Gammagard Liquid and rHuPH20 in PID
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Purpose
The purpose of the study is to develop a subcutaneous treatment option for subjects with PID that allows an administration of Immune Globulin Intravenous (Human), 10% at the same frequency as IV administration.
| Condition | Intervention | Phase |
|---|---|---|
|
Primary Immunodeficiency Diseases (PID) |
Biological: Recombinant human hyaluronidase + immune globulin intravenous |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Efficacy, Tolerability and Pharmacokinetic Comparison of Immune Globulin Intravenous (Human), 10% (GAMMAGARD LIQUID/KIOVIG) Administered Intravenously or Subcutaneously Following Administration of Recombinant Human Hyaluronidase (rHuPH20) in Subjects With Primary Immunodeficiency Diseases |
- The primary endpoint is the validated acute serious bacterial infection rate, defined as the mean number of validated acute serious bacterial infections per subject per year in the intent-to-treat population. [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]
| Enrollment: | 89 |
| Study Start Date: | December 2008 |
| Study Completion Date: | January 2011 |
| Primary Completion Date: | November 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Efficacy and tolerability of SC infusions
|
Biological: Recombinant human hyaluronidase + immune globulin intravenous
Comprises subjects previously participating in Study 160601, who now only complete Study Epoch 2 (SC infusions) as bioavailability/exposure for IV treatment was already obtained in Study 160601. Study Epoch 2: Dose (calculated) of rHuPH20 followed by dose (calculated) of IGIV, 10% by SC infusion. Treatment intervals and doses are to be increased as defined, until treatment interval is the same as the pre-study treatment interval for IV treatment. |
|
Experimental: 2
Pharmacokinetics of IV treatment and efficacy and tolerability of SC infusions
|
Biological: Recombinant human hyaluronidase + immune globulin intravenous
Comprises all other subjects. Study Epoch 1: IV infusion of IGIV, 10% (same dose and frequency as pre-study) to determine pharmacokinetics. Study Epoch 2: Dose (calculated) of rHuPH20 followed by dose (calculated) of IGIV, 10% by SC infusion. Treatment intervals and doses are to be increased as defined, until treatment interval is the same as the pre-study treatment interval for IV treatment. |
Eligibility| Ages Eligible for Study: | 2 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Subject is 2 years or older at the time of screening
- Written informed consent obtained from either the subject or the subject's legally acceptable representative prior to any study-related procedures and study product administration
- Subject has been diagnosed with a PID disorder requiring antibody replacement as defined by WHO criteria
- Subject has completed or is about to complete Baxter Clinical Study Protocol No. 160601 or has been receiving a regular IGIV-treatment at mean intervals of 21 ± 3 days or 28 ± 3 days, or SC at mean intervals of 5 to 16 days, over a period of at least 3 months prior to enrollment at a minimum dose of 300 mg/kg BW/4 weeks
- Subject has a serum trough level of IgG > 4.5 g/L at the last documented determination
- If female of childbearing potential, subject presents with a negative urine pregnancy test and agrees to employ adequate birth control measures for the duration of the study
- Subject is willing and able to comply with the requirements of the protocol
Exclusion Criteria:
- Subject is positive at enrollment or screening for one or more of the following: Hepatitis B surface antigen (HbsAg), polymerase chain reaction (PCR) for Hepatitis C Virus (HCV), PCR for Human immunodeficiency virus (HIV) Type 1/2
- Subject has levels of alanine aminotransferase (ALT) or aspartate amino transferase (AST) > 2.5 times the upper limit of normal for the testing laboratory
- Subject has persistent severe neutropenia (defined as an absolute neutrophil count [ANC] <= 500/mm3)
- Subject has creatinine clearance values, calculated according to the formula below, which are < 60% of normal for age and gender for males: CLcr = [(140 - Age(years)) * (body weight (kg))] / [72 * (Serum Creatinine (mg/dL))] for females: CLcr = [(140 - Age(years)) * (body weight(kg)) * 0.85] / [72 * (Serum Creatinine (mg/dL))]
- Subject has malignancy other than adequately treated basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix
- Subject has a history of thrombotic episodes (including deep vein thrombosis, myocardial infarction, cerebrovascular accident, pulmonary embolism) within the last 12 months
- Subject has abnormal protein loss (protein losing enteropathy, nephrotic syndrome)
- Subject has anemia that would preclude phlebotomy for laboratory studies
- Subject has received any blood or blood product other than an IGIV, SC immunoglobulin, immune serum globulin (ISG) preparation, or albumin within the 6 months prior to enrollment
- Subject has an ongoing history of hypersensitivity or persistent reactions (urticaria, breathing difficulty, severe hypotension, or anaphylaxis) following IGIV, SC immunoglobulin, and/or ISG infusions
- Subject has immunoglobulin A (IgA) deficiency and known anti IgA antibodies
- Subject is on preventative (prophylactic) antibiotics and cannot stop antibiotics at the time of enrollment
- Subject has active infection who started on antibiotic therapy for the treatment of infection within 7 days prior to screening
- Subject has a bleeding disorder or are on anti-coagulation therapy
- Subject has total protein > 9 g/dL and subjects with myeloma, macroglobulinemia (IgM) and paraproteinemia
- Subject has a known allergy to hyaluronidase
- If female, subject is pregnant or lactating at the time of study enrollment
- Subject has participated in another clinical study involving an investigational product (IP) or device within 30 days prior to study enrollment or is scheduled to participate in another clinical study involving an IP or device during the course of this study; exception: Baxter Study No. 160601
Contacts and Locations| United States, California | |
| West Coast Clinical Trials | |
| Cypress, California, United States, 90360 | |
| University of California, Irvine | |
| Irvine, California, United States, 92697 | |
| Children´s Hospital Los Angeles, Division of Clinical Immunology & Allergy | |
| Los Angeles, California, United States, 90027 | |
| UCLA Schoold of Medicine / UCLA Medical Center, Dept. of Pediatrics | |
| Los Angeles, California, United States, 90095 | |
| University of California | |
| San Francisco, California, United States, 94143 | |
| United States, Colorado | |
| IMMUNOe International Research Centers | |
| Centennial, Colorado, United States, 80112 | |
| United States, Florida | |
| Allergy Associates of the Palm Beaches, P.A. | |
| North Palm Beach, Florida, United States, 33408 | |
| United States, Georgia | |
| Emory University | |
| Atlanta, Georgia, United States, 30322 | |
| United States, Illinois | |
| Allergy and Asthma Physicians | |
| Hinsdale, Illinois, United States, 60521 | |
| United States, Nebraska | |
| Allergy Asthma & Immunology Associates | |
| Omaha, Nebraska, United States, 68124 | |
| United States, New York | |
| Montefiore Medical Center, Albert Einstein College of Medicine | |
| Bronx, New York, United States, 10461 | |
| United States, Texas | |
| Dallas Allergy Immunology Research, 7777 Forest Lane, Suite B-332 | |
| Dallas, Texas, United States, 75230 | |
| University of Texas Medical Branch | |
| Galveston, Texas, United States, 77555-0561 | |
| Canada, British Columbia | |
| St. Paul´s Hospital, Pacific Lung Health Centre | |
| Vancouver, British Columbia, Canada, V6Z 1Y6 | |
| Study Director: | Baxter BioScience Investigator, MD | Baxter Healthcare Corporation |
More Information
No publications provided
| Responsible Party: | Richard Schiff, MD, Baxter Healthcare Corporation |
| ClinicalTrials.gov Identifier: | NCT00814320 History of Changes |
| Other Study ID Numbers: | 160603 |
| Study First Received: | December 23, 2008 |
| Last Updated: | November 30, 2011 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Immunologic Deficiency Syndromes Immune System Diseases Antibodies Immunoglobulins Immunoglobulins, Intravenous |
Rho(D) Immune Globulin Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 16, 2013