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

2013年2月26日 更新者: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.

研究概览

详细说明

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.

研究类型

介入性

注册 (实际的)

35

阶段

  • 第三阶段

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

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

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 至 70年 (成人、年长者)

接受健康志愿者

有资格学习的性别

全部

描述

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.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:不适用
  • 介入模型:单组作业
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
实验性的: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.

其他名称:
  • Gammaplex

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
The Number of Subjects With Chronic ITP Treated With Gammaplex Whose Platelet Count Reached a Threshold of 50 x 10^9/L.
大体时间: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

次要结果测量

结果测量
措施说明
大体时间
The Safety of GAMMAPLEX at the Dosage Used in This Study.
大体时间: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.
大体时间: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.

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 首席研究员:Tim J Aldwinckle, MD、Bio Products Laboratory

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

有用的网址

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2007年9月1日

初级完成 (实际的)

2011年8月1日

研究完成 (实际的)

2011年8月1日

研究注册日期

首次提交

2007年7月18日

首先提交符合 QC 标准的

2007年7月18日

首次发布 (估计)

2007年7月19日

研究记录更新

最后更新发布 (估计)

2013年3月1日

上次提交的符合 QC 标准的更新

2013年2月26日

最后验证

2013年2月1日

更多信息

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

Gammaplex, intravenous immunoglobulin的临床试验

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