Aplisol (tuberculin PPD, diluted) is a sterile aqueous solution of a purified protein fraction for intradermal administration as an aid in the diagnosis of tuberculosis. The solution is stabilized with polysorbate (Tween) 80, buffered with potassium and sodium phosphates and contains approximately 0.35% phenol as a preservative.
This product is ready for immediate use without further dilution.
The purified protein fraction is isolated from culture media filtrates of a human strain of Mycobacterium tuberculosis by the method of F.B. Seibert.1,2 Tuberculin PPD, diluted, is prepared from Tuberculin PPD Powder Master Lot 154616 which is clinically bioequivalent in potency to the standard PPD-S* (5 TU** per 0.1mL) of the U.S. Public Health Service, National Centers for Disease Control. This product is made from a single master lot (No. 154616) to eliminate lot to lot variation inherent in manufacturing.
The potency of each lot of tuberculin PPD, diluted is determined in sensitized guinea pigs.
Tuberculin PPD is indicated as an aid in the detection of infection with Mycobacterium tuberculosis. The standard tuberculin test employs the intradermal (Mantoux) test using a 5 TU dose of tuberculin PPD.7 The 0.1 mL test dose of Aplisol (tuberculin PPD, diluted) is equivalent to the 5 TU dose which has been clinically utilized and standardized with PPD-S. Tuberculin skin testing is not contraindicated for persons who have been vaccinated with BCG and the skin-test results of such persons are used to support or exclude the diagnosis of M. tuberculosis infections.4 HIV infection is a strong risk factor for the development of TB disease in persons having TB infection. All HIV-infected persons should receive a PPD-tuberculin skin test.3
Media Articles Related to Aplisol (Tuberculin)
Tuberculosis and HIV co-infection
Source: Respiratory / Asthma News From Medical News Today [2016.10.19]
The HIV virus increases the potency of the tuberculosis bacterium (Mtb) by affecting a central function of the immune system.
Is Tuberculosis (TB) Contagious?
Source: MedicineNet Tuberculosis Skin Test (PPD Skin Test) Specialty [2016.08.16]
Title: Is Tuberculosis (TB) Contagious?
Category: Diseases and Conditions
Created: 8/24/2015 12:00:00 AM
Last Editorial Review: 8/16/2016 12:00:00 AM
HIV is not a super-spreader of drug-resistant tuberculosis
Source: MRSA / Drug Resistance News From Medical News Today [2016.08.11]
While the human immunodeficiency virus (HIV) pandemic fuels tuberculosis (TB) outbreaks, it does not drive the development and transmission of multidrug-resistance in TB patients as previously...
Source: MedicineNet isoniazid, INH Specialty [2016.06.02]
Title: Tuberculosis (TB)
Category: Diseases and Conditions
Created: 12/31/1997 12:00:00 AM
Last Editorial Review: 6/2/2016 12:00:00 AM
Better healthcare could reduce crippling personal costs of tuberculosis care in China
Source: Health Insurance / Medical Insurance News From Medical News Today [2016.01.25]
Improved universal healthcare is urgently needed to lower catastrophic health expenditure (CHE) for low-income tuberculosis (TB) patients in China, according to a study published in the open access...
Published Studies Related to Aplisol (Tuberculin)
Effect of micronutrient deficiency on QuantiFERON-TB Gold In-Tube test and
tuberculin skin test in diagnosis of childhood intrathoracic tuberculosis. 
CONCLUSION: Micronutrient status, especially serum levels of zinc, may influence
The comparative performance of the single intradermal comparative tuberculin test in Irish cattle, using tuberculin PPD combinations from different manufacturers. [2011.07.05]
Ireland currently obtains its avian and bovine tuberculin purified protein derivatives (PPDs) from a single source... In this study, the precision of the guinea pig bio-assay to assess tuberculin potency was low and therefore Ireland should maintain its practice of periodically assessing potency in naturally infected cattle, even though this is not currently required under WHO, OIE or EU Regulations.
Tuberculin skin-test reactions are unaffected by the severity of hyperendemic intestinal helminth infections and co-infections. [2010.08]
The tuberculin skin test (TST) quantifies cell-mediated immunity to tuberculosis antigens. Helminths suppress cell-mediated immunity, so we studied the effect of helminth infection and deworming on the TST in a randomized, double-blind, placebo-controlled study in an indigenous Amazon community (N = 195)...
Interpreting tuberculin skin tests in a population with a high prevalence of HIV, tuberculosis, and nonspecific tuberculin sensitivity. [2010.05.01]
Understanding the epidemiology and clinical course of tuberculosis is hampered by the absence of a perfect test for latent tuberculosis infection. The tuberculin skin test (TST) is widely used but suffers poor specificity in those receiving the bacille Calmette-Guerin vaccine and poor sensitivity in individuals with human immunodeficiency virus (HIV) infections...
The effect of tuberculin testing on the development of cell-mediated immune responses during Mycobacterium bovis infection. [2006.11.15]
Protection against tuberculosis (TB) is associated with Th1-type cell-mediated immunity (CMI).
Clinical Trials Related to Aplisol (Tuberculin)
Dose Study of Tuberculin Purified Protein Derivative (JHP/Dose) [Recruiting]
Dose comparison study of tuberculin purified protein derivative (PPD)Aplisol with the
standard tuberculin purified derivative (PPD-S2).
Equivalence Study of Specificity of PPD [Not yet recruiting]
Safety Study Investigating if Concomitant Injections of C-Tb and 2 T.U Tuberculin Affect Induration Responses [Completed]
A new, more specific skin test to detect tuberculosis has been developed by Statens Serum
Institut in Denmark. The new skin test is named C-Tb and like the current Tuberculin a
positive test result will show as redness and/or induration at the injection site, while a
negative test will leave no reactions.
The aim of this study is to address if the size of induration and the sensitivity of C-Tb is
influenced by concomitant injections of C-Tb and Tuberculin. Furthermore, the intention is
to evaluate the safety of C-Tb when injected alone or concomitantly with Tuberculin.
Equivalence Study of Tuberculin Purified Protein Derivative in Comparison With a Reference Standard (PPD-S2) [Not yet recruiting]
A Trial in Subjects Suspected to Have Tuberculosis, Comparing the Diagnostic Performance of C-Tb to QuantiFERON�, in Combination With a Safety Assessment of C-Tb Versus Tuberculin PPD RT23 SSI [Completed]
Tuberculosis (TB) continues to be one of the most serious bacterial infections worldwide and
therefore new improved diagnostic tests are needed to help doctors in diagnosing TB.
The new skin test is named C-Tb. Like the current tuberculin skin test, PPD, the C-Tb test
is injected just under the skin and will, when positive, show redness and/or swelling at the
injection site while a negative test will leave no reactions. The investigators hope that
this new C-Tb skin test will be more precise (specific) than the PPD test, as the PPD test
e. g. may show a reaction if the person tested is BCG vaccinated.
The aim of this trial is to test the C-Tb skin test in volunteers suspected of having TB
With focus on age, HIV status and CD4 count the following analyses are done (in an overall
- To compare the C-Tb test to a blood test, the QuantiFERON test.
- To compare the C-Tb test to the PPD test that is currently being used.
- To assess the safety of the C-Tb test.
Reports of Suspected Aplisol (Tuberculin) Side Effects
Injection Site Erythema (3),
Erythema Multiforme (3),
Gait Disturbance (3),
Application Site Reaction (2),
Chest Pain (2),
Injection Site Reaction (2),
Rash Papular (2),
Injection Site Pruritus (2),
Injection Site Urticaria (1), more >>