Evaluation of 2 Interferon γ Assays in the Diagnosis of Latent Tuberculosis in HIV-infected Patients.ANRS EP 40 QUANTI SPOT
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Purpose
The aim of this study is to estimate the usefulness of QuantiFERON TB Gold In-Tube® and T-SPOT.TB® for the diagnosis of latent tuberculosis in HIV infected antiretroviral naive patients: 80 originated from low TB prevalence countries, without any active TB; 80 HIV infected antiretroviral naïve patients originated from high TB prevalence countries, without any active TB, 40 HIV infected patients with active TB and 40 HIV negative patients with active TB.
| Condition | Intervention | Phase |
|---|---|---|
|
HIV Infections Tuberculosis |
Device: QuantiFERON TB Gold In-Tube Device: T-SPOT.TB® |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Diagnostic |
| Official Title: | Evaluation of 2 Interferon γ Assays (QuantiFERON TB Gold In-Tube® and T-SPOT.TB®) in the Diagnosis of Latent Tuberculosis in HIV-infected Patients.ANRS EP 40 QUANTI SPOT |
- Intradermal Tuberculin Tests QuantiFERON TB Gold In-Tube® T-SPOT.TB® [ Time Frame: 48 to 72 hours after the injection ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 240 |
| Study Start Date: | January 2008 |
| Study Completion Date: | November 2010 |
| Primary Completion Date: | May 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Sham Comparator: 1
HIV infected antiretroviral naïve patients originated from low TB prevalence countries without any active TB with CD4 cell count > 350/mm3
|
Device: QuantiFERON TB Gold In-Tube Device: T-SPOT.TB® |
|
Sham Comparator: 2
HIV infected antiretroviral naïve patients originated from low TB prevalence countries without any active T with CD4 < 350/mm3)
|
Device: QuantiFERON TB Gold In-Tube Device: T-SPOT.TB® |
|
Sham Comparator: 3
HIV infected antiretroviral naïve patients originated from high TB prevalence countries without any active TB with CD4 < 350/mm3)
|
Device: QuantiFERON TB Gold In-Tube Device: T-SPOT.TB® |
|
Sham Comparator: 4
HIV infected antiretroviral naïve patients originated from high TB prevalence countries without any active TB with CD4 > 350/mm3)
|
Device: QuantiFERON TB Gold In-Tube Device: T-SPOT.TB® |
|
Sham Comparator: 5
HIV infected patients with active TB
|
Device: QuantiFERON TB Gold In-Tube Device: T-SPOT.TB® |
|
Sham Comparator: 6
HIV negative patients with active TB
|
Device: QuantiFERON TB Gold In-Tube Device: T-SPOT.TB® |
Detailed Description:
The aim of this study is to estimate the usefulness of QuantiFERON TB Gold In-Tube and T-SPOT.TB for the diagnosis of latent tuberculosis in this population. Concordance between TST, QuantiFERON TB Gold and T-SPOT.TB will be assessed in patients with different risks of TB, in a transversal study. This study will include 240 patients during 2 years: 80 HIV infected antiretroviral naïve patients originated from low TB prevalence countries, without any active TB (40 patients with CD4 cell count > 350/mm3, 40 with CD4 < 350/mm3), 80 HIV infected antiretroviral naïve patients originated from high TB prevalence countries, without any active TB, 40 HIV infected patients with active TB and 40 HIV negative patients with active TB. TST and the 2 blood interferon gamma assay will be compared according to the level of risk. The improvement of latent TB diagnosis in HIV infected patients may lead to the initiation of TB prophylaxis and decrease the incidence of this life threatening disease.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- sign an informed consent
- to be adult
- not to be pregnant
- to have a clinical examination and a medical questionnaire
Exclusion Criteria:
-
Contacts and Locations| France | |
| Service des Maladies Infectieuses B Hopital Bichat | |
| Paris, France, 75018 | |
| Principal Investigator: | Daniel Bonnet, MD | AP-HP Paris |
| Study Director: | France Mentre, PHD | AP-HP |
More Information
No publications provided
| Responsible Party: | Marcia Trumeau regulatory, ANRS |
| ClinicalTrials.gov Identifier: | NCT00647205 History of Changes |
| Other Study ID Numbers: | ANRS EP 40 QUANTI SPOT |
| Study First Received: | March 26, 2008 |
| Last Updated: | August 8, 2011 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
Keywords provided by French National Agency for Research on AIDS and Viral Hepatitis:
|
Interferon, gamma HIV Infections Tuberculosis |
Additional relevant MeSH terms:
|
HIV Infections Acquired Immunodeficiency Syndrome Tuberculosis Latent Tuberculosis Lentivirus Infections Retroviridae Infections RNA Virus Infections Virus Diseases Sexually Transmitted Diseases, Viral Sexually Transmitted Diseases Immunologic Deficiency Syndromes Immune System Diseases |
Slow Virus Diseases Mycobacterium Infections Actinomycetales Infections Gram-Positive Bacterial Infections Bacterial Infections Interferons Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Antiviral Agents Anti-Infective Agents |
ClinicalTrials.gov processed this record on May 23, 2013