A Clinical Study of Intravenous Immunoglobulin

NCT ID: NCT00468273

Last Updated: 2014-08-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

57 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-11-30

Study Completion Date

2009-08-31

Brief Summary

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The purpose of this study is to measure the pharmacokinetics, efficacy and safety of Immune Globulin Intravenous (Human) \[IGIV\], 5% Solution Omr-IgG-am™ in patients with primary immunodeficiency diseases.

Detailed Description

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This is an open label, single-arm, prospective, multi-center, uncontrolled Phase III clinical study to evaluate the efficacy, pharmacokinetics and safety of Omr-IgG-am™ in patients with primary immunodeficiency diseases.

Approximately 50 subjects will be enrolled for 16 Months:

screening- 1 month treatment-12 months follow-up-3 months

Subjects will be infused every 21 to 28 days according to their previous IVIG treatment schedule. Subjects treated every 28 days will receive 13 study IGIV infusions. Subjects treated every 21 days will receive 17 study IGIV infusions.

We will record the incidence of acute infections, especially acute serious bacterial infections, during the year each subjet is on study.

We will record the incidence of adverse events that occur during each infusion and up to 48 hours after each infusion.

At the time the study is explained to the subjects, each investigator will ask all subjects whose body weight is above 37 kg (or greater as defined by local standards) about their willingness to participate in the pharmacokinetic (PK) portion of the study. This will involve 4 additional visits after the 5th or 6th study IGIV infusion in order to draw blood samples for analysis.

Conditions

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Immunologic Deficiency Syndromes

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Intravenous Immune Globulin

Subjects with primary humoral immunodeficiency

Group Type EXPERIMENTAL

Immune Globulin Intravenous (Human) Omr-IgG-am IGIV

Intervention Type DRUG

IGIV infusions of 300-900 mg/kg every 3 or 4 weeks

Interventions

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Immune Globulin Intravenous (Human) Omr-IgG-am IGIV

IGIV infusions of 300-900 mg/kg every 3 or 4 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Ages 3 to 75 years and weigh at least 27 kg.
* Confirmed clinical diagnosis of a Primary Immune Deficiency disease including hypogammaglobulinemia, preferably with documented antibody deficiency, or agammaglobulinemia.
* Has been receiving licensed IGIV for at least 3 months prior to this study.
* Trough IgG levels, dose of IGIV, and treatment intervals for the last 2 consecutive licensed IGIV treatments must be documented.
* The subject or legal guardian has signed the informed consent form. If appropriate, the subject has signed a child assent form.
* The subject or legal representative has signed the HIPAA declaration.

Exclusion Criteria

* Subjects with isolated IgG subclass deficiency or specific antibody deficiency without hypogammaglobulinemia will not be eligible.
* The subject has a history of hypersensitivity or persistent or repeated adverse reactions to human immunoglobulin.
* The subject has selective IgA deficiency, history of reaction to products containing IgA, or is known to have antibodies to IgA.
* The subject is currently participating, or has participated within the previous 30 days, in another clinical study of an investigational product or device.
* The subject is pregnant or is nursing. Women of childbearing potential must agree to using a method of contraception.
* The subject has had an acute bacterial infection within 28 days of screening.
* The subject is seropositive for any of the following at screening:
* Antibodies to HIV 1\&2
* Antibodies to HCV
* HbsAg
* The subject, at screening, has alanine aminotransferase (ALT) levels greater than 2.5 times the upper limit of normal.
* The subject has severe renal impairment.
* The subject has a history of DVT, thrombotic or thrombic complications of IGIV therapy.
* The subject suffers from any acute or chronic medical condition that, in the opinion of the investigator, may interfere with the conduct of the study.
* The subject has an acquired medical condition known to cause secondary immune deficiency or otherwise increase the subject's risk of infection.
Minimum Eligible Age

3 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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OMRIX Biopharmaceuticals

INDUSTRY

Sponsor Role collaborator

FFF Enterprises

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Chaim Roifman, MD

Role: STUDY_CHAIR

The Hospital for Sick Children

Robert Roberts, MD

Role: PRINCIPAL_INVESTIGATOR

Mattel Children's Hospital of UCLA

Isaac R Melamed, MD

Role: PRINCIPAL_INVESTIGATOR

1st Allergey and Clinical Research Center

James Moy, MD

Role: PRINCIPAL_INVESTIGATOR

Rush Universitity Medical Centre

Eyal Grunebaum, MD

Role: PRINCIPAL_INVESTIGATOR

The Hospital for Sick Children

Gordan L Sussman, MD

Role: PRINCIPAL_INVESTIGATOR

University of Toronto

Akhilesh Chouksey, MD

Role: PRINCIPAL_INVESTIGATOR

Rainbow Babies and Children's Hospital

Mark Stein, MD

Role: PRINCIPAL_INVESTIGATOR

Allergy Associates of the Palm Beaches

Richard L Wasserman, MD

Role: PRINCIPAL_INVESTIGATOR

Daniel Suez, MD

Role: PRINCIPAL_INVESTIGATOR

Allergy, Asthma and Immunology Clinic PA

Don McNeil, MD

Role: PRINCIPAL_INVESTIGATOR

Optimed Research LLC

Locations

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Mattel Children's Hospital of UCLA

Los Angeles, California, United States

Site Status

1st Allergy and Clinical Research Center

Centennial, Colorado, United States

Site Status

Allergy Associates of the Palm Beaches

North Palm Beach, Florida, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

Rainbow Babies and Children's Hospital

Cleveland, Ohio, United States

Site Status

Optimed Research, LLC

Columbus, Ohio, United States

Site Status

Pediatric Allergy Immunology Associates

Dallas, Texas, United States

Site Status

Allergy, Asthma and Immunology Clinic PA

Irving, Texas, United States

Site Status

University of Toronto

Toronto, Ontario, Canada

Site Status

The Hospital for Sick Children

Toronto, Ontario, Canada

Site Status

Countries

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United States Canada

References

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Ten RM. Primary immunodeficiencies. Mayo Clin Proc. 1998 Sep;73(9):865-72. doi: 10.4065/73.9.865.

Reference Type BACKGROUND
PMID: 9737224 (View on PubMed)

Bonilla FA, Geha RS. 12. Primary immunodeficiency diseases. J Allergy Clin Immunol. 2003 Feb;111(2 Suppl):S571-81. doi: 10.1067/mai.2003.86.

Reference Type BACKGROUND
PMID: 12592303 (View on PubMed)

Bonilla FA, Bernstein IL, Khan DA, Ballas ZK, Chinen J, Frank MM, Kobrynski LJ, Levinson AI, Mazer B, Nelson RP Jr, Orange JS, Routes JM, Shearer WT, Sorensen RU; American Academy of Allergy, Asthma and Immunology; American College of Allergy, Asthma and Immunology; Joint Council of Allergy, Asthma and Immunology. Practice parameter for the diagnosis and management of primary immunodeficiency. Ann Allergy Asthma Immunol. 2005 May;94(5 Suppl 1):S1-63. doi: 10.1016/s1081-1206(10)61142-8. No abstract available.

Reference Type BACKGROUND
PMID: 15945566 (View on PubMed)

Chapel HM. Consensus on diagnosis and management of primary antibody deficiencies. Consensus Panel for the Diagnosis and Management of Primary Antibody Deficiencies. BMJ. 1994 Feb 26;308(6928):581-5. doi: 10.1136/bmj.308.6928.581. No abstract available.

Reference Type BACKGROUND
PMID: 8148684 (View on PubMed)

Roifman CM, Levison H, Gelfand EW. High-dose versus low-dose intravenous immunoglobulin in hypogammaglobulinaemia and chronic lung disease. Lancet. 1987 May 9;1(8541):1075-7. doi: 10.1016/s0140-6736(87)90494-6.

Reference Type BACKGROUND
PMID: 2883406 (View on PubMed)

Eijkhout HW, van Der Meer JW, Kallenberg CG, Weening RS, van Dissel JT, Sanders LA, Strengers PF, Nienhuis H, Schellekens PT; Inter-University Working Party for the Study of Immune Deficiencies. The effect of two different dosages of intravenous immunoglobulin on the incidence of recurrent infections in patients with primary hypogammaglobulinemia. A randomized, double-blind, multicenter crossover trial. Ann Intern Med. 2001 Aug 7;135(3):165-74. doi: 10.7326/0003-4819-135-3-200108070-00008.

Reference Type BACKGROUND
PMID: 11487483 (View on PubMed)

Roifman CM, Schroeder H, Berger M, Sorensen R, Ballow M, Buckley RH, Gewurz A, Korenblat P, Sussman G, Lemm G. Comparison of the efficacy of IGIV-C, 10% (caprylate/chromatography) and IGIV-SD, 10% as replacement therapy in primary immune deficiency. A randomized double-blind trial. Int Immunopharmacol. 2003 Sep;3(9):1325-33. doi: 10.1016/s1567-5769(03)00134-6.

Reference Type BACKGROUND
PMID: 12890430 (View on PubMed)

Berger M. A history of immune globulin therapy, from the Harvard crash program to monoclonal antibodies. Curr Allergy Asthma Rep. 2002 Sep;2(5):368-78. doi: 10.1007/s11882-002-0069-z.

Reference Type BACKGROUND
PMID: 12165202 (View on PubMed)

Other Identifiers

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NCT00468273

Identifier Type: REGISTRY

Identifier Source: secondary_id

GAM-PID-03-US

Identifier Type: -

Identifier Source: org_study_id

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