Extension Study of Zemaira® i.v. Administration in Subjects With Emphysema Due to alpha1-proteinase Inhibitor Deficiency.

NCT ID: NCT00670007

Last Updated: 2016-08-15

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-04-30

Study Completion Date

2014-09-30

Brief Summary

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This study is a continuation of the placebo-controlled study CE1226\_4001 (NCT00261833) to evaluate the efficacy and safety of Zemaira® intravenous (i.v). administration in subjects with emphysema due to alpha1-proteinase inhibitor deficiency. The long-term verification of a disease-modifying benefit of Zemaira® on the progression of emphysema will be assessed by volume-adjusted lung density, measured yearly by computed tomography (CT).

Detailed Description

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Conditions

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Emphysema Alpha 1-proteinase Inhibitor Deficiency

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Zemaira®

Group Type EXPERIMENTAL

Alpha1- proteinase inhibitor [human]

Intervention Type BIOLOGICAL

Lyophilized preparation of 60 mg/kg body weight intravenously once per week

Interventions

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Alpha1- proteinase inhibitor [human]

Lyophilized preparation of 60 mg/kg body weight intravenously once per week

Intervention Type BIOLOGICAL

Other Intervention Names

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Zemaira® Respreeza®

Eligibility Criteria

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Inclusion Criteria

* Subjects who have completed the 2-year treatment and observation period in the Phase 3/4 Zemaira® CE1226\_4001 study (NCT00261833) and are willing to sign informed consent
* Males, and non-pregnant, non-lactating females, whose screening pregnancy test is negative and who are using contraceptive methods deemed reliable by the investigator

Exclusion Criteria

* Individuals residing in the US
* Current evidence of alcohol abuse or abuse of drugs such as barbiturates, benzodiazepines, amphetamines, cocaine, opioids, and cannabinoids
* History of allergy, anaphylactic reaction, or severe systemic response to human plasma derived products, or known mannitol hypersensitivity, or history of prior adverse reaction to mannitol
* Current tobacco smoker (smoking must be discontinued for at least 6 months prior to study participation)
* Conditions or behaviors that interfere with attending scheduled study visits in the opinion of the investigator
* History of non-compliance
* Administration of any other experimental new drug or participation in an investigation of a marketed product
* Inability to perform necessary study procedures
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CSL Behring

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Program Director, Clinical R&D

Role: STUDY_DIRECTOR

CSL Behring

Locations

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Study Site

Adelaide, South Australia, Australia

Site Status

Study Site

Fitzroy, Victoria, Australia

Site Status

Study Site

Darlinghurst, , Australia

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Study Site

Nedlands, , Australia

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Study Site

New Lambton, , Australia

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Study Site

Vancouver, British Columbia, Canada

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Study Site

Halifax, Nova Scotia, Canada

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Study Site

Toronto, Ontario, Canada

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Study Site

Praha 4 - Krc, , Czechia

Site Status

Study Site

Arhus C, , Denmark

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Study Site

Hellerup, , Denmark

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Study Site

Tartu, , Estonia

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Study Site

Oulu, , Finland

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Study Site

Essen, , Germany

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Study Site

Heidelberg, , Germany

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Study Site

Nuremberg, , Germany

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Study Site

Dublin, , Ireland

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Study Site

Krakow, , Poland

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Study Site

Warsaw, , Poland

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Study Site

Bucharest, , Romania

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Study Site

Malmo, , Sweden

Site Status

Countries

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Australia Canada Czechia Denmark Estonia Finland Germany Ireland Poland Romania Sweden

References

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Greulich T, Chlumsky J, Wencker M, Vit O, Fries M, Chung T, Shebl A, Vogelmeier C, Chapman KR, McElvaney NG; RAPID Trial Group. Safety of biweekly alpha1-antitrypsin treatment in the RAPID programme. Eur Respir J. 2018 Nov 29;52(5):1800897. doi: 10.1183/13993003.00897-2018. Print 2018 Nov.

Reference Type DERIVED
PMID: 30237305 (View on PubMed)

McElvaney NG, Burdon J, Holmes M, Glanville A, Wark PA, Thompson PJ, Hernandez P, Chlumsky J, Teschler H, Ficker JH, Seersholm N, Altraja A, Makitaro R, Chorostowska-Wynimko J, Sanak M, Stoicescu PI, Piitulainen E, Vit O, Wencker M, Tortorici MA, Fries M, Edelman JM, Chapman KR; RAPID Extension Trial Group. Long-term efficacy and safety of alpha1 proteinase inhibitor treatment for emphysema caused by severe alpha1 antitrypsin deficiency: an open-label extension trial (RAPID-OLE). Lancet Respir Med. 2017 Jan;5(1):51-60. doi: 10.1016/S2213-2600(16)30430-1. Epub 2016 Dec 2.

Reference Type DERIVED
PMID: 27916480 (View on PubMed)

Chapman KR, Burdon JG, Piitulainen E, Sandhaus RA, Seersholm N, Stocks JM, Stoel BC, Huang L, Yao Z, Edelman JM, McElvaney NG; RAPID Trial Study Group. Intravenous augmentation treatment and lung density in severe alpha1 antitrypsin deficiency (RAPID): a randomised, double-blind, placebo-controlled trial. Lancet. 2015 Jul 25;386(9991):360-8. doi: 10.1016/S0140-6736(15)60860-1. Epub 2015 May 27.

Reference Type DERIVED
PMID: 26026936 (View on PubMed)

Other Identifiers

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1466

Identifier Type: OTHER

Identifier Source: secondary_id

2007-007129-38

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CE1226_3001

Identifier Type: -

Identifier Source: org_study_id

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