Efficacy and Safety Study of Kedrion IVIG 10% to Treat Subjects With Primary Immunodeficiency (PID)
Primary Purpose
Primary Immunodeficiency, Agammaglobulinemia, Hypogammaglobulinemia
Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Kedrion IVIG 10%
Sponsored by
About this trial
This is an interventional treatment trial for Primary Immunodeficiency focused on measuring Primary Immunodeficiency, PID, Agammaglobulinemia, Hypogammaglobulinemia, Antibody deficiency
Eligibility Criteria
Inclusion Criteria:
- Confirmed clinical diagnosis of a Primary Immunodeficiency Disease
- Male or female, ages 2 to 70 years
- Received 300-900 mg/kg of a licensed IVIG therapy at 21 or 28 day intervals for at least 3 months prior to this study
- 2 documented IgG trough levels of ≥ 5 g/L are obtained at two infusion cycles (21 or 28 days) within 12 months (one must be within 6 months) prior to study enrolment
- Non-pregnant females of child-bearing potential who agree to use adequate birth control during the study
- Subject is willing to comply with the protocol
- Authorization to access personal health information.
- Signed the informed consent form and a child assent form, if appropriate.
- If currently participating in a clinical trial with another experimental IVIG may be enrolled if they have received stable IVIG therapy for at least 3 infusion cycles prior to receiving Kedrion IVIG 10% and all inclusion and exclusion criteria are satisfied
- If currently participating in a trial of SCIG can be enrolled if they are switched to IVIG for three infusion cycles (21 or 28 days) prior to enrolment in this study
Exclusion Criteria:
- Has secondary immunodeficiency.
- Newly diagnosed and has not been treated with immunoglobulin or has been diagnosed with dysgammaglobulinemia or isolated IgG subclass deficiency.
- Has a history of repeated reactions or hypersensitivity to IVIG or other injectable forms of IgG.
- Has a history of thrombotic events defined by at least 1 event in subject's lifetime.
- Has IgA deficiency and is known to have antibodies to IgA.
- Has received blood products other than human albumin or human immunoglobulin within 12 months prior to enrolment.
- Has significant protein losing enteropathy, nephrotic syndrome or lymphangiectasia.
- Has an acute infection as documented by culture or diagnostic imaging and/or a body temperature exceeding 38.5 °C (101.3 °F) within 7 days prior to screening
- Has a known history or is positive at enrolment for human immunodeficiency virus (HIV) type 1 by NAT, hepatitis B virus (HBsAg and NAT), hepatitis C virus (by NAT), or hepatitis A virus (by NAT).
- Has levels of alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2.5 times of the upper limit of normal for the laboratory designated for the study.
- Has an implanted venous access device
- Has profound anemia or persistent severe neutropenia (≤ 1000 neutrophils per mm3)or lymphopenia of less than 500 cells per microliter.
- Has a severe chronic condition such as renal failure (creatinine concentration > 2.0 times the upper limit of normal) with proteinuria, congestive heart failure (New York Heart Association III/IV), cardiomyopathy, cardiac arrhythmia associated with thromboembolic events (e.g. atrial fibrillation), unstable or advanced ischemic heart disease, hyperviscosity, or any other condition that the investigator believes is likely to interfere with evaluation of the study drug or with satisfactory conduct of the trial.
- Has a history of a malignant disease other than properly treated carcinoma in situ of the cervix or basal cell or squamous cell carcinoma of the skin within 24 months prior to enrolment.
- Has history of epilepsy or multiple episodes of migraine (defined as at least one episode within 6 months of enrolment) not completely controlled by medication.
- Is receiving steroids (oral or parenteral daily dose of ≥ 0.15 mg/kg/day of prednisone or equivalent) OR other immunosuppressive drugs or chemotherapy.
- Females who are pregnant, breast feeding or planning a pregnancy during the course of the study. Women who become pregnant during the study will be withdrawn from the study.
- Has participated in another clinical study within 3 weeks prior to study enrolment.
Sites / Locations
- Arkansas Children's Hospital
- Allergy Associates of the Palm Beaches
- Family Allergy & Asthma Center, PC
- Rush University
- University of Iowa Hospital and Clinics
- Midwest Immunology Clinic
- AAIR Research Center
- Optimed Research, LTD
- Dallas Allergy Immunology Research
- AARA Research Center
- Virginia Commonwealth University Health Systems
- Marycliff Allergy Specialists
- Gordon Sussman Clinical Research Inc.
- Pediatric & Adult Allergy & Clinical Immunology
- The Hospital for Sick Children
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Kedrion IVIG 10%
Arm Description
Kedrion IVIG 10% treatment.
Outcomes
Primary Outcome Measures
Incidence of Acute, Serious Bacterial Infections in the Total ITT Population.
The incidence of acute serious bacterial infections, e.g. bacterial pneumonia, bacteremia/sepsis, bacterial meningitis, visceral abscess, osteomyelitis/septic arthritis, meeting EMA and FDA criteria.
Secondary Outcome Measures
Infections Other Than Acute, Serious Bacterial Infections (ASBIs) in the Total ITT Population.
Days Out of Work/School/Daycare Due to Infection in the Total ITT Population.
Days Unable to Perform Normal Daily Activities Due to Infection in the Total ITT Population.
Days on Therapeutic Antibiotics in the Total ITT Population.
Days of Unscheduled Visits to Physicians in the Total ITT Population.
Number of Hospitalizations Due to Infection in ITT Population.
Days of Hospitalization Due to Infection in the Total ITT Population.
Yearly Hospitalization Rate Due to Infection in the Total ITT Population.
Yearly Hospitalization Duration Due to Infection in the Total ITT Population.
Distribution of All-cause Hospitalizations in the Total ITT Population.
Duration of All-cause Hospitalizations
Distribution of Fever Episodes in the Total ITT Population.
Duration of Fever Episodes
IgG Trough Levels at Steady State in the Total ITT Population.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01581593
Brief Title
Efficacy and Safety Study of Kedrion IVIG 10% to Treat Subjects With Primary Immunodeficiency (PID)
Official Title
Multicenter, Open-label, Historically Controlled, Phase III Study to Assess the Efficacy, Tolerability, Safety and Pharmacokinetics of Kedrion IVIG 10% in Adult and Pediatric Subjects With Primary Immunodeficiency (PID).
Study Type
Interventional
2. Study Status
Record Verification Date
January 2021
Overall Recruitment Status
Completed
Study Start Date
November 12, 2012 (Actual)
Primary Completion Date
August 27, 2014 (Actual)
Study Completion Date
August 27, 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kedrion S.p.A.
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to determine whether Kedrion IVIG 10% (an immunoglobulin solution) is effective in treating Primary Immunodeficiency (PID).
Detailed Description
People with primary immunodeficiency diseases (PID) have a defective immune system and experience recurrent protozoal, bacterial, fungal and viral infections. Antibody deficiencies make up the largest group of PIDs.
The standard care for patients with PID is replacement immunoglobulin (a class of antibodies) solution. Prophylactic treatment with intravenous immunoglobulin (IVIG) solution has been shown to increase the time free from serious infection.
Kedrion IVIG 10% is a new preparation of an immunoglobulin G (IgG) solution. Kedrion IVIG 10% will be given by IV infusion to all study participants. The data collected will help determine whether Kedrion IVIG 10% is suitable for treating PID subjects.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Primary Immunodeficiency, Agammaglobulinemia, Hypogammaglobulinemia, Antibody Deficiency
Keywords
Primary Immunodeficiency, PID, Agammaglobulinemia, Hypogammaglobulinemia, Antibody deficiency
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
45 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Kedrion IVIG 10%
Arm Type
Experimental
Arm Description
Kedrion IVIG 10% treatment.
Intervention Type
Biological
Intervention Name(s)
Kedrion IVIG 10%
Intervention Description
Dosage form - Intravenous (IV) infusion of Kedrion IVIG 10%; Dosage - 300 to 900 mg/kg body weight (bw); Frequency - every 21 to 28 days; Treatment duration - 12 months
Primary Outcome Measure Information:
Title
Incidence of Acute, Serious Bacterial Infections in the Total ITT Population.
Description
The incidence of acute serious bacterial infections, e.g. bacterial pneumonia, bacteremia/sepsis, bacterial meningitis, visceral abscess, osteomyelitis/septic arthritis, meeting EMA and FDA criteria.
Time Frame
13 months
Secondary Outcome Measure Information:
Title
Infections Other Than Acute, Serious Bacterial Infections (ASBIs) in the Total ITT Population.
Time Frame
13 months
Title
Days Out of Work/School/Daycare Due to Infection in the Total ITT Population.
Time Frame
13 months
Title
Days Unable to Perform Normal Daily Activities Due to Infection in the Total ITT Population.
Time Frame
13 months
Title
Days on Therapeutic Antibiotics in the Total ITT Population.
Time Frame
13 months
Title
Days of Unscheduled Visits to Physicians in the Total ITT Population.
Time Frame
13 months
Title
Number of Hospitalizations Due to Infection in ITT Population.
Time Frame
13 months
Title
Days of Hospitalization Due to Infection in the Total ITT Population.
Time Frame
13 months
Title
Yearly Hospitalization Rate Due to Infection in the Total ITT Population.
Time Frame
13 months
Title
Yearly Hospitalization Duration Due to Infection in the Total ITT Population.
Time Frame
13 months
Title
Distribution of All-cause Hospitalizations in the Total ITT Population.
Time Frame
13 months
Title
Duration of All-cause Hospitalizations
Time Frame
13 months
Title
Distribution of Fever Episodes in the Total ITT Population.
Time Frame
13 months
Title
Duration of Fever Episodes
Time Frame
13 months
Title
IgG Trough Levels at Steady State in the Total ITT Population.
Time Frame
13 months
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:
Confirmed clinical diagnosis of a Primary Immunodeficiency Disease
Male or female, ages 2 to 70 years
Received 300-900 mg/kg of a licensed IVIG therapy at 21 or 28 day intervals for at least 3 months prior to this study
2 documented IgG trough levels of ≥ 5 g/L are obtained at two infusion cycles (21 or 28 days) within 12 months (one must be within 6 months) prior to study enrolment
Non-pregnant females of child-bearing potential who agree to use adequate birth control during the study
Subject is willing to comply with the protocol
Authorization to access personal health information.
Signed the informed consent form and a child assent form, if appropriate.
If currently participating in a clinical trial with another experimental IVIG may be enrolled if they have received stable IVIG therapy for at least 3 infusion cycles prior to receiving Kedrion IVIG 10% and all inclusion and exclusion criteria are satisfied
If currently participating in a trial of SCIG can be enrolled if they are switched to IVIG for three infusion cycles (21 or 28 days) prior to enrolment in this study
Exclusion Criteria:
Has secondary immunodeficiency.
Newly diagnosed and has not been treated with immunoglobulin or has been diagnosed with dysgammaglobulinemia or isolated IgG subclass deficiency.
Has a history of repeated reactions or hypersensitivity to IVIG or other injectable forms of IgG.
Has a history of thrombotic events defined by at least 1 event in subject's lifetime.
Has IgA deficiency and is known to have antibodies to IgA.
Has received blood products other than human albumin or human immunoglobulin within 12 months prior to enrolment.
Has significant protein losing enteropathy, nephrotic syndrome or lymphangiectasia.
Has an acute infection as documented by culture or diagnostic imaging and/or a body temperature exceeding 38.5 °C (101.3 °F) within 7 days prior to screening
Has a known history or is positive at enrolment for human immunodeficiency virus (HIV) type 1 by NAT, hepatitis B virus (HBsAg and NAT), hepatitis C virus (by NAT), or hepatitis A virus (by NAT).
Has levels of alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2.5 times of the upper limit of normal for the laboratory designated for the study.
Has an implanted venous access device
Has profound anemia or persistent severe neutropenia (≤ 1000 neutrophils per mm3)or lymphopenia of less than 500 cells per microliter.
Has a severe chronic condition such as renal failure (creatinine concentration > 2.0 times the upper limit of normal) with proteinuria, congestive heart failure (New York Heart Association III/IV), cardiomyopathy, cardiac arrhythmia associated with thromboembolic events (e.g. atrial fibrillation), unstable or advanced ischemic heart disease, hyperviscosity, or any other condition that the investigator believes is likely to interfere with evaluation of the study drug or with satisfactory conduct of the trial.
Has a history of a malignant disease other than properly treated carcinoma in situ of the cervix or basal cell or squamous cell carcinoma of the skin within 24 months prior to enrolment.
Has history of epilepsy or multiple episodes of migraine (defined as at least one episode within 6 months of enrolment) not completely controlled by medication.
Is receiving steroids (oral or parenteral daily dose of ≥ 0.15 mg/kg/day of prednisone or equivalent) OR other immunosuppressive drugs or chemotherapy.
Females who are pregnant, breast feeding or planning a pregnancy during the course of the study. Women who become pregnant during the study will be withdrawn from the study.
Has participated in another clinical study within 3 weeks prior to study enrolment.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mirella Calcinai, MD
Organizational Affiliation
Kedrion SpA
Official's Role
Study Director
Facility Information:
Facility Name
Arkansas Children's Hospital
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72202
Country
United States
Facility Name
Allergy Associates of the Palm Beaches
City
North Palm Beach
State/Province
Florida
ZIP/Postal Code
33408
Country
United States
Facility Name
Family Allergy & Asthma Center, PC
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30342
Country
United States
Facility Name
Rush University
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
University of Iowa Hospital and Clinics
City
Iowa City
State/Province
Iowa
ZIP/Postal Code
52242
Country
United States
Facility Name
Midwest Immunology Clinic
City
Plymouth
State/Province
Minnesota
ZIP/Postal Code
55446
Country
United States
Facility Name
AAIR Research Center
City
Rochester
State/Province
New York
ZIP/Postal Code
14618
Country
United States
Facility Name
Optimed Research, LTD
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43235
Country
United States
Facility Name
Dallas Allergy Immunology Research
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
Virginia Commonwealth University Health Systems
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23298
Country
United States
Facility Name
Marycliff Allergy Specialists
City
Spokane
State/Province
Washington
ZIP/Postal Code
99204
Country
United States
Facility Name
Gordon Sussman Clinical Research Inc.
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M4V1R2
Country
Canada
Facility Name
Pediatric & Adult Allergy & Clinical Immunology
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G1E2
Country
Canada
Facility Name
The Hospital for Sick Children
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G1X8
Country
Canada
12. IPD Sharing Statement
Plan to Share IPD
No
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Efficacy and Safety Study of Kedrion IVIG 10% to Treat Subjects With Primary Immunodeficiency (PID)
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