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TuberculosisNCT04064554

Clinical Study to Evaluate Safety and Immunogenicity of Bacillus Calmette-Guerin (BCG) Delivery Via Novel Micronjet600 Device Compared to Those Via Conventional Needle

A study testing BCG vaccination with MicronJet600 and BCG vaccination with conventional needle in people with Tuberculosis and BCG Vaccination, run by Yonsei University at 1 site in South Korea.

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

The purpose of this study is to evaluate safety and immunogenicity of Bacillus Calmette-Guerin (BCG) delivery via Novel Micronjet600 device compared to those via conventional needle. Read more about this study

Who is it for?
Ages 19 to 35 yearsHealthy volunteers can take part
Conditions the study is for
Tuberculosis, BCG Vaccination
What is being tested?
BCG vaccination with MicronJet600 and BCG vaccination with conventional needle
Type of treatment
Vaccines, Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
15 participants
Where
1 siteSouth Korea
Study dates
1 Dec 2017to 11 Sep 2019
Phase
Interventional
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 19 to 35 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • 1) Subjects who voluntarily consented, after listening enough explanation for this study and the characteristics of medical devices and BCG vaccines.
  • 2) Adults from 19 to 35 years
  • 3) Tuberculin Skin Test negative
  • 4) QFT-GIT(QuantiFERON-TB Gold In-Tube) Test negative
  • 5) BMI from 19 to 35
  • 6) A person who is determined to be suitable for the clinical trial as a result of the screening test.
  • (Even if the physical, laboratory, imaging, or electrocardiogram results are out of the normal range, the subject may participate if he or she has provided a clear basis for participation at the discretion of the investigator.)

Who cannot join

  • 1) A person with a history of tuberculosis based on the medical history and chest radiograph, or who is suspected or confirmed to have a tuberculosis infection.
  • 2) A person who has active fever except for mild acute upper respiratory infection or localized skin infection other than the site to be treated, or who has a fever of 38 °C or more within 1 week before application of the medical devices for the clinical trial.
  • 3) A person who has not passed more than four weeks after the cure of virus infection (measles, mumps, chickenpox, and influenza).
  • 4) A case that the subject has skin abrasions, open wounds, wounds, or scars on the site where the medical devices for the clinical trial.
  • 5) A person who is unable to evaluate the local adverse effect because of tattoo, etc. on the site where the medical device for clinical trial is to be applied.
  • 6) Patients with clinically significant arrhythmia difficult to participate in the clinical trial.
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  • 7) Patients with severe cardiac insufficiency (NYHA III and IV), a history of CABG(Coronary Artery Bypass Graft), and patients with cardiovascular diseases who are considered to be difficult to participate in the clinical trial.
  • 8) A person with a known history of diabetes or a person whose diabetes was confirmed by a test.
  • 9) Patients with hepatitis C or hepatitis B (in the case of hepatitis virus, healthy carriers may be participated at the discretion of the investigator) or positive for the serum test for human immunodeficiency virus (HIV).
  • 10) Patients with severe immunosuppressive disease: congenital immunodeficiency such as severe combined immunodeficiency (SCID); leukemia; lymphoma, etc.
  • 11) Patients with chronic renal insufficiency
  • 12) A history of malignant tumors within 3 years excluding thyroid cancer (papillary, follicular, medullary types corresponding to Stage I or II), basal cell or squamous cell carcinoma on the skin, CIN(cervical intraepithelial neoplasia) and CIS(Carcinoma in situ) of the cervix, and intraepithelial carcinoma in other sites.
  • 13) A case that a person has hypersensitivity or anamnesis for constitutivity constituting BCG.
  • 14) Subjects who have not passed the predetermined period after receiving medication or treatment before the subjects participate in the clinical trial. (Refer to section 5.2.3.2)
  • 15) Patients receiving concomitant medications (Refer to section 5.2.3.3)
  • 16) A person who is unable to participate in the clinical trial period (about 6 months).
  • 17) Patients scheduled for major surgery during the clinical trial.
  • 18) A person who has a history of alcohol and other substance abuse for 6 months before screening.
  • 19) Pregnant women or lactating women who are not willing to stop breastfeeding.
  • 20) If the following are not applicable, (That is, you can only participate if):
  • Women(female?) in the menopause (non-therapy-induced amenorrhea for more than 12 months)
  • Infertility due to surgery (without ovaries and/or uterus)
  • If the female subject have sexual intercourse with only one male partner who has been confirmed to have no semen after fertilization
  • Female subjects who have agreed to abstinence during the clinical trial period
  • If the subject is assured of abstinence throughout the clinical trial period (only if abstinence is voluntarily selected by the subject and abstinence is consistent with the general lifestyle of the subject: e.g., Priest)
  • However, intermittent abstinence (e.g., ovulation, symptothermal method, or late ovulation) or external ejaculation is not a case of consent for abstinence.
  • In the case of a woman who is in childbearing years, a woman who decides to use an effective method of contraception during the clinical trial period:
  • Oral contraception
  • Patch for contraception
  • Intrauterine Contraceptive Device (IUD)
  • Implant for contraception
  • Injection for contraception (Time-released type)
  • Hormone device in the uterus
  • Tubal ligation and infertility surgery
  • 21) Patient who has not passed 30 days since the date of signing the agreement of the previous clinical trial or who is currently participating in other clinical trial
  • 22) Other diseases other than those listed above that the investigator deems inappropriate

Trial locations and contacts

1 site in 1 country.

South Korea1 site
  • Department of Internal Medicine, Yonsei University College of Medicine Division of Pulmonology, Severance Hospital, Yonsei University Health System

    Seoul

Other trials in South Korea

About this study

Official title: A Prospective, Randomized, Open-label, Single-centered Clinical Study to Evaluate Safety and Immunogenicity of Bacillus Calmette-Guerin (BCG) Delivery Via Novel Micronjet600 Device Compared to Those Via Conventional Needle

The purpose of this study is to evaluate safety and immunogenicity of Bacillus Calmette-Guerin (BCG) delivery via Novel Micronjet600 device compared to those via conventional needle.

Read the detailed description

This study is designed as prospective, randomized, open-label, single-centered. In this study, healthy adults who meet inclusion criteria will be randomized and receive a BCG vaccine either using a conventional needle or MicronJet600 device. After vaccination, adverse events and progress will be observed.

Being tested
BCG vaccination with MicronJet600, BCG vaccination with conventional needle
Keywords
Tuberculosis, BCG vaccination
Medical subject headings
Tuberculosis

What participants receive

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

  • BCG vaccination with MicronJet600Device

    BCG vaccination with MicronJet600

  • BCG vaccination with conventional needleDevice

    BCG vaccination with conventional needle

Study groups in NCT04064554
Study groupRoleWhat they receive
MicronJet600ExperimentalBCG vaccination with MicronJet600
Receives: Device: BCG vaccination with MicronJet600
Conventional needleActive comparatorBCG vaccination with conventional needle
Receives: Device: BCG vaccination with conventional needle

What is being measured

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

  1. Adverse Events

    Frequency and characteristics of adverse events after applying medical devices for clinical trials (aspect, materiality, results, etc.)

    Measured: Visit 3(day 1, after vaccination) ~ Visit 6 (from 2 or 3 day of the Visit 5(day 85±7))

  2. Adverse Events

    Frequency and characteristics of adverse events after applying medical devices for clinical trials (aspect, materiality, results, etc.)

    Measured: during study period (Visit 3~Visit 6, 96 days)

Secondary outcomes (13)
  1. Average of usability VAS for medical device user

    The descriptive statistics (number of subjects, mean, standard deviation, median, minimum and maximum values) for the VAS(Visual Analogue Scale) scores measured at the time of the clinical device

    • VAS(visual analogue scale) :0(no paine)~10(wort possible, unbearable, excruciating pain).

    If necessary, a significance assessment will be performed through an independent t-test or Wilcoxon rank-sum test, and generalized linear model.

    Measured: Visit 3 (day 1)

  2. Spot Forming Unit (SFU) per PBMC(Peripheral Blood Mononuclear Cells)

    Ex vivo IFN(Interferon) γ ELISpot analysis to measure the number of T cells that secrete cytokines by mycobacterial antigen-specific immune response

    Measured: Visit 1(day -28~2)

  3. Spot Forming Unit (SFU) per PBMC

    Ex vivo IFN γ ELISpot analysis to measure the number of T cells that secrete cytokines by mycobacterial antigen-specific immune response

    Measured: Visit 5(day 85±7)

  4. Delta log10 CFU

    Delta log 10 CFU at each time point evaluated by Ex vivo Mycobacterial Growth Inhibition Assay (MGIA). Delta log10 CFU=log(CFU count of each sample tube/CFU count of the growth control tube/incubation indays)

    Measured: Visit 1(day -28~2)

  5. Delta log10 CFU

    Delta log 10 CFU at each time point evaluated by Ex vivo Mycobacterial Growth Inhibition Assay (MGIA). Delta log10 CFU=log(CFU count of each sample tube/CFU count of the growth control tube/incubation indays)

    Measured: Visit 5(day 85±7)

  6. Mycobacterial antigen specific T-cell

    For intracellular cytokine staining (ICS) assay testing, the investigators will evaluate IFN-γ and TNF(Tumor Necrosis Factor)-α as intracellular cytokines. To assess ICS, blood samples were drawn before PPD(Purified protein derivative) administration at Visit 1. ICS assay will be performed using FACS(fluorescence activated cell sorting)(Fluorescence Activated Cell Sorting). The fraction of cells that are positive for any of cytokines measured at each point will be evaluated by total T cells, T4 and T8 subtype cells.

    Measured: Visit 1(day -28~2)

  7. Mycobacterial antigen specific T-cell

    For intracellular cytokine staining (ICS) assay testing, the investigators will evaluate IFN-γ and TNF-α as intracellular cytokines. To assess ICS, blood samples were drawn before PPD administration at Visit 5. ICS assay will be performed using FACS(Fluorescence Activated Cell Sorting). The fraction of cells that are positive for any of cytokines measured at each point will be evaluated by total T cells, T4 and T8 subtype cells.

    Measured: Visit 5(day 85±7)

  8. PPD test result (positive or negative) after application of medical device for clinical trial

    The number of test subjects who showed positive reactions at the time of evaluation (V6) will be presented for each group.

    Measured: Visit 6 (from 2 or 3 day of the Visit 5(day 85±7))

  9. Diameter of induration (mm) or presence or absence of blister

    Descriptive statistics (number of subjects, mean, standard deviation, median, minimum, and maximum values) for the diameter of the mandible measured at the time of administration of the medical device for clinical use are presented for each application group.

    Measured: Visit 6 (from 2 or 3 day of the Visit 5(day 85±7))

  10. The diameter of the wheal

    The diameter of the wheal at the injection site immediately after BCG vaccination If necessary, a significance assessment will be performed through an independent t-test or Wilcoxon rank-sum test, and generalized linear model.

    Measured: Visit 3 (day 1, after vaccination)

  11. Fraction of subjects eligible for each grade in the injection fluid leakage assessment at the injection site

    The number of test subjects to the degree of leakage assessment observed following the application of the clinical trial medical device will be presented for each application group. If necessary, a significance assessment will be performed through a chi-square test or Fisher's exact test.

    Measured: Visit 3 (day 1, immediately after vaccination)

  12. Progress of normal reaction after BCG injection

    The normal reaction of the injected site observed after application of the medical device for clinical use will be indicated for each application group.

    Measured: Visit 3(day 1, after vaccination) ~ Visit 6 (from 2 or 3 day of the Visit 5(day 85±7))

  13. Diameter of the scar after BCG injection

    Measured: Visit 3(day 1, after vaccination) ~ Visit 6 (from 2 or 3 day of the Visit 5(day 85±7))

Timeline

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

  1. First posted22 Aug 2019
  2. Study start1 Dec 2017
  3. Primary completion11 Sep 2019
  4. Study completion11 Sep 2019

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 N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
1. Experimental: BCG vaccination with MicronJet600 2. Comparator: BCG vaccination with conventional needle
Masking
None (open label)
Enrolment
15 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04064554
Sponsor's protocol ID
1-2017-0073
Status last verified
Dec 2019
First submitted
5 Aug 2019
Last updated
5 Dec 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing BCG vaccination with MicronJet600 and BCG vaccination with conventional needle in people with Tuberculosis and BCG Vaccination, run by Yonsei University at 1 site in South Korea.

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 7 inclusion and 36 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 5 Dec 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

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.

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?

Adverse Events (time frame: Visit 3(day 1, after vaccination) ~ Visit 6 (from 2 or 3 day of the Visit 5(day 85±7))). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 5 Dec 2019.

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