ClinicalTrials.gg
RecruitingNCT07017803MESTCARUpdated Oct 29, 2026

Molecular Epidemiology, Strains Genotyping of Multi-drug Resistant Tuberculosis Circulating in Central Africa Region

An observational study in Multidrug-resistant Tuberculosis (MDR-TB), sponsored by Centre de Recherche Médicale de Lambaréné. Recruiting at 8 sites in Gabon. Open to participants aged 9 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-29.

Sponsored by Centre de Recherche Médicale de Lambaréné · Observational

From the registry’s dates

  • Started Feb 2026; still recruiting 9 months later.
Updated Oct 29, 2026Now RecruitingFirst site in Gabon+5 moreGo to Updates ↓
Study type
Observational
Model
Case-only
Time perspective
Cross-sectional
Enrollment
460
Ages
9 Years and older
Sex
All
01

Study summary

Multidrug-resistant tuberculosis (MDR-TB) poses a significant challenge in Central Africa. Understanding the molecular epidemiology and genotypic characteristics of MDR-TB strains is crucial for effective control measures. This is highlighted by the emergence of mutations encoding resistance to bed aquiline and quinolones which may impact the roll out of the newly recommended Bedaquiline, Pretomanid, Linezolid and Moxifloxacin (BPaLM) regimens. It is also worth noting that there is increasing evidence of the significance of TB lineage in the outcome of infection, the approach in the study will provide both information on chains of transmission and lineage.

02

Conditions studied

  • Multidrug-resistant Tuberculosis (MDR-TB)
03

In context

Tuberculosis, Multidrug-Resistant

132 studies on the registry are indexed under Tuberculosis, Multidrug-Resistant; 25 are open to participants now.

This study's planned enrollment of 460 is above the median of 410 across 42 observational studies indexed under Tuberculosis, Multidrug-Resistant.

Browse Tuberculosis, Multidrug-Resistant studies →

Lead sponsor

Centre de Recherche Médicale de Lambaréné is the lead sponsor of 17 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
9 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

The study population will be all TB presumptive patients who will be diagnosed and willing to participate in the selected facilities in the three countries, the different sites involved in the study are Institut Pasteur de Yaoundé (Cameroon), Centre de Recherche Medicales de Lambaréné (Gabon) and Laboratoire National de Reference de Tuberculose du Congo (Republic of Congo). In Gabon, this study will be included in the ongoing sequencing TB studys. Samples collected for ongoing TB study will be used to avoid competing sample collection. Two or more separate aliquot storage samples will be used for METSCAR and TB-EPI studies. This, together with the fact that the workgroups overlap 100%, will allow the ongoing studies in the group to be performed complementarily.

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

  • All GeneXpert positive TB patients and participants who provide written will be screened for the study. Participants aged above 8 who can provide sputum will also be screened.
  • Patients enrolled in the tuberculosis epidemiology (TB-EPI) study and eligible for MESTCAR will be enrolled without any additional consent form as the data to be collected for the two studies will be shared and no additional process is needed.

Exclusion criteria

Exclusion Criteria:

  • Samples which do not meet the quality criteria.

    • Samples not enough to perform all of the laboratory process
    • Samples contaminated
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-only
Time perspective
Cross-sectional
Enrollment
460 participants (estimated)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Proportion of drug-resistant strains with characterised resistance mutations

    Time frame: 6 months

  2. Proportion of strains with new/undefined mutations among those with unexplained phenotypic resistance

    Time frame: 6 months

  3. Proportion of cases demonstrating transmission links, overall and between countries

    Time frame: 6 months

07

Study locations

8 of 8 sites recruiting
  • Centre Hospitalier Régional Georges Rawiri
    Lambaréné, Gabon
    Recruiting
  • Hôpital Albert Schweitzer
    Lambaréné, Gabon
    Recruiting
  • Hôpital de Nkembo
    Libreville, Gabon
    Recruiting
  • Centre Hospitalier Régional de Makokou
    Makokou, Gabon
    Recruiting
  • Centre de Traitement Ambulatoire (CTA) de Mouila
    Mouila, Gabon
    Recruiting
  • Hôpital de Bongolo
    Mouila, Gabon
    Recruiting
  • Centre Hospitalier Régional d'Oyem
    Oyem, Gabon
    Recruiting
  • Centre Hospitalier Régional Tchégué
    Port-Gentil, Gabon
    Recruiting
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Started Feb 2026 (actual). Primary completion is estimated for Nov 2026, 9 months after the start.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 29, 2026: start Jul 2025 → Feb 2026, primary completion Nov 2025 → Nov 2026 and completion Jan 2026 → Dec 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Jun 4, 2025
First posted
Jun 12, 2025
StartActual
Feb 9, 2026was Jul 2025
Primary completionEst.
Nov 30, 2026was Nov 2025
CompletionEst.
Dec 24, 2026was Jan 2026
Last update
Oct 29, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Recruiting
changed Oct 29, 2026
Sites
8 sites added — first site in Gabon
Show 8 added (8 Gabon)
  • Centre Hospitalier Régional Georges Rawiri · Lambaréné, Gabon
  • Hôpital Albert Schweitzer · Lambaréné, Gabon
  • Hôpital de Nkembo · Libreville, Gabon
  • Centre Hospitalier Régional de Makokou · Makokou, Gabon
  • Centre de Traitement Ambulatoire (CTA) de Mouila · Mouila, Gabon
  • Hôpital de Bongolo · Mouila, Gabon
  • Centre Hospitalier Régional d'Oyem · Oyem, Gabon
  • Centre Hospitalier Régional Tchégué · Port-Gentil, Gabon
Oct 29, 2026
Start date
Jul 1, 2025→Feb 9, 2026 (actual)
Oct 29, 2026
Primary completion
Nov 30, 2025→Nov 30, 2026
Oct 29, 2026
Study completion
Jan 31, 2026→Dec 24, 2026
Oct 29, 2026
Sponsor
Collaborators removed: Centre Pasteur du Cameroun
Oct 29, 2026
Show all 1 update
  1. Oct 29, 2026
    Not yet recruiting→Recruiting
    8 sites added — first site in Gabon
    Show 8 added (8 Gabon)
    • Centre Hospitalier Régional Georges Rawiri · Lambaréné, Gabon
    • Hôpital Albert Schweitzer · Lambaréné, Gabon
    • Hôpital de Nkembo · Libreville, Gabon
    • Centre Hospitalier Régional de Makokou · Makokou, Gabon
    • Centre de Traitement Ambulatoire (CTA) de Mouila · Mouila, Gabon
    • Hôpital de Bongolo · Mouila, Gabon
    • Centre Hospitalier Régional d'Oyem · Oyem, Gabon
    • Centre Hospitalier Régional Tchégué · Port-Gentil, Gabon
    Start date Jul 1, 2025→Feb 9, 2026 (now actual)
    Primary completion Nov 30, 2025→Nov 30, 2026
    Study completion Jan 31, 2026→Dec 24, 2026
    Sponsor Collaborators removed: Centre Pasteur du Cameroun
    + 4 other changes: index terms, verification date, description and conditions

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07017803
Lead sponsor
Centre de Recherche Médicale de Lambaréné
Collaborators
Fondation Congolaise pour la Recherche Médicale, GlaxoSmithKline
Responsible party
Sponsor
First posted
Jun 12, 2025
Start date
Feb 9, 2026
Primary completion
Nov 30, 2026 (estimated)
Completion
Dec 24, 2026 (estimated)
Last update
Oct 29, 2026

Study contacts

Jabar Babatunde Pacome AGBO ACHIMI ABDUL
Contact
pacomeabdul@gmail.com
+24177469843
Rick elsy mirna NNOH DANSOU AKOUA
Contact
elsydansou@gmail.com
+241 74474314
Ayôla Akim ADEGNIKA
study director · Centre de Recherches Medicales de Lambarene

Oversight

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

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