Evidence map›Paper›PMID 34021314›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2022

Sensitivity, Specificity, and Safety of a Novel ESAT6-CFP10 Skin Test for Tuberculosis Infection in China: 2 Randomized, Self-Controlled, Parallel-Group Phase 2b Trials.

Miao Xu, Wei Lu, Tao Li, Jingxin Li, Weixin Du, Qi Wu, Qiao Liu, Baodong Yuan, Jinbiao Lu, Xiaoyan Ding and 14 more

2 registry-linked trialsAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02336542 phase2completednot on this map

For Tuberculosis (TB) Clinical Auxiliary Diagnosis of Recombinant Mycobacterium Tuberculosis Allergen ESAT6 - CFP10 Dose of Certain Phase IIb Clinical Research

TypeinterventionalSponsorAnhui Zhifei Longcom Biologic Pharmacy Co., Ltd.Ran2014 to 2015Enrolled192ConditionsTuberculosisArms5μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm, 5μg/ml ESAT6-CFP10 in right arm and TB-PPD in left arm, 10μg/ml ESAT6-CFP10 in left arm and TB-PPD in right arm, 10μg/ml ESAT6-CFP10 in right arm and TB-PPD in left arm
NCT02389322 phase2completednot on this map

Phase IIb Clinical Study of Recombinant Mycobacterium Tuberculosis Allergen ESAT6-CFP10 on Healthy People Aged 18-65,Adopting Randomized Blinded and Parallel Controlled Method

TypeinterventionalSponsorAnhui Zhifei Longcom Biologic Pharmacy Co., Ltd.Ran2015 to 2015Enrolled1,044ConditionsTuberculosisArms5μg/ml ESAT6-CFP10, 10μg/ml ESAT6-CFP10, BCG, placebo
3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Trial
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  4. Current laboratory diagnostics for tuberculosis: from conventional approaches to next-generation molecular and immunological technologies.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Review
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  10. Peripheral cytokine distinguish recent fromFrontiers in microbiology · 2026
    Article
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  18. Overlooked, dismissed, and downplayed: reversion ofEuropean respiratory review : an official journal of the European Respiratory Society · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors.

Miao XuNational Institutes for Food and Drug Control, Beijing, PR China.
Wei LuCenter for Disease Control and Prevention of Jiangsu Province, Nanjing, Jiangsu Province, PR China.
Tao LiShanghai Public Health Clinical Center, Fudan University, Shanghai, PR China.
Jingxin LiCenter for Disease Control and Prevention of Jiangsu Province, Nanjing, Jiangsu Province, PR China.
Weixin DuNational Institutes for Food and Drug Control, Beijing, PR China.
Qi WuTianjin Haihe Hospital, Tianjin University, Tianjin, PR China.
Qiao LiuCenter for Disease Control and Prevention of Jiangsu Province, Nanjing, Jiangsu Province, PR China.
Baodong YuanWuhan Pulmonary Hospital, Wuhan, Hubei Province, PR China.
Jinbiao LuNational Institutes for Food and Drug Control, Beijing, PR China.
Xiaoyan DingCenter for Disease Control and Prevention of Jiangsu Province, Nanjing, Jiangsu Province, PR China.
Feng LiShanghai Public Health Clinical Center, Fudan University, Shanghai, PR China.
Min LiuCenter for Disease Control and Prevention of Jurong city, Zhenjiang, Jiangsu Province, PR China.
Baowen ChenNational Institutes for Food and Drug Control, Beijing, PR China.
Jiang PuAnhui Zhifei Longcom Biopharmaceutical Co, Ltd, Hefei, Anhui Province, PR China.
Rongping ZhangCenter for Disease Control and Prevention of Jurong city, Zhenjiang, Jiangsu Province, PR China.
Xiuhong XiShanghai Public Health Clinical Center, Fudan University, Shanghai, PR China.
Rongguang ZhouCenter for Disease Control and Prevention of Jurong city, Zhenjiang, Jiangsu Province, PR China.
Zaoxian MeiTianjin Haihe Hospital, Tianjin University, Tianjin, PR China.
Ronghui DuWuhan Pulmonary Hospital, Wuhan, Hubei Province, PR China.
Lifeng TaoAnhui Zhifei Longcom Biopharmaceutical Co, Ltd, Hefei, Anhui Province, PR China.
Leonardo MartinezBoston University, School of Public Health, Department of Epidemiology, Boston, Massachusetts, USA.
Shuihua LuShanghai Public Health Clinical Center, Fudan University, Shanghai, PR China.
Guozhi WangNational Institutes for Food and Drug Control, Beijing, PR China.
Fengcai ZhuCenter for Disease Control and Prevention of Jiangsu Province, Nanjing, Jiangsu Province, PR China.

Funding

National Science and Technology Major Project 2012ZX10004710Zhifei Longcom Biologic Pharmacy Company
6 · The paper itself

Abstract

backgroundDiagnostics to identify tuberculosis infection are limited. We aimed to assess the diagnostic accuracy and safety of ESAT6-CFP10 (EC) skin test for tuberculosis infection in Chinese adults.

methodsWe conducted 2 randomized, parallel-group clinical trials in healthy participants and tuberculosis patients. All participants were tested with the T-SPOT.TB test, then received an EC skin test and tuberculin skin test (TST). The diameter of skin indurations and/or redness at injection sites were measured at different time periods. A bacillus Calmette Guerin (BCG) model was established to assess the diagnosis of tuberculosis infection using an EC skin test.

resultsIn total, 777 healthy participants and 96 tuberculosis patients were allocated to receive EC skin test at 1.0 μg/0.1 mL or 0.5 μg/0.1 mL. The area under the curve was 0.95 (95% confidence interval [CI], .91-.97) for the EC skin test at 1.0 μg/0.1 mL at 24-72 hours. Compared with the T-SPOT.TB test, the EC skin test demonstrated similar sensitivity (87.5, 95% CI, 77.8-97.2 vs 86.5, 95% CI, 79.5-93.4) and specificity (98.9, 95% CI, 96.0-99.9 vs 96.1, 95% CI, 93.5-97.8). Among BCG vaccinated participants, the EC skin test had high consistency with the T-SPOT.TB test (96.3, 95% CI, 92.0-100.0). No serious adverse events related to the EC skin test were observed.

conclusionsThe EC skin test demonstrated both high specificity and sensitivity at a dose of 1.0 μg/0.1 mL, comparable to the T-SPOT.TB test. The diagnostic accuracy of the EC skin test was not impacted by BCG vaccination. CLINICAL TRIALS REGISTRATION: NCT02389322 and NCT02336542.

Indexed as

Latent TuberculosisMycobacterium tuberculosisTuberculosisAdultChinaHumansSensitivity and SpecificityTuberculin TestdiagnosticsESAT6-CFP10tuberculosistuberculosis infection

Identifiers

PMID34021314
PMCPMC8886919

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.