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Study of PlasmaCap IG in Adults and Children With PIDD

Primary Purpose

Primary Immune Deficiency Diseases (PIDD)

Status
Unknown status
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
10% IGIV
Sponsored by
Therapure Biopharma Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Primary Immune Deficiency Diseases (PIDD)

Eligibility Criteria

2 Years - 70 Years (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject has a confirmed clinical diagnosis of a PIDD, which requires treatment with IGIV:
  • Subject/guardian has provided written informed consent (and assent, as applicable).
  • Subject is between the ages of 2 and 70 years.
  • Subject has received regular IGIV therapy at 21- or 28-day (±4 days) intervals for at least three consecutive months at a dose between 300-900 mg/kg/month prior to Screening or;
  • Subject has received commercial SCIG at a dose of 300-900 mg/kg/month on any dosing schedule for at least 12 consecutive weeks prior to Screening. Subjects on SCIG must have received and tolerated IGIV treatment prior to SCIG treatment.
  • Subject has a documented trough of ≥500 mg/dL in the 6 months prior to screening.
  • Females of childbearing potential must be willing to use an effective form of birth control (eg, oral contraceptives) for the duration of the study, per IRB/REB guidelines.
  • Subject agrees to comply with the requirements of the protocol.

Exclusion Criteria:

  • Subject has secondary immunodeficiency.
  • Subject has history of thrombotic events, such as deep vein thrombosis, myocardial infarction, cerebrovascular accident, pulmonary embolism, etc within the year prior to screening.
  • Subject has had an immune globulin associated arterial or venous thrombotic/thromboembolic event (TEE) within 7 days of infusion or a TEE that is not associated with an immune globulin within one year of screening.
  • Subject has received blood products (except for IGIV, SCIG, or albumin) within 6 months of screening.
  • Subject has anemia (≤8.5 g/dL).
  • Subject has levels of alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >3.0 times the upper limit of normal (ULN).
  • Subject has severe neutropenia (≤1000 neutrophils per mm3).
  • Subject is receiving other immunosuppressive or immunomodulatory drugs or chemotherapy.
  • Subject is taking or has taken within the four weeks prior to screening prednisone at ≥0.15 mg/kg/day for more than 10 days.
  • Subject has ever had a severe anaphylactic reaction to a blood or IgG product.
  • Subject has lymphoid malignancy, leukemia, or any other history of malignancy within the past five years, except squamous cell or basal cell carcinoma of the skin (not melanoma).
  • Subject has hypoalbuminemia, protein-losing enteropathy, or proteinuria greater than 300 mg/24 hours except for subjects with documented orthostatic proteinuria.
  • Subject has immunoglobulin A (IgA) deficiency with known antibodies to IgA.
  • Female who is pregnant, breastfeeding, or planning a pregnancy during the course of the study (women who become pregnant during the study will be withdrawn from the study).
  • Any condition that is likely to interfere with evaluation of IMP or satisfactory conduct of the trial in the PI's opinion.
  • Subjects who may not be compliant or have a history of non-compliance in the opinion of the PI.

Sites / Locations

  • University of California
  • IMMUNOe Health & Research Centers
  • University of South Florida
  • Allergy Associates of the Palm Beaches, P.A.
  • Institute for Asthma and Allergy, PC
  • Optimed Research Ltd.
  • Optimed Research LTD
  • Allergy Partners of North Texas
  • AARA Research Center
  • AAICPA
  • The Medical College of Wisconsin, Inc.
  • CHU Ste-Justine

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Open-Label 10% IGIV

Arm Description

IMP will be administered every 21 or 28 days in accordance with the subject's weekly regimen at screening for a period of 12 months. Subjects on a 21-day regimen will receive approximately 17 infusions, and subjects on a 28-day regimen will receive approximately 13 infusions. The starting dose will be the previous IGIV dose or a dose calculated from the previous SCIG dose up to a maximum of 900 mg/kg/mo.

Outcomes

Primary Outcome Measures

Mean acute Serious Bacterial Infection (SBI) rate
The primary efficacy objective of the study is to demonstrate the efficacy of the IMP by determining that the mean annual acute SBI rate (as defined in Appendix 20.1) is statistically significantly lower than one infection per subject per year.

Secondary Outcome Measures

Immunoglobulin G (IgG) trough concentration
The average serum total IgG trough concentrations prior to each infusion
Days unable to perform daily activities
The number of days unable to perform daily activities
Therapeutic IgG levels
The ability of the IMP to maintain stable, therapeutic IgG levels

Full Information

First Posted
July 21, 2017
Last Updated
May 6, 2020
Sponsor
Therapure Biopharma Inc
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1. Study Identification

Unique Protocol Identification Number
NCT03238079
Brief Title
Study of PlasmaCap IG in Adults and Children With PIDD
Official Title
A Prospective, Open-Label, Multicenter Study of the Efficacy, Safety, Tolerability, and Pharmacokinetics of Therapure PlasmaCap IG in Adults and Children With Primary Immune Deficiency Diseases
Study Type
Interventional

2. Study Status

Record Verification Date
May 2020
Overall Recruitment Status
Unknown status
Study Start Date
September 5, 2017 (Actual)
Primary Completion Date
August 25, 2020 (Anticipated)
Study Completion Date
December 30, 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Therapure Biopharma Inc

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to investigate the efficacy, safety, tolerability, and pharmacokinetic profile of the investigational medicinal product (IMP) and to determine, on the basis of historical control data, how it compares with other 10% intravenous immunoglobulin (IGIV) products currently licensed in North America for the treatment of subjects with primary immune deficiency diseases (PIDD).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Primary Immune Deficiency Diseases (PIDD)

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Open-Label 10% IGIV
Arm Type
Experimental
Arm Description
IMP will be administered every 21 or 28 days in accordance with the subject's weekly regimen at screening for a period of 12 months. Subjects on a 21-day regimen will receive approximately 17 infusions, and subjects on a 28-day regimen will receive approximately 13 infusions. The starting dose will be the previous IGIV dose or a dose calculated from the previous SCIG dose up to a maximum of 900 mg/kg/mo.
Intervention Type
Biological
Intervention Name(s)
10% IGIV
Other Intervention Name(s)
Human Immunoglobulin
Intervention Description
300-900 mg/kg
Primary Outcome Measure Information:
Title
Mean acute Serious Bacterial Infection (SBI) rate
Description
The primary efficacy objective of the study is to demonstrate the efficacy of the IMP by determining that the mean annual acute SBI rate (as defined in Appendix 20.1) is statistically significantly lower than one infection per subject per year.
Time Frame
1 year
Secondary Outcome Measure Information:
Title
Immunoglobulin G (IgG) trough concentration
Description
The average serum total IgG trough concentrations prior to each infusion
Time Frame
up to 12 months per subject
Title
Days unable to perform daily activities
Description
The number of days unable to perform daily activities
Time Frame
up to 12 months per subject
Title
Therapeutic IgG levels
Description
The ability of the IMP to maintain stable, therapeutic IgG levels
Time Frame
up to 12 months per subject

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject has a confirmed clinical diagnosis of a PIDD, which requires treatment with IGIV: Subject/guardian has provided written informed consent (and assent, as applicable). Subject is between the ages of 2 and 70 years. Subject has received regular IGIV therapy at 21- or 28-day (±4 days) intervals for at least three consecutive months at a dose between 300-900 mg/kg/month prior to Screening or; Subject has received commercial SCIG at a dose of 300-900 mg/kg/month on any dosing schedule for at least 12 consecutive weeks prior to Screening. Subjects on SCIG must have received and tolerated IGIV treatment prior to SCIG treatment. Subject has a documented trough of ≥500 mg/dL in the 6 months prior to screening. Females of childbearing potential must be willing to use an effective form of birth control (eg, oral contraceptives) for the duration of the study, per IRB/REB guidelines. Subject agrees to comply with the requirements of the protocol. Exclusion Criteria: Subject has secondary immunodeficiency. Subject has history of thrombotic events, such as deep vein thrombosis, myocardial infarction, cerebrovascular accident, pulmonary embolism, etc within the year prior to screening. Subject has had an immune globulin associated arterial or venous thrombotic/thromboembolic event (TEE) within 7 days of infusion or a TEE that is not associated with an immune globulin within one year of screening. Subject has received blood products (except for IGIV, SCIG, or albumin) within 6 months of screening. Subject has anemia (≤8.5 g/dL). Subject has levels of alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >3.0 times the upper limit of normal (ULN). Subject has severe neutropenia (≤1000 neutrophils per mm3). Subject is receiving other immunosuppressive or immunomodulatory drugs or chemotherapy. Subject is taking or has taken within the four weeks prior to screening prednisone at ≥0.15 mg/kg/day for more than 10 days. Subject has ever had a severe anaphylactic reaction to a blood or IgG product. Subject has lymphoid malignancy, leukemia, or any other history of malignancy within the past five years, except squamous cell or basal cell carcinoma of the skin (not melanoma). Subject has hypoalbuminemia, protein-losing enteropathy, or proteinuria greater than 300 mg/24 hours except for subjects with documented orthostatic proteinuria. Subject has immunoglobulin A (IgA) deficiency with known antibodies to IgA. Female who is pregnant, breastfeeding, or planning a pregnancy during the course of the study (women who become pregnant during the study will be withdrawn from the study). Any condition that is likely to interfere with evaluation of IMP or satisfactory conduct of the trial in the PI's opinion. Subjects who may not be compliant or have a history of non-compliance in the opinion of the PI.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mark Krause
Organizational Affiliation
Therapure Biopharma
Official's Role
Study Director
Facility Information:
Facility Name
University of California
City
Los Angeles
State/Province
California
ZIP/Postal Code
92697
Country
United States
Facility Name
IMMUNOe Health & Research Centers
City
Centennial
State/Province
Colorado
ZIP/Postal Code
80112
Country
United States
Facility Name
University of South Florida
City
Tampa
State/Province
Florida
ZIP/Postal Code
33620
Country
United States
Facility Name
Allergy Associates of the Palm Beaches, P.A.
City
West Palm Beach
State/Province
Florida
ZIP/Postal Code
33408
Country
United States
Facility Name
Institute for Asthma and Allergy, PC
City
Chevy Chase
State/Province
Maryland
ZIP/Postal Code
20815
Country
United States
Facility Name
Optimed Research Ltd.
City
Little Silver
State/Province
New Jersey
ZIP/Postal Code
07739
Country
United States
Facility Name
Optimed Research LTD
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43235
Country
United States
Facility Name
Allergy Partners of North Texas
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Facility Name
AARA Research Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
AAICPA
City
Irving
State/Province
Texas
ZIP/Postal Code
75063
Country
United States
Facility Name
The Medical College of Wisconsin, Inc.
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226
Country
United States
Facility Name
CHU Ste-Justine
City
Montréal
State/Province
Quebec
ZIP/Postal Code
H3T 1C5
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study of PlasmaCap IG in Adults and Children With PIDD

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