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TuberculosisPhase 2NCT02336542

Phase IIb Clinical Study of Recombinant Mycobacterium Tuberculosis Allergen ESAT6-CFP10

A Phase 2 study testing 5μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm, 5μg/ml ESAT6-CFP10 in right arm and TB-PPD in left arm and 10μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm in people with Tuberculosis, run by Anhui Zhifei Longcom Biologic Pharmacy Co., Ltd..

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

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… Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Tuberculosis
What is being tested?
5μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm, 5μg/ml ESAT6-CFP10 in right arm and TB-PPD in left arm and 10μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm
Could I receive a placebo?
No, everyone receives an active treatment
How many people
192 participants
Where
No sites listed yet
Study dates
Nov 2014to Jul 2015
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis TB ;
  • 18 to 65 years ;
  • Consent and signed informed consent forms(ICF) ;
  • Comply with follow-up .

Who cannot join

  • advanced cancer, diabetes,copd in acute episodes, acute/ progressive liver disease or kidney disease, congestive heart failure, etc ;
  • Taking part in other clinical or within 3 months involved in any other clinical;
  • histories of allergy ;
  • in pregnancy or lactation;
  • In a mental illness ;
  • Any conditions affect the trial evaluation.
Show all 18Show fewer
  • Inclusion Criteria of Non-tuberculosis subjects with lung disease :
  • Diagnosis non-tuberculosis subjects with lung disease ;
  • 18 to 65 years ;
  • Consent and signed signed informed consent forms(ICF) ;
  • Comply with follow-up .
  • Exclusion Criteria of Non-tuberculosis subjects with lung disease :
  • advanced cancer, diabetes,copd in acute episodes, acute/ progressive liver disease or kidney disease, congestive heart failure, etc ;
  • Taking part in other clinical or within 3 months involved in any other clinical;
  • histories of allergy;
  • in pregnancy or lactation;
  • In a mental illness ;
  • Any conditions may affect the trial evaluation.

About this study

Official title: For Tuberculosis (TB) Clinical Auxiliary Diagnosis of Recombinant Mycobacterium Tuberculosis Allergen ESAT6 - CFP10 Dose of Certain Phase IIb Clinical Research

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.

Read the detailed description

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 .

Conditions
Tuberculosis
Being tested
5μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm, 5μg/ml ESAT6-CFP10 in right arm and TB-PPD in left arm, 10μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm, 10μg/ml ESAT6-CFP10 in right arm and TB-PPD in left arm
Keywords
diagnosis of Tuberculosis, ESAT6, CFP10, skin test, diagnostic test
Medical subject headings
Tuberculosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 5μg/ml ESAT6-CFP10 in left arm and TB-PPD in right armBiological

    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.

  • 5μg/ml ESAT6-CFP10 in right arm and TB-PPD in left armBiological

    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.

  • 10μg/ml ESAT6-CFP10 in left arm and TB-PPD in right armBiological

    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.

  • 10μg/ml ESAT6-CFP10 in right arm and TB-PPD in left armBiological

    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.

Study groups in NCT02336542
Study groupRoleWhat they receive
TB subjectsExperimental96 TB subjects are divided into four groups average .24 TB subjects are injected 5μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm,24 TB subjects are injected 5μg/ml ESAT6-CFP10 in right arm and TB-PPD in left arm,24 TB subjects are injected 10μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm,24 TB subjects are injected 10μg/ml ESAT6-CFP10 in right arm and TB-PPD in left arm.
Receives: Biological: 5μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm; Biological: 5μg/ml ESAT6-CFP10 in right arm and TB-PPD in left arm; Biological: 10μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm; Biological: 10μg/ml ESAT6-CFP10 in right arm and TB-PPD in left arm
non-TB subjects with lung diseaseActive comparator96 non-TB subjects with lung disease are divided into four groups average .24 TB subjects are injected 5μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm,24 TB subjects are injected 5μg/ml ESAT6-CFP10 in right arm and TB-PPD in left arm,24 TB subjects are injected 10μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm,24 TB subjects are injected 10μg/ml ESAT6-CFP10 in right arm and TB-PPD in left arm.
Receives: Biological: 5μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm; Biological: 5μg/ml ESAT6-CFP10 in right arm and TB-PPD in left arm; Biological: 10μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm; Biological: 10μg/ml ESAT6-CFP10 in right arm and TB-PPD in left arm

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 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

    Measured: within 72h after injection

  2. 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

    Measured: within 72h after injection

  3. 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

    Measured: within 72h after injection

  4. The proportion of positive reaction after receiving specificity γ-IFN test in TB subjects and non-TB subjects with lung disease

    Measured: before administered intradermally

  5. 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

    Measured: within 72h after injection

Secondary outcomes (4)
  1. the occurrence of adverse events within 72 hours after injection in TB subjects and non-TB subjects with lung disease

    Measured: within 72h after injection two drugs

  2. the consistency between ESAT6-CFP10 and TB-PPD in TB subjects and non-TB subjects with lung disease

    Measured: within 72h after injection

  3. the consistency between ESAT6-CFP10 and γ-IFN in TB subjects and non-TB subjects with lung disease

    Measured: within 72h after injection

  4. the consistency between TB-PPD and γ-IFN in TB subjects and non-TB subjects with lung disease

    Measured: within 72h after injection

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Jan 2015 (estimated)
  2. Study startNov 2014
  3. Primary completionJul 2015
  4. Study completionJul 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Diagnosis
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
192 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02336542
Sponsor's protocol ID
LTao-IIb-patient
Status last verified
Sep 2015
First submitted
24 Dec 2014
Last updated
23 Mar 2017
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • van Pinxteren LA, Ravn P, Agger EM, Pollock J, Andersen P. Diagnosis of tuberculosis based on the two specific antigens ESAT-6 and CFP10. Clin Diagn Lab Immunol. 2000 Mar;7(2):155-60. doi: 10.1128/CDLI.7.2.155-160.2000.

    PubMed 10702486
  • Ravn P, Munk ME, Andersen AB, Lundgren B, Lundgren JD, Nielsen LN, Kok-Jensen A, Andersen P, Weldingh K. Prospective evaluation of a whole-blood test using Mycobacterium tuberculosis-specific antigens ESAT-6 and CFP-10 for diagnosis of active tuberculosis. Clin Diagn Lab Immunol. 2005 Apr;12(4):491-6. doi: 10.1128/CDLI.12.4.491-496.2005.

    PubMed 15817755
  • Brusasca PN, Colangeli R, Lyashchenko KP, Zhao X, Vogelstein M, Spencer JS, McMurray DN, Gennaro ML. Immunological characterization of antigens encoded by the RD1 region of the Mycobacterium tuberculosis genome. Scand J Immunol. 2001 Nov;54(5):448-52. doi: 10.1046/j.1365-3083.2001.00975.x.

    PubMed 11696195
  • Weldingh K, Andersen P. ESAT-6/CFP10 skin test predicts disease in M. tuberculosis-infected guinea pigs. PLoS One. 2008 Apr 23;3(4):e1978. doi: 10.1371/journal.pone.0001978.

    PubMed 18431468
  • Aagaard C, Govaerts M, Meikle V, Vallecillo AJ, Gutierrez-Pabello JA, Suarez-Guemes F, McNair J, Cataldi A, Espitia C, Andersen P, Pollock JM. Optimizing antigen cocktails for detection of Mycobacterium bovis in herds with different prevalences of bovine tuberculosis: ESAT6-CFP10 mixture shows optimal sensitivity and specificity. J Clin Microbiol. 2006 Dec;44(12):4326-35. doi: 10.1128/JCM.01184-06. Epub 2006 Sep 27.

    PubMed 17005738
  • Xu M, Lu W, Li T, Li J, Du W, Wu Q, Liu Q, Yuan B, Lu J, Ding X, Li F, Liu M, Chen B, Pu J, Zhang R, Xi X, Zhou R, Mei Z, Du R, Tao L, Martinez L, Lu S, Wang G, Zhu F. Sensitivity, Specificity, and Safety of a Novel ESAT6-CFP10 Skin Test for Tuberculosis Infection in China: 2 Randomized, Self-Controlled, Parallel-Group Phase 2b Trials. Clin Infect Dis. 2022 Mar 1;74(4):668-677. doi: 10.1093/cid/ciab472.

    PubMed 34021314

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing 5μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm, 5μg/ml ESAT6-CFP10 in right arm and TB-PPD in left arm and 10μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm in people with Tuberculosis, run by Anhui Zhifei Longcom Biologic Pharmacy Co., Ltd..

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

the diameter of induraton or redness within 72 hours after intradermal injection with ESAT6-CFP10 in TB patients (time frame: within 72h after injection). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02336542, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Mar 2017.

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