Evidence map›Paper›PMID 39831989›Full record

ArticleEuropean journal of pediatrics2025

Performance evaluation of the LIOFeron®TB/LTBI IGRA for screening of paediatric LTBI and tuberculosis.

Chiara Della Bella, Marco Antonio Motisi, Elisabetta Venturini, Sofia D'Elios, Evangelia Asvestopoulou, Agnese Maria Tamborino, Luisa Galli, Mario Milco D'Elios, Elena Chiappini

Abstract read
In one paragraph

Article in European journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Chiara Della Bella *Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy.ORCID http://orcid.org/0000-0002-2565-6220
Marco Antonio Motisi *Paediatrics resident, Department of Health Sciences, Anna Meyer Children's University Hospital, University of Florence, Florence, Italy.ORCID http://orcid.org/0000-0002-6194-414X
Elisabetta VenturiniInfectious Diseases Unit, Department of Health Sciences, Anna Meyer Children's University Hospital, University of Florence, Florence, Italy.ORCID http://orcid.org/0000-0002-0048-3933
Sofia D'EliosDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.ORCID http://orcid.org/0000-0002-8440-1092
Evangelia AsvestopoulouDepartment of Molecular and Developmental Medicine, University of Siena, Siena, Italy.ORCID http://orcid.org/0009-0008-1195-4308
Agnese Maria TamborinoInfectious Diseases Unit, Department of Health Sciences, Anna Meyer Children's University Hospital, University of Florence, Florence, Italy.ORCID http://orcid.org/0009-0009-2278-1120
Luisa GalliInfectious Diseases Unit, Department of Health Sciences, Anna Meyer Children's University Hospital, University of Florence, Florence, Italy.ORCID http://orcid.org/0000-0002-7912-3366
Mario Milco D'EliosDepartment of Molecular and Developmental Medicine, University of Siena, Siena, Italy. delios@unisi.it.ORCID http://orcid.org/0000-0001-9160-0930
Elena ChiappiniInfectious Diseases Unit, Department of Health Sciences, Anna Meyer Children's University Hospital, University of Florence, Florence, Italy.ORCID http://orcid.org/0000-0002-1476-4752

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHigh-accuracy diagnostic screening tests for Mycobacterium tuberculosis (MTB) infection are required, primarily to detect patients with latent infections (LTBIs) in order to avoid their progression to active tuberculosis disease. The performance of the novel IGRA LIOFeron®TB/LTBI was evaluated in children. The originality of this test is the new MTB antigen contained (L-alanine dehydrogenase), identified as a tool to differentiate active TB from LTBI infection.

methodsFrom March 2022 to November 2023, a population of 90 children was enrolled and grouped into healthy, active TB or LTBI individuals, based on diagnostic guidelines. The blood of all these participants was tested with LIOFeron®TB/LTBI assay in comparison to diagnosis, as gold standard, and to the current used IGRA QuantiFERON®-TB Gold Plus.

resultsThe two assays demonstrated an excellent concordance of their results with patients' diagnosis of MTB infection. The performance of LIOFeron®TB/LTBI assay in terms of accuracy of MTB infection diagnosis was high at ROC analysis (AUC = 0.997), and the test showed 100% sensitivity in LTBI detection. The QuantiFERON®-TB Gold Plus sensitivity for LTBI detection was 85.7%.

conclusionsBased on the obtained results, the LIOFeron®TB/LTBI assay appears to be a promising test for TB and LTBI screening among paediatric patients. WHAT IS KNOWN: • The detection of LTBI in children, exposed to MTB infections, followed by appropriate treatment, has a pivotal role in reducing tuberculosis burden. • IGRA tests are easy-to-use methods for helping large TB screening in paediatrics. WHAT IS NEW: • The LIOFeron®TB/LTBI performance evaluation showed 100% of sensitivity in the detection of LTBI patients. • The LIOFeron®TB/LTBI assay might be useful for the detection of LTBI and active tuberculosis paediatric patients.

Indexed as

Interferon-gamma Release TestsLatent TuberculosisMass ScreeningAdolescentAntigens, BacterialChildChild, PreschoolFemaleHumansInfantMaleMycobacterium tuberculosisROC CurveSensitivity and SpecificityAntigens, BacterialAlanine dehydrogenaseDiagnosisInterferon-gamma release assayMycobacterium tuberculosisTuberculosis

Identifiers

PMID39831989
PMCPMC11753305

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.