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.
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 .
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
DOUBLE
Enrollment
192
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.
the diameter of induraton or redness within 72 hours after intradermal injection with ESAT6-CFP10 in TB patients
we measure the size 15min,24h,48h,72h after administered intradermally ESAT6-CFP10
Time frame: within 72h after injection
the proportion of positive reaction within 72 hours after administered intradermally TB-PPD in TB patient
we measure the size at 15min,24h,48h,72h after administered intradermally TB-PPD
Time frame: within 72h after injection
Immune response of of ESAT6-CFP10 from the size of induration OR redness in non-TB patients with lung diseases
we measure the size at 15min,24h,48h,72h after administered intradermally TB-PPD
Time frame: within 72h after injection
The proportion of positive reaction after receiving specificity γ-IFN test in TB subjects and non-TB subjects with lung disease
Time frame: before administered intradermally
the proportion of positive reaction within 72 hours after intradermal injection with TB-PPD in non-TB patients with lung diseases
we measure the size at 15min,24h,48h,72h after administered intradermally TB-PPD
Time frame: within 72h after injection
the occurrence of adverse events within 72 hours after injection in TB subjects and non-TB subjects with lung disease
Time frame: within 72h after injection two drugs
the consistency between ESAT6-CFP10 and TB-PPD in TB subjects and non-TB subjects with lung disease
Time frame: within 72h after injection
the consistency between ESAT6-CFP10 and γ-IFN in TB subjects and non-TB subjects with lung disease
Time frame: within 72h after injection
the consistency between TB-PPD and γ-IFN in TB subjects and non-TB subjects with lung disease
Time frame: within 72h after injection
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