Two simple calculations could tell cancer from TB in fluid around the lungs
NCT ID NCT07766876
First seen Aug 17, 2026 · Last updated Aug 18, 2026 · Updated 1 time
Summary
This study looks at whether two simple calculations, called Cancer Ratio and Cancer Ratio Plus, can help doctors tell the difference between fluid around the lungs caused by cancer and fluid caused by tuberculosis. These calculations use results from routine blood and fluid tests. The study will include 120 adults with either malignant or tuberculous pleural effusion. Researchers will check how accurate these calculations are compared to standard diagnosis.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Cancer Ratio and Cancer Ratio Plus (diagnostic calculations using serum LDH, pleural fluid ADA, and lymphocyte percentage)
- What this could lead to
- If these simple calculations prove accurate, they could offer a faster, cheaper, and less invasive way to tell malignant from tuberculous pleural effusion, potentially reducing the need for more invasive biopsies.
- What could go wrong
- This is a single-center observational study, so results may not apply broadly. The markers' accuracy is still unproven, and they may not clearly distinguish all cases, especially in mixed or atypical presentations.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Aug 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study will include patients presenting with malignant or tuberculous pleural effusions who are admitted to the Chest Diseases Department of Sohag University hospital
- Ages
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18 years and older
- Sex
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Anyone
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult patients (≥18 years) * Patients with Malignant or tuberculous pleural effusion * Availability of complete pleural fluid analysis including lymphocyte percentage ,pleural fluid ADA, and Serum LDH level Exclusion Criteria: * Patients with mixed etiology effusions (e.g., malignancy with infection) * Prior pleural interventions affecting fluid analysis * Incomplete clinical or laboratory data
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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Other studies related to the condition(s) this trial covers.
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