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    Clinical Trial Results:
    Clinical study to evaluate the efficacy and safety of Octagam® 10% in Idiopathic Thrombocytopenic Purpura in adults.

    Summary
    EudraCT number
    2005-003552-35
    Trial protocol
    DE   AT   CZ   FR  
    Global end of trial date
    15 Sep 2008

    Results information
    Results version number
    v1(current)
    This version publication date
    03 Dec 2016
    First version publication date
    03 Dec 2016
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    GAM10-02
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00426270
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Octapharma AG
    Sponsor organisation address
    Seidenstrasse 2, Lachen, Switzerland, CH-8853
    Public contact
    Octapharma Pharmazeutika Prod.Ges.m.b.H., Octapharma Pharmazeutika Prod.Ges.m.b.H., 0043 1 610 32 0,
    Scientific contact
    Octapharma Pharmazeutika Prod.Ges.m.b.H., Octapharma Pharmazeutika Prod.Ges.m.b.H., 0043 1 610 32 0,
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    02 Jun 2009
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    15 Sep 2008
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The main objective of the study is to investigate the efficacy of Octagam® 10% in correcting the platelet count.
    Protection of trial subjects
    This trial was conducted in accordance to the principles of GCP, ensuring that the rights, safety and wellbeing of patients are protected and in consistency with the Declaration of Helsinki. Inclusion and exclusion criteria were carefully defined in order to protect subjects from contraindications, interactions with other medication and safety factors associated with the investigational medicinal product. Throughout the study safety was assessed, such as occurrence of AEs, lab values, vital signs and physical examinations.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    13 Jun 2006
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Austria: 1
    Country: Number of subjects enrolled
    Czech Republic: 27
    Country: Number of subjects enrolled
    France: 1
    Country: Number of subjects enrolled
    Germany: 18
    Country: Number of subjects enrolled
    Poland: 69
    Worldwide total number of subjects
    116
    EEA total number of subjects
    116
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    1
    Adults (18-64 years)
    91
    From 65 to 84 years
    22
    85 years and over
    2

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    In total, 116 subjects were enrolled in the study in order to achieve 110 evaluable subjects with acute or chronic ITP.

    Period 1
    Period 1 title
    Overall Trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Octagam 10%
    Arm description
    Participants received Octagam 10% (human normal immunoglobulin) 1 g/kg intravenously once a day for 2 days
    Arm type
    Experimental

    Investigational medicinal product name
    Octagam 10%
    Investigational medicinal product code
    Other name
    Human Normal Immunoglobulin
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Participants received Octagam 10% (human normal immunoglobulin) 1 g/kg intravenously once a day for 2 days.

    Number of subjects in period 1
    Octagam 10%
    Started
    116
    Completed
    110
    Not completed
    6
         Incorrectly Enrolled in the Study
    1
         Adverse Event
    5

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall Trial
    Reporting group description
    -

    Reporting group values
    Overall Trial Total
    Number of subjects
    116 116
    Age categorical
    Units: Subjects
        Age 17- 88
    116 116
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    47.7 ± 19.1 -
    Gender categorical
    Units: Subjects
        Female
    74 74
        Male
    42 42

    End points

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    End points reporting groups
    Reporting group title
    Octagam 10%
    Reporting group description
    Participants received Octagam 10% (human normal immunoglobulin) 1 g/kg intravenously once a day for 2 days

    Primary: Percentage of Participants with a Clinical Response

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    End point title
    Percentage of Participants with a Clinical Response [1]
    End point description
    A clinical response is defined as an increase in platelet count to ≥ 50 x 10^9/L on any day from Day 2 to Day 7.
    End point type
    Primary
    End point timeframe
    Day 2 to Day 7
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The statistical analysis of the primary endpoint comprised the overall response rate in the full analysis set and the associated two-sided 95% confidence interval, and is given in the end point values table.
    End point values
    Octagam 10%
    Number of subjects analysed
    115 [2]
    Units: Percentage of Participants
        number (confidence interval 95%)
    80 (72.7 to 87.3)
    Notes
    [2] - One participant was incorrectly enrolled in the study and was not included in the efficacy analyses
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    The condition of the patients were monitored until day 21
    Adverse event reporting additional description
    Safety population: All participants who received at least 1 dose of study medication.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    9.0
    Reporting groups
    Reporting group title
    Safety Set
    Reporting group description
    All participants who received at least 1 dose of study medication

    Serious adverse events
    Safety Set
    Total subjects affected by serious adverse events
         subjects affected / exposed
    14 / 116 (12.07%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Investigations
    Platelet count decreased
         subjects affected / exposed
    1 / 116 (0.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Injury, poisoning and procedural complications
    Extradural haemotoma
         subjects affected / exposed
    1 / 116 (0.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Injury
         subjects affected / exposed
    1 / 116 (0.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Overdose
         subjects affected / exposed
    1 / 116 (0.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    Headache
         subjects affected / exposed
    2 / 116 (1.72%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Transient ischaemic attack
         subjects affected / exposed
    1 / 116 (0.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    Idiopathic thrombocytopenic purpura
         subjects affected / exposed
    5 / 116 (4.31%)
         occurrences causally related to treatment / all
    0 / 5
         deaths causally related to treatment / all
    0 / 0
    Thrombocytopenia
         subjects affected / exposed
    2 / 116 (1.72%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Pneumonia
         subjects affected / exposed
    1 / 116 (0.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Safety Set
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    79 / 116 (68.10%)
    Investigations
    Heart rate decreased
         subjects affected / exposed
    18 / 116 (15.52%)
         occurrences all number
    34
    Heart rate increased
         subjects affected / exposed
    25 / 116 (21.55%)
         occurrences all number
    39
    Vascular disorders
    Hypertension
         subjects affected / exposed
    7 / 116 (6.03%)
         occurrences all number
    12
    Nervous system disorders
    Headache
         subjects affected / exposed
    35 / 116 (30.17%)
         occurrences all number
    49
    General disorders and administration site conditions
    Pyrexia
         subjects affected / exposed
    21 / 116 (18.10%)
         occurrences all number
    21
    Blood and lymphatic system disorders
    Idiopathic thrombocytopenic purpura
         subjects affected / exposed
    6 / 116 (5.17%)
         occurrences all number
    6
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    7 / 116 (6.03%)
         occurrences all number
    7

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    08 May 2006
    Amendment #2 1. If a subject was hospitalised before study drug treatment due to the underlying disease, or hospitalised for social reasons or for an elective procedure, this was not to be reported as an SAE. 2. If a study site was inactive and did not screen any subjects for the study, the monitor did not need to perform a trial termination visit.
    21 Aug 2006
    Amendment #3: 1. The descriptive interim analysis after recruitment of 30 subjects, described in the interim report dated 26 September 2007, was added to the protocol, in order to obtain marketing authorisation in Europe.
    13 Oct 2006
    Amendment #4: 1. The permitted and forbidden prior and concomitant medications were clarified. 2. Faster infusion rates were added (up to 0.12 mL/kg/min), to allow shorter infusion times for subjects who tolerated the Octagam 10% infusions well.
    09 Mar 2007
    Amendment #6: 1. Additional viral marker testing for HIV, HCV and HBV was added, to fulfil FDA requirements. 2. Deletion of possible sample size adaptation after interim analysis as requested by the FDA; total recruitment target remained at 110 subjects.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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