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RecruitingNCT07131774NTMdiaryUpdated Aug 20, 2025

Treatment Monitoring for NTM Infections With a Symptom Diary

An observational study in Non-Tuberculous Mycobacterial (NTM) Infections, sponsored by Research Center Borstel. Recruiting at 3 sites in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-08-20.

Sponsored by Research Center Borstel · Observational

From the registry’s dates

  • Primary completion was expected by Jun 2026, 5 months ago, but the record still lists the study as recruiting.
  • Started Jul 2025; still recruiting 1 year 4 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
200
Ages
18 Years and older
Sex
All
01

Study summary

The primary aim of the study is to investigate the correlation between patient-reported symptoms recorded in the diary and the microbiological and radiological disease course in patients with pulmonary infections caused by nontuberculous mycobacteria (NTM).

Read the detailed description

This prospective observational study investigates the suitability of a symptom diary for assessing disease progression and treatment outcomes in patients with pulmonary infections caused by nontuberculous mycobacteria (NTM). The aim of the study is to correlate the symptoms documented in the diary with microbiological and radiological parameters to gain a better understanding of the disease course and treatment effects. This may contribute to the development of a simpler and non-invasive tool that could improve patients' quality of life and enable more precise monitoring of disease progression.

This multicenter study plans to enroll 200 adult patients with confirmed pulmonary NTM infections who are capable of providing informed consent. Each patient will document daily symptoms - such as cough, body weight, temperature, and other complaints - in a symptom diary over a period of six months. In addition, clinical routine data, including microbiological and radiological findings, will be used without requiring any additional diagnostic procedures.

02

Conditions studied

  • Non-Tuberculous Mycobacterial (NTM) Infections

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Keywords

  • symptom diary
  • microbiology
  • radiology
03

In context

Infections

2,093 studies on the registry are indexed under Infections; 364 are open to participants now.

This study's planned enrollment of 200 is below the median of 300 across 685 observational studies indexed under Infections.

Browse Infections 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

  • Pulmonary NTM infection according to ATS/IDSA criteria (1)
  • Age ≥ 18 years
  • Ability to provide
  • Willingness to participate in the study AND
  • Clinical decision to initiate antimicrobial therapy as part of routine care

    • Cohort 1 OR
  • Clinical decision against antimicrobial therapy as part of routine care

    • Cohort 2

Exclusion criteria

Exclusion Criteria:

  • Lack of ability to provide
  • Language barriers that prevent completion of the diary
  • Antimicrobial therapy for the NTM infection already initiated
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
200 participants (estimated)
Patient registry
No

Groups and cohorts

  • NTM infection, under therapy

    Patients who have a pulmonary NTM infection according to ATS/IDSA criteria and are receiving antimicrobial therapy (Cohort 1).

    Other: Filling in a symptom diary

  • NTM infection, no therapy

    Patients who have a pulmonary NTM infection according to ATS/IDSA criteria but are not receiving therapy due to a clinical decision or the patient's own choice (Cohort 2).

    Other: Filling in a symptom diary

Interventions

  • OtherFilling in a symptom diary

    Each patient will receive a diary form in which they are asked to record their symptoms, body temperature, and body weight on a daily basis. This approach is intended to provide a comprehensive overview of the disease course and the impact of treatment over time. Depending on hospitalization status, disease severity, treatment progress, and national treatment guidelines, clinical, microbiological, and radiological follow-up assessments will be performed as part of routine care at intervals ranging from weekly to monthly. No additional study visits or microbiological or radiological diagnostics outside of standard clinical care will be conducted.

06

What researchers measure

Primary outcomes

  1. Degree of correlation of the symptom diary with radiology

    The primary endpoint of the study is the degree of correlation between patient-reported symptoms recorded in the diary in patients with pulmonary infections caused by nontuberculous mycobacteria (NTM) and the radiological course of the disease. Radiological course of the disease is assessed by a radiological composit measure consisting of an ordinal scale for nodule extent, consolidation extent, bronchiectasis severity and -extent, mucus plugging, cellular bronchiolitis severity and -extent, cavity diameter, -wall thickness, and number of cavities. Worsening (+1, step up) and improvement (-1 step down) are added and show overall worsening (\>= +1), overall improvement (\<= -1) or stable disease (= +/-0).

    Time frame: 6 months from enrolement

  2. Degree of correlation of the symptom diary with microbiology

    The primary endpoint of the study is the degree of correlation between patient-reported symptoms recorded in the diary in patients with pulmonary infections caused by nontuberculous mycobacteria (NTM) and the microbiological course of the disease, assessed by \- the mycobacterial load in sputum microscopy

    Time frame: 6 months from enrolment

  3. Degree of correlation of the symptom diary with microbiology

    The primary endpoint of the study is the degree of correlation between patient-reported symptoms recorded in the diary in patients with pulmonary infections caused by nontuberculous mycobacteria (NTM) and the microbiological course of the disease, assessed by \- time to positivity in liquid culture

    Time frame: 6 months from enrolment

  4. Degree of correlation of the symptom diary with microbiology

    The primary endpoint of the study is the degree of correlation between patient-reported symptoms recorded in the diary in patients with pulmonary infections caused by nontuberculous mycobacteria (NTM) and the microbiological course of the disease, assessed by \- treatment duration until culture conversion (defined as the absence of detectable mycobacteria using the aforementioned methods)

    Time frame: 6 months from enrolment

Secondary outcomes

  1. Degree of correlation between the symptom diary and further treatment monitoring parameters

    Degree of correlation between patient-reported symptoms recorded in the diary and the radiological course of disease in patients with pulmonary infections caused by nontuberculous mycobacteria. Radiological course of the disease is assessed by a radiological composit measure consisting of an ordinal scale for nodule extent, consolidation extent, bronchiectasis severity and -extent, mucus plugging, cellular bronchiolitis severity and -extent, cavity diameter, -wall thickness, and number of cavities. Worsening (+1, step up) and improvement (-1 step down) are added and show overall worsening (\>= +1), overall improvement (\<= -1) or stable disease (= +/-0).

    Time frame: 6 months from enrolement

  2. Degree of correlation between the symptom diary and further treatment monitoring parameters

    Differences in the severity and development of symptoms during the course of treatment depending on the mycobacterial subspecies.

    Time frame: 6 months from enrolement

  3. Degree of correlation between the symptom diary and further treatment monitoring parameters

    Degree of correlation between patient-reported symptoms recorded in the diary over the course of the study and the use of antimicrobial therapy.

    Time frame: 6 months from enrolement

07

Study locations

1 of 3 sites recruiting
  • Abteilung Infektiologie, Klinik für Innere Medizin II, Universitätsklinikum Freiburg
    Freiburg im Breisgau, Baden-Wurttemberg 79106, Germany
    Not yet recruiting
  • Schwerpunkt Infektiologie, Medizinische Klinik 2, Zentrum für Innere Medizin, Universitätsmedizin Frankfurt
    Frankfurt am Main, Hesse 60590, Germany
    Not yet recruiting
  • Pulmonary Care Center, Research Center Borstel, Leibniz Lung Center
    Borstel, Schleswig-Holstein 23845, Germany
    Recruiting
    • Barbara Kalsdorf, PD Dr. med. · Contactbkalsdorf@fz-borstel.de · +49 4537 188 3510
    • Barbara Kalsdorf, PD Dr. med. · Principal investigator
08

References and documents

Individual participant data

Plan to share: Yes — Data will be shared upon request.

Supporting information: Study protocol, Informed consent form

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 Jul 2025 (actual). Primary completion is estimated for Jun 2026, 11 months after the start.

Of 257 non-industry observational studies under Infections, half reached primary completion within 36 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 79. This study's planned 11 months is below that.

Counting every sponsor, half of 295 studies reached it within 35 months; a quarter within 18 and three quarters within 67.

Infections covers many different conditions, not one, so the studies compared here vary widely. Read these figures as a rough guide.

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

Registered
Apr 29, 2025
First posted
Aug 20, 2025
StartActual
Jul 11, 2025
Primary completionEst.
Jun 2026
CompletionEst.
Jun 2026
Last update
Aug 20, 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 20, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07131774
Lead sponsor
Research Center Borstel
Responsible party
Thomas Theo Brehm (Dr. med., Research Center Borstel) — Principal investigator
First posted
Aug 20, 2025
Start date
Jul 11, 2025
Primary completion
Jun 2026 (estimated)
Completion
Jun 2026 (estimated)
Last update
Aug 20, 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. med. Dr. h.c.
study chair · Clinical Infectious Diseases, Research Center Borstel, Leibniz Lung Center

Oversight

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

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