Study to Monitor Subcutaneous Human Immunoglobulin Administered at Modified Dosing Regimens in Patients With Primary Immunodeficiency Diseases

Last updated: November 1, 2023
Sponsor: Octapharma
Overall Status: Completed

Phase

3

Condition

Primary Immunodeficiency Disorders

Hiv Infections

Treatment

CUTAQUIG

Clinical Study ID

NCT03939533
SCGAM-06
  • Ages 2-75
  • All Genders

Study Summary

CLINICAL PHASE 3 STUDY TO MONITOR THE SAFETY, TOLERABILITY, AND EFFICACY OF SUBCUTANEOUS HUMAN IMMUNOGLOBULIN (CUTAQUIG®) ADMINISTERED AT MODIFIED DOSING REGIMENS IN PATIENTS WITH PRIMARY IMMUNODEFICIENCY DISEASES

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Age ≥2 years and ≤75 years.
  2. Confirmed diagnosis of primary immunodeficiency (PI) disease as defined by theEuropean Society for Immunodeficiencies and Pan American Group for Immunodeficiencyand requiring immunoglobulin replacement therapy due to hypogammaglobulinaemia oragammaglobulinaemia. Note: The exact type of PI disease will be recorded.
  3. Established on a consistent or stable mg/kg dose of any SCIG treatment for a minimumof 3 months prior to Screening. Note: patients entering Cohort 3 must be on weeklySCIG infusions for a minimum of 12 weeks.
  4. Availability of the Immunoglobulin G (IgG) trough levels of 2 previous SCIG infusionswithin 1 year of Screening, with 1 trough level obtained within 3 months prior toenrollment, and maintenance of trough serum IgG levels ≥5.0 g/L in 2 previous infusions. Patients with no prior IgG trough level within 3months prior to enrollment may use the Screening IgG trough level as their 2ndreading.
  5. Voluntarily given, fully informed signed informed consent. For patients under thelegal age of consent, voluntarily given, fully-informed, signed informed consent willbe provided by patient's parent or legal guardian, and assent will be provided bypatient (per age-appropriate Institutional Review Board [IRB] requirements).
  6. Females of childbearing potential, who are not nursing and have no plans for pregnancyduring the course of the study, have been using at least 1 acceptable form of birthcontrol for a minimum of 30 days prior to the Screening visit and must agree to use atleast 1 acceptable method of contraception for 30 days after the last dose ofCUTAQUIG. Acceptable methods include: intrauterine device (IUD), hormonalcontraception, male or female condom, spermicide gel, diaphragm, sponge, cervical cap,or abstinence.
  7. For female patients of child-bearing potential, a negative result in a urine pregnancytest conducted at the Screening visit.
  8. Willingness to comply with all aspects of the protocol, including blood sampling, forthe duration of the study.

Exclusion

Exclusion Criteria:

  1. Evidence of active infection within 4 weeks of Screening or during the ScreeningPeriod.
  2. Current or clinically-significant history of any cardiovascular, respiratory, hepatic,renal, gastrointestinal, endocrine, neurological, immunological (excluding PI),hematologic, and/or psychiatric disorder(s), or a history of any other illness that,in the opinion of the Investigator, might confound the results of the study, or poseadditional risk to the patient by participation in the study.
  3. Known history of adverse reactions to immunoglobulin A (IgA) in other products.
  4. Body mass index (BMI) >40 kg/m2 for patients entering Cohort 2 or Cohort 3. There areno BMI restrictions for Cohort 1.
  5. Ongoing history of hypersensitivity or persistent reactions to blood or plasma derivedproducts, or any component of the investigational product (such as Polysorbate 80).
  6. Requirement of any routine premedication for IgG administration.
  7. History of malignancies of lymphoid cells and immunodeficiency with lymphoma.
  8. Severe liver function impairment (aspartate aminotransferase [AST] or alanineaminotransferase [ALT] >3 times above upper limit of normal).
  9. Known protein-losing enteropathies or clinically significant proteinuria.
  10. Presence of renal function impairment (creatine >120 μM/L or creatinine >1.35 mg/dL),or predisposition for acute renal failure (eg, any degree of preexisting renalinsufficiency or routine treatment with known nephritic drugs).
  11. Treatment with oral or parenteral steroids for ≥30 days, or when given intermittentlyor as bolus at daily doses ≥0.15 mg/kg when taken within 30 days of Screening. Note:Short or intermittent courses of steroids (ie, a steroid burst) of >0.15 mg/kg/day isallowed for treatment of a short-term condition such as an asthma exacerbation.
  12. Treatment with immunosuppressive or immunomodulatory drugs (except Omalizumab).
  13. Use of HYQVIA (Immune Globulin Infusion 10% [Human] with Recombinant HumanHyaluronidase) within 3 months prior to first CUTAQUIG infusion.
  14. Live viral vaccination (such as measles, rubella, mumps, and varicella) within 2months prior to first CUTAQUIG infusion.
  15. Exposure to blood or any blood product or derivative, other than subcutaneous IgG usedfor regular PI disease treatment, within 3 months before the first CUTAQUIG infusion.
  16. Treatment with any investigational medicinal product within 3 months prior to firstCUTAQUIG infusion. Note: Patients participating in Study SCGAM-03 will be allowed toenter this study without the 3-month waiting period for an Investigational Product.Patients receiving another SCIG product within 3 months prior to the first CUTAQUIGinfusion may be considered for enrollment after Sponsor approval.
  17. Presence of any condition that is likely to interfere with the evaluation of CUTAQUIGor satisfactory conduct of the trial.
  18. Known or suspected to abuse alcohol, drugs, psychotropic agents, or other chemicalswithin the past 12 months prior to first CUTAQUIG infusion.
  19. Known active or chronic hepatitis B, hepatitis C, or HIV infection. Past hepatitis Bor hepatitis C infection that has been cured is allowed.

Study Design

Total Participants: 64
Treatment Group(s): 1
Primary Treatment: CUTAQUIG
Phase: 3
Study Start date:
October 17, 2019
Estimated Completion Date:
January 03, 2022

Connect with a study center

  • Octapharma Research Site

    Birmingham, Alabama 35209
    United States

    Site Not Available

  • Octapharma Research Site

    Scottsdale, Arizona 85251
    United States

    Site Not Available

  • Octapharma Research Site

    Irvine, California 92697
    United States

    Site Not Available

  • Octapharma Research Site

    San Diego, California 92123
    United States

    Site Not Available

  • Octapharma Research Site

    Santa Barbara, California 93105
    United States

    Site Not Available

  • Octapharma Research Site

    Santa Monica, California 90404
    United States

    Site Not Available

  • Octapharma Research Site

    Centennial, Colorado 80112
    United States

    Site Not Available

  • Octapharma Research Site

    North Palm Beach, Florida 33408
    United States

    Site Not Available

  • Octapharma Research Site

    Saint Petersburg, Florida 33701
    United States

    Site Not Available

  • Octapharma Research Site

    Albany, Georgia 31707
    United States

    Site Not Available

  • Octapharma Research Site

    Louisville, Kentucky 40215
    United States

    Site Not Available

  • Octapharma Research Site

    Chevy Chase, Maryland 20815
    United States

    Site Not Available

  • Octapharma Research Site

    Saint Louis, Missouri 63141
    United States

    Site Not Available

  • Octapharma Research Site

    Papillion, Nebraska 68046
    United States

    Site Not Available

  • Octapharma Research Site

    Asheville, North Carolina 28801
    United States

    Site Not Available

  • Octapharma Research Site

    Cincinnati, Ohio 45231
    United States

    Site Not Available

  • Octapharma Research Site

    Mayfield, Ohio 44124
    United States

    Site Not Available

  • Octapharma Research Site

    Toledo, Ohio 43617
    United States

    Site Not Available

  • Octapharma Research Site

    Pittsburgh, Pennsylvania 15241
    United States

    Site Not Available

  • Octapharma Research Site

    Dallas, Texas 75225
    United States

    Site Not Available

  • Octapharma Research Site

    Bellingham, Washington 98225
    United States

    Site Not Available

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