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A Study to Find How Safe and Effective GAMMAPLEX® is in Subjects With Chronic Idiopathic Thrombocytopenic Purpura (ITP)

26 de febrero de 2013 actualizado por: Bio Products Laboratory

A Phase III, Multicenter, Open-Label Study To Evaluate the Efficacy and Safety of GAMMAPLEX® in Chronic Idiopathic Thrombocytopenic Purpura

To determine if GAMMAPLEX raises the platelet count of subjects with chronic ITP to a threshold of 50 x 109/L, similar to that of published response >60%. Also to assess the safety of GAMMAPLEX and determine if platelet counts are maintained at 50 x 109/L in subjects with chronic ITP for.

Descripción general del estudio

Descripción detallada

The primary objective is to determine if BPL's GAMMAPLEX raises the platelet count of subjects with chronic ITP to a threshold of 50 x 109/L, similar to that of published response >60%. The secondary objectives are: 1) to determine the safety of GAMMAPLEX at the dosage used in this study. 2) to determine if GAMMAPLEX maintains platelet counts of ³ 50 x 109/L in subjects with chronic ITP for a period of time similar to that of a published data.

Tipo de estudio

Intervencionista

Inscripción (Actual)

35

Fase

  • Fase 3

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

      • Buenos Aires, Argentina, C1280AEB
        • Hospital Británico
      • Buenos Aires, Argentina, C1122AAL
        • I. A. D. T. (Instituto Argentino de Diagnóstico y Tratamiento)
      • Buenos Aires, Argentina, C1431FWO
        • Centro de Educación Médica e Investigaciones Clinicas Dr. Norberto Quirno (CEMIC)
      • Cordoba, Argentina, X5016KEH
        • Hospital Privado de Cordoba
      • Corrientes, Argentina
        • J.R. Vidal Hospital
      • San Juan, Argentina, 5400
        • CER San Juan
    • Buenos Aires
      • Capital Federal, Buenos Aires, Argentina, C1437JCP
        • Hospital Churruca
      • La Plata, Buenos Aires, Argentina, B1900AXU
        • Hospital Italiano de La Plata
    • Sante Fe
      • Rosario, Sante Fe, Argentina, S2000JKR
        • Instituto de Diagnóstico Hematológico Ambulatorio (IDHEA)
    • Florida
      • Orange City, Florida, Estados Unidos, 32763
        • Mid Florida Hematology & Oncology
    • Illinois
      • Chicago, Illinois, Estados Unidos, 60612
        • Rush University Medical Center
    • Maryland
      • Bethesda, Maryland, Estados Unidos, 20817
        • Center for Cancer & Blood Disorders
    • New York
      • New York, New York, Estados Unidos, 10021
        • New York Hospital / Cornell University, Division of Pediatrics
      • Stony Brook, New York, Estados Unidos, 11794-8111
        • Department of Pediatrics, SUNY at Stony Brook
    • Oregon
      • Portland, Oregon, Estados Unidos, 97239
        • Oregon Health & Science University
    • Texas
      • San Antonio, Texas, Estados Unidos, 78229
        • Cancer Care Centers of South Texas
      • New Delhi, India, 110060
        • Sir Ganga Ram Hospital
    • Andhra Pradesh
      • Hyderabad, Andhra Pradesh, India, 500003
        • Apollo Hospitals
      • Hyderabad, Andhra Pradesh, India, 500054
        • Mahavir Hospital
      • Suryarao pet, Vijayawada, Andhra Pradesh, India, 520002
        • City Cancer Centre,
    • Bangalore
      • Karnataka, Bangalore, India, 560054
        • M. S Ramaiah Hospital
    • Gujarat
      • Ahmedabad, Gujarat, India, 380009
        • Vedanta
      • Ahmedabad, Gujarat, India, 380061
        • Gurukrupa Hospital
      • Gokal Nagar, Karamsad, Gujarat, India, 388325
        • M S Patel Cancer Centre, Shree Krishna Hospital
    • Karnataka
      • Bangalore, Karnataka, India, 560017
        • Manipal Hospital
      • Mangalore, Karnataka, India, 575002
        • Father Muller Medical College Hospital
      • Mangalore, Karnataka, India, 5750003
        • Vinaya Hospital & research Centre
      • Mangalore, Karnataka, India, 575001
        • Kasturba Medical College, Manipal Acunova KMC Research Centre
    • Maharashtra
      • Pune, Maharashtra, India, 411004
        • Deenanath Mangeshkar Hospital
    • Rajasthan
      • Jaipur, Rajasthan, India, 300201
        • S.K. Soni Hospital Sect 5

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 70 años (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  1. Males and females aged between 18 and 70 years.
  2. Confirmed diagnosis of chronic ITP of at least 6 months duration.
  3. Platelet count of less than or equal to 20 x 10 9/L at enrollment.
  4. Absence of other conditions that, in the opinion of the investigator, could cause thrombocytopenia.
  5. If subjects were treated with corticosteroids the treatment regimen/dose must have been stable (for a minimum of 2 weeks before screening). The dose of corticosteriod or other immunosuppressant should have remained constant until Day 32. 6) If subjects were being treated with cyclophosphamide, azathioprine or attenuated androgens, the treatment regimen and dose must have been stable for a minimum of 2 months before Day 1. The dose of corticosteriod or other immunosuppressant should have remained constant until Day 32. 7) Splenectomized subjects and both Rh(D)+ and Rh(D)- subjects may be included.

8) The subject has signed an informed consent form (subjects must be at least 18 years old), and/or the subject's legal guardian has signed the informed consent form if indicated 9) If a subject is a female of child-bearing potential, she must have a negative result on a urine-based HCG pregnancy test.

10) If a subject is a female who is or becomes sexually active, she must practice contraception by using a method of proven reliability for the duration of the study.

Exclusion Criteria:

  1. A history of any severe or anaphylactic reaction to blood or any blood-derived product, or any severe reaction to IGIV or any other IgG preparation.
  2. Intolerance to any component of the investigational product.
  3. Received any live virus vaccine within the last 3 months prior to Day1.
  4. Received an IGIV preparation within 1 month prior to Day 1.
  5. Were currently receiving, or has received, any investigational agent within the 1 month prior to Day 1.
  6. Received any blood, blood product, or blood derivative within the 1 month prior to Day 1.
  7. Received Rituximab within the 3 months before Day 1.
  8. Pregnant or nursing.
  9. Tested positive for any of the following at screening: HBsAg, NAT for HCV, NAT for HIV, Antibodies to HCV or HIV 1 or 2.
  10. Had levels greater than 2.5 times the upper limit of normal at screening, as defined by the central laboratory, of alanine aminotransferase or aspartate aminotransferase.
  11. Had severe renal impairment (defined as serum creatinine greater than 2 times the upper limit of normal or BUN greater than 2.5 times the upper limit of normal for the range of the laboratory doing the analysis); on dialysis; a history of acute renal failure.
  12. Known to have abused alcohol, opiates, psychotropic agents, or other chemicals or drugs within the past 12 months.
  13. History of deep vein thrombosis (DVT) or thrombotic complications of IGIV therapy.
  14. Any history or sign of hyperviscosity, transient ischemic attack (TIA), stroke, other thromboembolic event, or unstable angina.
  15. Suffered from any acute or chronic medical conditions (e.g., renal disease or predisposing conditions for renal disease, coronary artery disease, or protein losing enteropathy) that, in the opinion of the investigator, may interfere with the conduct of the study.
  16. An acquired medical condition, such as chronic lymphocytic leukemia, lymphoma, multiple myeloma, chronic or recurrent neutropenia (defined as an absolute neutrophil count (ANC) < 1 x 109/L).
  17. Non-controlled arterial hypertension (systolic blood pressure >160 mmHg and/or diastolic blood pressure >90 mmHg).
  18. Anemic (hemoglobin <10 g/dL) at screening.
  19. Unlikely to adhere to the protocol requirements of the study or is likely to be uncooperative.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: N / A
  • Modelo Intervencionista: Asignación de un solo grupo
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Gammaplex (intravenous immunoglobulin)

Dosage form: Gammaplex® is a sterile liquid of 5 % w/v normal immunoglobulin. Gammaplex® contains 5 g/100 mL of human normal immunoglobulin (i.e. 50 g/L, of which virtually 100% is IgG).

The first course of GAMMAPLEX will be administered as an intravenous infusion of 1 g/kg on each of 2 consecutive days. If required, a further 1 or 2 courses on the same dosage regimen may be administered in the period Day 32 to Day 90 following the first course of GAMMAPLEX.

Otros nombres:
  • Gammaplex

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
The Number of Subjects With Chronic ITP Treated With Gammaplex Whose Platelet Count Reached a Threshold of 50 x 10^9/L.
Periodo de tiempo: 9 days
The number of subjects with chronic ITP treated following treatment with Gammaplex who attained a platelet count of ≥ 50 x 10^9/L by Day 9.
9 days

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
The Safety of GAMMAPLEX at the Dosage Used in This Study.
Periodo de tiempo: AEs were documented from the date the informed consent form was signed until the End of Study visit on Day 90.

The safety variables used to assess safety were the following:

  • Adverse events

    • The number and percent of infusions with at least 1 adverse event(AE) that occurs during an infusion or within 72 hours after the infusion stops
    • Nature, severity, and frequency of AEs
    • Suspected unexpected serious adverse reactions (SUSARs)
  • Vital signs
  • Clinical laboratory tests and Direct Coombs' Test
  • Transmission of viruses
  • Physical examination
AEs were documented from the date the informed consent form was signed until the End of Study visit on Day 90.
Duration of Time That the Platelet Count of Subjects With Chronic ITP Treated With Gammaplex Remained ≥ 50 x 10^9/L.
Periodo de tiempo: Days 1, 2, 3, 5, 9, 14, 21, 32.
Blood samples were collected to measure platelet counts and the duration of time for which the platelet count remained ≥50 x 10^9/L was measured.
Days 1, 2, 3, 5, 9, 14, 21, 32.

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Investigadores

  • Investigador principal: Tim J Aldwinckle, MD, Bio Products Laboratory

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Enlaces Útiles

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio

1 de septiembre de 2007

Finalización primaria (Actual)

1 de agosto de 2011

Finalización del estudio (Actual)

1 de agosto de 2011

Fechas de registro del estudio

Enviado por primera vez

18 de julio de 2007

Primero enviado que cumplió con los criterios de control de calidad

18 de julio de 2007

Publicado por primera vez (Estimar)

19 de julio de 2007

Actualizaciones de registros de estudio

Última actualización publicada (Estimar)

1 de marzo de 2013

Última actualización enviada que cumplió con los criterios de control de calidad

26 de febrero de 2013

Última verificación

1 de febrero de 2013

Más información

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

Ensayos clínicos sobre Gammaplex, intravenous immunoglobulin

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