A Trial of Isoniazid for the Reversion of Interferon Gamma ELISPOT in Tuberculosis (TB) Case Contacts
IRS
A Double Blind Placebo-controlled Randomized Trial of Isoniazid for the Reversion of a Positive IFNg ELISPOT in TB Case Contacts
1 other identifier
interventional
214
1 country
1
Brief Summary
There are new TB vaccines already developed that need to be tried in humans to assess their efficacy. The researchers had previously shown that production of interferon gamma by T cells in response to TB antigens is a more specific marker of TB infection. The researchers hypothesize that this can be used as a reliable early marker of TB vaccine efficacy. The researchers expect to show a significantly increased reversion of this test in household contacts of TB patients given Isoniazid prophylaxis treatment for 6 months.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2004
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2004
CompletedFirst Submitted
Initial submission to the registry
August 11, 2005
CompletedFirst Posted
Study publicly available on registry
August 15, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2009
CompletedJanuary 13, 2010
January 1, 2010
4 years
August 11, 2005
January 12, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Qualitative IFN-g ELISPOT reversion
12 months
Quantitative IFN-g ELISPOT reversion
12 months
Study Arms (2)
A
ACTIVE COMPARATORIsoniazid arm
B
PLACEBO COMPARATORPlacebo of Isoniazid tablet 300mg
Interventions
Eligibility Criteria
You may qualify if:
- Healthy person aged 15 years and above
- Normal medical history and physical examination
- Normal biochemistry and haematological indices
- Mantoux ≥ 10mm
- Negative HIV antibody test
- No serological evidence of hepatitis B virus (HBV) infection
- Normal Chest X-ray
- ESAT6 and/or CFP-10 peptides and ESAT6/CFP-10 protein positive (≥10 SFC for ESAT 6 or CFP-10 and ESAT6/CFP-10 protein).
- Index case is sputum smear positive
- Index case has chest X ray (CXR) characteristics of TB
You may not qualify if:
- Pregnant female
- Haemoglobin \<8 g/dl
- Previous history of tuberculosis
- Clinical case of tuberculosis
- Current participation in another clinical trial, or within 12 weeks of this study.
- Any other factor that might increase the risk of an adverse outcome from participation in the trial
- Significant history or evidence of skin disorder, allergy, immunodeficiency, organ specific disorders causing significant immunodeficiency.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
MRC Laboratories
Banjul, KSMD, Po Box 273 Banjul, The Gambia
Related Publications (2)
Hill PC, Brookes RH, Fox A, Fielding K, Jeffries DJ, Jackson-Sillah D, Lugos MD, Owiafe PK, Donkor SA, Hammond AS, Otu JK, Corrah T, Adegbola RA, McAdam KP. Large-scale evaluation of enzyme-linked immunospot assay and skin test for diagnosis of Mycobacterium tuberculosis infection against a gradient of exposure in The Gambia. Clin Infect Dis. 2004 Apr 1;38(7):966-73. doi: 10.1086/382362. Epub 2004 Mar 16.
PMID: 15034828BACKGROUNDAdetifa IM, Ota MO, Jeffries DJ, Lugos MD, Hammond AS, Battersby NJ, Owiafe PK, Donkor SD, Antonio M, Ibanga HB, Brookes RH, Aka P, Walton R, Adegbola RA, Hill PC. Interferon-gamma ELISPOT as a biomarker of treatment efficacy in latent tuberculosis infection: a clinical trial. Am J Respir Crit Care Med. 2013 Feb 15;187(4):439-45. doi: 10.1164/rccm.201208-1352OC. Epub 2012 Dec 6.
PMID: 23220919DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Philip C Hill, MPH FRACP
MRC Laboratories, Gambia
- PRINCIPAL INVESTIGATOR
Roger H Brookes, PhD
MRC laboratories, Gambia
- STUDY CHAIR
Richard A Adegbola, PhD FRCPath
MRC laboratories, Gambia
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
August 11, 2005
First Posted
August 15, 2005
Study Start
October 1, 2004
Primary Completion
October 1, 2008
Study Completion
June 1, 2009
Last Updated
January 13, 2010
Record last verified: 2010-01