Clinical study to evaluate the efficacy and safety of immunoglobulin intravenous (human) 10% (NewGam) in Primary Immune Thrombocytopenia

ISRCTN ISRCTN37539930
DOI https://doi.org/10.1186/ISRCTN37539930
ClinicalTrials.gov number NCT01349790
Secondary identifying numbers NGAM-02
Submission date
20/02/2013
Registration date
27/02/2013
Last edited
10/04/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Haematological Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
In this study, it will be assessed, whether NewGam [immunoglobulin intravenous (human)] corrects (i.e. increases) the platelet count.

Who can participate?
Patients with confirmed diagnosis of chronic Primary Immune Thrombocytopenia (ITP) of at least 12 months duration, age >=18 years and <=65 years, and a platelet count of <20x10 exp9/L with or without bleeding manifestations.

What does the study involve?
Beside examination at study start all patients will receive two intravenous infusions of NewGam at two consecutive days. Over a period of 63 days participants will be asked to give a small amount of blood for assessment of platelet count and safety parameters.

What are the possible benefits and risks of participating?
Patient will receive NewGam for a quick increase in platelet count. During this study the patients’ health condition will be assessed in shorter intervals than normal.
The most common side effects when people take intravenous (IV) immunoglobulin are headache, chills, back pain, chest pain, myalgia, fever, cutaneous reactions, fatigue, various minor allergic and hypersensitivity type of reactions, hot flushes and nausea.

Where is the study run from?
The study has been set up by Octapharma AG, a pharmaceutical company.

When is study starting and how long is it expected to run for?
Study started in June 2011 and expected to end in June 2013.

Who is funding the study?
Octapharma AG (Switzerland)

Who is the main contact?
Birgit Taumberger
Birgit.taumberger@octapharma.com

Contact information

Prof Abdulgabar Salama
Scientific

Universitätsklinikum Charité
Med. Fakultät der Humboldt-Universität zu Berlin
Institut für Transfusionsmedizin
Campus Virchow-Klinikum
Augustenburger Platz 1
Berlin
13353
Germany

Study information

Study designProspective open-label non-controlled multicenter phase III clinical study
Primary study designInterventional
Secondary study designNon randomised controlled trial
Study setting(s)Hospital
Study typeScreening
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleProspective, open-label, non-controlled, multicenter, phase III clinical study to evaluate the efficacy and safety of immunoglobulin intravenous (human) 10% (NewGam) in Primary Immune Thrombocytopenia
Study objectivesTo assess the efficacy of NewGam in correcting the platelet count.
Ethics approval(s)1. Ethics Committee of the Institute for Clinical and Experimental Medicine and Thomayer Hospital, Prague, Czech Republic, 11.05.2011, ref: 710/11 (M11-25)
2. Ethics Committee for Multicentre Trials, 8 Damyan Gruev Str., 1303 Sofia, Bulgaria, 3.10.2011, KE-107/22.06.2011
3. Comité de Protection des personnes Sud Méditérrannée I, Institut Paoli Calmettes, 232 Boulevard Ste Marguerite, 13009 Marseille; France; 30. 01. 2012, Ref: 11 47
4. Ethik-Kommission des Landes Berlin Landesamt für Gesundheit und Soziales Berlin, Fehrbelliner Platz 1, 10707 Berlin; 07.09. 2011, 11/0218 ZS EK
5. Independent Bioethical Committee for Scientific Research at Medical University in Gdañsk, 3a M. Sk³odowskiej - Curie str.; 80-210 Gdañsk, 07.07.2011
6. National Ethics Committee, 48 Av. Sanatescu St., District 1, Bucharest, Romania, 20.07.2011
7. Ministry of Healthcare and Social Development, Ethics Committee, 8, Petrovskiy avenue,127051, Moscow, Russia, 24.08.2011
8. Central Ethics Commitee, 03680 Kiev, st. Narodnogo Opolchenia, 5, Ukraine, 5.12-1035/KE, 07.09.2011
9. lnstitutional Ethics committee for Sahyadri Hospitals, 30C, Erandawane, Karve Road, Pune 411004, India, 18.08.2011
Health condition(s) or problem(s) studiedPrimary Immune Thrombocytopenia (ITP)
InterventionAll patients will receive 1 g/kg/day NewGam by intravenous infusion for 2 consecutive days, for a total of 2 g/kg.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase III
Drug / device / biological / vaccine name(s)Immunoglobulin intravenous (human) 10% (NewGam)
Primary outcome measureThe primary efficacy measure is defined as an increase in platelets to atleast 50x109/L within 7 days after the first infusion, i.e. by study Day 8 (at least once prior to Day 9).
Secondary outcome measuresAdditional response rates will be calculated on basis of an alternative definition for response and for additionally defined criteria for complete response and loss of response.
Overall study start date30/06/2011
Completion date30/06/2013

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants95
Key inclusion criteria1. Age of >=18 years years and <=65 years
2. Confirmed diagnosis of chronic primary ITP of at least 12 months duration (diagnosed with threshold platelet count less than 100x109/L)
3. Platelet count of <=20x10exp9/L with or without bleeding manifestations
Key exclusion criteria1. Thrombocytopenia secondary to other diseases (such as Acquired Immunodeficiency Syndrome [AIDS] or systemic lupus erythematosus [SLE]) or drug-related thrombocytopenia.
2. Administration of intravenous immunoglobulin (IGIV), anti-D or thrombopoetin receptor agonists or other platelet enhancing drugs (incl. immunosuppressive or other immunomodulatory drugs) within 3 weeks before enrollment
3. Unresponsive to previous treatment with IGIV or anti-D immunoglobulin.
4. Severe liver or kidney disease (alanine aminotransferase [ALAT] 3x > upper limit of normal, creatinine >120 µmol/L).
5. Patients with risk factors for thromboembolic events in whom the risks outweigh the potential benefit of NewGam treatment.
Date of first enrolment30/06/2011
Date of final enrolment30/06/2013

Locations

Countries of recruitment

  • Bulgaria
  • Czech Republic
  • France
  • Germany
  • India
  • Poland
  • Romania
  • Russian Federation
  • Ukraine

Study participating centre

Universitätsklinikum Charité
Berlin
13353
Germany

Sponsor information

Octapharma AG (Switzerland)
Industry

Seidenstrasse 2
Lachen
CH-8853
Switzerland

Website http://www.octapharma.com
ROR logo "ROR" https://ror.org/002k5fe57

Funders

Funder type

Industry

Octapharma AG (Switzerland)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/02/2019 10/04/2019 Yes No

Editorial Notes

10/04/2019: Publication reference added.