Primary objective of the trial is to study the safety and tolerability of the Recombinant tuberculosis allergen in standard dilution in healthy volunteers after a single dose. Additional trial purpose: evaluation of the product reactogenicity.
The trial product is an Intradermal test to diagnose tuberculosis infection and nontuberculosis mycobacteriosis in combination with other methods. The trial will include 2 stages (stage I, II). At stage I 5 healthy volunteers will be consequently included in each group to evaluate tolerance and reactogenicity. Time required to evaluate the tolerance and reactogenicity for the first 5 volunteers in each group is less than 3 days. If no SAEs which have a "possible", "probable" and "definite" causal relationship with the product administration are observed in more than three volunteers from each group, the remaining volunteers will be allowed to take part in the trial. At stage II 20 healthy volunteers will be included in each group. Each volunteer will be assigned a two-digit randomization number.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
SINGLE
Enrollment
75
solution for intradermal injection, 0.1 µg / 0.1 mL
solution for intradermal injection, 0.2 µg / 0.1 mL
solution for intradermal injection
Limited Liability Company "Scientific Research Center Eco-Safety"
Saint Petersburg, Russia
Incidence of AEs and SAEs
Time frame: Days 0 - 15
Number of participants with abnormal changes in laboratory parameters - Complete blood count (CBC)
hemoglobin, red blood cells, hematocrit, thrombocytes, leukocytes, ESR, differential leukocyte count (neutrophils, lymphocytes, eosinophils, monocytes, basophils)
Time frame: Days 0, 1; 72 hours upon the administration, day 15
Number of participants with abnormal changes in laboratory parameters - Biochemical blood test (BBT)
total protein, creatinine, urea, glucose, total bilirubin, direct bilirubin, ALT, AST, AP, CRP, total LDH, total cholesterol, PTI
Time frame: Days 0, 1; 72 hours upon the administration, day 15
Number of participants with abnormal changes in laboratory parameters - Immunologic blood test (IBT)
IgA,IgM, IgG and IgE in blood serum
Time frame: Days 0, 1; 72 hours upon the administration, day 15
Number of participants with abnormal Changes in laboratory parameters - Urinalysis (UA)
color, transparency, pH, specific gravity, nitrites, protein, glucose, ketones, urobilinogen, bilirubin, microscopic examination: erythrocytes, leukocytes, casts, except for hyaline casts, bacteria
Time frame: Days 0, 1; 72 hours upon the administration, day 15
Number of participants with abnormal ECG findings
12-lead ECG (I, II, III, aVR, aVL, aVF, V1 - V6)
Time frame: Days 0, 1; 72 hours upon the administration, day 15
Number of participants with abnormal changes in physical examination data
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Physical examination includes examination of skin and visible mucous membranes, assessment of musculoskeletal system, lymph node palpation, thyroid palpation, objective examination of organ systems (cardiovascular, respiratory, digestive, urinary systems, ear, nose, throat, auscultation of heart and lungs, abdominal examination (sizes of liver and spleen), examination of kidneys, central nervous system)
Time frame: Days 0, 1; 12, 24, 36, 48, 60, 72, 84, 96, 108, 120 hours after administration, day 15
Number of participants with abnormal changes in the functions of vital organs and vital signs - Heart rate (HR)
The HR is measured during auscultation of the heart in parallel with determining the pulse rate on the radial artery (or on the carotid artery in case of weak pulsation in the radial artery) for a minute while sitting/lying.
Time frame: Days 0, 1; 12, 24, 36, 48, 60, 72, 84, 96, 108, 120 hours after administration, day 15
Number of participants with abnormal changes in the functions of vital organs and vital signs - Respiratory rate (RR)
RR is measured for a minute at rest in the seated/supine position, by registering the breathing movements of the chest or abdominal wall, without attracting the volunteer's attention.
Time frame: Days 0, 1; 12, 24, 36, 48, 60, 72, 84, 96, 108, 120 hours after administration, day 15
Number of participants with abnormal changes in the functions of vital organs and vital signs - Blood pressure (BP): Systolic blood pressure (SBP) and Diastolic blood pressure (DBP)
BP (SBP and DBP) is measured on the brachial artery in the prone position according to the Korotkoff method using a certified instrument to measure BP on the same arm with a cuff of length and width matching the length and circumference of the volunteer's shoulder in accordance with the BP measurement recommendations.
Time frame: Days 0, 1; 12, 24, 36, 48, 60, 72, 84, 96, 108, 120 hours after administration, day 15
Number of participants with abnormal changes in the functions of vital organs and vital signs - Body temperature (BT)
BT is measured with a mercury or digital thermometer in the armpit for at least 5 minutes.
Time frame: Days 0, 1; 20 min. (00:20), 2, 5, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120 hours after administration, day 15
Incidence and severity of immediate hypersensibility reactions in each group according to the four-point scale
* Pruritus at the site of TP/RP injection; * Burning sensation at the site of TP/RP injection. The assessment will be carried out according to the four-point scale: * 0 - no symptoms; * 1 - mild symptoms; * 2 - symptoms that significantly disrupt normal daily activities; * 3 - symptoms that cancel normal daily activities.
Time frame: 20 minutes, 2, 5, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120 hours after the administration, day 15
Proportion of volunteers who have withdrawn from the trial early due to the AE/SAE
Time frame: Days 0 - 15
Incidence of systemic post-injection reactions
* Fever; * Cough; * Pharyngitis; * Fatigue; * Arthralgias; * Myalgias; * Headache; * Diarrhea; * Chills. the four-point scale: * 0 - no symptoms; * 1 - mild symptoms; * 2 - symptoms that significantly disrupt normal daily activities; * 3 - symptoms that cancel normal daily activities.
Time frame: 20 minutes, 2, 5, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120 hours after the administration, day 15
Incidence of local post-injection reactions
* Hyperemia at the injection site; * Soreness; * Tumidity; * Swelling/infiltrate; * Enlarged regional lymph nodes; * Mucosal changes, papula, vesicle, erosion. the four-point scale: * 0 - no symptoms; * 1 - mild symptoms; * 2 - symptoms that significantly disrupt normal daily activities; * 3 - symptoms that cancel normal daily activities.
Time frame: 20 minutes, 2, 5, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120 hours after the administration, day 15