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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00707317
Registration number
NCT00707317
Ethics application status
Date submitted
25/06/2008
Date registered
30/06/2008
Date last updated
16/12/2015
Titles & IDs
Public title
T Cell Interferon-gamma Release Assay (TIGRA) in Immunocompromised Individuals
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Scientific title
Prospective Head-to-head Comparison of the Two Commercially Available Approved TIGRA (QuantiFERON-TB Gold In-Tube and T.SPOT.TB) With the Established Mendel-Mantoux Skin-test in Immunocompromized Patients
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Secondary ID [1]
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TBNET-TIGRA
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Universal Trial Number (UTN)
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Trial acronym
TBNET-TIPS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Tuberculosis
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Monitoring, Immunologic
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Condition category
Condition code
Infection
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Other infectious diseases
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Infection
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Studies of infection and infectious agents
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Respiratory
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
1 - HIV infected individuals
2 - patients with chronic renal failure
3 - patients after solid organ transplantation (lung, liver, kidney, kidney-pancreas)
4 - patients with rheumatoid arthritis
5 - stem cell transplant recipients
6 - immunocompromised patients with confirmed tuberculosis
7 - immunocompetent controls with no known risk of exposure or tuberculosis
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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IGRA performance
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Assessment method [1]
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performance of two IGRAs and skin test in immunocompromised patients
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Timepoint [1]
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at the time of analysis
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Secondary outcome [1]
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active tuberculosis on follow-up
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Assessment method [1]
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Active TB on follow-up depending on test result
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Timepoint [1]
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variable follow-up on all patients
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Eligibility
Key inclusion criteria
* Individual as specified for the study population
* Written informed consent
* Indication to perform tuberculin skin test(suspect latent infection, according to standard guidelines, differential diagnosis)
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* <18 years of age
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/06/2008
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/05/2011
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Sample size
Target
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Accrual to date
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Final
1843
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Cellestis Limited - Carnegie
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Recruitment postcode(s) [1]
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- Carnegie
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Recruitment outside Australia
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Bulgaria
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Sofia
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Denmark
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Herlev
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Germany
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Borstel
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Germany
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Frankfurt
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Germany
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Freiburg
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Germany
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Homburg
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Greece
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Mezourlo-Larissa
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Italy
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Milan
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Italy
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Roma
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Italy
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Tradate
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Netherlands
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The Hague
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Portugal
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Lisbon
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Romania
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Bucharest
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Spain
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Barcelona
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Sweden
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Stockholm
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Switzerland
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Geneva
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Turkey
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Ankara
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United Kingdom
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London
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Funding & Sponsors
Primary sponsor type
Other
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Name
Tuberculosis Network European Trialsgroup
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
Until recently, the tuberculin skin test (TST) was the only available diagnostic assay for detection of latent infection with M. tuberculosis (LTBI). Despite the low overall incidence of symptomatic tuberculosis infection in low-prevalence countries, the potential mortality and morbidity mandate constant vigilance to identify patients at risk for reactivation. Due to systemic immunosuppression, immunocompromised patients with latent M. tuberculosis infection are at increased risk of progression to active disease. This applies to patients with various causes of immunodeficiency such as HIV-infected patients, allogeneic stem cell and solid organ transplant recipients, patients with rheumatoid arthritis and patients with chronic renal failure. Therefore, current guidelines aimed at preventing tuberculosis infection in immunocompromized individuals recommend a generalized screening for evidence of latent infection to target appropriate preventative prophylaxis. At present, tuberculosis control programs exclusively rely on the tuberculin skin test to identify a latent infection in asymptomatic individuals. Recently, novel in vitro assays termed T cell interferon-gamma release assay (TIGRA) have become available that are based on the detection of interferon-gamma (IFN-gamma) production in T cells or supernatants after stimulation with highly specific antigens of M. tuberculosis. Two TIGRA are commercially available, the ELISPOT based T.SPOT.TB and the ELISA based QuantiFERON-TB Gold test (now available as an "IN-TUBE" version). The aim of the study is a prospective comparison of the two commercially available approved TIGRA (QuantiFERON-TB Gold In-Tube and T.SPOT.TB) with the established Mendel-Mantoux skin-test in immunocompromized patients (main focus on sensitivity and specificity). The study hypotheses are as follows: 1. In immunocompromised patients, the two commercially available approved TIGRA (QuantiFERON-TB Gold In-Tube and T.SPOT.TB) have increased sensitivity and specificity as compared to the established Mendel-Mantoux skin-test. 2. Results from QuantiFERON-TB Gold In-Tube and T.SPOT.TB do not differ in immunocompromised patients.
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Trial website
https://clinicaltrials.gov/study/NCT00707317
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Trial related presentations / publications
Sester M, van Leth F, Bruchfeld J, Bumbacea D, Cirillo DM, Dilektasli AG, Dominguez J, Duarte R, Ernst M, Eyuboglu FO, Gerogianni I, Girardi E, Goletti D, Janssens JP, Julander I, Lange B, Latorre I, Losi M, Markova R, Matteelli A, Milburn H, Ravn P, Scholman T, Soccal PM, Straub M, Wagner D, Wolf T, Yalcin A, Lange C; TBNET. Risk assessment of tuberculosis in immunocompromised patients. A TBNET study. Am J Respir Crit Care Med. 2014 Nov 15;190(10):1168-76. doi: 10.1164/rccm.201405-0967OC. Lange C, van Leth F, Sester M; TBnet. Viral Load and Risk of Tuberculosis in HIV Infection. J Acquir Immune Defic Syndr. 2016 Feb 1;71(2):e51-3. doi: 10.1097/QAI.0000000000000834. No abstract available.
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Public notes
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Contacts
Principal investigator
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Martina Sester, PhD
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Address
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Department of Transplant and Infection Immunology, University of the Saarland, 66421 Homburg
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Contact person for public queries
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Sester M, van Leth F, Bruchfeld J, Bumbacea D, Cir...
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More Details
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Journal
Lange C, van Leth F, Sester M; TBnet. Viral Load a...
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More Details
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Results not provided in
https://clinicaltrials.gov/study/NCT00707317
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