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Tuberculosis Antimicrobial Stewardship Program (TASP): tackling Bedaquiline-resistant tuberculosis

Project description

Combating drug-resistant tuberculosis

Tuberculosis (TB) is an infectious bacterial disease that affects millions of people worldwide. It is caused by Mycobacterium tuberculosis and continues to be a major health threat, particularly due to increasing resistance to currently available drugs. This significantly restricts treatment options, necessitating new strategies. The aim of the EU-funded TASP project is to address this issue by preventing further drug resistance. The project’s approach involves an initial intensive phase of therapy to rapidly reduce bacterial load in high-risk patients, followed by individualised regimens tailored to patient needs. The consortium will evaluate this strategy in field trials conducted across African regions, integrating the use of low-cost diagnostic tools and air-cleaning devices as well.

Objective

In the 2024 updated Bacterial Priority Pathogen list of WHO, Mycobacterium tuberculosis (TB) is a critical priority pathogen, emphasizing the urgent need for action. Rifampicin resistant-tuberculosis (Rr-TB) is estimated to cause 13% of antimicrobial resistance-attributable deaths globally and is driven by both ongoing resistance acquisition and person-to-person transmission. Bedaquiline (BDQ), a new drug, is strongly recommended for Rr-TB treatment since 2018. In this very short time, BDQ resistance has proliferated significantly. For Rr-TB at risk of/with BDQ resistance (BDQr/Rr-TB) there is no evidence-based regimen. The current practice, with continued failing regimens, imperils the potency of the remaining Rr-TB drug arsenal.
Tuberculosis Antimicrobial Stewardship Program (TASP) aims to rapidly reduce bacillary load in patients at risk/with BDQr/Rr-TB by using an empirical highly bactericidal intensive phase (for those at risk) followed by drug-susceptibility testing (DST)-informed artificial intelligence (AI)-aided Treatment Recommender's regimen composition. 125 participants at risk/with BDQr/Rr-TB will be enrolled in Nigeria, Mozambique and South Africa. Baseline and acquired resistance will be monitored and a novel, fast and quantitative phenotypic method (thin layer agar), with little infrastructural requirements, will be evaluated in TASP’s high burden, limited resource settings through decentralized implementation.
Additionally, TASP will improve environmental control with co-designed, portable air cleaners, built sourcing low-cost materials from the local market. Filter waste products will be used for resistance surveillance and compared to conventional bio-aerosol samplers.
The anticipated impact of TASP is a cost-effective TB antimicrobial stewardship programme that reduces further resistance development and salvages the current all-oral BDQ regimens for the future.

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Topic(s)

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Funding Scheme

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HORIZON-JU-RIA - HORIZON JU Research and Innovation Actions

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Call for proposal

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(opens in new window) HORIZON-JU-GH-EDCTP3-2024-01-two-stage

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Coordinator

INSTITUUT VOOR TROPISCHE GENEESKUNDE
Net EU contribution

Net EU financial contribution. The sum of money that the participant receives, deducted by the EU contribution to its linked third party. It considers the distribution of the EU financial contribution between direct beneficiaries of the project and other types of participants, like third-party participants.

€ 1 255 416,25
Address
NATIONALESTRAAT 155
2000 ANTWERPEN
Belgium

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Region
Vlaams Gewest Prov. Antwerpen Arr. Antwerpen
Activity type
Higher or Secondary Education Establishments
Links
Total cost

The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.

€ 1 555 181,55

Participants (11)

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