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Efficacy, Safety and Kinetics Study of Octagam 10% in Primary Immunodeficiency Diseases

Primary Purpose

Immunologic Deficiency Syndromes

Status
Terminated
Phase
Phase 3
Locations
Austria
Study Type
Interventional
Intervention
Octagam 10%
Sponsored by
Octapharma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Immunologic Deficiency Syndromes

Eligibility Criteria

2 Years - 75 Years (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Confirmed diagnosis of primary immunodeficiency (acc. WHO)
  • Previous treatment with commercial Octagam 5% every 3-4 weeks for at least 6 infusions intervals
  • Documented IgG trough levels of the two previous infusions before enrollment with a value of at least 5.5 g/L for both

Exclusion Criteria:

  • Acute infection requiring intravenous antibiotic treatment within two weeks before screening
  • Exposure to blood or any blood product or derivative other than commercially available Octagam 5%, within the past 3 months
  • History of hypersensitivity to blood or plasma derived products
  • Requirement of any routine premedication for IGIV treatment
  • History of congenital impairment of pulmonary function
  • Severe liver function impairment
  • Severe renal function impairment or predisposition for acute renal failure
  • History of autoimmune haemolytic anaemia
  • History of diabetes mellitus
  • Congestive heart failure NYHA III or IV
  • Non-controlled arterial hypertension
  • History of DVT or thrombotic complications with IGIV treatment
  • Known infection with HIV, HCV or HBV
  • Treatment with steroids, immunosuppressive or immunomodulatory drugs
  • Planned vaccination during study period
  • Pregnant or nursing woman

Sites / Locations

  • Contact Barbara Pyringer at Octapharma/ Vienna/ Austria for information

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Octagam 10%

Arm Description

Outcomes

Primary Outcome Measures

Adverse Events
Occurrence of Adverse Events
Pharmacokinetics of Serum Total IgG and IgG Subclasses (IgG1, IgG2, IgG3 and IgG4) and Pharmacokinetics of Specific Antibodies Against Defined Infectious Agents Comparing Octagam 5% Treatment With Octagam 10% Treatment
Pharmacokinetics of serum total IgG and IgG subclasses (IgG1, IgG2, IgG3 and IgG4) and pharmacokinetics of specific antibodies against defined infectious agents comparing Octagam 5% treatment with Octagam 10% treatment

Secondary Outcome Measures

Vital Signs
Laboratory Parameters (Hematology, Clinical Chemistry, Direct Coombs Test and Urin Analysis)
Assessment of Viral Safety
Pre-next-dose Levels of Serum Total IgG
Pre-next-dose Levels of IgG Subclasses (IgG1, IgG2, IgG3, IgG4) and Pre-next-dose Levels of Specific Antibodies Against Defined Infectious Agents
Therapeutic Efficacy (Number of Infections, Number of Missed Days at School/ Work, Number of Hospitalisation Days, and Use of Antibiotics)

Full Information

First Posted
December 17, 2008
Last Updated
June 16, 2017
Sponsor
Octapharma
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1. Study Identification

Unique Protocol Identification Number
NCT00811174
Brief Title
Efficacy, Safety and Kinetics Study of Octagam 10% in Primary Immunodeficiency Diseases
Official Title
Clinical Study to Evaluate the Efficacy, Safety and Kinetics of Octagam 10% for Replacement Therapy in Primary Immunodeficiency Diseases
Study Type
Interventional

2. Study Status

Record Verification Date
June 2017
Overall Recruitment Status
Terminated
Why Stopped
Due to limited data available, efficacy, and PK analyses were not performed.
Study Start Date
January 2009 (undefined)
Primary Completion Date
September 2010 (Actual)
Study Completion Date
September 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Octapharma

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Octagam is a human normal immunoglobulin (IGIV) solution for intravenous administration. Octagam 5% is currently registered in more than 60 countries. This study will evaluate the efficacy, safety and the kinetics of Octagam 10% for replacement therapy in primary immunodeficiency diseases.
Detailed Description
The primary objective of the study is to investigate the safety of Octagam 10% in replacement therapy in PID and to compare the pharmacokinetic profile of Octagam 10% with that of the previously used Octagam 5%. The secondary objective is to investigate the efficacy of Octagam 10% in replacement therapy in PID by monitoring the rate of occurence of serious bacterial infections, the rate of other infections, the trough (pre-next-dose) levels of total serum IgG and IgG subclasses (IgG1, IgG2, IgG3 and IgG4), the trough (pre-next-dose) levels of selected antigen specific antibodies, the use of antibiotics, the rate of absence from school/ work, and the number of days in hospital.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Immunologic Deficiency Syndromes

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
5 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Octagam 10%
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Octagam 10%
Intervention Description
300-600 mg/kg every 21 (+/- 3 days) to 28 days (+/- 3 days)
Primary Outcome Measure Information:
Title
Adverse Events
Description
Occurrence of Adverse Events
Time Frame
During infusion or within 72 hours after end of infusion
Title
Pharmacokinetics of Serum Total IgG and IgG Subclasses (IgG1, IgG2, IgG3 and IgG4) and Pharmacokinetics of Specific Antibodies Against Defined Infectious Agents Comparing Octagam 5% Treatment With Octagam 10% Treatment
Description
Pharmacokinetics of serum total IgG and IgG subclasses (IgG1, IgG2, IgG3 and IgG4) and pharmacokinetics of specific antibodies against defined infectious agents comparing Octagam 5% treatment with Octagam 10% treatment
Time Frame
after 6 months of treatment
Secondary Outcome Measure Information:
Title
Vital Signs
Time Frame
during each treatment
Title
Laboratory Parameters (Hematology, Clinical Chemistry, Direct Coombs Test and Urin Analysis)
Time Frame
at each treatment date (every three to four weeks)
Title
Assessment of Viral Safety
Time Frame
Every three months
Title
Pre-next-dose Levels of Serum Total IgG
Time Frame
before each treatment
Title
Pre-next-dose Levels of IgG Subclasses (IgG1, IgG2, IgG3, IgG4) and Pre-next-dose Levels of Specific Antibodies Against Defined Infectious Agents
Time Frame
before treatement 10 and 13 (of 13 or 17 treatments) and at the end
Title
Therapeutic Efficacy (Number of Infections, Number of Missed Days at School/ Work, Number of Hospitalisation Days, and Use of Antibiotics)
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Confirmed diagnosis of primary immunodeficiency (acc. WHO) Previous treatment with commercial Octagam 5% every 3-4 weeks for at least 6 infusions intervals Documented IgG trough levels of the two previous infusions before enrollment with a value of at least 5.5 g/L for both Exclusion Criteria: Acute infection requiring intravenous antibiotic treatment within two weeks before screening Exposure to blood or any blood product or derivative other than commercially available Octagam 5%, within the past 3 months History of hypersensitivity to blood or plasma derived products Requirement of any routine premedication for IGIV treatment History of congenital impairment of pulmonary function Severe liver function impairment Severe renal function impairment or predisposition for acute renal failure History of autoimmune haemolytic anaemia History of diabetes mellitus Congestive heart failure NYHA III or IV Non-controlled arterial hypertension History of DVT or thrombotic complications with IGIV treatment Known infection with HIV, HCV or HBV Treatment with steroids, immunosuppressive or immunomodulatory drugs Planned vaccination during study period Pregnant or nursing woman
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Wolfgang Frenzel, Dr.
Organizational Affiliation
Octapharma
Official's Role
Study Director
Facility Information:
Facility Name
Contact Barbara Pyringer at Octapharma/ Vienna/ Austria for information
City
Vienna
ZIP/Postal Code
1100
Country
Austria

12. IPD Sharing Statement

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Efficacy, Safety and Kinetics Study of Octagam 10% in Primary Immunodeficiency Diseases

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