Comparison of three diagnostic tools for latent tuberculosis in haemodialysis patients

ISRCTN ISRCTN52111135
DOI https://doi.org/10.1186/ISRCTN52111135
Secondary identifying numbers N/A
Submission date
18/03/2008
Registration date
26/03/2008
Last edited
26/03/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Not provided at time of registration

Contact information

Prof Jaeseok Yang
Scientific

Division of Nephrology
Department of Internal Medicine
Gil Medical Center
1198 Guwol-dong
Namdong-gu
Incheon
405-760
Korea, South

Study information

Study designSingle centre, observational, cross-sectional, open trial
Primary study designObservational
Secondary study designCross-section survey
Study setting(s)Hospital
Study typeDiagnostic
Participant information sheet Not available in web format, please contact Jaeseok Yang at jcyjs@hanafos.com to request a patient information sheet
Scientific title
Study hypothesisLatent tuberculosis is hard to diagnose in immunocompromised hosts like haemodialysis patients, and widespread bacille calmette-guerin (BCG) vaccination make it complicated to interpretate Mantoux test results in Korea. Therefore, we need more sensitive and specific diagnostic tools for latent tuberculosis in haemodialysis patients.

Hypothesis:
T-spot assay or Quantiferon assay is more sensitive and specific than Mantoux test for latent tuberculosis in haemodialysis patients.
Ethics approval(s)Ethics approval received from the Institutional Review Board (IRB) of Gachon University of Medicine and Science on the 28th February 2008 (ref: 20080228 tuberculosis in haemodialysis).
ConditionLatent tuberculosis
InterventionAgreement of three diagnostic tests for latent tuberculosis will be tested in haemodialysis patients. Blood samples are taken for:
1. Quantiferon-gold assay, an enzyme linked immunosorbent assay (ELISA) assay for interferon gamma in response to tuberculosis specific antigens
2. T-spot assay, an enzyme-linked immunosorbent spot (ELISPOT) assay for interferon gamma

After sampling, the Mantoux test will be performed, and the results will be read in two days. Agreement of three test results will be analysed using kappa coefficients, and results will be analysed per each categories of risk groups such as low risk group, casual contact group, latent tuberculosis patients, and active tuberculosis patients. Agreement will be also analysed in medical staff group with normal immunity.
Intervention typeOther
Primary outcome measure1. Skin test: positive or negative
2. Quantiferon-gold: positive or negative
3. T-spot test: positive or negative

These outcomes will be measured on the day of testing.
Secondary outcome measures1. Skin test: size of induration
2. Quantiferon-gold: concentration
3. T-spot test: number, mean area

These outcomes will be measured on the day of testing.
Overall study start date01/03/2008
Overall study end date30/04/2008

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit80 Years
SexBoth
Target number of participants162
Participant inclusion criteria1. Chronic maintenance haemodialysis patients who continue to receive haemodialysis for more than three months in the Gil Medical Centre
2. Older than 18 years, and less than 80 years, either sex
3. Agrees to participate in this trial
4. Medical staff in the haemodialysis centre of the Gil Medical Centre
Participant exclusion criteria1. Patients who suffer from skin diseases which may interfere with Mantoux test
2. Patients with an active infection, except tuberculosis
3. Patients who cannot make independent decision due to mental disorders
Recruitment start date01/03/2008
Recruitment end date30/04/2008

Locations

Countries of recruitment

  • Korea, South

Study participating centre

Division of Nephrology
Incheon
405-760
Korea, South

Sponsor information

Gachon University of Medicine and Science (South Korea)
University/education

Institutional Review Board (IRB)
Department of Pharmacy
Gil Medical Centre
1198 Guwol-dong
Namdong-gu
Incheon
405-760
Korea, South

Website http://home.gachon.ac.kr/icc/
ROR logo "ROR" https://ror.org/03ryywt80

Funders

Funder type

University/education

Gachon University of Medicine and Science (South Korea) - Division of Nephrology, Department of Internal Medicine

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan