Rapid Infusion of Immune Globulin Intravenous (Human) In Primary Immunodeficiency Patients

Last updated: September 24, 2009
Sponsor: Grifols Therapeutics LLC
Overall Status: Completed

Phase

3

Condition

Platelet Disorders

Hypogammaglobulinemia

Hiv Infections

Treatment

N/A

Clinical Study ID

NCT00220766
100348
  • Ages 18-75
  • All Genders

Study Summary

The objective of this study is to determine if the safety and tolerability of Immune Globulin Intravenous (Human), 10% caprylate/chromatography (IGIV-C)purified is similar when infused at two different infusion rates. The primary objective is to compare the incidence and severity of all infusion related adverse events when IGIV-C, 10% is administered at a rate of 0.14 mL/kg/min compared to a rate of 0.08 mL/kg/min after a single daily infusion.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Confirmed diagnosis of primary immune deficiency and medical records available forretrospective review for at least 3 months prior to entry into the trial

  • Signed an informed consent written informed consent prior to initiation of any studyrelated procedures

  • Receiving regular infusions of IGIV at a fixed interval and dosage (in the range of 200-600 mg/kg given every 3-4 weeks) for at least three months prior to entry into thetrial. Patients who are currently receiving less than 400 mg/kg are eligible for thistrial and will be at the time of study enrollment be treated at 400 mg/kg

Exclusion

Exclusion Criteria:

  • History or suspicion of significant allergic reaction to intravenous immune globulin,and/or blood products

  • Documented history of selective IgA deficiency (serum level <5.0 mg/dL) and knownantibodies to IgA

  • Isolated IgG subclass deficiency with a normal total serum IgG level

  • Other conditions which may interfere with the trial, include the patients demeanor ormental ability to follow instruction.

  • Pretreatment with anti-pyretics or anti-histamines

  • Congestive heart failure (New York Heart Association stage greater than Class II)

  • Renal insufficiency (creatinine >2.5 mg/dL)

  • Conditions whose symptoms and effects could alter protein catabolism and/or IgGutilization (e.g. protein-losing enteropathies, nephrotic syndrome)

  • Pretreatment routinely required to control/ameliorate IGIV infusion-related adverseevents (AEs)

  • Any patient who requires IGIV dosing more frequently than every 3 weeks to maintainadequate trough levels

  • Women of child bearing potential who do not practice adequate contraception (i.e.chemical or mechanical methods) and pregnant or lactating females

Study Design

Total Participants: 100
Study Start date:
August 01, 2002
Estimated Completion Date:
March 31, 2004

Study Description

This is a prospective, single blind, randomized, multi-center cross-over trial in patients with Primary Immune Deficiency. Patients with a confirmed diagnosis of primary Immune Deficiency will be treated with two daily infusions given 3-4 weeks apart at the fixed individual IGIV dose regimen (400-600 mg/kg) established prior to entry into the study. Any subject with an established dose in the range of 200-399 mg/kg will be assigned to receive 400 mg/kg during the course of the study during the same dosing schedule established prior to entry into the study.

After a screening period lasting not more than four weeks, patients will be randomized into one of two cross-over groups. Patients randomized to Group 1 will receive their first IGIV-C, 10% dose at a rate of 0.08 mL/kg/min and their second infusion at a rate of 0.14 mL/kg/min, whereas patients randomized to Group 2 will receive IGIV-C, 10% at a rate of 0.14 mL/kg/min on the first infusion day and then 0.08 mL/kg/min on the second infusion day. All patients just prior to each IGIV-C, 10% infusion will receive the same volume of 5% dextrose as calculated for their IGIV-C, 10% infusion and given at a target rate according to the schema below.

Group 1:

  • Infusion #1 (Week 0)Dextrose (0.14 mL/kg/min), then IGIV-C, 10% (0.08 mL/kg/min)

  • Infusion #2 (Week 3-4)Dextrose (0.08 mL/kg/min), then IGIV-C, 10% (0.14 mL/kg/min)

Group 2:

  • Infusion #1 (Week 0)Dextrose (0.08 mL/kg/min), then IGIV-C, 10% (0.14 mL/kg/min)

  • Infusion #2 Dextrose (0.14 mL/kg/min), then IGIV-C, 10% (0.08 mL/kg/min)

Connect with a study center

  • 3031 Hospital Drive Northwest

    Calgary, Alberta T2N 2T8
    Canada

    Site Not Available

  • St. Paul's Hospital

    Vancouver, British Columbia V6H 3K2
    Canada

    Site Not Available

  • Saint Michael's Hospital

    Toronto, Ontario M4V 1R2
    Canada

    Site Not Available

  • The Hospital for Sick Children

    Toronto, Ontario M5G 1X8
    Canada

    Site Not Available

  • Departments of Medicine and Microbiology

    Birmingham, Alabama 35294
    United States

    Site Not Available

  • National Jewish Medical and Researach Center

    Denver, Colorado 80206
    United States

    Site Not Available

  • International Center for Interdisciplinary Studies of Immunology

    Washington, District of Columbia 20007
    United States

    Site Not Available

  • Allergy Associates of the Palm Beaches

    North Palm Beach, Florida 33408
    United States

    Site Not Available

  • University of South Florida College of Medicine

    St. Petersburg, Florida 33701
    United States

    Site Not Available

  • The Clinical Trials Center, Children's Hospital

    New Orleans, Louisiana 70118
    United States

    Site Not Available

  • Allergy, Asthma, and Immunology

    Omaha, Nebraska 68124
    United States

    Site Not Available

  • University Hospitals of Cleveland

    Cleveland, Ohio 44106
    United States

    Site Not Available

  • Optimed Research, LLC

    Columbus, Ohio 43235
    United States

    Site Not Available

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