Renal failure and iatrogenic immunosuppression associated with solid organ transplantation or TNF alpha blockade in rheumatoid arthritis ICD 10 codes included: N18 Z94.0 M05 M06 M07 M45
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients in chronic renal failure who are potential transplant recipients OR Patients with a rheumatological condition who are potential recipients of Tumour Necrosis Factor alpha blockade AND adult (over 18) AND able to give written informed consent AND with risk factors for tuberculosis: -[renal arm] from collaborating units in high prevalence areas of the UK -[anti TNF alpha arm] patients who would be considered for tuberculin skin testing under current anti-TNFalpha treatment guidelines, including past history of exposure or disease, immigrant from high prevalence area, CXR changes suggestive of prior TB, grade 2 heaf test or above Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Children Current active tuberculosis Unable to give written informed consent Hypersensitivity to tuberculin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To validate the use of the RD1 based Exvivo IFNy ELISpot in the immunodiagnosis of tuberculosis in iatrogenically immunosuppressed populations by calculation of positive and negative predictive values for the assay and for a comparator: the tuberculin based mantoux test;Secondary Objective: To investigate potential immune correlates of latency and active disease in tuberculosis and identify potential markers of prognosis and disease progression in tuberculosis.;Primary end point(s): Development of active tuberculosis | — |
Countries
United Kingdom