The Virulence-Transmission Trade-Off: Exploring the Biological Determinants and Epidemiological Consequences of Subclinical Tuberculosis

Human tuberculosis (TB) remains a global health emergency, causing 10 million new cases and 1.5 million deaths every year. TB manifests as a spectrum, ranging from self-cured or asymptomatic infection to active pulmonary and extra-pulmonary disease. Until recently, the common view was that only…

01.02.2023 - 31.01.2027
Research project
Swiss National Science Foundation (SNSF) / Programme Sinergia
BRCCH EDCTP Outreach - Improving Access to SARS-CoV-2 Screening and Testing through Community-based COVID-19 Case-Finding and the Use of Digital Solutions in Lesotho and Zambia

In a collaboration between teams in Lesotho and Zambia, Dr Klaus Reither (Swiss Tropical and Public Health Institute, BRCCH) and Dr Kwame Shanaube (Zambart, EDCTP) will investigate the effects of community-led interventions, rapid point-of-care diagnostics and swab self-collection in mitigating the…

01.01.2021 - 31.12.2022
Evaluation project
Basel Research Centre for Child Health (BRCCH)
Clinical Research Unit
Klaus Reither
MistraL - Mitigation strategies for communities with COVID-19 transmission in Lesotho using artificial intelligence on chest x-rays and novel rapid diagnostic tests

The COVID-19 pandemic is straining health systems globally. Public health and primary care interventions implemented by high-income countries may be unsuccessful or infeasible in low- and middle-income countries (LMIC). Effective mitigation strategies need to be adapted to the specific…

01.06.2020 - 31.05.2022
Intervention Study
Basel Research Centre for Child Health (BRCCH)
Clinical TB
Klaus Reither
DRTB-HDT - Stratified Host-Directed Therapy for Rifampicin-Resistant TB: A Randomized Controlled Multi-Centre Trial

Tuberculosis (TB) has historically been the most common infectious cause of death globally, surpassed only recently (and presumably temporarily) by the ongoing Covid-19 pandemic. TB treatment is lengthy and often unsuccessful. Even if cured, most patients are left with impaired lung function and…

01.01.2020 - 31.12.2025
Clinical Trial
European Commission (EU) / Horizon 2020
Clinical Research Unit
Klaus Reither
TB TRIAGE+ - Community-based tuberculosis triage testing after symptom screening in hard-to-reach African populations: CAD4TB versus C-reactive protein

Background:
Tuberculosis (TB) is a poverty-related disease which particularly affects vulnerable and underserved populations. Community-based TB triage testing as an integral part of multi-disease health campaigns has the potential to offer an impactful diagnostic strategy for people living in rural…

01.01.2020 - 31.12.2024
Intervention Study, Clinical Trial Medical Devices & IV diagnostica
European Commission (EU)
Clinical Research Unit
Klaus Reither
Prospective Multicentre Clinical Trial for the Evaluation of the Accuracy and Diagnostic Yield of the Fujifilm LAM TB Test for the Diagnosis of Tuberculosis in HIV-positive Patients

New, rapid, non-sputum-based point-of-care (POC) diagnostic solutions to detect TB are urgently needed. This is a prospective, multicentre cohort study (Sponsor: FIND) in which the accuracy and the diagnostic yield of the FujiLAM test will be assessed using a microbiological reference standard, an…

02.09.2019 - 30.04.2021
Clinical Trial
Foundation for Innovative New Diagnostics (FIND ), Geneva, Switzerland
Clinical Research Unit
Klaus Reither
Performance of Cepheid GeneXpert® Omni for early detection of tuberculosis and multidrug resistant tuberculosis in adults with presumptive pulmonary tuberculosis at Primary Health Care facilities in Georgia in a controlled phased pre and post intervention

Tuberculosis (TB) still remains a major global challenge. In 2017, there were estimated10million new cases globally. Same year 16% of people with TB has died from the disease. In the same year, 6.4 million new cases were reported, accounting for only 64% of the total estimated incidence. Due to…

01.09.2019 - 31.12.2020
Intervention Study
Foundation for Innovative New Diagnostics (FIND ), Geneva, Switzerland
Clinical Research Unit
Klaus Reither
TB-CAPT - Close the Gap, Increase Access, Provide Adequate Therapy

Swiss TPH is consortium member in the TB-CAPT project (Close the gap, increase Access, Provide adequate Therapy), which will help improve tuberculosis (TB) diagnosis and management at the point of care. A series of clinical trials will generate evidence to inform diagnostic strategies for TB and…

01.09.2019 - 28.02.2023
Intervention Study
European Commission (EU)
Clinical Research Unit
Klaus Reither
PANACEA2 Genomics

The PANACEA2 Consortium is testing new drugs and treatment regimens against tuberculisis (TB) in various African countries. Our role in this consortium is to use next-generation genome seqeuncing to study the mutations causing resistance to these drugs in Mycobacterium tuberculosis isolates…

01.04.2017 - 31.03.2024
Research project
State Secretariat for Education, Research and Innovation (SERI); Staatssekretatiat für Bildung, Forschung und Innovation (SBFI) , European Commission (EU)