Tuberculosis
Conditions
Keywords
diagnosis of Tuberculosis, ESAT6, CFP10, skin test, diagnostic test
Brief summary
96 TB subjects and 96 non-TB subjects with lung disease who all meet the standard are divided into different groups through a randomized, blind methods.Every subject inject intradermally ESAT6-CFP10 and TB-PPD in different arms of the same person.Specific γ- IFN(gamma interferon) detection is needed before the injection.Evaluate the sensitivity (positive coincidence rate) ,the specificity (negative coincidence rate) and the coincidence rate of ESAT6-CFP10 in the tuberculosis patients and non-tuberculosis patients with lung diseases, and determine the optimal dose of ESAT6-CFP10 for clinical auxiliary diagnosis of tuberculosis.
Detailed description
Firstly,96 TB(Tuberculosis ) subjects which meet the standard respectively are divided into different groups through a randomized, blind methods. 1. ESAT6-CFP10 (5μg/ml)in left arm; 2. ESAT6-CFP10 (5μg/ml)in right arm; 3. ESAT6-CFP10 (10μg/ml)in left arm; 4. ESAT6-CFP10 (10μg/ml)in right arm; Inject intradermally ESAT6-CFP10 and TB-PPD(tuberculin purified protein derivative ) in different arms of the same subject.For each of the participants in this clinical research, this study uniform that left arm inject a drug(ESAT6-CFP10 or TB - PPD) first, observe 30 min and no no obvious adverse reaction ,then another drug(ESAT6-CFP10 or TB - PPD) inject in right arm. We need draw blood to detect specific γ- IFN before the injection.Observe and record the vital signs (breathing, heart rate, blood pressure and temperature),the skin reaction diameter of injection site (flush and induration) , local reactions (rash, pain, itching and skin mucous membrane) and a variety of adverse events. Secondly, 96 non-TB subjects with lung disease are divided into different groups and the procedure are as the same as 96 TB subjects above . Finally,we evaluate the sensitivity (positive coincidence rate) ,the specificity (negative coincidence rate) and the coincidence rate of ESAT6-CFP10 in the TB patients and non-tuberculosis patients with lung diseases,determine the optimal dose of ESAT6-CFP10 for clinical auxiliary diagnosis of tuberculosis,and further evaluate the safety of ESAT6-CFP10 for the clinical auxiliary diagnosis of tuberculosis .
Interventions
TB subjects and non-TB subjects with lung disease inject 5μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm respectively. Two drug must use at the same person and different arm.
TB subjects and non-TB subjects with lung disease inject 5μg/ml ESAT6-CFP10 in right arm and TB-PPD in left arm respectively. Two drug must use at the same person and different arm.
TB subjects and non-TB subjects with lung disease inject 10μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm respectively. Two drug must use at the same person and different arm.
TB subjects and non-TB subjects with lung disease inject 10μg/ml ESAT6-CFP10 in right arm and TB-PPD in left arm respectively. Two drug must use at the same person and different arm.
Sponsors
Study design
Eligibility
Inclusion criteria
of TB (tuberculosis ) subjects: * Diagnosis TB ; * 18 to 65 years ; * Consent and signed informed consent forms(ICF) ; * Comply with follow-up .
Exclusion criteria
of TB (tuberculosis ) subjects: * advanced cancer, diabetes,copd in acute episodes, acute/ progressive liver disease or kidney disease, congestive heart failure, etc ; * Taking part in other clinical or within 3 months involved in any other clinical; * histories of allergy ; * in pregnancy or lactation; * In a mental illness ; * Any conditions affect the trial evaluation. Inclusion Criteria of Non-tuberculosis subjects with lung disease : * Diagnosis non-tuberculosis subjects with lung disease ; * 18 to 65 years ; * Consent and signed signed informed consent forms(ICF) ; * Comply with follow-up .
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the proportion of positive reaction within 72 hours after intradermal injection with TB-PPD in non-TB patients with lung diseases | within 72h after injection | we measure the size at 15min,24h,48h,72h after administered intradermally TB-PPD |
| the diameter of induraton or redness within 72 hours after intradermal injection with ESAT6-CFP10 in TB patients | within 72h after injection | we measure the size 15min,24h,48h,72h after administered intradermally ESAT6-CFP10 |
| the proportion of positive reaction within 72 hours after administered intradermally TB-PPD in TB patient | within 72h after injection | we measure the size at 15min,24h,48h,72h after administered intradermally TB-PPD |
| Immune response of of ESAT6-CFP10 from the size of induration OR redness in non-TB patients with lung diseases | within 72h after injection | we measure the size at 15min,24h,48h,72h after administered intradermally TB-PPD |
| The proportion of positive reaction after receiving specificity γ-IFN test in TB subjects and non-TB subjects with lung disease | before administered intradermally | — |
Secondary
| Measure | Time frame |
|---|---|
| the consistency between ESAT6-CFP10 and TB-PPD in TB subjects and non-TB subjects with lung disease | within 72h after injection |
| the consistency between ESAT6-CFP10 and γ-IFN in TB subjects and non-TB subjects with lung disease | within 72h after injection |
| the consistency between TB-PPD and γ-IFN in TB subjects and non-TB subjects with lung disease | within 72h after injection |
| the occurrence of adverse events within 72 hours after injection in TB subjects and non-TB subjects with lung disease | within 72h after injection two drugs |