Additional identifiers
EudraCT number
ClinicalTrials.gov number
NCT00811174
Protocol/serial number
GAM10-03
Study information
Scientific title
Acronym
Study hypothesis
Safety of Octagam® 10% in primary immunodeficiency diseases (PID) and comparison of pharmacokinetics of Octagam® 5% and Octagam® 10%.
Ethics approval
Albert-Ludwigs-Universität Freiburg Ethik-Kommission gave approval on the 27th October 2008
Study design
Prospective open-label non-controlled non-randomised multi-centre phase III study
Primary study design
Interventional
Secondary study design
Non randomised controlled trial
Trial setting
Hospitals
Trial type
Treatment
Patient information sheet
Not available in web format, please use the contact details below to request a patient information sheet
Condition
Primary immunodeficiency diseases (PID)
Intervention
30/04/2013: Please note that this study was stopped in October 2010.
Octagam® will be given by intravenous infusion at a constant dose of 300 - 600 mg/kg body weight every 21 (+/- 3) or 28 (+/-3) days for 12 months. Follow-up will be performed 3 or 4 weeks after last infusion.
Intervention type
Drug
Phase
Phase III
Drug names
Octagam® 5%, Octagam® 10%
Primary outcome measures
1. Rate of Octagam® 10% infusions with one or more adverse events occurring during or within 72 hours after end of infusion
2. Comparison of pharmacokinetics of Octagam® 5% and Octagam® 10%
Secondary outcome measures
1. Occurrence of adverse events, measured throughout the study
2. Vital signs, measured during each treatment
3. Safety laboratory measurements, measured at each treatment date (every three to four weeks)
4. Viral safety tests, measured every 3 months
5. Pharmacokinetics of glucose and maltose, measured after 6 months of treatment
6. Rate of serious bacterial infections, measured throughout the study
7. Rate of other infections, measured throughout the study
8. Trough levels and pharmacokinetics of total serum IgG (measured before each treatment), IgG subclasses and antigen specific antibodies (measured before treatment 10 or 12 and at the end of the study)
9. Use of antibiotics, throughout the study
10. Rate of absence from work/school, throughout the study
11. Number and days of hospitalisation, throughout the study
Overall trial start date
01/01/2009
Overall trial end date
01/06/2010
Reason abandoned
Objectives no longer viable
Eligibility
Participant inclusion criteria
1. Age of greater than or equal to 2 years and less than or equal to 75 years, either sex
2. For minor patients, above a minimum weight based on the amount of blood required for testing: per individual, the trial-related blood loss (including any losses in the manoeuvre) should not exceed 3% of the total blood volume during a period of four weeks and should not exceed 1% at any single time (the total volume of blood is estimated at 80 ml/kg body weight)
3. Confirmed diagnosis of primary immunodeficiency as stated by the World Health Organization and requiring immunoglobulin replacement therapy. The exact type of PID should be recorded.
4. Previously treated with commercial Octagam® 5% every 21 - 28 days for at least six infusion intervals at a constant dose of 300 - 600 mg/kg body weight
5. Availability of the IgG trough levels of the two previous infusions before enrolment, and maintenance of at least 5.5 g/L in the trough levels of these two infusions
6. Negative result on a pregnancy test (human chorionic gonadotropin [HCG]-based assay in blood or urine) for women of child-bearing potential and use of a reliable method of contraception for the duration of the study
7. For adult patients: freely given written informed consent. For minor patients: freely given written informed consent from both parents/legal guardians and written informed assent from the child/adolescent greater than or equal to 8 years of age according to his/her age and capacity of understanding
8. Willingness to comply with all aspects of the protocol, including blood sampling, for the duration of the study
Participant type
Patient
Age group
Other
Gender
Both
Target number of participants
45
Participant exclusion criteria
1. Acute infection requiring intravenous antibiotic treatment within two weeks before screening
2. Known history of adverse reactions to IgA in other products
3. Exposure to blood or any blood product or derivative, other than commercially available Octagam® 5%, within the past 3 months
4. Ongoing history of hypersensitivity or persistent reactions to blood or plasma derived products, or any component of the investigational product, such as maltose
5. Requirement of any routine premedication for IGIV infusion
6. History of congenital impairment of pulmonary function
7. Severe liver function impairment (alanine aminotransferase [ALAT] 3 x greater than normal value)
8. Severe renal function impairment (creatinine greater than 120 µmol/L), or predisposition for acute renal failure (e.g. any degree of pre-existing renal insufficiency or routine treatment with known nephritic drugs)
9. History of autoimmune haemolytic anaemia
10. History of diabetes mellitus
11. Congestive heart failure New York Heart Association (NYHA) grade III or IV
12. Non-controlled arterial hypertension (systolic blood pressure greater than 160 mmHg and/or diastolic blood pressure greater than 90 mmHg)
13. History of deep vein thrombosis (DVT) or thrombotic complications of IGIV therapy
14. Known to be infected with human immunodeficiency virus (HIV), hepatitis C virus (HCV) or hepatitis B virus (HBV)
15. Presence of any clinically relevant disease or unstable condition beside those concerning study indication at screening which in the opinion of the investigator may interfere with the conduct of the study
16. Treatment with steroids, immunosuppressive or immunomodulatory drugs
17. Planned vaccination during the study period
18. Treatment with any investigational agent within the prior 3 months
19. Known or suspected to abuse alcohol, drugs, psychotropic agents or other chemicals within the last 12 months
20. Pregnant and/or nursing women
Recruitment start date
01/01/2009
Recruitment end date
01/06/2010
Locations
Countries of recruitment
Germany, Poland
Trial participating centre
Oberlaaerstrasse 235
Vienna
1100
Austria
Sponsor information
Organisation
Octapharma AG (Switzerland)
Sponsor details
Seidenstrasse 2
Lachen
CH-8853
Switzerland
Sponsor type
Industry
Website
Funders
Funder type
Industry
Funder name
Octapharma AG (Switzerland)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Results and Publications
Publication and dissemination plan
Not provided at time of registration
Intention to publish date
Participant level data
Not provided at time of registration
Results - basic reporting
Publication summary