Clinical Study of Recombinant Mycobacterium Tuberculosis ESAT6-CFP10 Allergen for Children
For Tuberculosis (TB) Clinical Auxiliary Diagnosis of Recombinant Mycobacterium Tuberculosis Allergen ESAT6-CFP10 Dose Certain Phase III Clinical Research in Children Under the Age of 18 Years Old
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
In this clinical research,we make sure of the safety in the crowd 5-18 years old firstly,then carry out the crowd of under 5 years old(including 5).
Firstly, 24 cases TB (Tuberculosis) participants and 24 cases non-TB participants with lung disease who are all 5-18 years old and meet the standard respectively are divided into different groups through a randomized and blind method.
- ESAT6-CFP10(10ug/ml) in left arm and TB-PPD in right arm
- ESAT6-CFP10(10ug/ml) in right arm and TB-PPD in left arm Inject intradermally ESAT6-CFP10 and TB-PPD in different arms of the same participant. For each of participant, the person in this clinical research, the study uniform is that every subject injects firstly left arm, observe no obvious adverse reaction, then another drug inject in right arm. Measure the induration and (or) redness of longitudinal diameter size and transverse diameter vernier caliper by vernier caliper after injection 24h, 48h and 72h. At the same time, we observe the vital signs (breathing, heart rate, blood pressure and temperature), local reactions (rash, pain, itching and skin mucous membrane) and a variety of adverse events.
Secondly, 24 cases TB (Tuberculosis) participants and 24 cases non-TB participants with lung disease who are all less than 5 years old are divided into two different groups and the procedure are as the same as 5-18 years old.
Finally, we calculate the sensitivity (positive coincidence rate) by TB (Tuberculosis patients), the specificity (negative coincidence rate) by non-TB participants with lung disease, and verify the safety and effectiveness of ESAT6-CFP10(10ug/ml) for the clinical auxiliary diagnosis of tuberculosis.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Beijing, China
- Beijing Children's Hospital
-
Shanghai, China
- Shanghai Public Health Clinical Center
-
Wuhan, China
- Wuhan Institute for Tuberculosis Control
-
-
Hubei
-
Wuhan, Hubei, China
- Wuhan Medical Treatment Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria of TB (tuberculosis:include pulmonary tuberculosis and extra pulmonary tuberculosis) subjects:
- judge the pulmonary tuberculosis patient ,according to Chinese Medical Association branch of pediatrics breathing group: Tuberculosis Clinical Diagnostic Criteria and Treatment Programs for Child (trial) ;
- less than 18 years old ,no gender limited;
- Consent and signed informed consent forms (ICF) by the subject or the guardian;
- The subject or with the help of guardian(s) comply with follow-up.
Inclusion Criteria of extra pulmonary tuberculosis subjects:
- Diagnosed extra pulmonary tuberculosis by epidemiology, imaging, clinical symptoms, pathological examination and so on;
- Lesions outside the lungs;
- be in unfinished reinforced phase by chemotherapy;
Exclusion Criteria of TB (tuberculosis) subjects:
- Accompanied by the following severe illness: cancer, acute/progressive liver disease or kidney disease,autoimmune disease,diabetes, primary immunodeficiency diseases, other chronic diseases;
- Taking part in other clinical or within three months involved in any other clinical;
- Severe allergic constitution or familial history of allergy:allergic to two or more drugs;
- in pregnancy or lactation;
- in a mental illness;
- Any conditions affect the trial evaluation by investigator's judgement.
Inclusion Criteria of non-TB participants with lung disease:
- A clear respiratory disease but can exclude pulmonary tuberculosis by clinical symptoms, imaging, laboratory examination.
- less than 18 years old ,no gender limited;
- Consent and signed informed consent forms (ICF) by the subject or the guardian;
- The subject or with the help of guardian(s) comply with follow-up.
Exclusion Criteria of non-TB participants with lung disease:
- Accompanied by the following severe illness: cancer, acute/progressive liver disease or kidney disease,autoimmune disease,diabetes, primary immunodeficiency diseases, other chronic diseases, ect;
- Taking part in other clinical or within three months involved in any other clinical;
- Severe allergic constitution or familial history of allergy: allergic to two or more drugs;
- in pregnancy or lactation;
- in a mental illness;
- active tuberculosis close contactor;
- Any conditions affect the trial evaluation by investigator's judgement.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: TB subjects in 5-18 years old
24 cases TB subjects in 5-18 years old are injected ESAT6-CFP10 in left arm and TB-PPD in right arm or ESAT6-CFP10 in right arm and TB-PPD in left arm.
For each of participant,the person in this clinical research, the study uniform is that every subject injects firstly left arm, observe no obvious adverse reaction, then another drug inject in right arm.
Measure the induration and (or) redness of longitudinal diameter size and transverse diameter vernier caliper by vernier caliper after injection 24h, 48h and 72h.
|
All subjects including TB subjects in 5-18 years old、non-TB subjects in 5-18 years old、TB subjects under 5 years old and non-TB subjects under 5 years old inject ESAT6-CFP10 in left arm and TB-PPD in right arm respectively.
Two drug must use at the same participant and in different arms.
All subjects including TB subjects in 5-18 years old、non-TB subjects in 5-18 years old、TB subjects under 5 years old and non-TB subjects under 5 years old inject ESAT6-CFP10 in right arm and TB-PPD in left arm respectively.
Two drug must use at the same participant and in different arms.
|
|
Experimental: non-TB subjects in 5-18 years old
24 cases non-TB subjects in 5-18 years old are injected ESAT6-CFP10 in left arm and TB-PPD in right arm or ESAT6-CFP10 in right arm and TB-PPD in left arm.
For each of participant,the person in this clinical research, the study uniform is that every subject injects firstly left arm, observe no obvious adverse reaction, then another drug inject in right arm.
Measure the induration and (or) redness of longitudinal diameter size and transverse diameter vernier caliper by vernier caliper after injection 24h, 48h and 72h.
|
All subjects including TB subjects in 5-18 years old、non-TB subjects in 5-18 years old、TB subjects under 5 years old and non-TB subjects under 5 years old inject ESAT6-CFP10 in left arm and TB-PPD in right arm respectively.
Two drug must use at the same participant and in different arms.
All subjects including TB subjects in 5-18 years old、non-TB subjects in 5-18 years old、TB subjects under 5 years old and non-TB subjects under 5 years old inject ESAT6-CFP10 in right arm and TB-PPD in left arm respectively.
Two drug must use at the same participant and in different arms.
|
|
Experimental: TB subjects under 5 years old
24 cases TB subjects under 5 years old are injected ESAT6-CFP10 in left arm and TB-PPD in right arm or ESAT6-CFP10 in right arm and TB-PPD in left arm.
For each of participant,the person in this clinical research, the study uniform is that every subject injects firstly left arm, observe no obvious adverse reaction, then another drug inject in right arm.
Measure the induration and (or) redness of longitudinal diameter size and transverse diameter vernier caliper by vernier caliper after injection 24h, 48h and 72h.
|
All subjects including TB subjects in 5-18 years old、non-TB subjects in 5-18 years old、TB subjects under 5 years old and non-TB subjects under 5 years old inject ESAT6-CFP10 in left arm and TB-PPD in right arm respectively.
Two drug must use at the same participant and in different arms.
All subjects including TB subjects in 5-18 years old、non-TB subjects in 5-18 years old、TB subjects under 5 years old and non-TB subjects under 5 years old inject ESAT6-CFP10 in right arm and TB-PPD in left arm respectively.
Two drug must use at the same participant and in different arms.
|
|
Experimental: non-TB subjects under 5 years old
24 cases non-TB subjects under 5 years old are injected ESAT6-CFP10 in left arm and TB-PPD in right arm or ESAT6-CFP10 in right arm and TB-PPD in left arm.
For each of participant,the person in this clinical research, the study uniform is that every subject injects firstly left arm, observe no obvious adverse reaction, then another drug inject in right arm.
Measure the induration and (or) redness of longitudinal diameter size and transverse diameter vernier caliper by vernier caliper after injection 24h, 48h and 72h.
|
All subjects including TB subjects in 5-18 years old、non-TB subjects in 5-18 years old、TB subjects under 5 years old and non-TB subjects under 5 years old inject ESAT6-CFP10 in left arm and TB-PPD in right arm respectively.
Two drug must use at the same participant and in different arms.
All subjects including TB subjects in 5-18 years old、non-TB subjects in 5-18 years old、TB subjects under 5 years old and non-TB subjects under 5 years old inject ESAT6-CFP10 in right arm and TB-PPD in left arm respectively.
Two drug must use at the same participant and in different arms.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The diameter of induration or redness at the injection sites measured transversely to the long axis of the forearm 24 hours、48 hours and 72 hours after application of the agents
Time Frame: From injections to 1-3 days after aplication
|
After skin test 1-3d,subjects's injection site may appear inuration or redness .The diameters of induration or redness are measured and recorded.The number of diameter of induration or redness<5mm,the result is negtive.If the number of diameter are not lower than 5mm,the result is positive.
|
From injections to 1-3 days after aplication
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of participants with Adverse Events
Time Frame: within 72h after injection two drug each participant
|
Any AE of every subject appeared is recorded and traced after signing ICF,until remission of AE.
|
within 72h after injection two drug each participant
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Shuihua Lu, BBachelor, Shanghai Public Health Clinical Center
Publications and helpful links
General 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.
- 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.
- 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.
- 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.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- LTao-EC III-children
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Tuberculosis Diagnosis
-
NCT07419568Not yet recruitingPregnancy | Maternal Health | Tuberculosis (TB) | Tuberculosis Diagnosis | Tuberculosis Infection, Latent
-
NCT06666972Not yet recruitingTuberculosis Diagnosis
-
NCT06984887Enrolling by invitationTuberculosis Diagnosis
-
NCT02043080CompletedHIV | Tuberculosis Diagnosis
-
NCT04490746UnknownTuberculosis | Diagnosis
-
NCT04089423CompletedDiagnosis of Tuberculosis in People Living With HIV
-
NCT06629194RecruitingCrohn Disease | Intestinal Tuberculosis | Differential Diagnosis
-
NCT05818059Not yet recruitingTuberculosis | Diagnosis | geneXpert
-
NCT03862261CompletedTuberculosis | Children, Only | Diagnosis | Delivery of Health Care
Clinical Trials on ESAT6-CFP10 in left arm and TB-PPD in right arm
-
NCT02336542Completed
-
NCT02623556Completed
-
NCT02329730Completed
-
NCT04942184WithdrawnAlzheimer Disease | Mild Cognitive Impairment | Dementia, Mild
-
NCT04102657Unknown
-
NCT02465736Active, not recruitingEsophageal Cancer | Esophageal Squamous Cell Carcinoma | Oesophageal Cancer
-
NCT05057585Completed
-
NCT01229319Unknown
-
NCT01668394Completed
-
NCT01761136Completed