This study is a randomized, blinded, active-controlled clinical trial to evaluate the effectiveness and safety of EEC in the diagnosis of Mycobacterium tuberculosis infection in people aged 3 years and above. Methods: In study 1, the marketed recombinant Mycobacterium tuberculosis fusion protein (EC) was used as a control drug in people aged 3 to 64 years. The sensitivity of EEC in participants with tuberculosis and the specificity in healthy participants and patients with non-tuberculous lung diseases were evaluated compared with recombinant Mycobacterium tuberculosis fusion protein (EC). The clinical positivity criteria of EEC were verified, and the consistency of the two detection methods, as well as the safety of EEC, were evaluated. Study 2: Triple-negative people aged 18 and above (negative in EEC, TB-PPD, and IGRA tests) were screened out from the community population and vaccinated with BCG. EEC and TB-PPD double-arm skin tests were performed 12 weeks after vaccination to evaluate whether there was a significant difference in the negative rate of EEC compared with TB-PPD after BCG vaccination in the triple-negative population. Study 3: A multicenter, positive-controlled, non-inferiority trial design was used for people aged 65 years and above, and the research hypothesis was independently tested to verify the non-inferiority of the sensitivity of this product in tuberculosis patients in this age group compared with IGRA and TB-PPD, as well as the consistency of the diagnostic results of IGRA with non-tuberculous lung diseases and the general community population. At the same time, attention was paid to and analysis of the specificity and safety of EEC in people aged 65 years and above.
This study is a randomized, blinded, active-controlled clinical trial to evaluate the effectiveness and safety of EEC in the diagnosis of Mycobacterium tuberculosis infection in people aged 3 years and above. Study 1: The marketed recombinant tuberculosis fusion protein (EC) was used as a control drug in the population aged 3-64 years: This clinical trial adopted a multicenter, randomized, positive-controlled, blinded, homologous double-arm, non-inferiority trial design in the population aged 3-64 years, aiming to evaluate the sensitivity of EEC compared with recombinant tuberculosis fusion protein (EC) in participants with tuberculosis, the specificity in healthy participants and patients with non-tuberculous lung diseases, verify the clinical positive judgment criteria of EEC, and evaluate the consistency of the two detection methods of EEC and EC and the safety of EEC. Study 2: The marketed tuberculin purified protein derivative (TB-PPD) was used as a control drug in the triple-negative population aged 18 years and above: The triple-negative population (EEC, TB-PPD, and IGRA tests were all negative) was screened out from the community population and vaccinated with BCG. After 12 weeks of vaccination, EEC and TB-PPD were tested in the same arm to evaluate the significant difference in the negative rate of EEC compared with TB-PPD in the triple-negative population after BCG vaccination. Study 3: TB-PPD and in vitro diagnostic reagent IGRA were used as controls for people aged 65 and above: For people aged 65 and above, a multicenter, positive control, non-inferiority trial design was used to conduct a separate study hypothesis to verify the non-inferiority of the sensitivity of this product in tuberculosis patients in this age group compared with IGRA and TB-PPD, as well as the consistency of the diagnostic results of non-tuberculous lung diseases and the general community population with IGRA. At the same time, the specificity and safety of EEC in people aged over 65 were analyzed.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
QUADRUPLE
Enrollment
1,784
0.1ml, one time, containing high dose 5μg/ml of active ingredients
0.1 ml , one time, containing 5U of active ingredients
0.1 ml , one time, containing 5IU of active ingredients
96-well/plate x 2 plates; 100 tubes/box x 1 box
Beijing Chest Hospital
Beijing, Beijing Municipality, China
RECRUITINGChangsha Center Hospital
Hunan, Changsha, China
RECRUITINGLiuZhou People's Hospital
Liuchow, Guangxi, China
RECRUITINGThe First Affiliated Hospital of Xinxiang Medical College
Xinxiang, Henan, China
NOT_YET_RECRUITINGWuhan Pulmonary Hospital
Wuhan, Hubei, China
RECRUITINGWuhan Central Hospital
Wuhan, Hubei, China
RECRUITINGYichang Central People's Hospital
Yichang, Hubei, China
RECRUITINGPublic health clinical center of chengdu
Chengdu, Sichuan, China
RECRUITINGSensitivity (true positive rate) of EEC and EC detection methods in tuberculosis patients aged 3 to 64 years
Sensitivity (also known as the true positive rate which is defined as the percentage of actual disease that is correctly judged to be diseased according to the diagnostic criteria of the test) of EEC and EC detection methods in tuberculosis patients aged 3 to 64 years
Time frame: 7 days after injection
Specificity (true negative rate) of EEC and EC detection methods in patients with non-tuberculous lung diseases aged 3 to 64 years
Specificity (also known as true negative rate which is defined as the percentage of actual disease-free patients correctly judged to be disease-free according to the diagnostic criteria of the test) of EEC and EC detection methods in patients with non-tuberculous lung diseases aged 3 to 64 years
Time frame: 7 days after injection
Specificity (true negative rate) of EEC and EC for the diagnosis of Mycobacterium tuberculosis infection in healthy participants aged 3-64 years .
Specificity (true negative rate) of EEC and EC for the diagnosis of Mycobacterium tuberculosis infection in healthy participants aged 3-64 years (with no abnormal imaging, negative IGRA test results, and no symptoms/signs of tuberculosis)
Time frame: 7 days after injection
Negative rate of EEC test drug and TB-PPD control drug in BCG-vaccinated population in triple-negative population
Negative rate of EEC test drug and TB-PPD control drug in BCG-vaccinated population in triple-negative population(including healthy subjects with negative EEC, TB-PPD and IGRA).
Time frame: 7 days after second injection
Sensitivity (true positive rate) of EEC test drug versus control IGRA and TB-PPD for assisting clinical diagnosis of tuberculosis in people aged 65 years and older with tuberculosis
Sensitivity (also known as the true positive rate which is defined as the percentage of actual disease that is correctly judged to be diseased according to the diagnostic criteria of the test) of EEC test drug versus control IGRA and TB-PPD for assisting clinical diagnosis of tuberculosis in people aged 65 years and older with tuberculosis
Time frame: 7 days after injection
To evaluate the consistency (accordance rate) of the diagnostic results of EEC and IGRA in non-tuberculous lung diseases in the general community population aged 65 years and above
The consistency rate of EC, EEC and IGRA detection reagents which is defined as the pairwise KAPPA values of the three detection methods in different dose groups among healthy people and patients with non-tuberculosis pulmonary disease( the Kappa values of the three detection methods in different dose groups were calculated respectively ).
Time frame: 7 days after injection
Verify the ROC curve and area under the curve (AUC) of EEC, and verify the optimal diagnostic threshold, time range, and specific reaction type (redness or induration) of the test drug
Time frame: 7 days after injection
To evaluate the consistency of skin test results (positive detection rate and negative detection rate) between EEC and EC in the general community population, TB patients and patients with non-tuberculous lung diseases
Time frame: 7 days after injection
Evaluate the positive rate of skin test results of EEC and TB-PPD in the general community population
Time frame: 7 days after injection
The incidence of adverse events (AEs) and serious adverse events (SAEs) in EEC during the trial
Safety endpoint including: incidence of adverse events at injection and non-injection sites within 7 days after skin test; abnormal incidence of laboratory indicators (blood routine, blood biochemistry,) at 7 days after skin test; abnormal incidence of vital signs within 7 days after skin test; incidence of serious adverse events after skin test during the study period.
Time frame: 7 days after injection
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