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Phase I Clinical Human Tolerability Study of Recombinant Mycobacterium Tuberculosis Allergen ESAT6-CFP10

Primary Purpose

Healthy

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
ESAT6-CFP10
Sponsored by
Anhui Zhifei Longcom Biologic Pharmacy Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Healthy focused on measuring Safety, Tolerability, ESAT6, CFP10, skin test, diagnostic test

Eligibility Criteria

18 Years - 40 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Aged from 18 to 40 years old, age difference is not more than 10 years old within the same batch of healthy volunteers, the male to female ratio of cases is 1:1. Body mass index should be in the range of 20 to 27 Body Mass Index BMI: weight (Kg)/ height (M2);
  • Agreed to participate in the test and sign the informed consent;
  • Subjects should comply with the requirements of the clinical trial protocol and be followed;
  • Subjects have no history of TB (Tuberculosis)or family history of tuberculosis;
  • People have no pulmonary tuberculosis or extrapulmonary tuberculosis,respiratory symptom or systemic symptoms;
  • People have no tuberculosis focus after examination by X-ray chest radiograph and sputum bacilli;
  • Subjects have no acute or chronic disease, acute infectious diseases, dermatoses or skin allergy caused by various reasons;
  • Physical condition: have no history of heart, liver, kidney, gastrointestinal tract, nervous system, or metabolic disturbance, etc. ECG, blood pressure, heart rate, respiratory status and lab test indexes including blood, urine, liver and kidney function, etc are all normal within 4 weeks before screening;
  • No close contacts of tuberculosis;
  • Subjects have not participated in other clinical drug trials or inoculated against other prophylactic and immune globulin in the nearly 3 months;
  • Temperature is normal;
  • Stop smoking, drinking and drinking contains caffeinated.

Exclusion Criteria:

  • Health people have close contacts of TB (Tuberculosis)patients, especially excreter in 3 weeks before selection;
  • Suffering from any other serious disease, e.g. during cancer treatment, autoimmune disease, progressive atherosclerosis, diabetes accompanied with complications, chronic obstructive pulmonary disease (COPD) needing oxygen therapy, acute or progressive liver or kidney disease, congestive heart failure, etc.;
  • People have history of allergy, convulsions, epilepsy, cerebropathy, neurological symptoms and signs;
  • Patients who have impaired or abnormal immune function, e.g. patients treated with immunosuppressor or immunopotentiator, received immunoglobulin preparation or blood products or plasma extraction outside the gastrointestinal tract in 3 months, human immunodeficiency virus or related diseases;
  • Acute febrile illness and infection;
  • Taking part in other clinic trials;
  • Subjects have participated in any other clinical drug trials in 3 months before our clinical tests;
  • Allergic constitution, e.g. patients have allergic history to two or more kinds of drugs or food, or drug components;
  • Substance abuse and alcoholics ;
  • Pregnant or breast feeding women;
  • Mental or physical disability;
  • Informed leavers;
  • Any other cases that may influence the test evaluation.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Arm Label

    1μg/ml ESAT6-CFP10

    5μg/ml ESAT6-CFP10

    10μg/ml ESAT6-CFP10

    20μg/ml ESAT6-CFP10

    Arm Description

    The 1μg/ml ESAT6-CFP10 is given 0.1ml alone to volunteers in the RIGHT or LEFT forearm according to a randomisation scheme.

    The 5μg/ml ESAT6-CFP10 is given 0.1ml alone to volunteers in the RIGHT or LEFT forearm according to a randomisation scheme.

    The 10μg/ml ESAT6-CFP10 is given 0.1ml alone to volunteers in the RIGHT or LEFT forearm according to a randomisation scheme.

    The 20μg/ml ESAT6-CFP10 is given 0.1ml alone to volunteers in the RIGHT or LEFT forearm according to a randomisation scheme.

    Outcomes

    Primary Outcome Measures

    the Cases of Adverse Events With Participant Injection of ESAT6-CFP10
    The main examination items :vital signs (breathing, heart rate, blood pressure, body temperature ) of each volunteer at 15min, 30min, 1h, 2h, 4h, 8h, 24h, 48h, 72h, 96h after injection, skin reactivity (redness and/or induration) of injection sites,local reaction ( rash, pain, itching, and skin mucous membranes ) ,a variety of adverse events,routine blood,routine urine, liver and kidney function, ECG and chest X-ray films before and 7 days after intradermal injection .

    Secondary Outcome Measures

    the Number of Participants Who Appear the Induration and/or Redness 2h After Application of ESAT6-CFP10
    We check the immune response( induration and/or redness) at 2h after application of ESAT6-CFP10 with vernier caliper. Using the standardized vernier caliper, measured transverse diameter and the longitudinal diameter of induration and/or redness in skin test parts if any participants appear induration and/or redness after application of ESAT6-CFP10.
    the Number of Participants Who Appear the Induration and/or Redness 24h After Application of ESAT6-CFP10
    We check the immune response( induration and/or redness) at 24h after application of ESAT6-CFP10 with vernier caliper. Using the standardized vernier caliper, measured transverse diameter and the longitudinal diameter of induration and/or redness in skin test parts if any participants appear induration and/or redness after application of ESAT6-CFP10.
    the Number of Participants Who Appear the Induration and/or Redness 48h After Application of ESAT6-CFP10
    We check the immune response( induration and/or redness) at 48h after application of ESAT6-CFP10 with vernier caliper. Using the standardized vernier caliper, measured transverse diameter and the longitudinal diameter of induration and/or redness in skin test parts if any participants appear induration and/or redness after application of ESAT6-CFP10.
    the Number of Participants Who Appear the Induration and/or Redness 72h After Application of ESAT6-CFP10
    We check the immune response( induration and/or redness) at 72h after application of ESAT6-CFP10 with vernier caliper. Using the standardized vernier caliper, measured transverse diameter and the longitudinal diameter of induration and/or redness in skin test parts if any participants appear induration and/or redness after application of ESAT6-CFP10.
    the Number of Participants Who Appear the Induration and/or Redness 96h After Application of ESAT6-CFP10
    We check the immune response( induration and/or redness) at 96h after application of ESAT6-CFP10 with vernier caliper. Using the standardized vernier caliper, measured transverse diameter and the longitudinal diameter of induration and/or redness in skin test parts if any participants appear induration and/or redness after application of ESAT6-CFP10.

    Full Information

    First Posted
    November 4, 2013
    Last Updated
    March 26, 2015
    Sponsor
    Anhui Zhifei Longcom Biologic Pharmacy Co., Ltd.
    Collaborators
    Shanghai Public Health Clinical Center, Air Force Military Medical University, China, Proswell Medical Corporation
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01999231
    Brief Title
    Phase I Clinical Human Tolerability Study of Recombinant Mycobacterium Tuberculosis Allergen ESAT6-CFP10
    Official Title
    Phase I Clinical Human Tolerability Study of Recombinant Mycobacterium Tuberculosis Allergen ESAT6-CFP10
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2015
    Overall Recruitment Status
    Completed
    Study Start Date
    September 2013 (undefined)
    Primary Completion Date
    October 2013 (Actual)
    Study Completion Date
    December 2013 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Anhui Zhifei Longcom Biologic Pharmacy Co., Ltd.
    Collaborators
    Shanghai Public Health Clinical Center, Air Force Military Medical University, China, Proswell Medical Corporation

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    In the tests, small sample of clinical study about Recombinant Mycobacterium Tuberculosis Allergen ESAT6-CFP10 ( Recombination EC Allergen) healthy adults was carried out. 24 healthy adults were included as study objects, they were randomly divided into four groups of different Recombinant Allergen EC dose (1, 5, 10μg/mL, maximum tolerated dose 20μg/mL, 6 person/dose) for single arm intradermal injection. The main examination items :vital signs (breathing, heart rate, blood pressure, body temperature ) of each volunteer at 15min, 30min, 1h, 2h, 4h, 8h, 24h, 48h, 72h, 96h after injection, skin reactivity (redness and/or induration) diameter of injection sites,local reaction ( rash, pain, itching, and skin and mucous membranes ) ,a variety of adverse events,routine blood,routine urine, liver and kidney function, ECG and chest X-ray films before and 7 days after intradermal injection . Preliminary evaluation of safety and tolerability of Recombinant Allergen EC applied in humans, which can provide a safe dosage range for phase II clinical study.
    Detailed Description
    This clinical study adopts an open, randomized study methods to carry out Recombinant EC Allergen on small sample of healthy adults. 24 healthy adults were included as study objects, they were randomly divided into four groups of different Recombinant EC Allergen dose (1, 5, 10μg/mL, maximum tolerated dose 20μg/mL, 6 person/dose) for single arm intradermal injection, and set up two people as replacement for each group (one male and one female). Intradermal injection into one third site of healthy subjects' left or right forearm palmaris with 0.1ml Recombinant EC Allergen for only one time. The main examination items :vital signs (breathing, heart rate, blood pressure, body temperature ) of each volunteer at 15min, 30min, 1h, 2h, 4h, 8h, 24h, 48h, 72h, 96h after injection, skin reactivity (redness and/or induration) diameter of injection sites,local reaction ( rash, pain, itching, and skin and mucous membranes ) ,a variety of adverse events,routine blood,routine urine, liver and kidney function, ECG and chest X-ray films before and 7 days after intradermal injection . In phaseⅠclinical study, each person can accept only one dose, After injection of the same dose of a volunteer group, be sure the next injection of a volunteer at 40 minutes interval. Different dose groups: the next dose test should be carried on in the case of no serious adverse events appear in 7days after the last one volunteer's injection in a former lower dose group. Statistical analysis is performed using SAS9.3 software, and all analytic process is routinization.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Healthy
    Keywords
    Safety, Tolerability, ESAT6, CFP10, skin test, diagnostic test

    7. Study Design

    Primary Purpose
    Diagnostic
    Study Phase
    Phase 1
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    32 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    1μg/ml ESAT6-CFP10
    Arm Type
    Experimental
    Arm Description
    The 1μg/ml ESAT6-CFP10 is given 0.1ml alone to volunteers in the RIGHT or LEFT forearm according to a randomisation scheme.
    Arm Title
    5μg/ml ESAT6-CFP10
    Arm Type
    Experimental
    Arm Description
    The 5μg/ml ESAT6-CFP10 is given 0.1ml alone to volunteers in the RIGHT or LEFT forearm according to a randomisation scheme.
    Arm Title
    10μg/ml ESAT6-CFP10
    Arm Type
    Experimental
    Arm Description
    The 10μg/ml ESAT6-CFP10 is given 0.1ml alone to volunteers in the RIGHT or LEFT forearm according to a randomisation scheme.
    Arm Title
    20μg/ml ESAT6-CFP10
    Arm Type
    Experimental
    Arm Description
    The 20μg/ml ESAT6-CFP10 is given 0.1ml alone to volunteers in the RIGHT or LEFT forearm according to a randomisation scheme.
    Intervention Type
    Biological
    Intervention Name(s)
    ESAT6-CFP10
    Other Intervention Name(s)
    Recombinant Mycobacterium Tuberculosis Allergen ESAT6-CFP10, EC
    Intervention Description
    32 healthy subjects who meet the standard of protocol are allocated four different groups according to dosages of ESAT6-CFP10 :1μg/ml ESAT6-CFP10、5μg/ml ESAT6-CFP10、10μg/ml ESAT6-CFP10、20μg/ml ESAT6-CFP10.Each dose group have six healthy subjects(three male and three female) , at the same time set up two people for substitute (one male and one female) . ESAT6-CFP10 administered intradermally by the mantoux injection technique. Each receives only one dosage in right or left arm .
    Primary Outcome Measure Information:
    Title
    the Cases of Adverse Events With Participant Injection of ESAT6-CFP10
    Description
    The main examination items :vital signs (breathing, heart rate, blood pressure, body temperature ) of each volunteer at 15min, 30min, 1h, 2h, 4h, 8h, 24h, 48h, 72h, 96h after injection, skin reactivity (redness and/or induration) of injection sites,local reaction ( rash, pain, itching, and skin mucous membranes ) ,a variety of adverse events,routine blood,routine urine, liver and kidney function, ECG and chest X-ray films before and 7 days after intradermal injection .
    Time Frame
    within 7 days after the injections
    Secondary Outcome Measure Information:
    Title
    the Number of Participants Who Appear the Induration and/or Redness 2h After Application of ESAT6-CFP10
    Description
    We check the immune response( induration and/or redness) at 2h after application of ESAT6-CFP10 with vernier caliper. Using the standardized vernier caliper, measured transverse diameter and the longitudinal diameter of induration and/or redness in skin test parts if any participants appear induration and/or redness after application of ESAT6-CFP10.
    Time Frame
    within 2h after application of ESAT6-CFP10
    Title
    the Number of Participants Who Appear the Induration and/or Redness 24h After Application of ESAT6-CFP10
    Description
    We check the immune response( induration and/or redness) at 24h after application of ESAT6-CFP10 with vernier caliper. Using the standardized vernier caliper, measured transverse diameter and the longitudinal diameter of induration and/or redness in skin test parts if any participants appear induration and/or redness after application of ESAT6-CFP10.
    Time Frame
    24h after application of ESAT6-CFP10
    Title
    the Number of Participants Who Appear the Induration and/or Redness 48h After Application of ESAT6-CFP10
    Description
    We check the immune response( induration and/or redness) at 48h after application of ESAT6-CFP10 with vernier caliper. Using the standardized vernier caliper, measured transverse diameter and the longitudinal diameter of induration and/or redness in skin test parts if any participants appear induration and/or redness after application of ESAT6-CFP10.
    Time Frame
    48h after application of ESAT6-CFP10
    Title
    the Number of Participants Who Appear the Induration and/or Redness 72h After Application of ESAT6-CFP10
    Description
    We check the immune response( induration and/or redness) at 72h after application of ESAT6-CFP10 with vernier caliper. Using the standardized vernier caliper, measured transverse diameter and the longitudinal diameter of induration and/or redness in skin test parts if any participants appear induration and/or redness after application of ESAT6-CFP10.
    Time Frame
    72h after application of ESAT6-CFP10
    Title
    the Number of Participants Who Appear the Induration and/or Redness 96h After Application of ESAT6-CFP10
    Description
    We check the immune response( induration and/or redness) at 96h after application of ESAT6-CFP10 with vernier caliper. Using the standardized vernier caliper, measured transverse diameter and the longitudinal diameter of induration and/or redness in skin test parts if any participants appear induration and/or redness after application of ESAT6-CFP10.
    Time Frame
    96h after application of ESAT6-CFP10

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    40 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Aged from 18 to 40 years old, age difference is not more than 10 years old within the same batch of healthy volunteers, the male to female ratio of cases is 1:1. Body mass index should be in the range of 20 to 27 Body Mass Index BMI: weight (Kg)/ height (M2); Agreed to participate in the test and sign the informed consent; Subjects should comply with the requirements of the clinical trial protocol and be followed; Subjects have no history of TB (Tuberculosis)or family history of tuberculosis; People have no pulmonary tuberculosis or extrapulmonary tuberculosis,respiratory symptom or systemic symptoms; People have no tuberculosis focus after examination by X-ray chest radiograph and sputum bacilli; Subjects have no acute or chronic disease, acute infectious diseases, dermatoses or skin allergy caused by various reasons; Physical condition: have no history of heart, liver, kidney, gastrointestinal tract, nervous system, or metabolic disturbance, etc. ECG, blood pressure, heart rate, respiratory status and lab test indexes including blood, urine, liver and kidney function, etc are all normal within 4 weeks before screening; No close contacts of tuberculosis; Subjects have not participated in other clinical drug trials or inoculated against other prophylactic and immune globulin in the nearly 3 months; Temperature is normal; Stop smoking, drinking and drinking contains caffeinated. Exclusion Criteria: Health people have close contacts of TB (Tuberculosis)patients, especially excreter in 3 weeks before selection; Suffering from any other serious disease, e.g. during cancer treatment, autoimmune disease, progressive atherosclerosis, diabetes accompanied with complications, chronic obstructive pulmonary disease (COPD) needing oxygen therapy, acute or progressive liver or kidney disease, congestive heart failure, etc.; People have history of allergy, convulsions, epilepsy, cerebropathy, neurological symptoms and signs; Patients who have impaired or abnormal immune function, e.g. patients treated with immunosuppressor or immunopotentiator, received immunoglobulin preparation or blood products or plasma extraction outside the gastrointestinal tract in 3 months, human immunodeficiency virus or related diseases; Acute febrile illness and infection; Taking part in other clinic trials; Subjects have participated in any other clinical drug trials in 3 months before our clinical tests; Allergic constitution, e.g. patients have allergic history to two or more kinds of drugs or food, or drug components; Substance abuse and alcoholics ; Pregnant or breast feeding women; Mental or physical disability; Informed leavers; Any other cases that may influence the test evaluation.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Shuihua Lu, Bachelor
    Organizational Affiliation
    Shanghai Public Health Clinical Center
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    10702486
    Citation
    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.
    Results Reference
    background
    PubMed Identifier
    15817755
    Citation
    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.
    Results Reference
    background
    PubMed Identifier
    11696195
    Citation
    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.
    Results Reference
    background
    PubMed Identifier
    18431468
    Citation
    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.
    Results Reference
    background
    PubMed Identifier
    17005738
    Citation
    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.
    Results Reference
    background
    PubMed Identifier
    27413070
    Citation
    Li F, Xu M, Zhou L, Xiong Y, Xia L, Fan X, Gu J, Pu J, Lu S, Wang G. Safety of Recombinant Fusion Protein ESAT6-CFP10 as a Skin Test Reagent for Tuberculosis Diagnosis: an Open-Label, Randomized, Single-Center Phase I Clinical Trial. Clin Vaccine Immunol. 2016 Sep 6;23(9):767-73. doi: 10.1128/CVI.00154-16. Print 2016 Sep.
    Results Reference
    derived
    Links:
    URL
    https://wbca.cde.org.cn/wbca/clinmain.do?method=edit&ckmIdCode=8BE5738082A97A9E5471F80B4F814FCF
    Description
    Center for drug evaluation, CFDA ,China

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    Phase I Clinical Human Tolerability Study of Recombinant Mycobacterium Tuberculosis Allergen ESAT6-CFP10

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