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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| RTA / 0.1 μg / 0.1 mL | Experimental | at stage I - 5 healthy volunteers; at stage II - 20 healthy volunteers. frequency and route of administration: once, intradermally |
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| RTA / 0.2 μg / 0.1 mL | Experimental | at stage I - 5 healthy volunteers; at stage II - 20 healthy volunteers. frequency and route of administration: once, intradermally |
|
| Placebo / 0.1 mL | Placebo Comparator | at stage I - 5 healthy volunteers; at stage II - 20 healthy volunteers. frequency and route of administration: once, intradermally |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mycobacterial recombinant allergens 0.1 μg | Diagnostic Test | solution for intradermal injection, 0.1 µg / 0.1 mL |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of AEs and SAEs | Days 0 - 15 |
| Measure | Description | Time Frame |
|---|---|---|
| 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) | Days 0, 1; 72 hours upon the administration, day 15 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Limited Liability Company "Scientific Research Center Eco-Safety" | Saint Petersburg | Russia |
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| Mycobacterial recombinant allergens 0.2 μg | Diagnostic Test | solution for intradermal injection, 0.2 µg / 0.1 mL |
|
|
| Placebo | Diagnostic Test | solution for intradermal injection |
|
| 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 |
| 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 | 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 | 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) | Days 0, 1; 72 hours upon the administration, day 15 |
| Number of participants with abnormal changes in physical examination data | 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) | 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. | 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. | 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. | 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. | 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 |
The assessment will be carried out according to the four-point scale:
| 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 | Days 0 - 15 |
| Incidence of systemic post-injection reactions |
the four-point scale:
| 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 |
the four-point scale:
| 20 minutes, 2, 5, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120 hours after the administration, day 15 |
| ID | Term |
|---|---|
| D014376 | Tuberculosis |
| D004194 | Disease |
| ID | Term |
|---|---|
| D009164 | Mycobacterium Infections |
| D000193 | Actinomycetales Infections |
| D016908 | Gram-Positive Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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