TB Clinical Research Capacity Assessment
 

1.

 
We are conducting a survey to determine the research capacity to perform tuberculosis clinical trials in the UK.

If you are interested in participating in TB clinical trials, please do complete this form. Thank you for your help.

Professor Stephen Gillespie and Dr Estée Török, TB Drug Discovery UK. Queries to estee.torok@addenbrookes.nhs.uk

1. Name

2. Institution

3. Postal address

4. Telephone

5. Email

6. Do you currently look after tuberculosis patients?

7. If no to the above question, then who is the lead clinician for TB in your centre?

8. How many TB patients does your centre treat each year?

9. Of these how many patients have pulmonary TB?

10. And how many of these patients have smear-positive pulmonary TB?

11. Are you interested in participating in tuberculosis treatment trials?

12. Have you previously participated in tuberculosis clinical trials?

13. Have you received Good Clinical Practice (GCP) training for clinical trials?

14. Do you have a research nurse?

15. Does your local laboratory offer diagnostic tests for TB?

16. If yes to the above question, then please indicate which of the following tests are offered
(if you answered no, then skip these)

Acid-fast smear?

17. Mycobacterial liquid culture

18. Mycobacterial solid culture

19. TB drug susceptibility testing

20. Molecular diagnostic tests (TB PCR)

21. Interferon-gamma release assays (IGRA)

22. In-house typing for M. tuberculosis

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