Both SMA-TB and DRTB-HDT are clinical trial projects focused on treatment strategies for drug-resistant TB.
NATIONAL CENTER FOR TUBERCULOSIS AND LUNG DISEASES JSC
Georgia's national TB reference center providing clinical trial sites and MDR-TB patient cohorts for European research consortia.
Their core work
Georgia's principal clinical and research institution for tuberculosis, including drug-resistant forms. They operate as a clinical trial site and patient recruitment center for large multi-country TB studies, contributing patient cohorts, clinical data, and real-world treatment expertise. Their work spans host-directed therapy trials, stratified medicine approaches for TB treatment, and epidemiological tracking of multidrug-resistant Mycobacterium tuberculosis strains. As a country with a significant TB burden, their participation brings critical access to patient populations and clinical infrastructure that Western European partners typically lack.
What they specialise in
SMA-TB develops stratified medicine algorithms for host-directed therapy, while DRTB-HDT runs a randomized controlled trial of host-directed treatment.
SMA-TB specifically targets biomarker identification to predict treatment responses and stratify patients.
ECOEVODRTB links within-host and between-host evolution of multidrug-resistant M. tuberculosis using genomic methods.
ECOEVODRTB addresses epidemiology, resistance, tolerance, and persistence of MDR-TB strains.
How they've shifted over time
All three projects started in 2020, so the evolution window is narrow. However, there is a discernible thematic arc: the earlier-weighted projects (SMA-TB) focused on clinical endpoints — biomarkers, quality of life, and systems biology approaches to treatment prediction. The later-weighted projects (DRTB-HDT, ECOEVODRTB) shift toward fundamental biology — bacterial genomics, evolutionary fitness, and resistance mechanisms. This suggests a deepening from applied clinical work toward understanding the underlying biology of drug-resistant TB.
Moving from purely clinical trial participation toward contributing to fundamental research on how drug-resistant TB evolves and persists, which positions them for next-generation precision medicine studies.
How they like to work
Exclusively a participant — they have never coordinated an H2020 project. With 16 unique partners across 11 countries from just 3 projects, they work in large, geographically diverse consortia typical of multi-center clinical trials. Their role is that of a clinical site partner: they bring patients, clinical infrastructure, and regional TB expertise to consortia led by Western European research universities.
Connected to 16 partners across 11 countries through 3 projects, indicating participation in broad multi-center consortia. Their network likely spans Western European universities and research hospitals that lead TB research but need clinical sites in high-burden countries.
What sets them apart
Georgia sits at the crossroads of Europe and Central Asia with one of the highest multidrug-resistant TB rates in the WHO European Region, making NCTLD an irreplaceable clinical partner for any TB trial needing access to drug-resistant cases. They combine the clinical infrastructure of a national reference center with active engagement in European research networks. For consortium builders, they offer what most EU partners cannot: large MDR-TB patient cohorts, treatment facilities, and frontline clinical expertise in a high-burden setting.
Highlights from their portfolio
- DRTB-HDTLargest single EC contribution (EUR 623,235) — a randomized controlled multi-center trial of host-directed therapy for drug-resistant TB, one of the most challenging areas in infectious disease.
- ECOEVODRTBAn ERC Advanced Grant project (rare for a participant from Georgia) linking TB evolution at the patient level to population-level spread — bridges clinical medicine and evolutionary biology.