RecruitingNCT03044509

Diagnosis of Tuberculosis in Swiss Children

Evaluation and Validation of Novel Immunodiagnostic Tests for Childhood Tuberculosis Infection and Disease in Switzerland. The CITRUS (ChIldhood TubeRcUlosis in Switzerland) Study.


Sponsor

University Children's Hospital Basel

Enrollment

190 participants

Start Date

May 12, 2017

Study Type

OBSERVATIONAL

Conditions

Summary

1. The primary objective is to improve the sensitivity of novel immunodiagnostic tests for detection of TB disease in children. 2. The secondary objective is to determine biomarkers that discriminate children with TB infection and disease.


Eligibility

Max Age: 17 Years

Inclusion Criteria1

  • all children / adolescents < 18 years of age undergoing evaluation for TB exposure, infection or disease.

Exclusion Criteria1

  • children / adolescents with TB infection or disease who have already been started on anti-mycobacterial treatment, children who have been treated for TB previously.

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Interventions

DIAGNOSTIC_TESTSecreted cytokine assay

Blood collected in a sodium-heparin tube will be used for the assay using novel TB-specific antigens. After incubation the supernatant will be harvested and cryopreserved at -80 °C for further testing of cytokines. Cytokines will be measured using a bead-based multiplex assay reader (MAGPIX, Luminex Crop., Austin, USA).

DIAGNOSTIC_TESTIntracellular cytokine assay

Blood will be stimulated with recombinant MTB-specific antigens, ESAT-6, CFP-10, positive control or left unstimulated. Following an initial duration of stimulation, Brefeldin-A will be added and the blood incubated for a further 5 hours. White cells will be fixed and cryopreserved at - 80°. Batched analysis within 6 months of cryopreservation will be done using multi-colour flow cytometry.


Locations(8)

Kantonspital Aarau

Aarau, Switzerland

Nina Vaezipour

Basel, Switzerland

Ospedale Regionale di Bellinzona

Bellinzona, Switzerland

Inselspital Bern

Bern, Switzerland

Hôpital des enfants - HUG

Geneva, Switzerland

Kinserspital Luzern

Lucerne, Switzerland

Kinderspital St Gallen

Sankt Gallen, Switzerland

Kinderklinik Zürich

Zurich, Switzerland

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