Adults 2 to 75, any sex, with Primary Immune Deficiency Disorders or Common Variable Immunodeficiency. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Data (Derived From Absolute Concentration) Were Pooled With Historical Data and a Treatment Variable Defined (Subgam-VF or Gammaplex 5% IGIV). Outcome Measure Defined as Log Transformed sAUC0-t Standardized to One Week.Primary· 1 week
Log transformed sAUC0-t, (AUC0-t standardized to one week) were analysed using a multiple linear regression model fitted including treatment, allowing for variability between treatment groups. The mean difference (Subgam-VF or Gammaplex IGIV 5%) between treatments with 90% Confidence Interval (CI) were back transformed to give an estimate of the ratio (Subgam-VF/ Gammaplex 5% IGIV) of sAUC(0-t). Data was collected at the following timepoints after week 21 of the clinical trial over a period of 1 week: Pre-dose on Day 0 and post-dose at days 1, 2, 3, 5 and 7.
Group
Value
95% CI
Subgam-VF and Gammaplex 5%
0.98
0.91 – 1.05
Number of Participants Who Experienced AEs Based on Treatment-emergent AEs (TEAEs)Secondary· 30 weeks
TEAEs defined as those events with onset date between the first infusion date and 28 days after the last infusion.
Any TEAE
Group
Value
95% CI
Subgam-VF
36
No TEAE
Group
Value
95% CI
Subgam-VF
2
Discontinued because of TEAEs
Group
Value
95% CI
Subgam-VF
1
Product Related TEAE
Group
Value
95% CI
Subgam-VF
15
No Product Related TEAEs
Group
Value
95% CI
Subgam-VF
23
SAE
Group
Value
95% CI
Subgam-VF
0
Dose Refinement in Switching From Gammaplex 5% IGIV to Subgam-VFSecondary· Week 26
The initial weekly dose of Subgam-VF administered was calculated by taking the average weekly equivalent of the subject's IGIV dose, divided by the average dosing interval in weeks (i.e. 3 or 4), multiplied by 1.37, a dose adjustment coefficient based on other licensed subcutaneous IgG products. If the subject was already receiving a weekly SCIG IgG there will be no dose adjustment.
A refined dose adjustment was estimated as 1.37/the ratio (Subgam-VF/ Gammaplex 5% IGIV) of geometric means for sAUC0-t and presented with 90% CI.
Group
Value
95% CI
Subgam-VF and Gammaplex 5%
1.33
1.23 – 1.44
Number of Infusion Site ReactionsSecondary· 30 weeks
Infusion site reactions are defined as those events with onset date between the first infusion date and 28 days after the last infusion.
Group
Value
95% CI
Subgam-VF
447
Population PK Model for IgG in PID Patients for Alternative Dosing Schedules.Secondary· 30 months
Develop a population pharmacokinetic (PK) model for IgG in PID patients following IV (Gammaplex 5%) or SC (Subgam-VF) administration;
* Conduct a formal covariate analysis to assess the impact of patient demographics, and disease-related factors on the PK of IgG following IV or SC administration and to identify those patient covariates which may be utilized in or require dose adjustment;
* Use the final population PK model to simulate serum IgG concentration-time profiles in a population of PID patients in order to:
* Assess switching from various IgG IV and SC dosing regimens; and
* Der
Increase from IGIV to Weekly Subgam
Group
Value
95% CI
Subgam-VF
31
Increase from IGIV to Biweekly Subgam
Group
Value
95% CI
Subgam-VF
22
Decrease from Weekly Subgam to Biweekly Subgam
Group
Value
95% CI
Subgam-VF
7
Increase from Weekly Subgam to twice weekly Subgam
Group
Value
95% CI
Subgam-VF
2
Increase from Weekly Subgam to 3x weekly Subgam
Group
Value
95% CI
Subgam-VF
3
Increase from weekly Subgam to 5x weekly Subgam
Group
Value
95% CI
Subgam-VF
3
Increase from weekly Subgam to 7x weekly Subgam
Group
Value
95% CI
Subgam-VF
3
Adverse events — posted to ClinicalTrials.gov
Time frame: 7 months.
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Subgam-VF
Serious: 0/38 (0%)
Deaths: 0/38
Other adverse events (40 terms — click to expand)
Reaction
System
Subgam-VF
Nasopharyngitis
Infections and infestations
—
Diarrhoea
Gastrointestinal disorders
—
Headache
Nervous system disorders
—
Infusion Site Erythema
General disorders
—
Infusion Site Pain
General disorders
—
Pyrexia
General disorders
—
Viral Upper Respiratory Tract Infection
Infections and infestations
—
Cough
Respiratory, thoracic and mediastinal disorders
—
Infusion Site Pruritus
General disorders
—
Acute Sinusitis
Infections and infestations
—
Sinusitis
Infections and infestations
—
Urinary Tract Infection
Infections and infestations
—
Coombs Direct Test Positive
Investigations
—
Oropharyngeal Pain
Respiratory, thoracic and mediastinal disorders
—
Fatigue
General disorders
—
Pain
General disorders
—
Bronchitis
Infections and infestations
—
Gastroenteritis Viral
Infections and infestations
—
Pharyngitis Streptococcal
Infections and infestations
—
Upper Respiratory Tract Infection
Infections and infestations
—
Pain in Extremity
Musculoskeletal and connective tissue disorders
—
Haemosiderinuria
Renal and urinary disorders
—
Nasal Congestion
Respiratory, thoracic and mediastinal disorders
—
Dermatitis Contact
Skin and subcutaneous tissue disorders
—
Abdominal Pain
Gastrointestinal disorders
—
Abdominal Pain Upper
Gastrointestinal disorders
—
Vomiting
Gastrointestinal disorders
—
Chest Pain
General disorders
—
Infusion Site Bruising
General disorders
—
Infusion Site Swelling
General disorders
—
Gastroenteritis
Infections and infestations
—
Rhinitis
Infections and infestations
—
Ligament Sprain
Injury, poisoning and procedural complications
—
Tooth Fracture
Injury, poisoning and procedural complications
—
Back Pain
Musculoskeletal and connective tissue disorders
—
Osteoarthritis
Musculoskeletal and connective tissue disorders
—
Tendonitis
Musculoskeletal and connective tissue disorders
—
Basal Cell Carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
The main objective of the study is to determine the pharmacokinetics profile of Subgam-VF. The secondary objectives are to assess the safety of Subgam-VF and refine the dose adjustment coefficient for Subgam-VF needed for subjects switching from prior intravenous immunoglobulin (IGIV) therapy.
Publications & conference data
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
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Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Bio Products Laboratory
Last refreshed: 12 September 2018
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01884311.