Evaluation of an Innovative Tuberculosis Diagnostic Test

NCT ID: NCT02573623

Last Updated: 2015-10-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-07-31

Study Completion Date

2015-12-31

Brief Summary

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Diagnosis of tuberculosis (TB)in young children is a challenge due to atypical non-specific symptoms, difficulty to expectorate mucus, paucibacillary nature of pulmonary TB and low sensitivity of available diagnostic tools.

This project aims at evaluating two innovative immunological methods for diagnosing of active TB among HIV-infected and uninfected children.

Detailed Description

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The study is designed as a prospective study for the evaluation of diagnostic tests.

Children admitted with probable TB based on clinical and radiological symptoms are recruited. Gastric lavage or sputum on two to three consecutive days will be collected as per routine practise. Active TB will be defined as a positive GeneXpert diagnostic test or MTB culture.

In addition, children with no sign of TB will be recruited to estimate the specificity of the diagnostic tests. These children will be recruited from the surgical ward of the hospital, and matched for age group and HIV status.

In all children, blood samples will be drawn and stored to perform quantiferon (R) and the new tests under evaluation.

The analysis will evaluate the sensitivity and specificity of the tests against the current gold standard (detection of Mycobacterium tuberculosis (MTB) in any specimen obtained from the patient). Identification of diagnosis algorithms, including these tests if they prove to be informative, will be elaborated and evaluated.

Conditions

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Tuberculosis HIV

Study Design

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Study Time Perspective

PROSPECTIVE

Study Groups

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HIV-infected children with confirmed TB

Hospitalized children with TB confirmed by culture or GeneXpert

No interventions assigned to this group

HIV-uninfected children aged<5 years with confirmed TB

Hospitalized children aged\<5 years with TB confirmed by culture or GeneXpert

No interventions assigned to this group

HIV-uninfected children aged>4 years with confirmed TB

Hospitalized children aged\>4 years with TB confirmed by culture or GeneXpert

No interventions assigned to this group

HIV-infected control children

Children hospitalized in the surgery ward without any evidence of tuberculosis infection

No interventions assigned to this group

HIV-uninfected controls aged <5 years

Children \<5 years hospitalized in the surgery ward without any evidence of tuberculosis infection

No interventions assigned to this group

HIV-uninfected controls aged >4 years

Children \>4 years hospitalized in the surgery ward without any evidence of tuberculosis infection

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* one of 4 clinical signs

* persistent and unexplained cough
* unexplained weight loss or failure to thrive
* persistent and unexplained fever
* persistent and unexplained lethargy or reduced playfulness
* chest X-Ray consistent with a tuberculosis infection
* an adenitis compatible with non-pulmonary tuberculosis Among these children only those with confirmed TB will be analysed for the primary outcome


* children without any of the signs and symptoms quoted above
Maximum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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European and Developing Countries Clinical Trials Partnership (EDCTP)

OTHER_GOV

Sponsor Role collaborator

ANRS, Emerging Infectious Diseases

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Edouard Tuaillon, MD, PhD

Role: STUDY_DIRECTOR

Université de Montpellier, France

Chipepo Kankasa, MD, PhD

Role: STUDY_DIRECTOR

University of Zambia, Zambia

Philippe Van de Perre, MD, PhD

Role: STUDY_CHAIR

Université de Montpellier, France

Nicolas Nagot, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Université de Montpellier, France

Locations

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Department of Paediatrics and Child Health, University Teaching Hospital.UNZA-SOM

Lusaka, , Zambia

Site Status RECRUITING

Countries

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Zambia

Central Contacts

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Chipepo Kandasa, MD, PhD

Role: CONTACT

+260 211 251662

Mwiya Miwya, MD

Role: CONTACT

+260 211 257535

Facility Contacts

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Mwiya Miwya, MD

Role: primary

+260 211 257535

Other Identifiers

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ANRS12293 PROMISE-TB

Identifier Type: -

Identifier Source: org_study_id

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