- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT02503293
En undersøgelse til sammenligning af livskvalitet og tilfredshed hos primære immundefekte patienter behandlet med subkutane injektioner af Gammanorm® 165 mg/ml administreret med to forskellige leveringsanordninger: Injektioner ved hjælp af pumpe eller Rapid Push
En randomiseret, cross-over-undersøgelse til sammenligning af livskvalitet og tilfredshed hos primære immundefekte patienter behandlet med subkutane injektioner af Gammanorm® 165 mg/mL administreret med to forskellige leveringsanordninger: Injektioner ved hjælp af pumpe eller Rapid Push
Studieoversigt
Status
Betingelser
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 4
Kontakter og lokationer
Studiesteder
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Campbelltown, Australien, NSW 2560
- CampbelltownHospital
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Canberra, Australien, ACT 2605
- Canberra Hospital
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Birmingham, Det Forenede Kongerige, B15 2GW
- University Hospitals Birmingham
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Cardiff, Det Forenede Kongerige, CF144XW
- University Hospital of wales
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London, Det Forenede Kongerige, E12ES
- - The Royal London Hospital
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London, Det Forenede Kongerige, NW3 2QG
- The Royal Free
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Oxford, Det Forenede Kongerige, OX3 9DU
- John Radcliff Hospital
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Plymouth, Det Forenede Kongerige, PL6 8DH
- Derriford Hospital
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Padova, Italien, 35128
- Azienda Ospedaliera di Padova, Allergologia ed Immunologia Clinica
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Rome, Italien, 00161
- Policlinic Umberto I - Universita di Roma "Sapienza", Clinical Immunology
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Freiburg, Tyskland, D-79106
- University Medical Centre Freiburg
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Leipzig, Tyskland, D-04129
- Municipal Hospital "St. Georg"
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inklusionskriterier:
- Voksne patienter (≥ 18 år).
- Præsenterer med primær immundefekt.
- Efter at have modtaget subkutane injektioner af immunglobulin derhjemme med en automatisk pumpe eller sprøjte i mindst 1 måned på tidspunktet for inklusion.
- For hvem investigator beslutter at opretholde immunglobulinerstatningsterapi med subkutane injektioner af Gammanorm® 165 mg/ml derhjemme.
- Frit givet skriftligt informeret samtykke fra patient.
- Kvinder i den fødedygtige alder skal have et negativt resultat på en graviditetstest (humant choriongonadotropin [HCG]-baseret assay) og skal praktisere prævention ved brug af en metode med dokumenteret pålidelighed i hele undersøgelsens varighed.
Ekskluderingskriterier:
• Deltagelse i en anden interventionel klinisk undersøgelse og modtagelse af forsøgslægemiddel inden for tre måneder før studiestart.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Crossover opgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Andet: Chrono Super PID derefter generisk sprøjte - Gammanorm
Hver patient vil modtage undersøgelsesbehandlingen ved at bruge hver af de to undersøgte leveringsanordninger i henhold til den sekvens, der er tilfældigt tildelt baseret på et cross-over-design: • Chrono Super PID derefter generisk sprøjte-gammanorm |
Hver patient vil modtage undersøgelsesbehandlingen af Gammanorm ved hjælp af hver af de to undersøgte leveringsanordninger i henhold til den tilfældigt tildelte sekvens baseret på et cross-over-design: • pumpe og derefter sprøjte Brugen af automatiske, programmerbare, kompakte pumper (såsom CRONO SUPER PID) giver patienterne mulighed for at forblive mobile uden at afbryde deres aktiviteter. Patienter kan infundere flere steder samtidigt med infusionshastigheder på op til 40 ml/time på 2 til 4 steder (mave, lår, overarme, lænd). Hurtig og manuel administration af SCIg ved hjælp af en sprøjte kunne derfor repræsentere en alternativ metode ved at reducere administrationsvarigheden (ca. 10 minutter pr. injektion på 1 eller 2 steder samtidigt). Injektionen administreres af patienten selv. Infusionshastigheden er normalt 1 til 2 ml/min. Brugen af lavviskositetsprodukter kunne lette injektionen
Andre navne:
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Andet: Generisk sprøjte derefter Chrono Super PID - Gammanorm
Hver patient vil modtage undersøgelsesbehandlingen ved at bruge hver af de to undersøgte leveringsanordninger i henhold til den sekvens, der er tilfældigt tildelt baseret på et cross-over-design: • Generisk sprøjte derefter Chrono Super PID-Gammanorm |
Hver patient vil modtage undersøgelsesbehandlingen ved at bruge hver af de to undersøgte leveringsanordninger i henhold til den sekvens, der er tilfældigt tildelt baseret på et cross-over-design: • sprøjte og derefter pumpe. Brugen af automatiske, programmerbare, kompakte pumper (såsom CRONO SUPER PID) giver patienterne mulighed for at forblive mobile uden at afbryde deres aktiviteter. Patienter kan infundere flere steder samtidigt med infusionshastigheder på op til 40 ml/time på 2 til 4 steder (mave, lår, overarme, lænd). Hurtig og manuel administration af SCIg ved hjælp af en sprøjte kunne derfor repræsentere en alternativ metode ved at reducere administrationsvarigheden (ca. 10 minutter pr. injektion på 1 eller 2 steder samtidigt). Injektionen administreres af patienten selv. Infusionshastigheden er normalt 1 til 2 ml/min. Brugen af lavviskositetsprodukter kunne lette injektionen
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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For at sammenligne tilfredshed (LQI-spørgeskema, faktor I: behandlingsinterferens) hos PID-patienter, der modtager subkutane injektioner af Gammanorm® 165 mg/mL ved hjælp af den anvendte leveringsanordning.
Tidsramme: Deltagerne vil blive fulgt i i alt 6 måneder
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Hver patient vil blive behandlet i to på hinanden følgende perioder på hver tre måneder i henhold til den sekvens, der er tildelt baseret på cross-over-designet (sprøjte og derefter pumpe, eller pumpe og derefter sprøjte) uden nogen mellemliggende udvaskningsperiode.
Den samlede varighed af undersøgelsesbehandlingen vil derfor være 6 måneder for hver patient.
Vurdering vil blive udført via LQI-skalaen.
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Deltagerne vil blive fulgt i i alt 6 måneder
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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At sammenligne de andre livskvalitetsscores
Tidsramme: Deltagerne vil blive fulgt i i alt 6 måneder
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Hver patient vil blive behandlet i to på hinanden følgende perioder på hver tre måneder i henhold til den sekvens, der er tildelt baseret på cross-over-designet (sprøjte og derefter pumpe, eller pumpe og derefter sprøjte) uden nogen mellemliggende udvaskningsperiode. Den samlede varighed af undersøgelsesbehandlingen vil derfor være 6 måneder for hver patient. Vurdering vil blive udført via LQI-skalafaktorerne II og III. Patienternes livskvalitet vil blive vurderet via SF-36-skalaen. Patienttilfredshed vil blive vurderet via TSQM-11 skala |
Deltagerne vil blive fulgt i i alt 6 måneder
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Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Klaus Warnatz, MD, Centre of Chronic Immunodeficiency, University Medical Centre Freiburg, Breisacher
Publikationer og nyttige links
Generelle publikationer
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- Al-Herz W, Bousfiha A, Casanova JL, Chapel H, Conley ME, Cunningham-Rundles C, Etzioni A, Fischer A, Franco JL, Geha RS, Hammarstrom L, Nonoyama S, Notarangelo LD, Ochs HD, Puck JM, Roifman CM, Seger R, Tang ML. Primary immunodeficiency diseases: an update on the classification from the international union of immunological societies expert committee for primary immunodeficiency. Front Immunol. 2011 Nov 8;2:54. doi: 10.3389/fimmu.2011.00054. eCollection 2011.
- Al-Herz W, Bousfiha A, Casanova JL, Chatila T, Conley ME, Cunningham-Rundles C, Etzioni A, Franco JL, Gaspar HB, Holland SM, Klein C, Nonoyama S, Ochs HD, Oksenhendler E, Picard C, Puck JM, Sullivan K, Tang ML. Primary immunodeficiency diseases: an update on the classification from the international union of immunological societies expert committee for primary immunodeficiency. Front Immunol. 2014 Apr 22;5:162. doi: 10.3389/fimmu.2014.00162. eCollection 2014. Erratum In: Front Immunol. 2014;5:460.
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- Quinti I, Soresina A, Guerra A, Rondelli R, Spadaro G, Agostini C, Milito C, Trombetta AC, Visentini M, Martini H, Plebani A, Fiorilli M; IPINet Investigators. Effectiveness of immunoglobulin replacement therapy on clinical outcome in patients with primary antibody deficiencies: results from a multicenter prospective cohort study. J Clin Immunol. 2011 Jun;31(3):315-22. doi: 10.1007/s10875-011-9511-0. Epub 2011 Mar 2.
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