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NCT01884311: SCIG03

Pharmacokinetics (PK) and Safety of Subgam-VF in Primary Immunodeficiency Diseases

Completed Phase 3 Results posted Last updated 12 September 2018
What this trial tests

Phase 3 trial testing Subgam in Primary Immune Deficiency Disorders in 38 participants. Completed in 25 May 2017.

Timeline
20 August 2015
Primary endpoint
25 May 2017
25 May 2017

Quick facts

Lead sponsorBio Products Laboratory
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposeother
Enrollment38
Start date20 August 2015
Primary completion25 May 2017
Estimated completion25 May 2017
Sites16 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Bio Products Laboratory — full company profile →

Who can join

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.

GroupValue95% CI
Subgam-VF and Gammaplex 5%0.980.91 – 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
GroupValue95% CI
Subgam-VF36
No TEAE
GroupValue95% CI
Subgam-VF2
Discontinued because of TEAEs
GroupValue95% CI
Subgam-VF1
Product Related TEAE
GroupValue95% CI
Subgam-VF15
No Product Related TEAEs
GroupValue95% CI
Subgam-VF23
SAE
GroupValue95% CI
Subgam-VF0
Dose Refinement in Switching From Gammaplex 5% IGIV to Subgam-VF Secondary · 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.

GroupValue95% CI
Subgam-VF and Gammaplex 5%1.331.23 – 1.44
Number of Infusion Site Reactions Secondary · 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.

GroupValue95% CI
Subgam-VF447
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
GroupValue95% CI
Subgam-VF31
Increase from IGIV to Biweekly Subgam
GroupValue95% CI
Subgam-VF22
Decrease from Weekly Subgam to Biweekly Subgam
GroupValue95% CI
Subgam-VF7
Increase from Weekly Subgam to twice weekly Subgam
GroupValue95% CI
Subgam-VF2
Increase from Weekly Subgam to 3x weekly Subgam
GroupValue95% CI
Subgam-VF3
Increase from weekly Subgam to 5x weekly Subgam
GroupValue95% CI
Subgam-VF3
Increase from weekly Subgam to 7x weekly Subgam
GroupValue95% CI
Subgam-VF3

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)

ReactionSystemSubgam-VF
NasopharyngitisInfections and infestations
DiarrhoeaGastrointestinal disorders
HeadacheNervous system disorders
Infusion Site ErythemaGeneral disorders
Infusion Site PainGeneral disorders
PyrexiaGeneral disorders
Viral Upper Respiratory Tract InfectionInfections and infestations
CoughRespiratory, thoracic and mediastinal disorders
Infusion Site PruritusGeneral disorders
Acute SinusitisInfections and infestations
SinusitisInfections and infestations
Urinary Tract InfectionInfections and infestations
Coombs Direct Test PositiveInvestigations
Oropharyngeal PainRespiratory, thoracic and mediastinal disorders
FatigueGeneral disorders
PainGeneral disorders
BronchitisInfections and infestations
Gastroenteritis ViralInfections and infestations
Pharyngitis StreptococcalInfections and infestations
Upper Respiratory Tract InfectionInfections and infestations
Pain in ExtremityMusculoskeletal and connective tissue disorders
HaemosiderinuriaRenal and urinary disorders
Nasal CongestionRespiratory, thoracic and mediastinal disorders
Dermatitis ContactSkin and subcutaneous tissue disorders
Abdominal PainGastrointestinal disorders
Abdominal Pain UpperGastrointestinal disorders
VomitingGastrointestinal disorders
Chest PainGeneral disorders
Infusion Site BruisingGeneral disorders
Infusion Site SwellingGeneral disorders
GastroenteritisInfections and infestations
RhinitisInfections and infestations
Ligament SprainInjury, poisoning and procedural complications
Tooth FractureInjury, poisoning and procedural complications
Back PainMusculoskeletal and connective tissue disorders
OsteoarthritisMusculoskeletal and connective tissue disorders
TendonitisMusculoskeletal and connective tissue disorders
Basal Cell CarcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
RashSkin and subcutaneous tissue disorders
Tooth ExtractionSurgical and medical procedures

Data from ClinicalTrials.gov NCT01884311 adverse events section.

Sponsor's own description

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.

Verify or expand the search:

Other recruiting trials for Primary Immune Deficiency Disorders

Currently open trials in the same condition.

Other Bio Products Laboratory trials

Trials by the same sponsor.

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