustenburg, North West, South Africa
  • Emavundleni CRS
    Cape Town, Western Cape, South Africa
  • FAM-CRU (Family Clinical Research Unit)
    Cape Town, Western Cape, South Africa
  • Groote Schuur HIV CRS
    Cape Town, Western Cape, South Africa
  • Masiphumelele Clinical Research Site (MASI) CRS
    Cape Town, Western Cape, South Africa
  • TASK Central
    Cape Town, Western Cape, South Africa
  • Univeristy of Cape Town Lung CRS Institute
    Cape Town, Western Cape, South Africa
  • TASK Eden
    George, Western Cape, South Africa
  • Kliptown Soweto CRS
    Johannesburg, South Africa
  • PHRU Matlosana CRS
    Klerksdorp, South Africa
  • UVRI-IAVI HIV Vaccine Program LTD. CRS
    Entebbe, Uganda
  • Baylor-Uganda CRS
    Kampala, Uganda
  • Joint Clinical Research Centre
    Kampala, Uganda
  • MU-JHU Research Collaboration CRS
    Kampala, Uganda
  • Cfhrz Crs
    Lusaka, Zambia
  • Matero Reference Clinic CRS
    Lusaka, Zambia
  • UNC Global Projects / Kamwala District Health Centre
    Lusaka, Zambia
  • Zambia Emory HIV Research Project - Ndola CoVPN CRS
    Ndola, Zambia
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06585683
Lead sponsor
COVID-19 Prevention Network
Collaborators
National Institute of Allergy and Infectious Diseases (NIAID), Medical Research Council, South Africa
Responsible party
Sponsor
First posted
Sep 5, 2024
Start date
Sep 13, 2024
Primary completion
Mar 28, 2025
Completion
May 21, 2025
Last update
Jan 26, 2026

Study contacts

Nigel Garrett
study chair · eThekwini CRS / Centre for the AIDS Programme of Research in South Africa (CAPRISA)
Philip Kotze
study chair · Qhakaza Mbokodo Research Clinic
Sufia Dadabhai
study chair · Blantyre CRS / Johns Hopkins Research Project
Nyaradzo Mgodi
study chair · University of Zimbabwe Clinical Trials Research Centre

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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