Tuberculosis Clinical Trial
Official title:
A Phase III Contact Tracing Trial Comparing the Diagnostic Performance of C-Tb to QuantiFERON®-TB Gold In-Tube, in Combination With a Double Blind Randomized Split Body Safety Assessment of C-Tb Versus 2 T.U. Tuberculin PPD RT23 SSI
Tuberculosis (TB) continues to be the most important bacterial infection worldwide and
therefore new improved diagnostic tests are needed to help doctors in diagnosing TB.
We are investigating a new skin test 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 aim of this trial is to test the C-Tb skin test in volunteers. The volunteers are
divided into four groups:
- Negative control group: Must have no history of exposure to a person with tuberculosis
disease.
- Occasional contact: Must be in contact with a person with tuberculosis disease between
6 hours/week and 6 hours/day
- Close contact: Must be in close contact with a person with tuberculosis disease for
more than 6 hours/day for at least five days
- Positive control group: Must have a confirmed tuberculosis disease within the last 3
years.
The goals of this clinical trial are:
- 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.
The TESEC-06 trial is an open comparison of the diagnostics performance of C-Tb compared to
QuantiFERON®-TB Gold In-Tube, in combination with a double-blind randomized split-body
safety assessment of C-Tb versus Tuberculin PPD RT23 SSI.
The trial is designed to address the fundamental issue that in the diagnosis of latent
tuberculosis (TB) infection, no gold standard exists. Thus, no existing test for latent TB
is 100 % sensitive and specific - including the Tuberculin PPD RT23 SSI and QuantiFERON®-TB
Gold In-Tube.
This will be addressed by evaluating C-Tb positive response rates in 4 groups defined by
their estimated risk of infection with MTb. The groups will consist of paediatric and adult
participants selected as being either occasional or close contacts to an active pulmonary TB
case. In addition a group of confirmed TB cases and a group of participants with no history
of exposure to MTb will be included as control groups.
50 participants in the negative control group will be tested with C-Tb alone in order to
evaluate whether concomitant administration of C-Tb and Tuberculin PPD RT23 SSI could
conceivably result in larger or smaller areas of induration to one or both tests as a result
of expanding the clone of sensitised T-cells i.e. since Tuberculin PPD RT23 SSI includes
among several other antigens ESAT-6 and CFP-10 and C-Tb also contains both these antigens.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Diagnostic
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