- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT03339778
The Benefit of 5% IVIG for Patients With Primary Immunodeficiency Disorders Who Experience Adverse Events on 10% IVIG Preparations
7 november 2017 uppdaterad 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.
Studieöversikt
Status
Avslutad
Betingelser
Detaljerad beskrivning
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%.
Studietyp
Observationell
Inskrivning (Faktisk)
15
Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
10 år till 75 år (Barn, Vuxen, Äldre vuxen)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Allt
Testmetod
Icke-sannolikhetsprov
Studera befolkning
Diagnosis of PID - specifically common variable immunodeficiency (CVID)
Beskrivning
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
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
Vad mäter studien?
Primära resultatmått
Resultatmått |
Tidsram |
|---|---|
|
The change in the number of AEs post-infusion between any 10% IVIG product and octagam 5%
Tidsram: 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
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
The change in levels of inflammatory biomarkers associated with AEs between any 10% IVIG and octagam 5%
Tidsram: 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])
Tidsram: 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])
Tidsram: 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)
Tidsram: Screening and prior to last infusion up to 24 weeks
|
IgG trough level
|
Screening and prior to last infusion up to 24 weeks
|
Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Publikationer och användbara länkar
Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.
Allmänna publikationer
- 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.
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart (Faktisk)
1 juni 2015
Primärt slutförande (Faktisk)
1 november 2016
Avslutad studie (Faktisk)
1 september 2017
Studieregistreringsdatum
Först inskickad
31 mars 2015
Först inskickad som uppfyllde QC-kriterierna
7 november 2017
Första postat (Faktisk)
13 november 2017
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
13 november 2017
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
7 november 2017
Senast verifierad
1 november 2017
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- IIS201401-PID
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