E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
recurrent aborption with inmunological etiology |
abortos recurrentes de etiologia inmunologica |
|
E.1.1.1 | Medical condition in easily understood language |
recurrent aborption |
abortos recurrentes |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Female diseases of the urinary and reproductive systems and pregancy complications [C13] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10072314 |
E.1.2 | Term | Pregnancy loss |
E.1.2 | System Organ Class | 100000004868 |
|
E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To demonstrate that treatment with IVIG in patients with recurrent abortions and expansion of NK and NKT cells in peripheral blood increases the proportion of live births. |
Demostrar que el tratamiento con IgIV en pacientes con abortos recurrentes y expansión de células NK y NKT en sangre periférica aumenta la proporción de recién nacidos vivos. |
|
E.2.2 | Secondary objectives of the trial |
? To evaluate the profile of Th1 / Th2 / Th17 / Treg and chemokines in plasma prior to and during treatment with IVIG in patients with recurrent abortions. ? To evaluate the percentage and phenotype of NK cells and T regulatory circulating before and during treatment with IVIG in patients with recurrent abortions. ? To assess the safety of IVIg in patients with recurrent abortions. ? To evaluate the safety of live births to mothers exposed to IVIG. ? To evaluate the quality of life of mothers of newborns alive after IVIG administration. |
Evaluar el perfil de citoquinas Th1/Th2/Th17/Treg y quimioquinas en plasma previamente y durante el tratamiento con IgIV en pacientes con abortos recurrentes. Evaluar el porcentaje y fenotipo de células NK y T reguladoras circulantes antes y durante el tratamiento con IgIV en pacientes con abortos recurrentes. Evaluar la seguridad de la administración de IgIV en pacientes con abortos recurrentes. Evaluar la seguridad de los recién nacidos vivos de madres expuestas a IgIV. Evaluar la calidad de vida de las madres de recién nacidos vivos tras la administración de IgIV. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Signed informed consent before any assessment and intervention on the patient. Women with three consecutive spontaneous abortions, 18 to 37 years of age, inclusive Circulating cytotoxic NK cells (CD3-CD56 + CD16 +) with a value of "13% of total lymphocytes in 35 years or more" and "less than 22% in 35 years" or "NKT cells ?10% of total lymphocytes" . Weight Between 40 kg and 90 kg, inclusive. Ability to communicate well with the investigator, to understand and comply with the requirements of the study. |
El consentimiento informado firmado por escrito, que debe ser obtenido antes de realizar cualquier evaluación e intervención sobre la paciente. -Mujeres con tres abortos espontáneos consecutivos, de 18 a 37 años de edad, ambos inclusive (en el momento de la visita de selección). - Células NK citotóxicas circulantes (CD3-CD56+CD16+) con valor de "13% de los linfocitos totales en 35 años o más? y "22% en menores de 35 años? o ?células NKT ?10% de los linfocitos totales?. -Peso comprendido entre los 40 kg y 90 kg, ambos incluidos. -Capacidad de comunicarse bien con el investigador, para entender y cumplir con los requisitos del estudio. |
|
E.4 | Principal exclusion criteria |
Medication use prohibited in the study. Known hypersensitivity to immunoglobulins Recent clinically significant bacterial infection. Immunodeficiency diseases, including HIV. Hepatitis B or C and / or positive hepatitis B surface antigen (HBsAg) or hepatitis C test at screening, at the present time. Alcohol abuse at present or during the previous 12 months. Participation in any clinical trial with an experimental drug or affect the ability or maintenance of conception in the 4 weeks prior to the first dose. Any other condition in the investigator's opinion may make the patient inappropriate for entry into the study. |
Uso de medicación prohibida en el estudio. Antecedentes de hipersensibilidad a inmunoglobulinas Infección bacteriana reciente clínicamente significativa. Enfermedades inmunodeficientes, incluyendo VIH. Hepatitis B o C y / o antígeno positivo hepatitis B de superficie (HBsAg) o la prueba de la hepatitis C en el cribado, en el momento actual. Abuso de alcohol en el momento actual o durante los 12 meses previos. Participación en cualquier ensayo clínico con un medicamento experimental o que influya en la capacidad o el mantenimiento de la concepción en las 4 semanas previas a la primera dosis. Cualquier otra condición que en opinión del investigador puedan hacer que el paciente sea inapropiado para entrar en este estudio. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
new born number |
número de gestaciones con Recién Nacidos Vivos |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
at the end of the pregnancy |
al final del embarazo |
|
E.5.2 | Secondary end point(s) |
1. Number of pregnancies achieved 2. Quality of Life 3. Gestation time 4. Proportion of congenital malformations. 5. Rate of postpartum infection 6. Percentile of height, weight and head circumference of the newborn 7. Newborn neurologic development |
1.Consecución de gestación 2.Calidad de Vida de las pacientes 3.Tiempo de gestación total. 4.Proporción de malformaciones congénitas. 5.Tasa de infecciones en el postparto 6.Percentil de talla, peso y perímetro craneal del recién nacido 7.Desarrollo neurológico del recién nacido |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
3-4 after pregncancy |
cada tres o cuatro semanas posterior al embarazo |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | Yes |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 3 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 3 |
E.8.9.2 | In all countries concerned by the trial days | 0 |