ESAT6/CFP10 (C-TST) skin test to detect TB infection in rheumatology patients
Official title: The Use of a Novel ESAT6/CFP10 Skin Test in Diagnosis of Latent Tuberculosis Infection Among Rheumatologic Patients
Run by Chinese University of Hong Kong · NCT06796647 · Data updated 2026-11-12
This study will try a new ESAT6/CFP10 skin test (C-TST) alongside standard PPD and blood IGRA tests to see if it detects latent TB in adults with rheumatologic diseases before they start biologic or targeted synthetic DMARDs.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Chinese University of Hong Kong Academic / other |
| Locations | 2 sites (Hong Kong, Hong Kong and 1 other locations) |
| Status | Recruiting |
| Started | March 19, 2025 |
| Main results expected | February 2028 |
| Study ends | August 2028 |
| Registry record updated | September 10, 2025 |
| Trial ID | NCT06796647 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–65 with a diagnosed rheumatologic disease who can communicate in Chinese or English and are planned to start b/tsDMARD therapy are eligible.
✕Probably not a fit
Patients with active TB, those already receiving TB or LTBI treatment, individuals with significant mental illness, or prisoners are excluded and would not benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This prospective observational study in Hong Kong will recruit adults with rheumatologic diseases who are scheduled to start b/tsDMARD therapy. Participants will receive intradermal PPD RT23 on one forearm and ESAT6/CFP10 (C-TST) on the other, plus a QuantiFERON-TB Gold IGRA blood test, with skin readings at 48–72 hours. LTBI treatment will follow current clinical guidelines where indicated and participants will be clinically followed for two years. Analyses include concordance (kappa), sensitivity and specificity of C-TST versus PPD and IGRA, and decision-analytic Markov modelling to estimate clinical and economic impacts of different LTBI management strategies.
Why it matters
Potential benefit: If successful, the C-TST could offer a more specific and practical way to identify latent TB before immunosuppressive therapy, potentially reducing missed infections and unnecessary preventive treatment.
How similar studies have gone: Similar ESAT6/CFP10-based skin tests have shown promising concordance with IGRA in general populations, but evidence is limited in rheumatologic or immunosuppressed patient groups.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. adult of age ≥ 18 and up to 65 years; 2. diagnosis of at least one classified rheumatologic disease; and 3. being planned to receive b/tsDMARDs therapy, 4. can communicate in Chinese and/or English. Exclusion Criteria: * diagnosis of active TB diseases, * currently receiving TB or LTBI treatment; * concurrent mental illnesses; * prisoners.
Where it's running
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S.H. Ho Research Centre for Infectious Diseases
Hong Kong, Hong Kong, China Recruiting -
S.H. Ho Research Centre for Infectious Diseases
Shatin, Hong Kong, Hong Kong Not yet recruiting
Study contacts
- Study coordinator: Shui Shan Lee, MD
- Email: sslee@cuhk.edu.hk
- Phone: 852 22528812
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.