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Research Use Only

TB-SIX

 A multiplex PCR laboratory assay to detect host-response-mediated mRNA transcripts present in whole blood. For research use only.

Tuberculosis - the challenge

 Tuberculosis (TB), caused by Mycobacterium tuberculosis, is the leading cause of death by infectious disease globally. The WHO estimates that 10.7 million people fell ill with TB and 1.23 million people died in 2024. Additionally, drug resistance in M. tuberculosis is an increasing problem¹. 


Rapid, accurate and accessible diagnostics would allow improvements for triage and treatment of patients with TB. Current diagnostic tests rely largely on potentially hard-to-obtain sputum samples or have long turnaround times. Host-response blood-based diagnostics are a current area of interest.

RISK6 explained

 TB-SIX utilises an existing signature, RISK6 which meets the WHO target product profile performance for a TB triage test² ³ .


The signature measures the relative expression of six individual mRNA transcripts in a whole blood sample. An algorithm is then applied to generate a score indicative of TB infection statusc³.


RISK6 has demonstrated potential clinical utility in monitoring the response to treatment without the need for culture. It is also expected to be suitable for use in people living with HIV² ³.

Simplified Workflow

LyoDx is developing TB-SIX, a single tube, lyophilised master-mix.  With its simplified workflow, reduced turnaround times, increased throughput and easier transportation, TB-SIX offers a more accessible solution.


The master-mix includes all primers and reagents for quantification of transcripts measured during the RISK6 assay. This allows the relative expression of all six transcripts to be measured in a single multiplexed RT-qPCR reaction on a benchtop thermocycler.

Next Steps

 LyoDx are looking for partners to collaborate on the next part of our journey.


  • To include TB-SIX in triage or treatment monitoring / cure studies.
  • To act as an early adopter site for TB-SIX.

Frequently Asked Questions

Please reach out to us if you cannot find an answer to your question.

RISK6 measures six human mRNA transcripts whose relative expression is compared to compute a RISK6 score. It was developed by South Africa Tuberculosis Vaccine Initiative (SATVI) and published in 2020².


TB-SIX uses the same six transcripts as RISK6. However, this assay offers an all-in-one solution with a simplified workflow. Each vial of TB-SIX contains all the reagents needed for 100 tests, offering significant time and cost improvements. It is also lyophilised for ambient storage.


TB-SIX measures the relative concentrations of six host mRNA transcripts in whole blood. This assay does not directly detect Mycobacterium tuberculosis.


TB-SIX is intended for Research Use Only, to be performed by trained laboratory personnel experienced in RT‑qPCR workflows.


  • Real-time, 6-channel thermocycler calibrated with colour channels: FAM, HEX, TAMRA, ROX, Cy5, Cy5.5.
  • RNA extraction kit.
  • DNase treatment kit (if not performed during RNA extraction).
  • Suitable controls (PCR-grade water, human total RNA control).
  • Basic laboratory tools and plasticware (pipettes, vortex, clean workspace, PPE).


Whole blood - collected in tubes appropriate for the stabilisation of mRNA.


Samples should be collected using suitable collection system, RNA purified using an appropriate methodology and DNase treatment performed.


This kit does not contain a positive control (PC) or negative control (NC). The NC should be PCR grade water. Human total RNA control can be used as a PC.


  • Non-sputum, blood-based: ideal for individuals unable to produce sputum.
  • Multiplex assay: simultaneous quantification of six gene expressions in one run.
  • Lyophilised reagent: suitable for ambient storage.


Yes.


Cq values for each transcript are entered into the LyoDx™ TB-SIX Score Calculator. The algorithm calculates a risk score analogous to the RISK6 signature.


Interpretation guidelines are under development; currently for Research Use Only.


A glimpse into the emerging evidence

Resources

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