Table 1.
Repositories From Existing Studies Evaluating Tuberculosis Biomarkers
Reference Sample Biorepository | UCT Pediatric TB | Kenya Pediatric TB | Pneumonia Etiology Research for Child Health TB | Grand Challenges in Global Health GC6-74 Biomarkers for TB | Aeras TB | European Union Action for Diseases of Poverty, Diagnostics Consortium–TB | Foundation for Innovative New Diagnostics–TBa | Consortium for Tuberculosis Biomarkers–TB |
---|---|---|---|---|---|---|---|---|
Enrollment type(s) | P | P | P | A, P | A, P | A, P | A | A |
HIV status, Positive or negative | Both | Both | Both | Both | Both | Both | Both | Both |
Clinical categories | Suspected TB cases (n = 1800) | Children <5 y of age with (1) Suspected TB (n = 300), further categorized as definite, probable, possible, unlikely, no TB; (2) asymptomatic children (n = 100) | (1) Children with severe and very severe pneumonia and (2) healthy community controls | (1) Newly diagnosed adult pulmonary TB cases, (2) HHCs: adults with TB disease and healthy controls, (3) adolescents (non-HHC) including progressors with TB disease | Vaccine trial cohorts | (1) Suspected TB cases and (2) TB contacts further categorized as TB disease (culture positive, probable or possible TB), non-TB diseases, or healthy LTBI | Suspected pulmonary TB further categorized as (1) TB disease including (i) Smear and culture positive; (ii) smear negative, culture positive; (2) clinical diagnosis only, with response to treatment (chest radiograph), (3) not TB | Newly diagnosed pulmonary TB. Culture-confirmed TB disease specimens from clinical trials: TB Alliance, CDC TB Trials Consortium, and AIDS Clinical Trials Group |
Countries included | South Africa | Kenya | South Africa, Zambia, Kenya, The Gambia, Mali, Thailand, Bangladesh | South Africa, The Gambia, Malawi, Uganda, Ethiopia | Sub-Saharan Africa | South Africa, Kenya, Malawi | Bangladesh, Brazil, Moldova Peru, South Africa, Vietnam, Zimbabwe. TDR/WHO TB Specimen Bank samples: Bangladesh, Brazil, Canada, Colombia, Kenya, Peru, South Africa, Spain, The Gambia, Uganda, Vietnam | To date: South Africa, Kenya, Uganda |
Subject follow-up duration | 6 mo if TB treatment given, 2 mo if TB treatment not given | 6 mo or until TB treatment completion. Evaluations at 0, 0.5, 2, 6 mo) | Up to 30 d after hospital discharge | 24 mo (HHC evaluations at 0, 6, 18 mo, index case evaluations at 0, 12 mo). | Up to 24 mo | 6 mo | 2–3 mo | Samples collection at treatment initiation, weeks 2, 4, and 8, months 4, 6, and 12. Also at time of relapse or withdrawal from study |
Type of samples | Whole-blood (EDTA tube), whole blood (PAXgene tube), serum, induced sputum, NP swab, urine, stool, selected extrapulmonary specimens | Whole blood (PAXgene tube), plasma, serum, QFT supernatant, nasopharyngeal and oropharyngeal (NP/OP) swabs, gastric aspirate, urine, stool | Whole blood, nasopharyngeal and oropharyngeal (NP/OP) swabs, induced sputum or gastric aspirate (if no sputum; cases only), pleural fluid (cases only), lung aspirates (cases only), urine, postmortem lung needle biopsy | Serum, plasma, PBMC, RNA, DNA. Most samples stored at field sites, selected samples at UCT central repository | PBMC, whole blood, plasma, serum, urine | Whole blood (PAXgene tubes), plasma, throat swabs | Plasma (EDTA), plasma (P800), serum, sputum, saliva, urine | Whole blood (PAXgene tube),whole blood (EDTA), whole blood in QFT tubes (nil, mitogen, TB antigen), sputum, spot urine |
Diagnostic gold standard | MGIT culture of 2× induced sputum or Xpert of respiratory specimen. | MGIT culture and Xpert MTB/RIF (suspected TB cohort, per participant): NP aspirate (2), induced sputum (2), gastric aspirate (2), string test (2), urine (2), stool (2); MGIT culture on blood (1) | TB culture | TB culture (solid and liquid), concentrated Ziehl-Neelsen microscopy post-NALC-NaOH. | TB culture | TB culture | TB culture (solid or liquid), concentrated Ziehl-Neelsen microscopy post-NALC-NaOH | TB culture (solid or liquid) |
PI and contact | PI's Heather Zar and Mark Nicol (Mark.Nicol@uct.ac.za) (heather.zar@uct.ac.za) | PI Rinn Song (Rinn.Song@childrens.harvard.edu); Ellie Click (eoc9@cdc.gov); Kevin Cain (bvz1@cdc.gov) | PI Katherine O'Brien (kobrien2@jhu.edu) Contact: David Murdoch (David.murdoch@otago.ac.nz) | PI Stefan H. E. Kaufmann Contacts: Gerhard Walzl (gwalzl@sun.ac.za), Thomas Scriba (thomas.scriba@uct.ac.za), Katrina Downing (Katrina.Downing@uct.ac.za) | Contact: Lew Barker (LBarker@aeras.org) & Heather Siefers/Aeras; for SATVI Thomas Scriba (thomas.scriba@uct.ac.za) | Contact: Mike Levin (m.levin@imperial.ac.uk). | Contact: Eloise Valli (eloise.valli@finddiagnostics.org) | Contact: Derek Ambrosino (derek.ambrosino@tballiance.org) |
Website | TBD | TBD | http://www.jhsph.edu/research/centers-and-institutes/ivac/projects/perch/ | http://www.biomarkers-for-tb.net/consortium/the-consortium | http://www.aeras.org/ | TBD | http://www.finddiagnostics.org/programs/tb/find_activities/tb_specimen_bank.html | www.tbbiorepository.org |
Blank fields indicate no data available.
Abbreviations: A, adult; HHC, household contact; EDTA, ethylenediaminetetraacetic acid; HIV, human immunodeficiency virus; LTBI, latent tuberculosis; MGIT, mycobacteria growth indicator tube; NALC, N-acetyl-L-cysteine; NaOH, sodium hydroxide; NP, nasopharyngeal; OP, oropharyngeal; P, pediatric; PBMC, peripheral blood mononuclear cell; PI, principal investigator; QFT, Quantiferon-TB; SATVI, South African Tuberculosis Vaccine Initiative; TBD, to be determined; TDR/WHO, World Health Organization Special Programme for Research and Training in Tropical Diseases; UCT, University of Cape Town.
a Also includes the TDR/WHO specimen samples. The WHO Tuberculosis Strain Bank has been transferred to the Institute of Tropical Medicine, Antwerp, Belgium.