Clinical Core

TBRU临床核心将全面负责拟议的TBRU中所有人类受试者的研究 协议，并将与数据和运营管理中心密切合作 行政核心协调已批准的方案和整个单位的科学活动，与 TBRU的科学决策。临床核心的主要目标是确保实施和 临床研究的进行与TBRU项目的科学和翻译目标保持一致，并 通过为以下方面提供支持获得科学核心：1.制定议定书；2.执行和运作；3.质量 保证和控制，4.样本库和库存；5.数据收集，6.流行病学和 统计分析。临床核心将监督临床操作、样本收集和处理，以及 从研究开始到结束收集数据，以确保所有活动都在合规进行 符合当地和国际法规和道德标准。临床研究将在 乌干达坎帕拉的Makerere大学和巴西维托里亚的NúCleo de Doenças Infecciosas(NDI)。这个 核心领导惠伦博士和道格拉斯女士将与每个地点的首席调查人员密切合作，以确保 及时完成所有项目里程碑。在乌干达结核病患者的HHC前瞻性队列中， 巴西的回溯性队列研究(项目1和2)和乌干达的一个(项目1)我们将描述 细菌和寄主异质性的直接和长期后果和交互影响 关于潜在的免疫机制，我们假设这些机制是人类自然历史的关键决定因素 结核病。这些涉及人类参与者的研究必须经过精心设计并与我们的 巴西和乌干达合作伙伴保证所有参与者、研究小组和 数据的完整性。临床核心将与行政和系统生物学核心协调，以及 在首席研究员的指导下，为实现这些目标，执行临床方案 在巴西和乌干达的合作地点的项目1和2，并建立人类临床库存 将在项目1、2、3和4中使用的标本、结核分枝杆菌分离株和临床流行病学数据。

The TBRU Clinical Core will take overall responsibility for all human subjects’ studies in the proposed TBRU protocols, and will work closely with the Data and Operations Management Center (DOMC) in the Administrative Core to coordinate approved protocols and unit-wide scientific activities in concert with scientific decisions of the TBRU. The primary objective of the Clinical Core is to ensure the implementation and conduct of the clinical research studies align with the scientific and translational aims of the TBRU projects and scientific cores by providing support for; 1. Protocol development, 2. Implementation and operations, 3. Quality assurance and control, 4. Sample banking and inventory; 5. Data collection, and 6. Epidemiological and statistical analysis. The Clinical Core will monitor the clinical operations, sample collection and processing, and data collection from study initiation through close out, to ensure that all activities are conducted in compliance with local and international regulations and ethical standards. The clinical studies will be conducted at Makerere University in Kampala, Uganda and the Núcleo de Doenças Infecciosas (NDI) in Vitória, Brazil. The Core leads Dr. Whalen and Ms. Douglass will work closely with the Lead Investigators at each site to ensure timely completion of all project milestones. In a prospective cohort of HHC of TB patients in Uganda and a retrospective cohort study in Brazil (Projects 1 and 2) and one in Uganda (Project 1) we will characterize the immediate and long-term consequences and interactive effects of bacterial and host heterogeneity with a focus on the underlying immune mechanisms that we hypothesize to be critical determinants of the natural history of TB. These studies involving human participants must be conducted with careful design and oversight with our Brazilian and Ugandan partners to guarantee the safety and protection of all participants, the study team, and the integrity of the data. The Clinical Core will coordinate with the Administrative and Systems Biology Core, and under the direction of the Principal Investigators, to accomplish these objectives, implement the clinical protocols for projects 1 and 2 at the collaborating sites in Brazil and Uganda, and to establish an inventory of human clinical specimens, isolates of Mtb and clinical epidemiological data to be utilized across projects 1, 2, 3 and 4.