ClinicalTrials.gg
RecruitingNCT07125274TB_DiagnosticsUpdated Aug 15, 2025

Sputum-free Diagnostis of TB

An observational study in Tuberculosis, sponsored by Research Center Borstel. Recruiting at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-08-15.

Sponsored by Research Center Borstel · Observational

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 5 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
100
Ages
18 Years and older
Sex
All
01

Study summary

The aim of this study is to identify new biomarkers that enable reliable, non-invasive diagnosis of tuberculosis (TB), including in patients who are unable to produce sputum. The study analyzes biomaterials (blood, urine, stool, sputum) collected from patients with suspected TB. Various diagnostic methods are applied to assess the feasibility of individual and combined biomarker tests.

Participating patients will provide biomaterial samples (blood, urine, stool, sputum) once. No additional examinations or invasive procedures will be performed. Routine diagnostic procedures remain unaffected.

This is a single-center, prospective observational study. Patients are enrolled as part of their clinical care at the University Medical Center Hamburg-Eppendorf.

02

Conditions studied

  • Tuberculosis

Browse trials for

Keywords

  • TB
  • diagnostics
  • sputum
  • sputum-free
  • transcriptomic
  • pathfast
  • CRISPR
  • stool
  • PCR
03

In context

Tuberculosis

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

This study's planned enrollment of 100 is below the median of 253 across 317 observational studies indexed under Tuberculosis.

Browse Tuberculosis studies →

Lead sponsor

Research Center Borstel is the lead sponsor of 16 studies on the registry; 7 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients > 18 years of age, including women of childbearing potential with or without contraception. Only adult patients capable of giving informed consent will be included; obtaining consent from legal guardians is not planned.

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

  • Suspected pulmonary or extrapulmonary tuberculosis, or confirmed pulmonary or extrapulmonary tuberculosis with less than 7 days of anti-tuberculosis treatment, OR other pulmonary infection (control group).
  • Age ≥ 18 years
  • Ability to provide
  • Willingness to participate in the study

Exclusion criteria

Exclusion Criteria:

  • Lack of ability to provide
  • Age \< 18 years
  • Pregnancy
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
Cohort
Time perspective
Prospective
Enrollment
100 participants (estimated)
Patient registry
No

Groups and cohorts

  • Patients with suspected TB

    Diagnostic Test: Biomarker-guided diagnostic tests

  • Other pulmonary infections (control group)

    Diagnostic Test: Biomarker-guided diagnostic tests

Interventions

  • Diagnostic testBiomarker-guided diagnostic tests

    mRNA-Signature from blood; immunophenotyping from blood; MBLA from sputum, PATHFAST-LAM and EclLAM from sputum, stool, urine; CRISPR-Cas from blood; stool PCR; QuantiFERON(R)-TB Gold Plus.

06

What researchers measure

Primary outcomes

  1. Feasibility of biomarker-guided diagnosis of TB - mRNA signatures

    Assessment of the feasibility of tuberculosis (TB) diagnostics based on mRNA signatures.

    Time frame: From enrollment to the end of the first week of treatment

  2. Feasibility of biomarker-guided diagnosis of TB - cellular immunology

    Assessment of the feasibility of tuberculosis (TB) diagnostics based on cellular immunology.

    Time frame: From enrollment to the end of the first week of treatment

  3. Feasibility of biomarker-guided diagnosis of TB - PATHFAST-LAM

    Assessment of the feasibility of tuberculosis (TB) diagnostics based on PATHFAST-LAM.

    Time frame: From enrollment to the end of the first week of treatment

  4. Feasibility of biomarker-guided diagnosis of TB - EclLAM

    Assessment of the feasibility of tuberculosis (TB) diagnostics based on EclLAM assays.

    Time frame: From enrollment to the end of the first week of treatment

  5. Feasibility of biomarker-guided diagnosis of TB - cell-free Mycobacterium tuberculosis DNA

    Assessment of the feasibility of tuberculosis (TB) diagnostics based on cell-free Mycobacterium tuberculosis DNA.

    Time frame: From enrollment to the end of the first week of treatment

  6. Feasibility of biomarker-guided diagnosis of TB - MBLA

    Assessment of the feasibility of tuberculosis (TB) diagnostics based on Mycobacterial Load Assay (MBLA).

    Time frame: From enrollment to the end of the first week of treatment

  7. Feasibility of biomarker-guided diagnosis of TB - stool PCR

    Assessment of the feasibility of tuberculosis (TB) diagnostics based on stool PCR testing.

    Time frame: From enrollment to the end of the first week of treatment

  8. Feasibility of biomarker-guided diagnosis of TB - composit

    Assessment of the feasibility of tuberculosis (TB) diagnostics based on a combination of mRNA signatures, cellular immunology, PATHFAST-LAM and EclLAM assays, cell-free Mycobacterium tuberculosis DNA analysis, MBLA, stool PCR testing, and QuantiFERON®-TB Gold Plus testing.

    Time frame: From enrollment to the end of the first week of treatment

Secondary outcomes

  1. Exploratory Analysis of Biomarker Profiles and Their Clinical Associations

    Degree of correlation between the different biomarkers.

    Time frame: From enrollment to the end of the first week of treatment.

  2. Exploratory Analysis of Biomarker Profiles and Their Clinical Associations

    Qualitative and quantitative characterization of differences in biomarker profiles between pulmonary and extrapulmonary tuberculosis.

    Time frame: From enrollment to the end of the first week of treatment.

  3. Exploratory Analysis of Biomarker Profiles and Their Clinical Associations

    Qualitative and quantitative characterization of sex-specific differences in biomarker expression patterns.

    Time frame: From enrollment to the end of the first week of treatment.

  4. Exploratory Analysis of Biomarker Profiles and Their Clinical Associations

    Degree of correlation between biomarkers and disease severity, as well as their potential prognostic value.

    Time frame: From enrollment to the end of the first week of treatment.

07

Study locations

1 of 1 sites recruiting
  • Division of Infectious Diseases, I. Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
    Hamburg, 20246, Germany
    Recruiting
    • Thomas Theo Brehm, Dr. med. · Contactt.brehm@uke.de · +49 152 2282 3999
08

References and documents

Individual participant data

Plan to share: Yes — all IPD collected throughout the trial

Supporting information: Study protocol, Informed consent form

Time frame: Starting mid 2027

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2025 (actual). Primary completion is estimated for Dec 2026, 18 months after the start.

Of 122 non-industry observational studies under Tuberculosis, half reached primary completion within 41 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 76. This study's planned 18 months is below that.

Counting every sponsor, half of 134 studies reached it within 36 months; a quarter within 21 and three quarters within 76.

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

Registered
Apr 29, 2025
First posted
Aug 15, 2025
StartActual
Jun 6, 2025
Primary completionEst.
Dec 2026
CompletionEst.
Dec 2026
Last update
Aug 15, 2025
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.
No changes since tracking began. The registry record was last updated on Aug 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07125274
Lead sponsor
Research Center Borstel
Responsible party
Thomas Theo Brehm (Dr. med., Research Center Borstel) — Principal investigator
First posted
Aug 15, 2025
Start date
Jun 6, 2025
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Aug 15, 2025

Study contacts

Thomas Theo Brehm, Dr. med.
Contact
tbrehm@fz-borstel.de
+49 4537 188 2905
Niklas Köhler, Dr. med.
Contact
nkoehler@fz-borstel.de
+49 4537 188 8080
Christoph Lange, Prof. Dr. Dr. h.c.
study chair · Clinical Infectious Diseases, Research Center Borstel, Leibniz Lung Center
Marylyn Martina Addo, Prof. Dr.
study chair · Institute for Infection Research and Vaccine Development, University Medical Center Hamburg-Eppendorf
Stefan Schmiedel, Dr. med.
study chair · Division of Infectious Diseases, I. Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion