Subcutaneous Ig NextGen 16% in PID Patients
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Purpose
This study aims to assess the safety, tolerability, efficacy and pharmacokinetics of Ig NextGen 16% in people with antibody deficiency currently being treated with IntragamP. Ig NextGen 16% is a liquid immunoglobulin (antibody) preparation manufactured using predominately chromatographic techniques. Eligible patients will switch from monthly intravenous IntragamP therapy to weekly subcutaneous Ig NextGen 16% treatment. Initial hospital training will be required for subcutaneous administration and then the patient will perform the infusion in their own home, returning once a month for a supervised infusion. Patients will be monitored on the study for up to 10 months to assess blood IgG levels and rate of serious bacterial infections.
| Condition | Intervention | Phase |
|---|---|---|
|
Primary Immunodeficiency (PID) |
Drug: IgNextGen 16% |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Multi-centre, Open-label Study to Assess the Efficacy, Tolerability, Safety and Pharmacokinetics of Subcutaneous Infusions of Ig NextGen 16% in Patients With Primary Immunodeficiency (PID). |
- Efficacy [ Time Frame: Continually from Visits 7 to 12 & monthly IgG troughs ] [ Designated as safety issue: No ]
- Safety, Tolerability, Quality of Life, Pharmacokinetics [ Time Frame: Visits 0, 6, 9, and12 ] [ Designated as safety issue: Yes ]
| Enrollment: | 35 |
| Study Start Date: | April 2007 |
| Study Completion Date: | October 2009 |
| Primary Completion Date: | October 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Ig NextGen 16% |
Drug: IgNextGen 16%
IgNextGen 16% administered subcutaneously on a weekly basis from visit 1 to 12
|
Eligibility| Ages Eligible for Study: | 3 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Inclusion Criteria:
- Males or females 3 years of age or greater and at least 13 kg at enrolment.
- PID patients receiving Ig replacement therapy, with a diagnosis of X-linked agammaglobulinemia (XLA) or Common Variable immunodeficiency (CVID) with severe hypogammaglobulinemia.
- Patients who have received a consistent dose of Intragam®P at 3-, 4-, 5- or 6-weekly intervals, within the range of 0.2 - 0.6 g/kg body weight, for at least six months prior to the Screening visit.
- Patients must have maintained IgG trough serum level of ≥ 5 g/L during the six months prior to Visit 0, with at least two trough levels to have been documented during this period.
- Patients and/or their legally acceptable representative/guardian must give written informed consent to participate in the study and must understand the nature of the study and must be willing to comply with all protocol requirements
Exclusion Criteria:
• Patients newly diagnosed with PID within six months of the Screening visit.
- Patients with known or suspected severe hypersensitivity or previous evidence of severe side effects to immunoglobulin therapy or other blood products
- Patients with known selective IgA deficiency or antibodies to IgA
- Patients receiving immunosuppressive treatment other than topical and/or inhaled steroids and low dose oral steroids.
- Females who are pregnant, breast feeding or planning a pregnancy during the course of the study. Females who are of child bearing potential must have a negative pregnancy test at screening.
- Patients with protein-losing enteropathies, and kidney diseases with substantial proteinuria
- Patients with malignancies of lymphoid cells such as chronic lymphocytic leukaemia, Non-Hodgkin's lymphoma and immunodeficiency with thymoma.
- Patients who have within 30 days priors to the study screening visit, participated in a clinical study or used an investigational compound (eg: a new chemical entity not registered for clinical use).
Patients with any of the following abnormal lab results:
- Serum creatinine >1.5 x Upper limit of Normal (ULN).
- Serum ALT & AST > 2.5 x ULN.
- Albumin < 25 g/L
- Patients who are suffering from an acute or chronic medical condition, other than PID, which may, in the opinion of the Investigator, affect the conduct of the trial.
- Patients who are not willing or are unable to comply with protocol.
Contacts and Locations| Australia, Australian Capital Territory | |
| The Canberra Hospital | |
| Garran, Australian Capital Territory, Australia, 2605 | |
| Australia, New South Wales | |
| John Hunter Hospital | |
| New Lambton Heights, New South Wales, Australia, 2305 | |
| Sydney Children's Hospital | |
| Randwick, New South Wales, Australia, 2031 | |
| Australia, South Australia | |
| Royal Adelaide Hospital | |
| Adelaide, South Australia, Australia, 5000 | |
| Women's & Children's Hospital | |
| North Adelaide, South Australia, Australia, 5006 | |
| Australia, Victoria | |
| Frankston Hospital | |
| Frankston, Victoria, Australia | |
| Royal Children's Hospital | |
| Melbourne, Victoria, Australia, 3052 | |
| Australia, Western Australia | |
| Princess Margaret Hospital for Children | |
| Perth, Western Australia, Australia | |
| New Zealand | |
| Auckland Hospital | |
| Auckland, New Zealand | |
| Starship Children's Hospital | |
| Auckland, New Zealand | |
| Christchurch Hospital | |
| Christchurch, New Zealand | |
| Wellington Hospital | |
| Wellington, New Zealand | |
| Principal Investigator: | Marianne Empson, Dr | Auckland City Hospital |
More Information
Publications:
| Responsible Party: | CSL Limited |
| ClinicalTrials.gov Identifier: | NCT00391131 History of Changes |
| Other Study ID Numbers: | CSLCT-SCIG-05-23 |
| Study First Received: | October 20, 2006 |
| Last Updated: | June 5, 2012 |
| Health Authority: | Australia: Department of Health and Ageing Therapeutic Goods Administration |
Keywords provided by CSL Limited:
|
PID SCIG Ig Quality of Life Serious Bacterial Infections |
Additional relevant MeSH terms:
|
Immunologic Deficiency Syndromes Immune System Diseases |
ClinicalTrials.gov processed this record on May 22, 2013