Performance Evaluation of the VIDAS TB-IGRA Assay.

NCT ID: NCT04048018

Last Updated: 2021-07-16

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

COMPLETED

Total Enrollment

2401 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-12-05

Study Completion Date

2021-06-30

Brief Summary

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This study will evaluate the performance of the VIDAS® Interferon Gamma (IFN-γ) Release Assay (TB-IGRA) assay, which is intended for use as an aid in the diagnosis of tuberculosis infection. This study is designed to assess (1) the sensitivity of this assay, (2) its percent agreement with other diagnostic tests, (3) its measurement precision , and (4) any potential interference of the presence of other non-tuberculosis mycobacterial bacterial infections with this assay.

Detailed Description

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Tuberculosis (TB) infection is one of the top 10 causes of death in the world and the leading cause of death due to a single infectious agent. Millions of people are infected with TB each year which can pose significant economic and health care burdens on the global population.

TB can infected the lungs (pulmonary TB) or other organs such as the brain, and kidneys (extra-pulmonary TB). When a person with pulmonary TB coughs or sneezes, water droplets containing M. tuberculosis are expelled into the air. Persons can become infected with TB when they inhale air containing these water droplets, however, not everyone infected with Mycobacterium tuberculosis (Mtb) becomes ill. Therefore two TB-related conditions exist: latent TB infection (LTBI) and TB disease.

People with latent TB infection are not ill and do not present TB symptoms or have TB disease. The only sign of TB infection is a positive reaction to the tuberculin skin test or TB blood tests such as IGRA tests. People with latent TB infection are not contagious and cannot spread TB infection to others.

Identification and treatment of LTBI can substantially reduce the risk of developing active disease. However, there is no diagnostic gold standard for LTBI. Two types of test are currently available for the identification of LTBI: the tuberculin skin test (TST) and the TB Interferon Gamma (IFN-γ) Release Assay (TB-IGRA). Evidence suggests that both TST and TB-IGRA are acceptable but not perfect because they detect indirect markers of Mtb exposure and indicate a cellular immune response to M. tuberculosis. TB-IGRAs have a number of advantages compared to TST which promote their progressive adoption in the clinical practice and in guidelines.

Conditions

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Active Tuberculosis Latent Tuberculosis Infection Non-Tuberculous Mycobacterial (NTM) Pneumonia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Active Tuberculosis Patient

Blood draw and IGRA test

Intervention Type DIAGNOSTIC_TEST

One to two blood samples will be obtained from participants in all arms in order to conduct testing.

High risk for LTBI Participant

Blood draw and IGRA test

Intervention Type DIAGNOSTIC_TEST

One to two blood samples will be obtained from participants in all arms in order to conduct testing.

Low risk for prior TB infection Participant

Blood draw and IGRA test

Intervention Type DIAGNOSTIC_TEST

One to two blood samples will be obtained from participants in all arms in order to conduct testing.

NTM patient

Blood draw and IGRA test

Intervention Type DIAGNOSTIC_TEST

One to two blood samples will be obtained from participants in all arms in order to conduct testing.

Precision patient

Blood draw and IGRA test

Intervention Type DIAGNOSTIC_TEST

One to two blood samples will be obtained from participants in all arms in order to conduct testing.

Interventions

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Blood draw and IGRA test

One to two blood samples will be obtained from participants in all arms in order to conduct testing.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

A person classified as or suspected of having M. tuberculosis disease (active TB):

A person with known HIV status, determined by a laboratory or rapid test performed no earlier than one month prior to, or at the time of inclusion into this study A person of age ≥ 2 years


A person who is at increased risk for M. tuberculosis infection (and therefore LTBI) and/or for progression to active TB:

A person with age ≥ 2 years A person with known HIV status


A person who has or has had active TB A person who has received treatment for active TB or LTBI A person who has received an anti-TNF alpha treatment A person who has had a TST Pregnant women Person who has been an NTM infection

Low Risk for TB Infection


Generally healthy people, unlikely to have encountered TB disease in the past, that may be subject to TB testing for professional, academic or personal reasons (e.g.: students, healthcare personnel and healthcare volunteers, military recruits) A person with age ≥ 18 years old


NTM population:



Precision Population


A person previously enrolled in the Active TB, High Risk or Low Risk studies, or a blood donor.


For blood donors only:

A person who can be classified as being at increased risk for M. tuberculosis infection (and therefore LTBI) and/or for progression to active TB

Exclusion Criteria

A person who has been on an anti-TB treatment for \>15 days for the ongoing infection Pregnant women A person who has received an anti-tumor necrosis factor (TNF) alpha treatment within the previous 3 months A person who has had prior TST A person with an NTM infection A person with positive HIV status.

High Risk for TB infection
Minimum Eligible Age

2 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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BioMérieux

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David Pride

Role: PRINCIPAL_INVESTIGATOR

UC San Diego

Maria Gennaro

Role: PRINCIPAL_INVESTIGATOR

Rutgers University

Michael Lauzardo

Role: PRINCIPAL_INVESTIGATOR

University of Florida

Niaz Banaei

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Nahed Ismail

Role: PRINCIPAL_INVESTIGATOR

University of Illinois Chicago

Daniel Hoft

Role: PRINCIPAL_INVESTIGATOR

St. Louis University

Charles Daley

Role: PRINCIPAL_INVESTIGATOR

National Jewish Health

Amanda Lopes

Role: PRINCIPAL_INVESTIGATOR

Lariboisière Hospital

Frederic Méchaï

Role: PRINCIPAL_INVESTIGATOR

Avicenne Hospital

Florence Doucet-Populaire

Role: PRINCIPAL_INVESTIGATOR

Antoine-Béclère Hospital

Elisabeth Botelho-Nevers

Role: PRINCIPAL_INVESTIGATOR

North Hospital

Locations

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Stanford University

Palo Alto, California, United States

Site Status

UC San Diego

San Diego, California, United States

Site Status

Naional Jewish Health

Denver, Colorado, United States

Site Status

University of Florida

Gainesville, Florida, United States

Site Status

University of Illinois- Chicago

Chicago, Illinois, United States

Site Status

Saint Louis University

St Louis, Missouri, United States

Site Status

Rutgers University

Newark, New Jersey, United States

Site Status

Universidade Federal de Mato Grosso do Sul (UFMS)

Campo Grande, , Brazil

Site Status

Universidade Federal Da Grande Dourados (UFGD)

Dourados, , Brazil

Site Status

Anti-TB center of Chambéry

Chambéry, , France

Site Status

Lapeyronie Hospital

Montpellier, , France

Site Status

Anti-TB center of Nanterre

Nanterre, , France

Site Status

Avicenne Hospital

Paris, , France

Site Status

Lariboisière Hospital

Paris, , France

Site Status

North Hospital

Saint-Etienne, , France

Site Status

National Center for Tuberculosis and Lung Disease

Tbilisi, , Georgia

Site Status

Hinduja Hospital

Mumbai, , India

Site Status

INMI L. Spallanzani

Rome, , Italy

Site Status

Autonomous University of Baja California

Mexicali, , Mexico

Site Status

TASK Applied Science, Delft Day Hospital Premises

Cape Town, , South Africa

Site Status

University of Cape Town Centre for Lung Infection and Immunity

South Africa, , South Africa

Site Status

Evelina London Children's Hospital

London, , United Kingdom

Site Status

Royal Free Hospital

London, , United Kingdom

Site Status

St Thomas' Hospital

London, , United Kingdom

Site Status

Countries

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United States Brazil France Georgia India Italy Mexico South Africa United Kingdom

Other Identifiers

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B2694-CTPR

Identifier Type: -

Identifier Source: org_study_id

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