Clinical trial NCT01979900: Phase III Clinical Study of Efficacy and Safety of Vaccae™ to Prevent Tuberculosis
Official title: Phase III Clinical Study of Efficacy and Safety of Mycobacterium Vaccae to Prevent Tuberculosis in High Risk Groups of Tuberculosis Infection
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE3
Conditions: Tuberculosis
Keywords: TB Infection
Lesion Degree
Bacteriology Indicators
Cavity
Humoral Immunity
Cellular Immunologic Response
Lead sponsor: Anhui Zhifei Longcom Biologic Pharmacy Co., Ltd.
Sponsor class: INDUSTRY
Collaborators: name: Guangxi Center for Disease Control and Prevention
name: Liuzhou Center for Disease Control and Prevention,China
name: Rongshui County Disease Control and Prevention,China
name: Liucheng County Disease Control and Prevention,China
name: Jin Chengjiang Center for Disease Control and Prevention,China
name: National Institutes for Food and Drug Control, China
name: Air Force Military Medical University, China
name: Simoon Record Pharma Information Consulting Co., Ltd.
First posted: 2013-11-08
Enrollment: 10000
Sex: ALL
Minimum age (years): 15
Maximum age (years): 65
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: Mycobacterium Vaccae for Injection (Trade Name "Vaccae") is a kind of bio-products developed by Anhui Zhifei Longcom Biopharmaceutical Co.,Ltd.,and got "The New Drug Certificate "in 1999. Vaccae has been approved for adjuvant therapy of tuberculosis(TB), and is also the only recommended drug in TB immunotherapy by WHO. It was approved for production and sale by Anhui Zhifei Longcom Biopharmaceutical Co.,Ltd. in 2001, and got favourable comment in therapy of tuberculosis.

The purpose of this study is to add new indications for Vaccae, mainly to prevent Tuberculosis for high risk groups of Tuberculosis Infection . In December 2012, China Food and Drug Administration approved of the plan "Phase III Clinical Study of Efficacy and Safety of Mycobacterium Vaccae to Prevent Tuberculosis in high risk groups of Tuberculosis Infection". In the test, 10,000 cases whose skin tests of PPD are strongly positive are enrolled. Using random, double-blind, and placebo-controlled methods, the study is carried out to evaluate the efficacy and safety of Vaccae in preventing Tuberculosis. Meanwhile, in this test, TB incidence and degree of pathological changes of experimental group are lower than that of control group, and no drug-related SAEs are reported in treatment groups.

Detailed description: The Main Purpose of the Study:

- Evaluation of efficacy of Vaccae to prevent Tuberculosis in high risk groups of Tuberculosis Infection.

The Secondary Purpose of the Study:

* Evaluation of Lesion Degree ( Bacteriology Indicators, Cavity) of patients and its relationship with Skin Test results of TB-PPD after Injection of Vaccae into the high risk groups.
* Evaluation of Changes in Humoral Immunity and Cellular Immunologic Response Before and After Injection of Vaccae

Test Hypothesis:

In the test, TB incidence and degree of pathological changes of experimental group are lower than that of control group, and no drug-related SAEs are reported in treatment groups

Blinding and Random:

Using random, double-blind, and placebo-controlled methods, evaluation of the efficacy and safety of Vaccae.

Using block randomization method, a random sequence was generated by the statistics personnel in Fourth Military Medical University Clinical Evaluation Center using SAS9.1.3 statistical software

The Unblinding includes the first time of Unblinding and the second time of Unblinding. The first time of Unblinding only distinguish groups , and the second time of Unblinding will uncover the final Blind Codes.

The Blind Codes of the design produce at one time, and unblinding will be carried out respectively at the first year and the second year after the beginning of the experiment.

Eligibility criteria: Inclusion Criteria:

* Aged from 15 to 65 years old, all genders.
* Skin test of Tuberculin Pure Protein Derivative (TB-PPD) is strongly positive ( the average diameter of PPD skin test induration is greater than or equal to 15mm,and（or）local blisters, necrosis).
* Agreed to participate in the test and sign the informed consent.
* Subjects agreed to participate in the experiments and voluntarily signed the informed consent. (guardians of 15-17- year-old subjects should agree, meanwhile).
* The subjects should comply with the requirements of the clinical trial protocol and be Followed.
* Have not participated in any other clinical trial for nearly three months.
* Women of childbearing age from 15 to 49 years should agree with urine pregnancy tests and take effective birth control measures in two years after the medication.
* Axillary temperature is normal.

Exclusion Criteria:

The first injection drug exclusion criteria :

* 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.
* Known allergy to experiment drugs
* People with history of specific diagnosis of TB, extrapulmonary tuberculosis or have been cured
* 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
* Oral corticosteroids
* Patients who have been using oral corticosteroids for more than 1 week, or hormone medication in vitro for a long time
* Acute febrile illness and infection
* Pregnant or lactating women, or women who have birth plan in following 2 years
* Any other cases that may influence the test evaluation

The second-sixth injection drug exclusion criteria :

* Subjects whose compliance is poor, and can not take medicine on time or according to the amount
* Patients who are using medicine and food that can influence the result
* Pregnant subjects during the test
* Patients who are reluctant to continue and require exit

Primary outcomes:
measure: The whole TB incidence after injection of Vaccae
timeFrame: Terminal Stage: two years after the last group of subjects enrolled
Secondary outcomes:
measure: Lesion degree (Bacteriology indicators, cavity) of patients
timeFrame: two years after the last group of subjects enrolled or after observation of 76 cases of the disease
measure: Systemic and local reactions and adverse events
timeFrame: within 30 days after last dosing
measure: The relation between skin test results and paroxysm of TB-PPD
timeFrame: Terminal Stage: two years after the last group of subjects enrolled or after observation of 76 cases of the disease
Other outcomes:
Locations:
city: Hechi
country: China
facility: Jin Chengjiang Center for Diseases Control and Prevention, Hechi, Guangxi
state: Guangxi
city: Liuzhou
country: China
facility: Liucheng County Diseases Control and Prevention, Liuzhou, Guangxi
state: Guangxi
city: Liuzhou
country: China
facility: Liuzhou Center for Diseases Control and Prevention, Liuzhou, Guangxi
state: Guangxi
city: Liuzhou
country: China
facility: Rongshui County Diseases Control and Prevention, Liuzhou, Guangxi
state: Guangxi
Study officials:
affiliation: Jin Chengjiang Center for Diseases Control and Prevention, Hechi, Guangxi
name: Guoai Si, Director
role: PRINCIPAL_INVESTIGATOR
affiliation: Jin Chengjiang Center for Diseases Control and Prevention, Liuzhou, Guangxi
name: Mingqiang Li, Director
role: PRINCIPAL_INVESTIGATOR
affiliation: Rongshui County Diseases Control and Prevention, Liuzhou, Guangxi
name: Keshua Meng, Director
role: PRINCIPAL_INVESTIGATOR
affiliation: Liucheng County Diseases Control and Prevention, Liuzhou, Guangxi
name: Debiao Qiao, Director
role: PRINCIPAL_INVESTIGATOR
References:
citation: Moran-Mendoza O, Marion SA, Elwood K, Patrick DM, FitzGerald JM. Tuberculin skin test size and risk of tuberculosis development: a large population-based study in contacts. Int J Tuberc Lung Dis. 2007 Sep;11(9):1014-20.