- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT03339778
The Benefit of 5% IVIG for Patients With Primary Immunodeficiency Disorders Who Experience Adverse Events on 10% IVIG Preparations
7. november 2017 oppdatert av: IMMUNOe Research Centers
An Investigator Driven Observational Study to Determine the Benefit of Octagam 5% for Treatment of Patients Diagnosed With Primary Immunodeficiency Disorders (PID) on Intravenous Immunoglobulin (IVIG) Therapy That Experience Adverse Events (AEs) on Any 10% IVIG Preparation
Patients with primary immunodeficiency disorders (PID) on intravenous immunoglobulin (IVIG) treatment may experience adverse events (AEs).
Patients who experience AEs on any 10% IVIG solution will be changed to octagam 5% for six infusions to evaluate the potential benefit for reduction of AEs on a lower concentration IVIG product.
Studieoversikt
Status
Fullført
Forhold
Detaljert beskrivelse
Patients with PID require life long immunoglobulin (Ig) replacement therapy with IVIG being the most common form.
As more 10% IVIG products are FDA approved, the older and well characterized 5% IVIG products are becoming less used.
Currently, the standard of care for patients who experience AEs on IVIG is to move to a subcutaneous (SCIG) delivery and product.
This study will evaluate the AEs on a 10% product and octagam 5%.
The study will enroll 15 patients after an AE on any 10% product who will then be infused with octagam 5% for six infusions.
AEs will be documented and compared to the 10% product along with changes in biomarkers.
The study data may document another therapeutic option for patients who experience AEs - SCIG and octagam 5%.
Studietype
Observasjonsmessig
Registrering (Faktiske)
15
Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
10 år til 75 år (Barn, Voksen, Eldre voksen)
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Alle
Prøvetakingsmetode
Ikke-sannsynlighetsprøve
Studiepopulasjon
Diagnosis of PID - specifically common variable immunodeficiency (CVID)
Beskrivelse
Inclusion Criteria:
- Participants, or legal guardians with assent by underage children, will sign informed consent/assent and are willing to comply with all aspects of the study
- Diagnosis of CVID according IUIS Expert Committee
- Participants on a 10% product who experience AEs
- Ages between 10 and 75 years of age
- Participants on 10% IVIG therapy every 21±3 days or 28±3 days between 300 - 800 mg/Kg body weight
Exclusion Criteria:
- Acute infection requiring antibiotic therapy within 7 days prior to visit 1
- Presence of any condition that is likely to interfere with the evaluation of the study medication or satisfactory conduct of the trial
- History of anaphylactic or severe systemic reactions to human immunoglobulin
- IgA deficient patients with antibodies against IgA and a history of hypersensitivity
- Females who are pregnant or lactating
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
Hva måler studien?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
The change in the number of AEs post-infusion between any 10% IVIG product and octagam 5%
Tidsramme: AEs will be documented at screening and up to 72 hours post-infusion for six infusions up to 24 weeks
|
AEs will be documented at screening and up to 72 hours post-infusion for six infusions up to 24 weeks
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
The change in levels of inflammatory biomarkers associated with AEs between any 10% IVIG and octagam 5%
Tidsramme: Levels will be documented at screening and up to 72 hours post-infusion for six infusions up to 24 weeks
|
Levels will be documented at screening and up to 72 hours post-infusion for six infusions up to 24 weeks
|
|
|
Safety Evaluations (complete blood count [CBC])
Tidsramme: Screening and prior to each infusion (six infusions total) up to 24 weeks
|
CBC
|
Screening and prior to each infusion (six infusions total) up to 24 weeks
|
|
Safety evaluations (Complete Metabolic profile[CMP])
Tidsramme: Screening and prior to each infusion (six infusions total) up to 24 weeks
|
CMP
|
Screening and prior to each infusion (six infusions total) up to 24 weeks
|
|
Safety evaluations (IgG trough level)
Tidsramme: Screening and prior to last infusion up to 24 weeks
|
IgG trough level
|
Screening and prior to last infusion up to 24 weeks
|
Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Generelle publikasjoner
- Kaveri SV, Maddur MS, Hegde P, Lacroix-Desmazes S, Bayry J. Intravenous immunoglobulins in immunodeficiencies: more than mere replacement therapy. Clin Exp Immunol. 2011 Jun;164 Suppl 2(Suppl 2):2-5. doi: 10.1111/j.1365-2249.2011.04387.x.
- Geha RS, Notarangelo LD, Casanova JL, Chapel H, Conley ME, Fischer A, Hammarstrom L, Nonoyama S, Ochs HD, Puck JM, Roifman C, Seger R, Wedgwood J; International Union of Immunological Societies Primary Immunodeficiency Diseases Classification Committee. Primary immunodeficiency diseases: an update from the International Union of Immunological Societies Primary Immunodeficiency Diseases Classification Committee. J Allergy Clin Immunol. 2007 Oct;120(4):776-94. doi: 10.1016/j.jaci.2007.08.053.
- Deane S, Selmi C, Naguwa SM, Teuber SS, Gershwin ME. Common variable immunodeficiency: etiological and treatment issues. Int Arch Allergy Immunol. 2009;150(4):311-24. doi: 10.1159/000226232. Epub 2009 Jul 1. Erratum In: Int Arch Allergy Immunol. 2010;151(4):284. Dosage error in article text.
- Maarschalk-Ellerbroek LJ, Hoepelman IM, Ellerbroek PM. Immunoglobulin treatment in primary antibody deficiency. Int J Antimicrob Agents. 2011 May;37(5):396-404. doi: 10.1016/j.ijantimicag.2010.11.027. Epub 2011 Jan 26.
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Faktiske)
1. juni 2015
Primær fullføring (Faktiske)
1. november 2016
Studiet fullført (Faktiske)
1. september 2017
Datoer for studieregistrering
Først innsendt
31. mars 2015
Først innsendt som oppfylte QC-kriteriene
7. november 2017
Først lagt ut (Faktiske)
13. november 2017
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
13. november 2017
Siste oppdatering sendt inn som oppfylte QC-kriteriene
7. november 2017
Sist bekreftet
1. november 2017
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- IIS201401-PID
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .
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