Anti-Influenza Hyperimmune Intravenous Immunoglobulin Pilot Study (INSIGHT 005: Flu-IVIG Pilot)
Influenza
About this trial
This is an interventional treatment trial for Influenza focused on measuring Antiviral, Adjunctive Therapy, Antibody
Eligibility Criteria
INCLUSION CRITERIA:
- Signed informed consent
- Age greater than or equal to 18 years of age
- Outpatients or inpatients who are PCR or rapid Ag positive for influenza A or B preferably within 24 hours and no later than 6 days from symptom onset
- Onset of illness no more than 6 days before randomization, defined as when the patient first experienced at least one respiratory symptom, constitutional symptom or fever
- For women of child-bearing potential, a negative pregnancy test within one day prior to randomization and a willingness to abstain from sexual intercourse or use at least 1 form of hormonal or barrier contraception through Day 28 of the study
- Willingness to have blood and respiratory samples obtained and stored
EXCLUSION CRITERIA:
- If hospitalized, admitted for reasons other than influenza or complications of influenza
- Women who are pregnant or breast-feeding
- Strong clinical evidence (in the judgment of the site investigator) that the etiology of illness is primarily bacterial in origin.
- Prior treatment with any investigational drug therapy within 30 days prior to screening
- History of allergic reaction to blood or plasma products (as judged by the investigator)
- Known IgA deficiency
- A pre-existing condition or use of medication that, in the opinion of the investigator, may place the individual at a substantially increased risk of thrombosis (e.g., cryoglobulinemia, severe refractory hypertriglyceridemia, or clinically significant monoclonal gammopathy)
- Serum creatinine greater than or equal to 1.5 x ULN or known active kidney disease that may affect drug pharmacokinetics (e.g., nephrotic syndrome)
- Presence of any pre-existing illness that, in the opinion of the investigator, would place the individual at an unreasonably increased risk through participation in this study
- Patients who, in the judgment of the investigator, will be unlikely to comply with the requirements of this protocol
- Medical conditions for which receipt of 500mL volume may be dangerous to the patient (e.g., decompensated congestive heart failure)
- Suspicion that infection is due to an influenza strain or subtype other than A(H1N1)pdm09, H3N2, or influenza B (e.g., H5N1, H7N9)
Sites / Locations
- University of California at San Diego
- Denver Public Health
- George Washington University
- National Institutes of Health Clinical Center, 9000 Rockville Pike
- Henry Ford Hospital
- Mayo Clinic
- Cooper University Hospital
- Montefiore Medical Center
- Ohio State University Wexner Medical Center
- Miami Valley Hospital
- University of Texas Southwestern Medical Center
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Intravenous hyperimmune immunoglobulin (Flu-IVIG)
Placebo
Adults with confirmed Influenza A or B and evidence of ongoing viral replication (as demonstrated by positive rapid Ag or PCR preferably within 24 hours and no later than 6 days from symptom onset) will receive 0.25g Flu-IVIG/kg of actual body weight, to a maximum dose of 25g Flu-IVIG.
Adults with Influenza A or B and evidence of ongoing viral replication (as demonstrated by positive rapid Ag or PCR preferably within 24 hours and no later than 6 days from symptom onset) will receive placebo for Flu-IVIG (a comparable volume of saline).