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Anti-Tuberculosis 

Drug Monitoring


Simultaneous screening & quantitation of all 5 first-line ATT drugs in a single analytical workflow, with METLINE 2.0™ hepatotoxicity correlation for safer, personalised therapy.


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ClinPeak™ ATT Drug Monitoring

India accounts for 26% of the global TB burden, yet drug-induced hepatotoxicity affects up to 28% of patients on standard ATT. Precision monitoring closes the gap between fixed dosing and safe, effective therapy.

Why ATT-TDM?

Standard Dosing

Is Not Enough

Tuberculosis treatment relies on a fixed weight-based regimen, but patient response varies dramatically. Genetics, nutritional status, organ function, HIV co-infection, and concurrent medications all drive unpredictable drug exposures that standard dosing simply cannot account for.

Up to 40% of TB patients have subtherapeutic peak drug concentrations on standard regimens, a leading contributor to acquired drug resistance, prolonged infectiousness, and treatment failure.

At Advait Theragnostics, our ClinPeak™ ATT assay measures actual drug levels in patient plasma, giving clinicians the data they need to dose with confidence and act on toxicity before it becomes irreversible.



ClinPeak™ Assay Configurations

Choose Your Panel

Two validated configurations are designed for different clinical scenarios, from routine monitoring to intensive hepatotoxicity workup.

Single Analytical Workflow

Screening + Quantitation of All 5 First-Line ATT Drugs 

One Sample, One Run

Our full ATT workflow extends to simultaneous detection of all five first-line agents, enabling rapid screening alongside precise quantitation for comprehensive clinical decision support.

*We will soon incorporate the updates in accordance with the New TB Treatment Guidelines 2025 as issued by the National TB Elimination Programme (NTEP), Government of India.  

Hepatotoxicity Correlation

Powered by METLINE 2.0

When liver enzymes rise, METLINE 2.0™ connects the dots, correlating ATT drug levels with clinical biomarkers to identify the culprit drug, guide safe therapy interruption, and plan evidence-based re-challenge

1

Drug–Liver Biomarker Correlation

2

Personalised Dose Optimisation

3

Temporal Trend Analysis

4

Safe Re-challenge Guidance

Test Directory

Ordering Information

AT-TDM-ATT2  

ClinPeak™ AKT-2



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  • Plasma / Serum
  • 300 µL
  • 48–72 hrs
  • Isoniazid, Rifampicin

AT-TDM-ATT4

ClinPeak™ AKT-4



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  • Plasma / Serum
  • 500 µL
  • 48–72 hrs
  • INH, RIF, PZA, EMB

AT-TDM-ATT5

ClinPeak™ ATT Full Screen


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  • Plasma / Serum
  • 600 µL
  • 48–72 hrs
  • INH, RIF, PZA, EMB, Streptomycin

 ​ AT-TDM-DIH

METLINE 2.0™ DIH Correlation Report


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  • With LFT requisition
  • -
  • 72-96 hrs
  • Add-on to AKT-4 or ATT5

Get Started

Right Drug. Right Dose. Right Time.

Connect with our clinical specialists to discuss ATT-TDM protocols, panel selection, or METLINE 2.0™ integration for your institution.

Book Your PGx Test Today Book Your TDM Test Today​​​