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| ID | Type | Description | Link |
|---|---|---|---|
| 2012-A00326-37 | Other Identifier | ANSM |
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lack of recruitment of participants
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Background: Diagnosis and screening for latent tuberculosis in old patients is of special interest in regards of the morbidity-mortality of this disease in that context.
TB-infection diagnosis based on immunological memory detection can be impaired with age. New blood tests (QFTB-G and T-SPOT.TB) specific for MTB infection have not been evaluated in those old patients.The primary endpoint of this study is the evaluation of the IGRAS for active TB diagnosis in patients above 75 years old.
In vitro Interferon Gamma releasing Assay (IGRA) are recommended for LTBI screening as or instead of TST, but there accuracy in those old patients are not known: as immune responses are impaired in elderly and some of them have already met M tuberculosis before active antibiotherapy exists.The aim of this study is to evaluate characteristics of the two commercials tests IGRA T-spot-TB® and Quantiferon-TB-gold- in tube® and TST in old patients with or without active Tuberculosis.
Principal outcome:
- 3 tests performance for active TB diagnosis in patients older than 75 years-old
Secondary outcomes :
Methodology :Diagnostic test performance study
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active TB-infected patients | TB-infected patients with bacteriological and histological evidences |
| |
| Non active TB-infected patients (already met TB) | some of elders have already met M tuberculosis before active antibiotherapy exists |
| |
| Non active TB-infected patients (other diagnosis) | same symptoms than two others groups but an other diagnosis |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Blood samples | Other | 4 blood tubes of lithium heparinate (5ml) 3 blood tubes of QTF-G-IT (1ml) 1 blood dry tube (5ml) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of positive, indeterminate, negative tests in each group | month27 |
| Measure | Description | Time Frame |
|---|---|---|
| Test results in clinical LTBI patients | month 27 | |
| Correlation with TB-infection date | Test results (positive/negative) according to LTBI date | month 27 |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with suspected tuberculosis disease
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| Name | Affiliation | Role |
|---|---|---|
| Guislaine CARCELAIN, MD | Assistance Publique - Hôpitaux de Paris | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service de médecine interne | Bondy | 93143 | France | |||
| Servive de Médecine Interne (Pr S. Herson) |
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| ID | Term |
|---|---|
| D014376 | Tuberculosis |
| ID | Term |
|---|---|
| D009164 | Mycobacterium Infections |
| D000193 | Actinomycetales Infections |
| D016908 | Gram-Positive Bacterial Infections |
| D001424 | Bacterial Infections |
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| ID | Term |
|---|---|
| D001800 | Blood Specimen Collection |
| ID | Term |
|---|---|
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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Blood samples
| Blood samples collection in order to test new hypothesis in patients with non-concordant results | month 27 |
| Performance comparison between tests (T-SPOT.TB®, Quantiferon-Gold-IT®) | month 27 |
| Paris |
| 75013 |
| France |
| Service de Médecine Interne, Diabete et Maladies Métaboliques | Strasbourg | 67000 | France |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
| D011677 | Punctures |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |