- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00424684
Comparison of the Quantiferon®-TB GOLD (in Tube) Assay With Tuberculin Skin Testing for Detecting Latent Tuberculosis Infection in Patients With Chronic Liver Disease Being Evaluated for or Awaiting Liver Transplantation
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
- Review and record the results of the test/procedures (x-rays, CT-scans, etc.) that are part of the subject's clinical care and the results will become part of the research record. In addition, laboratory results (liver function tests, chemistry, CBC with diff, PT and INR or PTT) will be collected from the medical record.
- Record the list of medications the subject is taking. Collect information on demographics (address, phone number, etc.) including gender, race and ethnicity.
- Review and record past medical and social history
The screening procedures will take a total of about 15-30 minutes and all subjects will be seen in the Liver Transplant Clinic. The investigator and research coordinators will be reviewing the subject's medical record to collect the required information about the subject's medical history. We will ask the subject, if it cannot be found in the medical record, about past TB exposure and treatment, overseas travel, and current resident status (long term care facility, home, hospital, etc.)
If the subject qualifies for the research study the subject will undergo the experimental procedures listed below. These procedures will take place during the visit in the Liver Transplant Clinic.
As part of the liver transplant evaluation subjects will have blood withdrawn for different types of testing. When the blood is obtained we will collect about 3cc of blood for the new TB testing. This collection of the blood sample will occur while the subject is getting their required pre transplant blood work so that they will not need to get stuck twice with a needle. The results of this research testing will not be available to the subject or physicians but will be compared.
The QuantiFERON®-TB Gold IT system uses specialized blood collection tubes, which are used to collect whole blood. Incubation of the blood occurs in the tubes for 16 to 24 hours, after which, plasma is harvested and tested for the presence of IFN-g produced in response to the peptide antigens.
The QFT-G (IT) assay will be performed according to the manufacturer's instructions (Cellestis Ltd.). One mL of whole blood is placed in three separate test tubes, one containing no antigen (nil control), one with TB antigens (ESAT-6, CFP-10 and TB7.7) and one with phytohemaglutinin (mitogen or positive control). The three tubes will be incubated as soon as possible after collection (within 16hrs) and will incubate for 16 to 24 hours at 37°C. Following this incubation period, the tubes will be centrifuged. The plasma will be removed from the tube and placed in a plasma storage container. These containers will then be frozen for future IFN-γ measurement by ELISA. Each institution will perform testing up to this point in the process. Each month, plasma samples will be posted on ice to Edmonton Hospital in Alberta, Canada. The samples will be batched and then undergo the ELISA testing process according to the manufacturer's instructions.
A result of ≥0.35 IU/mL in the TB antigen tube will be considered a positive result. If the level is less than this and the mitogen control is positive (≥ 0.5 IU/mL), a negative result will be recorded. If the level in both the TB antigen and mitogen tube is less than the threshold for positive, then an indeterminate (anergic) result will be recorded. The nil antigen tube adjusts for background IFN-γ levels and is subtracted from the IFN-γ level for the TB antigen and mitogen tube.
Once we have collected the blood sample the subject will have completed the study.
Study Type
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15213
- University of Pittsburgh Medical Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria
- Age ≥ 18
- Chronic liver disease on the waiting list or being wait listed for liver transplantation
- Undergoing a PPD test as part of their clinical care
Exclusion Criteria
- Unable to provide informed consent
- Previous history of immediate hypersensitivity to TST
- Previous severe local ulceration with TST
- Suspected active TB
Study Plan
How is the study designed?
Design Details
- Primary Purpose: DIAGNOSTIC
- Allocation: NON_RANDOMIZED
- Interventional Model: SINGLE_GROUP
- Masking: NONE
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
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To assess the concordance between the QFT-G IT assay and the TST in patients with end stage liver disease awaiting liver transplantation and to relate the test results to the patient's risk of latent TB infection.
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Secondary Outcome Measures
Outcome Measure |
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To assess the factors that are associated with discordance between the TST and the QFT-G test
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To assess for laboratory parameters that may influence the QFT-G IT assay, such as lymphocyte count and liver function tests.
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To assess the frequency of anergy in this patient population.
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Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- IRB#0611163
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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