Leprosy Diagnostic Landscape

Cartridge-Based Automated NAAT (GeneXpert and Truenat Class)

Sample-to-answer real-time PCR on instruments already installed at district level for tuberculosis testing. Molbio lists Truenat M. leprae, a chip for semi-quantitative detection of M. leprae in slit-skin smears. No GeneXpert leprosy cartridge is on the market, and no independent clinical evaluation of the chip has been published.

Technology
Molecular (NAAT) · Integrated cartridge PCR
What it measures
M. leprae DNA (16S rRNA gene, sodA and RLEP on Truenat M. leprae)
Developer
Molbio Diagnostics (Goa, India), for Truenat M. leprae
Specimen
Slit-skin smear
Development status
Commercial RUO with analytical validation
Regulatory status
None / RUO
Intended use
District-level confirmation on instrumentation already deployed for tuberculosis
Main limitation
The leprosy chip is listed by its manufacturer, but no independent clinical evaluation has been published.
Availability
Truenat M. leprae is listed by Molbio Diagnostics with ordering codes (checked 18 September 2026). No GeneXpert cartridge for leprosy is available.
Linked publications
TPP-1, confirming leprosy
39.0 of 100, partial alignment
TPP-2, infection in contacts
37.5 of 100, partial alignment
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