Efficacy, Safety, and Pharmacokinetics of Shu Yang IVIG (Imunoforte)
Primary Immunodeficiency Disease
About this trial
This is an interventional treatment trial for Primary Immunodeficiency Disease focused on measuring IVIG, IMUNOFORTE, PID
Eligibility Criteria
Inclusion Criteria: Written informed consent/assent. Male or female. Ages ≤ 60 years old and ≥ 06 years old. Diagnosis of Primary Immunodeficiency Disease (PID) with a reduction in antibody production due to: a. Common Variable Immunodeficiency (CVID) as per European Immunodeficiency Society (ESID)/Pan American Immunodeficiency Group (PAGID), as defined in section 5.1, OR b. X-linked agammaglobulinemia (XLA) as per ESID/PAGID, as defined in section 5.1. Receiving replacement therapy with intravenous immunoglobulin at 21- to 28-day intervals at 300-600 mg/kg/month for a minimum of 2 months before the start of the study; Absence of episodes of serious bacterial infections with previous use of an IV immunoglobulin for at least 3 months before screening; Negative pregnancy test (in female patients with childbearing potential); readiness to use reliable methods of contraception throughout the study period; Patients who participated in a clinical trial with another experimental IVIG may be enrolled if they have a potential benefit according to Res. CNS 251/1997; Patients currently on treatment with any subcutaneous or intramuscular immunoglobulin may be enrolled switching to IVIG therapy at the investigator's discretion, considering the potential benefit to the patient. Exclusion Criteria: Known intolerance or hypersensitivity to immunoglobulins or components of the test article; Any contraindications to the use of immunoglobulins; Secondary immunodeficiency or conditions potentially causing secondary immunodeficiency such as chronic lymphoid leukemia, lymphoma, multiple myeloma, protein-losing enteropathies or nephropathies, and hypoalbuminemia; Clinically relevant changes in the safety exams are defined as: Blood count o Hb < 10.5 g/dL o Leukocytes < 3,000 /uL or >10,000 cells / uL o Absolute neutrophil count < 1,000 cells/mm3; Coagulation o TP and aPTT > 2.5 x ULN Biochemistry o glycated hemoglobin > 6.5% total bilirubin and fractions, alkaline phosphatase, ALT, AST, GGT > 2.5 x ULN creatinine above 3mg/dl or creatinine clearance < 30mL/min Urine I. Leukocyturia > 10,000 cells/mL 5. Any cancer either active or resolved within the last 12 months before screening; 6. Receiving any blood products (except intravenous immunoglobulins) during the last 3 months before screening; 7. Any febrile illness within 14 days before enrollment; Note: The patient may be rescreened after recovery. 8. History of thrombotic events (including myocardial infarction, stroke, pulmonary embolism, and deep vein thrombosis) within 6 months before enrollment; 9. Previous use of live attenuated virus vaccines; 10. Selective deficiency of immunoglobulin A (IgA) or known antibodies to IgA; 11. Known drug or alcohol abuse; 12. The need to use other investigational drugs, systemic immunosuppressants, and any other immunoglobulins; 13. Pregnancy or lactation; 14. Inability to comply with the protocol activities; 15. PIDs other than CVID or X-linked agammaglobulinemia 16. Patients infected with HIV, HBV or HCV 17. Patients with AIDS, cystic fibrosis, or active hepatitis B or C. 18. Any other condition that, in the Investigator's opinion may increase the risk of participation in this study.
Sites / Locations
Arms of the Study
Arm 1
Experimental
IVIG
Patients with primary immunodeficiency will switch to Shu Yang IVIG and optimize the posology to IgG 300 to 600 mg every 21 or 28 days in a run-in period of 2 to 6 administrations, aiming at keeping the IgG trough levels above 5 g/L. In the one-year test period, the patients will receive the test IVIG at the same dose/intervals of the optimization. However, the IgG trough levels will be monitored every visit, and new adjustments/dose optimization will be performed whenever needed to keep the IgG trough levels above 5g/L.