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Trial registered on ANZCTR
Registration number
ACTRN12608000227392
Ethics application status
Approved
Date submitted
28/03/2008
Date registered
2/05/2008
Date last updated
3/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Bacille Calmette-Guérin (BCG) Immune Response Study
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Scientific title
Improving protection against childhood tuberculosis: the influence of Bacille Calmette-Guérin (BCG) vaccine strain and age on protective immunity
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Universal Trial Number (UTN)
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Trial acronym
BIRS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Tuberculosis
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Immune response after BCG vaccine
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Condition category
Condition code
Infection
3115
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0
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Other infectious diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Use of three different BCG vaccine strains (BCG-Denmark, BCG-Japan, BCG-Russia) for immunisation at birth. Immunisation at 2 months of age with one BCG vaccine strain (BCG-Denmark). In all study groups 0.05ml of BCG will be administered intradermally.
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Intervention code [1]
2711
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Prevention
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Comparator / control treatment
BCG vaccine strains will be compared with one another. Dose under 1 year of age 0.05 ml. Infants immunised at birth will be compared with those immunised at 2 months of age.
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Control group
Active
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Outcomes
Primary outcome [1]
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Frequency of cytokine (eg interferon-gamma) producing T cells measured by flow cytometry in samples after in vitro stimulation.
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Assessment method [1]
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Timepoint [1]
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10 weeks after immunisation
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Secondary outcome [1]
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Qualitative immune response measured as the pattern of cytokine producing T cells measured with flow cytometry and in supernatants using a multiplex bead array system.
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Assessment method [1]
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Timepoint [1]
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10 weeks after immunisation
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Eligibility
Key inclusion criteria
Term, well newborn infants.
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Minimum age
1
Days
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Maximum age
2
Months
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Family history of immunodeficiencies. Mother with HIV. Mother with active TB.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Consenting mothers/families in antenatal clinic. Randomisation of newborn infants to one of four groups at birth using seald opaque envelopes.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Stratified allocation using three broad ethnical groups: Parents originating form Africa, Indian Subcontinent, Asia.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
26/04/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
256
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Murdoch Children's Research Institute
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Address [1]
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Flemington Rd
Parkville, VIC 3052
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Country [1]
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Australia
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Funding source category [2]
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University
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Name [2]
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Nossal Institute of Global Health
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Address [2]
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Faculty of Medicine, Dentistry and Health Sciences
The University of Melbourne
Victoria 3010 Australia
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Country [2]
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Australia
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Funding source category [3]
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Government body
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Name [3]
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Swiss National Science Foundation
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Address [3]
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Wildhainweg 3, POBox 8232, 3001 Berne
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Country [3]
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Switzerland
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Funding source category [4]
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University
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Name [4]
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The University of Melbourne
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Address [4]
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Faculty of Medicine, Dentistry and Health Sciences
The University of Melbourne
Victoria 3010 Australia
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Country [4]
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Australia
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Funding source category [5]
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Charities/Societies/Foundations
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Name [5]
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European Society for Paediatric Infectious Diseases
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Address [5]
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c/o Kenes International
Rue de Chantepoulet 1-3
P.O.Box 1726
CH-1211 Geneva 1
Telephone: +41 22 906 91 65
Fax: +41 22 732 2607
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Country [5]
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Switzerland
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Primary sponsor type
Hospital
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Name
The Mercy Hospital for Women
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Address
163 Studley Road, Heidelberg 3084, VIC
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Human Research Ethics Committee, Mercy Hospital for Women
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Ethics committee address [1]
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163 Studley Road, Heidelberg 3084, VIC
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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07/12/2007
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Ethics approval number [1]
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R07/16
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Summary
Brief summary
This study is investigating the influence of vaccine strain and age at immunisation on the immune response in children to Bacille Calmette-Guérin (BCG) immunisation. The underlying hypothesis is that there is a measurable difference in the qualtitative and qualitative immune response which may be associated with differences in the level of protection
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Trial website
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Trial related presentations / publications
Ritz N, Hanekom, W, Robins-Browne R, Britton W, Curtis N. The influence of BCG vaccine strain on the immune response and protection against tuberculosis. FEMS Microbiology Reviews 2008 in press.
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Prof Nigel Curtis
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Address
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Royal Children's Hospital Melbourne
Flemington Road
Parkville 3052, VIC
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Country
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Australia
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Phone
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03 9345 6366
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Nicole Ritz
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Address
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Royal Children's Hospital Melbourne
Flemington Road
Parkville 3052, VIC
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Country
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Australia
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Phone
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03 9345 4990
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Comparable CD4 and CD8 T cell responses and cytokine release after at-birth and delayed BCG immunisation in infants born in Australia.
2016
https://dx.doi.org/10.1016/j.vaccine.2016.06.077
Embase
Mycobacterium ulcerans-specific immune response after immunisation with bacillus Calmette-Guerin (BCG) vaccine.
2021
https://dx.doi.org/10.1016/j.vaccine.2020.11.045
Embase
Bacillus Calmette-Guerin Skin Reaction Predicts Enhanced Mycobacteria-Specific T-Cell Responses in Infants A Post Hoc Analysis of a Randomized Controlled Trial.
2022
https://dx.doi.org/10.1164/rccm.202108-1892OC
N.B. These documents automatically identified may not have been verified by the study sponsor.
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