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    Clinical Trial Results:
    Clinical study to evaluate the safety and tolerability of immunoglobulin intravenous (human) 10% (NewGam) administered at high infusion rates to patients with primary immunodeficiency diseases (extension of study NGAM-01)

    Summary
    EudraCT number
    2011-005015-82
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    26 Sep 2012

    Results information
    Results version number
    v1(current)
    This version publication date
    30 Nov 2016
    First version publication date
    30 Nov 2016
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    NGAM-05
    Additional study identifiers
    ISRCTN number
    ISRCTN11002924
    US NCT number
    NCT01313507
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Octapharma AG
    Sponsor organisation address
    Seidenstrasse 2, Lachen, Switzerland, CH-8853
    Public contact
    Clinical Research Department, Octapharma Pharmazeutika Produktionsgesellschaft mbH, 0043 1 61032 1202, barbara.pyringer@octapharma.com
    Scientific contact
    Clinical Research Department, Octapharma Pharmazeutika Produktionsgesellschaft mbH, 0043 1 61032 1202, barbara.pyringer@octapharma.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    Yes
    EMA paediatric investigation plan number(s)
    EMEA-001110-PIP01-10
    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
    31 Jul 2013
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    26 Sep 2012
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess the safety and tolerability of NewGam when administered at infusion rates from 0.08 mL/kg/min (the maximum rate in study NGAM-01) to 0.14 mL/kg/min.
    Protection of trial subjects
    This trial was conducted in accordance to the principles of GCP, ensuring that the rights, safety and well-being 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 risk factors associated with the investigational medicinal product. Throughout the study safety was assessed, such as occurrence of AEs, safety labs, vital signs and physical examinations.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    05 May 2011
    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
    United States: 21
    Worldwide total number of subjects
    21
    EEA total number of subjects
    0
    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)
    8
    Adolescents (12-17 years)
    5
    Adults (18-64 years)
    8
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Patients were taken exclusively from the cohort of patients who had completed the study NGAM-01 and had received NewGam at the maximum infusion rate of 0.08 mL/kg/min without the need for premedication at least for the last three infusions, without restrictions as regards to age group or treatment regimen.

    Pre-assignment
    Screening details
    Screening had to be performed at the follow-up visit of the NGAM-01 study.

    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
    NewGam
    Arm description
    Patients received 200 to 800 mg/kg body weight every 21 (± 3) days or 28 (± 3) days for 3 months, with individual doses and intervals being dependent on the patient’s previous dosing in the NGAM-01 study. Therefore, each patient received either five infusions (at 3-week intervals) or four infusions (at 4-week intervals) of NewGam.
    Arm type
    Experimental

    Investigational medicinal product name
    NewGam, human normal immunoglobulin 10%, solvent/detergent treated solution for intravenous infusion
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    The range of doses to be infused was 200 to 800 mg/kg body weight every 21 (± 3) days or 28 (± 3) days, with individual doses and intervals being dependent on the patient’s previous dosing in the NGAM-01 study.

    Number of subjects in period 1
    NewGam
    Started
    21
    Completed
    21

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    overall trial
    Reporting group description
    All patients who received at least one dose of NewGam in the context of this study.

    Reporting group values
    overall trial Total
    Number of subjects
    21 21
    Age categorical
    Units: Subjects
        Children ≥2 Years <12 Years
    8 8
        Adolescents ≥12 Years <16
    3 3
        Adults ≥16 Years ≤75 Years
    10 10
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    23.8 ± 19.78 -
    Gender categorical
    Units: Subjects
        Female
    8 8
        Male
    13 13

    End points

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    End points reporting groups
    Reporting group title
    NewGam
    Reporting group description
    Patients received 200 to 800 mg/kg body weight every 21 (± 3) days or 28 (± 3) days for 3 months, with individual doses and intervals being dependent on the patient’s previous dosing in the NGAM-01 study. Therefore, each patient received either five infusions (at 3-week intervals) or four infusions (at 4-week intervals) of NewGam.

    Primary: Percentage of Participants Who Experienced at Least 1 Adverse Event Causally Related to the Administration of the Study Drug

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    End point title
    Percentage of Participants Who Experienced at Least 1 Adverse Event Causally Related to the Administration of the Study Drug [1]
    End point description
    An adverse event was considered to be causally related to the administration of the study drug if it judged to be probably or possibly related to the study drug, as assessed by the investigator
    End point type
    Primary
    End point timeframe
    Baseline to the end of the study
    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: parameters were presented in descriptive statistics.
    End point values
    NewGam
    Number of subjects analysed
    21
    Units: percentage of patients
        number (not applicable)
    19
    No statistical analyses for this end point

    Primary: Percentage of Participants Who Experienced at Least 1 Adverse Event Temporally Related to the Study Drug

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    End point title
    Percentage of Participants Who Experienced at Least 1 Adverse Event Temporally Related to the Study Drug [2]
    End point description
    An adverse event was considered to be temporally related to the study drug if it started during an infusion or within 72 hours after the end of an infusion.
    End point type
    Primary
    End point timeframe
    From Baseline to the end of the study
    Notes
    [2] - 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: parameters were presented in descriptive statistics.
    End point values
    NewGam
    Number of subjects analysed
    21
    Units: percentage of participants
        number (not applicable)
    38.1
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    AEs had to be reported from baseline to the end of the study.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    14.0
    Reporting groups
    Reporting group title
    Safety Set
    Reporting group description
    The safety analysis set was the only study population that has been considered in the statistical data presentations. It is defined as all patients who received at least one dose of NewGam in the context of this study.

    Serious adverse events
    Safety Set
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 21 (0.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    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
    12 / 21 (57.14%)
    Injury, poisoning and procedural complications
    Contusion
         subjects affected / exposed
    2 / 21 (9.52%)
         occurrences all number
    2
    Nervous system disorders
    Headache
         subjects affected / exposed
    2 / 21 (9.52%)
         occurrences all number
    3
    General disorders and administration site conditions
    Chest pain
         subjects affected / exposed
    2 / 21 (9.52%)
         occurrences all number
    2
    Pyrexia
         subjects affected / exposed
    2 / 21 (9.52%)
         occurrences all number
    2
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    3 / 21 (14.29%)
         occurrences all number
    3
    Vomiting
         subjects affected / exposed
    3 / 21 (14.29%)
         occurrences all number
    3
    Abdominal pain
         subjects affected / exposed
    2 / 21 (9.52%)
         occurrences all number
    2
    Diarrhoea
         subjects affected / exposed
    2 / 21 (9.52%)
         occurrences all number
    2
    Infections and infestations
    Sinusitis
         subjects affected / exposed
    4 / 21 (19.05%)
         occurrences all number
    4
    Nasopharyngitis
         subjects affected / exposed
    2 / 21 (9.52%)
         occurrences all number
    2

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    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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