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Immune Globulin Intravenous (IGIV) To Treat Relapsing, Remitting Multiple Sclerosis (PRIVIG)

Primary Purpose

Multiple Sclerosis, Relapsing-Remitting

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Immune Globulin IV [Human], 10% Caprylate/Chromatography Purified
Albumin (Human) 25%, United States Pharmacopeia (USP)
Sponsored by
Grifols Therapeutics LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Sclerosis, Relapsing-Remitting

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Symptoms consistent with Multiple Sclerosis up to 5 years Diagnosis of multiple sclerosis according to McDonald criteria. Diagnosis of relapsing-remitting (RR) multiple sclerosis (MS) (Defined as periods of worsening of neurological function with full recovery or with sequelae and residual deficit upon recovery; periods between disease relapses characterized by lack of disease progression Kurtzke Extended Disability Status Scale (EDSS) < 5.0 At least 1 defined and documented relapse during the last year. Prior relapses where symptoms were due solely to a change in Bowel/Bladder Function or Cognitive Function will not be considered relapses as defined by this protocol and therefore not counted for inclusion into the study. Females or males; females of childbearing potential must use adequate contraception Clinically stable for at least 30 days prior to entry At least 9 hyperintense T2 lesions on MRI or 1 Gd-enhancing lesion according to McDonald/Barkhof dissemination-in-space criteria at entry Patients who have been informed about available treatments and decided, not to go on these treatments Written informed consent obtained prior to the initiation of any study related procedures Exclusion Criteria: Females who are pregnant, breast feeding, or if, of childbearing potential, unwilling to practice adequate contraception throughout the study Prior therapy with azathioprine or any immunosuppressant agents within 6 months prior to study entry Prior steroid, methylprednisolone or adrenocorticotropic hormone (ACTH) therapy within 30 days prior to study entry Therapy with interferons (Betaseron®, Avonex®, Rebif®), glatiramer acetate (Copaxone®) or IGIV within 3 months prior to study entry or during the study Use of an investigational compound within 6 months prior to study entry Previous lymphoid irradiation or prior to treatment with cyclophosphamide, methotrexate or mitoxantrone Cardiac insufficiency (NYHA III/IV), cardiomyopathy, significant cardiac dysrhythmia requiring treatment, unstable or advanced ischemic heart disease (CCS III or IV), or malignant hypertension History of renal insufficiency or serum creatinine levels greater than 2.5 mg/dL (221 µmol/L) Known selective immunoglobulin A (IgA) deficiency or known antibodies to IgA Conditions whose symptoms and effects could alter protein catabolism and/or immunoglobulin G (IgG) utilization (e.g., protein-losing enteropathies, nephrotic syndrome) Any medical, psychiatric or other circumstances which impede or restrict the patient's participation in the study or any contraindication to contrast enhanced MRI (e.g.,pacemaker, aortic clip or any metal implant) Patients with clinically significant medical conditions including, but not limited to cardiac, pulmonary, hepatic, hematological (e.g. known coagulation disorder, history of deep venous thrombosis and/or pulmonary embolism), endocrine,or renal dysfunction, autoimmune disorders, severe environmental allergies or chronic infections

Sites / Locations

  • Barrow Neurological Institute at St. Joseph's Hospital and Medical Center
  • Northwest NeuroSpecialists, PLLC
  • The Mt. Sinai Medical Center, Department of Neurology
  • SUNY Health Science Center at Stony Brook, Department of Neurology
  • Wake Forest University - School of Medicine
  • Neurology Health Care Service, Fletcher Allen Health Care
  • Department of Neurology, Karl-Franzens University
  • Foothills Hospital
  • London Health Sciences Centre
  • The Ottawa Hospital, General Campus - Neurology Division
  • CHUM Hospital Notre Dame
  • Fakultni nemocnice Brno-Bohunice
  • St. Anna's Teaching Hospital
  • Všeobecná fakultní nemocnice
  • Department of Neurology, Motol Teaching Hospital
  • Medizinische Einrichtungen der Heinrich Heine Universitat, Neurologische Klinik
  • HELIOS Klinikum Erfurt GmbH, Klinik und Poliklinik fur Neurologie
  • Klinikum der Justus-Liebig-Universitat, Zentrum fur Neurologie und Neurochirurgie
  • Universitatsklinikum Munster, Klinik und Poliklinik fur Neurologie
  • Klinikum Osnabrück GmbH
  • Universitatsklinikum Ulm, Poliklinik fur Neurologie
  • Klinijum der Universitat Wurzburg, Neurologische Klinik und Poliklinik
  • Henry Dunant Hospital
  • Szent Imre Korhaz Neurologia
  • Uzsoki Street Hospital
  • Jahn Ferenc Delpesti Teaching Hospital
  • Szeged University of Science
  • Lady Davis Carmel Medical Center
  • Katedra I Klinika Neurologii; Slaskiej Akademii Medycznej, Samodzielny Publiczny Centralny Szpital Kliniczny
  • Katedra I Klinika Neurologii, Univerytetu Medycznego w Lodzi
  • Katedra I Klinika Neurologii
  • Klinika Neurologiczna, Wojskowy Instut Medyczny
  • Fakultna menocnica Bratislava
  • Dererova nemocnica s Poliklinikou Nerologicka Klinika
  • Lasarette Neurologiavdeling
  • Karilinska Sjukhuset
  • University Hospital, Queens Medical Centre

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Group 1

Group 2

Group 3

Arm Description

IGIV-C 0.2 g/kg bw/infusion (2 ml/kg bw)

IGIV-C 0.4 g/kg bw/infusion (4 ml/kg bw)

placebo (0.1% albumin) 4 ml/kg bw/infusion

Outcomes

Primary Outcome Measures

Percentage of Relapse Free Subjects (no Relapse)
A relapse was defined for the purposes of this study as the appearance or reappearance of one or more neurological symptoms or worsening of an old symptom attributed to multiple sclerosis (MS) persisting for at least 48 hours and immediately preceded by a relatively stable or improving neurological state of at least 30 days.

Secondary Outcome Measures

Effect on the Combined Unique Lesion Activity on Magnetic Resonance Imaging (MRI)

Full Information

First Posted
September 13, 2005
Last Updated
March 28, 2016
Sponsor
Grifols Therapeutics LLC
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1. Study Identification

Unique Protocol Identification Number
NCT00220779
Brief Title
Immune Globulin Intravenous (IGIV) To Treat Relapsing, Remitting Multiple Sclerosis
Acronym
PRIVIG
Official Title
Randomized, Double-Blind, Placebo-Controlled Study to Compare the Effects of Different Dose Regimens of IGIV Chromatography (IGIV-C), 10% Treatment on Relapses in Patients With Relapsing Remitting Multiple Sclerosis
Study Type
Interventional

2. Study Status

Record Verification Date
March 2016
Overall Recruitment Status
Completed
Study Start Date
December 2002 (undefined)
Primary Completion Date
February 2005 (Actual)
Study Completion Date
February 2005 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Grifols Therapeutics LLC

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The trial will study 2 doses of Immune Globulin Intravenous (Human), 10% Caprylate/Chromatography Purified (IGIV-C) for the number of relapses that occur in a 1 year treatment period.
Detailed Description
This trial is designed as a multi-national, randomized, double-blind, placebo-controlled prospective trial with three parallel groups. One hundred twenty (120) patients, 40 per treatment arm, with relapsing-remitting (RR) multiple sclerosis will be enrolled in this trial. Eligible patients must have a diagnosis of MS as per the McDonald Criteria. In addition, patients must have a diagnosis of relapsing-remitting course of MS defined as periods of worsening of neurological function with full recovery or with sequelae and residual deficit upon recovery; periods between disease relapses characterized by lack of disease progression. Patients must also have active disease with at least 1 defined documented relapse in the last year. During a 2 month run-in period, 2 MRIs will be performed 6 weeks apart and patients will be stratified based on the presence or absence of 1 or more Gadolinium enhancing lesions on the first MRI (Gd-enhancing lesion yes-no) and will be randomized to one of two dose regimens of IGIV-C or matching placebo. Patients will receive study drug infusions every 4 weeks for 48 weeks for a total of 12 infusions. Patients will be evaluated by MRI every 6 weeks and by clinical assessments every 3 months. A follow-up visit will occur 4 weeks after the last infusion. The treatment groups are as follows: IGIV-C - 0.2 g/kg body weight (bw)/infusion (2 ml/kg bw) IGIV-C - 0.4 g/kg bw/infusion (4 ml/kg bw) placebo (0.1% albumin) - 4 ml/kg bw/infusion For blinding purposes, at each infusion, all patients will receive a total volume of 4 ml/kg bw. For patients receiving 0.2 g/kg bw of IGIV-C, the final volume of 4 ml/kg bw will be adjusted by the addition of dextrose 5%. Placebo will be supplied as Albumin 5% or Albumin 25% and diluted with either dextrose 5% or saline to a final concentration of 0.1% albumin. Dose adaptation will be performed for subsequent infusions in case the patient's body weight has changed > 10%. The maximum amount available per infusion will be 400 ml (8 vials) calculated for a patient with a body weight of 100 kg. The suggested initial infusion rate will be 0.02 ml/kg/min for the first 15 minutes. If there is no evidence of a hypersensitivity reaction, the infusion may be given at a slowly increasing rate over the next 30 minutes up to a maximum allowable rate of 0.08 ml/kg/min. As such, the infusion for a 70 kg patient will take approximately 1hour 15 min. The overall infusion time may have a range from 1 to 2 hours.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Sclerosis, Relapsing-Remitting

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
128 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1
Arm Type
Experimental
Arm Description
IGIV-C 0.2 g/kg bw/infusion (2 ml/kg bw)
Arm Title
Group 2
Arm Type
Experimental
Arm Description
IGIV-C 0.4 g/kg bw/infusion (4 ml/kg bw)
Arm Title
Group 3
Arm Type
Placebo Comparator
Arm Description
placebo (0.1% albumin) 4 ml/kg bw/infusion
Intervention Type
Drug
Intervention Name(s)
Immune Globulin IV [Human], 10% Caprylate/Chromatography Purified
Other Intervention Name(s)
Gamunex®, IGIVnex®, Gaminex, IGIV-C, Immune Globulin Intravenous (Human) , 10%, IGIV, BAY 41-1000, TAL-05-00004, IGIV-C, 10%, IVIG, Immune Globulin (Human), 10% (IGIV), Immune Globulin Intravenous, 10% by Chromatography Process, NDC 13533-645-12, NDC 13533-645-15, NDC 13533-645-20, NDC 13533-645-24, NDC 13533-645-71
Intervention Type
Drug
Intervention Name(s)
Albumin (Human) 25%, United States Pharmacopeia (USP)
Other Intervention Name(s)
Plasbumin®-5, Plasbumin®-25, Plasbumin®-5 (Low Aluminum), Plasbumin®-25 (Low Aluminum), Albumin (Human) 5%, USP, Albumin (Human) 25%, USP, TAL-05-00009, TAL-05-00023, TAL-05-00025, TAL-05-00026, BAY 34-9255, NDC 13533-684-16, NDC 13533-684-25, NDC 13533-684-71, NDC 13533-685-20, NDC 13533-685-25, NDC 13533-685-27, NDC 13533-690-20, NDC 13533-690-25, NDC 13533-690-27, NDC 13533-692-16, NDC 13533-692-20, NDC 13533-692-71
Primary Outcome Measure Information:
Title
Percentage of Relapse Free Subjects (no Relapse)
Description
A relapse was defined for the purposes of this study as the appearance or reappearance of one or more neurological symptoms or worsening of an old symptom attributed to multiple sclerosis (MS) persisting for at least 48 hours and immediately preceded by a relatively stable or improving neurological state of at least 30 days.
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Effect on the Combined Unique Lesion Activity on Magnetic Resonance Imaging (MRI)
Time Frame
1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Symptoms consistent with Multiple Sclerosis up to 5 years Diagnosis of multiple sclerosis according to McDonald criteria. Diagnosis of relapsing-remitting (RR) multiple sclerosis (MS) (Defined as periods of worsening of neurological function with full recovery or with sequelae and residual deficit upon recovery; periods between disease relapses characterized by lack of disease progression Kurtzke Extended Disability Status Scale (EDSS) < 5.0 At least 1 defined and documented relapse during the last year. Prior relapses where symptoms were due solely to a change in Bowel/Bladder Function or Cognitive Function will not be considered relapses as defined by this protocol and therefore not counted for inclusion into the study. Females or males; females of childbearing potential must use adequate contraception Clinically stable for at least 30 days prior to entry At least 9 hyperintense T2 lesions on MRI or 1 Gd-enhancing lesion according to McDonald/Barkhof dissemination-in-space criteria at entry Patients who have been informed about available treatments and decided, not to go on these treatments Written informed consent obtained prior to the initiation of any study related procedures Exclusion Criteria: Females who are pregnant, breast feeding, or if, of childbearing potential, unwilling to practice adequate contraception throughout the study Prior therapy with azathioprine or any immunosuppressant agents within 6 months prior to study entry Prior steroid, methylprednisolone or adrenocorticotropic hormone (ACTH) therapy within 30 days prior to study entry Therapy with interferons (Betaseron®, Avonex®, Rebif®), glatiramer acetate (Copaxone®) or IGIV within 3 months prior to study entry or during the study Use of an investigational compound within 6 months prior to study entry Previous lymphoid irradiation or prior to treatment with cyclophosphamide, methotrexate or mitoxantrone Cardiac insufficiency (NYHA III/IV), cardiomyopathy, significant cardiac dysrhythmia requiring treatment, unstable or advanced ischemic heart disease (CCS III or IV), or malignant hypertension History of renal insufficiency or serum creatinine levels greater than 2.5 mg/dL (221 µmol/L) Known selective immunoglobulin A (IgA) deficiency or known antibodies to IgA Conditions whose symptoms and effects could alter protein catabolism and/or immunoglobulin G (IgG) utilization (e.g., protein-losing enteropathies, nephrotic syndrome) Any medical, psychiatric or other circumstances which impede or restrict the patient's participation in the study or any contraindication to contrast enhanced MRI (e.g.,pacemaker, aortic clip or any metal implant) Patients with clinically significant medical conditions including, but not limited to cardiac, pulmonary, hepatic, hematological (e.g. known coagulation disorder, history of deep venous thrombosis and/or pulmonary embolism), endocrine,or renal dysfunction, autoimmune disorders, severe environmental allergies or chronic infections
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fred D Lublin, MD
Organizational Affiliation
Mt Sinai Medical Center, New York, NY
Official's Role
Principal Investigator
Facility Information:
Facility Name
Barrow Neurological Institute at St. Joseph's Hospital and Medical Center
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85013
Country
United States
Facility Name
Northwest NeuroSpecialists, PLLC
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85741-3537
Country
United States
Facility Name
The Mt. Sinai Medical Center, Department of Neurology
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
Facility Name
SUNY Health Science Center at Stony Brook, Department of Neurology
City
Stony Brook
State/Province
New York
ZIP/Postal Code
11794-8121
Country
United States
Facility Name
Wake Forest University - School of Medicine
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27157
Country
United States
Facility Name
Neurology Health Care Service, Fletcher Allen Health Care
City
Burlington
State/Province
Vermont
ZIP/Postal Code
05401
Country
United States
Facility Name
Department of Neurology, Karl-Franzens University
City
Graz
ZIP/Postal Code
8010
Country
Austria
Facility Name
Foothills Hospital
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T2N 2T9
Country
Canada
Facility Name
London Health Sciences Centre
City
London
State/Province
Ontario
ZIP/Postal Code
N6A 5A5
Country
Canada
Facility Name
The Ottawa Hospital, General Campus - Neurology Division
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1H 8L6
Country
Canada
Facility Name
CHUM Hospital Notre Dame
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H2L4M1
Country
Canada
Facility Name
Fakultni nemocnice Brno-Bohunice
City
Brno
ZIP/Postal Code
63900
Country
Czech Republic
Facility Name
St. Anna's Teaching Hospital
City
Brno
ZIP/Postal Code
65691
Country
Czech Republic
Facility Name
Všeobecná fakultní nemocnice
City
Prague 2
ZIP/Postal Code
12808
Country
Czech Republic
Facility Name
Department of Neurology, Motol Teaching Hospital
City
Prague
ZIP/Postal Code
15600
Country
Czech Republic
Facility Name
Medizinische Einrichtungen der Heinrich Heine Universitat, Neurologische Klinik
City
Dusseldorf
ZIP/Postal Code
40225
Country
Germany
Facility Name
HELIOS Klinikum Erfurt GmbH, Klinik und Poliklinik fur Neurologie
City
Erfurt
ZIP/Postal Code
99089
Country
Germany
Facility Name
Klinikum der Justus-Liebig-Universitat, Zentrum fur Neurologie und Neurochirurgie
City
Giessen
Country
Germany
Facility Name
Universitatsklinikum Munster, Klinik und Poliklinik fur Neurologie
City
Munster
ZIP/Postal Code
48149
Country
Germany
Facility Name
Klinikum Osnabrück GmbH
City
Osnabrück
ZIP/Postal Code
49076
Country
Germany
Facility Name
Universitatsklinikum Ulm, Poliklinik fur Neurologie
City
Ulm
ZIP/Postal Code
89075
Country
Germany
Facility Name
Klinijum der Universitat Wurzburg, Neurologische Klinik und Poliklinik
City
Wurzburg
Country
Germany
Facility Name
Henry Dunant Hospital
City
Athens
ZIP/Postal Code
11526
Country
Greece
Facility Name
Szent Imre Korhaz Neurologia
City
Budapest
ZIP/Postal Code
115
Country
Hungary
Facility Name
Uzsoki Street Hospital
City
Budapest
ZIP/Postal Code
H-1145
Country
Hungary
Facility Name
Jahn Ferenc Delpesti Teaching Hospital
City
Budapest
ZIP/Postal Code
H-1204
Country
Hungary
Facility Name
Szeged University of Science
City
Szeged
ZIP/Postal Code
H-5720
Country
Hungary
Facility Name
Lady Davis Carmel Medical Center
City
Haifa
ZIP/Postal Code
34362
Country
Israel
Facility Name
Katedra I Klinika Neurologii; Slaskiej Akademii Medycznej, Samodzielny Publiczny Centralny Szpital Kliniczny
City
Katowice-Ligota
ZIP/Postal Code
40-752
Country
Poland
Facility Name
Katedra I Klinika Neurologii, Univerytetu Medycznego w Lodzi
City
Lodz
ZIP/Postal Code
90-153
Country
Poland
Facility Name
Katedra I Klinika Neurologii
City
Lublin
ZIP/Postal Code
20-954
Country
Poland
Facility Name
Klinika Neurologiczna, Wojskowy Instut Medyczny
City
Warsaw
ZIP/Postal Code
00-909
Country
Poland
Facility Name
Fakultna menocnica Bratislava
City
Bratislava 2
ZIP/Postal Code
83-305
Country
Slovakia
Facility Name
Dererova nemocnica s Poliklinikou Nerologicka Klinika
City
Bratislava 2
ZIP/Postal Code
833 05
Country
Slovakia
Facility Name
Lasarette Neurologiavdeling
City
Lund
Country
Sweden
Facility Name
Karilinska Sjukhuset
City
Stockholm
Country
Sweden
Facility Name
University Hospital, Queens Medical Centre
City
Nottingham
ZIP/Postal Code
NG7 2UH
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
18645164
Citation
Fazekas F, Lublin FD, Li D, Freedman MS, Hartung HP, Rieckmann P, Sorensen PS, Maas-Enriquez M, Sommerauer B, Hanna K; PRIVIG Study Group; UBC MS/MRI Research Group. Intravenous immunoglobulin in relapsing-remitting multiple sclerosis: a dose-finding trial. Neurology. 2008 Jul 22;71(4):265-71. doi: 10.1212/01.wnl.0000318281.98220.6f.
Results Reference
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Immune Globulin Intravenous (IGIV) To Treat Relapsing, Remitting Multiple Sclerosis

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