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Open Label, Phase III Study of NABI-IGIV 10% [Immune Globulin Intravenous(Human), 10%] In Subjects With Primary Immune Deficiency Disorders (PIDD)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00538915
Recruitment Status : Completed
First Posted : October 3, 2007
Results First Posted : March 26, 2012
Last Update Posted : March 10, 2017
Information provided by (Responsible Party):
Biotest Pharmaceuticals Corporation

Brief Summary:
The purpose of this study is to determine if NABI-IGIV (10%) [Immune Globulin Intravenous (Human), 10%] is safe and effective in preventing serious bacterial infections (SBIs) in the treatment of patients with primary immune deficiency disorders (PIDD) when compared to historical control data.

Condition or disease Intervention/treatment Phase
Primary Immune Deficiency Disorders (PIDD) Biological: Nabi-IGIV 10% [Immune Globulin Intravenous (Human). 10%] Phase 3

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 63 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Open Label, Phase III Safety, Efficacy, and Pharmacokinetic Study of NABI-IGIV 10% [Immune Globulin Intravenous (Human), 10%] in Subjects With Primary Immune Deficiency Disorders (PIDD)
Study Start Date : September 2007
Actual Primary Completion Date : July 2009
Actual Study Completion Date : July 2009

Arm Intervention/treatment
Experimental: Nabi-IGIV Infused Every 3- or 4-Weeks Biological: Nabi-IGIV 10% [Immune Globulin Intravenous (Human). 10%]
Nabi-IGIV 10% [Immune Globulin Intravenous (Human), 10%] is a clear or slightly opalescent, colorless to pale yellow sterile solution of 10% protein concentration of immunoglobulin G (100mg/mL). It is packaged as 5g in 50mL solution and 10g in 100mL solution. Dosing will be 300-800 mg/kg based on subject's prior dosing history. Infusions will be every 3 or 4 weeks.

Primary Outcome Measures :
  1. Serious Bacterial Infections (SBIs) Compared to Historical Control Data. [ Time Frame: One year ]
    Serious bacterial infections (SBIs) rate per person-years, including bacteremia/sepsis, bacterial meningitis, osteomyelitis/septic arthritis, bacterial pneumonia and visceral abscess.

Information from the National Library of Medicine

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Ages Eligible for Study:   6 Years to 75 Years   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Male or female, age ≥ 6 and ≤ 75, with a documented and confirmed pre-existing diagnosis of chronic primary immune deficiency (PIDD) with a low total immunoglobulin G (IgG) level and deficient antibody production before chronic therapy (i.e., X-linked agammaglobulinemia, common variable immunodeficiency (CVID), Hyper IgM Syndrome with immunoglobulin G (IgG) deficiency, etc).
  • Currently on immune globulin intravenous (IGIV) replacement therapy at a fixed interval and dosage with a total monthly dose of immune globulin intravenous (IGIV) between 300 and 800 mg/kg that has been stable for at least 3 months prior to screening.
  • Documented (within 3 months) plasma immunoglobulin G (IgG) trough level of >500 mg/dL on current immunoglobulin G (IgG) therapy [immunoglobulin G (IgG) levels may be obtained at screening if previous results not available].
  • Medical records documenting infections and treatment within the previous 2 years need to be available for review.
  • Subject or legal guardian(s) must have given written informed consent/assent.
  • If a menstruating female, have a negative serum or urine pregnancy test within 7 days prior to the first dose of Nabi-IGIV [immune globulin intravenous (Human) 10%] and agree to use an acceptable method of contraception or be at least one year post-menopausal or surgically sterile.

Exclusion Criteria:

  • Received any blood product [other than immune globulin intravenous (IGIV)] within the last 3 months prior to screening or received any investigational agent [other than immune globulin intravenous (IGIV)] within the last four weeks prior to receiving Nabi-IGIV [immune globulin intravenous (Human) 10%].
  • Known history of medically significant adverse reactions to other immunoglobulin G (IgG) or blood products.
  • Known selective immunoglobulin A (IgA) deficiency, history of allergic reaction to products containing immunoglobulin A (IgA) or has a history of antibodies to immunoglobulin A (IgA).
  • Known significant proteinuria and/or has a history of acute renal failure/or severe renal impairment [blood urea nitrogen (BUN) or creatinine more than 1.5 times the upper limit of normal].
  • Known history or current diagnosis of deep venous thrombosis.
  • Known medical condition that is known to cause secondary immune deficiency, such as chronic lymphocytic leukemia, lymphoma, multiple myeloma, human immunodeficiency virus (HIV) infection, acquired immunodeficiency syndrome (AIDS), or chronic or recurrent neutropenia (absolute neutrophil count less than 500 mm3).
  • Current daily use of corticosteroids (> 10 mg of prednisone equivalent /day for > 30 days), immunosuppressants or immunomodulators. (Intermittent corticosteroid use during the study is allowable, if medically necessary.)
  • Known non-controllable arterial hypertension (systolic blood pressure (BP) > 160 mmHg and /or diastolic BP >100 mmHg.)
  • Known anemia at screening (hemoglobin <10 g/dL).
  • Subject is pregnant or lactating.
  • Known history of illicit drug use within 3 months prior to the administration of the investigational product and for the study duration.
  • Have any condition judged by the study physician to preclude participation in the study, including any psychological disorder, which might hinder compliance.
  • Known active viral or bacterial infection or symptoms/signs consistent with such an infection within the two weeks prior to the initial dose of investigational product infusion. Subjects may be on antibiotics as long as signs/symptoms of infection have been absent for two weeks prior to the initial infusion of investigational product (IP).
  • Expectation of non-compliance with the protocol procedures and visit schedule.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00538915

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United States, Alabama
University of Alabama
Birmingham, Alabama, United States, 35294
United States, Arizona
Precision Trials LLC
Phoenix, Arizona, United States, 85032
United States, California
Children's Hospital of Los Angeles
Los Angeles, California, United States, 90027
United States, Colorado
1st Allergy and Clinical Resaerch center
Centennial, Colorado, United States, 80112
United States, Florida
Allergy Associates of the Palm Beaches
North Palm Beach, Florida, United States, 33408
United States, Georgia
Marietta Pulmonary Medicine
Marietta, Georgia, United States, 30060
United States, Illinois
Rush University Medical center
Chicago, Illinois, United States, 60612
United States, Indiana
South Bend Clinic LLP
South Bend, Indiana, United States, 46617
United States, Kentucky
Kentuky Lung Clinic, PSC
Hazard, Kentucky, United States, 41701
United States, Maryland
Institute For Allergy & Asthma
Wheaton, Maryland, United States, 20902
United States, Missouri
Cardinal Glennon Children's MC
Saint Louis, Missouri, United States, 63104
United States, New York
Women's and Children's Hospital of Buffalo
Buffalo, New York, United States, 14222
United States, Ohio
University Hospital Case medical center
Ciere, Ohio, United States, 44103
United States, Texas
Allergy/Immunology Research Center of north Texas
Dallas, Texas, United States, 75230
AARA Research
Dallas, Texas, United States, 75231
Allergy, Asthma & Immunology Clinic, PA
Irving, Texas, United States, 75063
United States, Washington
Bellingham Asthma, Allergy Clinic
Bellingham, Washington, United States, 98225
Sponsors and Collaborators
Biotest Pharmaceuticals Corporation
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Study Director: Shailesh Chavan, M.D. Biotest Pharmaceuticals Corporation

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Responsible Party: Biotest Pharmaceuticals Corporation Identifier: NCT00538915     History of Changes
Other Study ID Numbers: Nabi-7101
First Posted: October 3, 2007    Key Record Dates
Results First Posted: March 26, 2012
Last Update Posted: March 10, 2017
Last Verified: February 2012

Keywords provided by Biotest Pharmaceuticals Corporation:
humoral immunity
antibody deficiency

Additional relevant MeSH terms:
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Immunologic Deficiency Syndromes
Pathologic Processes
Immune System Diseases
Immunoglobulins, Intravenous
Rho(D) Immune Globulin
Immunoglobulin G
Immunologic Factors
Physiological Effects of Drugs