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    Clinical Trial Results:
    Long-Term Tolerability and Safety of Immune Globulin Infusion 10% (Human) With Recombinant Human Hyaluronidase (HYQVIA/HyQvia) for the Treatment of Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP)

    Summary
    EudraCT number
    2016-000374-37
    Trial protocol
    FR   DK   CZ   GB   ES   NO   GR   SK   DE   PL   HR   IT  
    Global end of trial date
    04 Jul 2023

    Results information
    Results version number
    v1(current)
    This version publication date
    17 Jul 2024
    First version publication date
    17 Jul 2024
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    161505
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02955355
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Takeda
    Sponsor organisation address
    95 Hayden Avenue, Lexington, United States, MA 02421
    Public contact
    Study Director, Takeda, TrialDisclosures@takeda.com
    Scientific contact
    Study Director, Takeda, TrialDisclosures@takeda.com
    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
    04 Jul 2023
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    04 Jul 2023
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The main purpose of this study is to evaluate the long-term safety, tolerability, and immunogenicity of HYQVIA/HyQvia.
    Protection of trial subjects
    Each participant signed an informed consent form (ICF) before participating in the study.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    14 Nov 2016
    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: 4
    Country: Number of subjects enrolled
    Argentina: 1
    Country: Number of subjects enrolled
    Brazil: 5
    Country: Number of subjects enrolled
    Canada: 4
    Country: Number of subjects enrolled
    Colombia: 2
    Country: Number of subjects enrolled
    Czechia: 4
    Country: Number of subjects enrolled
    Denmark: 1
    Country: Number of subjects enrolled
    France: 6
    Country: Number of subjects enrolled
    Germany: 1
    Country: Number of subjects enrolled
    Greece: 2
    Country: Number of subjects enrolled
    Italy: 8
    Country: Number of subjects enrolled
    Mexico: 6
    Country: Number of subjects enrolled
    Poland: 9
    Country: Number of subjects enrolled
    Serbia: 18
    Country: Number of subjects enrolled
    Slovakia: 3
    Country: Number of subjects enrolled
    Spain: 3
    Country: Number of subjects enrolled
    Türkiye: 6
    Country: Number of subjects enrolled
    United Kingdom: 2
    Worldwide total number of subjects
    85
    EEA total number of subjects
    37
    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)
    0
    Adults (18-64 years)
    65
    From 65 to 84 years
    19
    85 years and over
    1

    Subject disposition

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    Recruitment
    Recruitment details
    Participants took part in the study at 39 investigative sites worldwide from 14 November 2016 to 04 July 2023.

    Pre-assignment
    Screening details
    A total of 85 participants with a diagnosis of chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) who completed Study 161403 (NCT02549170) without CIDP worsening were enrolled in this Extension Study to receive HYQVIA/HyQvia.

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

    Arms
    Arm title
    HYQVIA/HyQvia
    Arm description
    Participants received HYQVIA/HyQvia (recombinant human hyaluronidase [rHuPH20] at a dose of 80 units per gram (U/g) immunoglobulin G [IgG], followed by subcutaneous [SC] immune globulin infusion [IGI] 10%) at the same monthly equivalent dose as the individual participant’s IgG treatment in Study 161403, every 3 or 4 weeks in this Extension Study for 77.3 months or until relapse.
    Arm type
    Experimental

    Investigational medicinal product name
    HYQVIA/HyQvia
    Investigational medicinal product code
    Other name
    IGI 10% with rHuPH20, Immune Globulin Infusion 10% (Human) (IGI 10%) with recombinant human hyaluronidase (rHuPH20)
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Participants received rHuPH20 SC at a dose of 80 U/g IgG, followed by SC IGI 10% at the same monthly equivalent dose as the individual participant’s IgG treatment in Study 161403.

    Number of subjects in period 1
    HYQVIA/HyQvia
    Started
    85
    Completed
    0
    Not completed
    85
         Adverse event, serious fatal
    1
         Physician decision
    21
         Consent withdrawn by subject
    19
         Adverse event, non-fatal
    4
         Reason Not Specified
    5
         Site Terminated by Sponsor
    35

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    HYQVIA/HyQvia
    Reporting group description
    Participants received HYQVIA/HyQvia (recombinant human hyaluronidase [rHuPH20] at a dose of 80 units per gram (U/g) immunoglobulin G [IgG], followed by subcutaneous [SC] immune globulin infusion [IGI] 10%) at the same monthly equivalent dose as the individual participant’s IgG treatment in Study 161403, every 3 or 4 weeks in this Extension Study for 77.3 months or until relapse.

    Reporting group values
    HYQVIA/HyQvia Total
    Number of subjects
    85
    Age Categorical
    Units: Subjects
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    54.3 ( 13.11 ) -
    Gender categorical
    Units: Subjects
        Female
    39 39
        Male
    46 46
    Race (NIH/OMB)
    Units: Subjects
        American Indian or Alaska Native
    1 1
        Asian
    0 0
        Native Hawaiian or Other Pacific Islander
    0 0
        Black or African American
    0 0
        White
    81 81
        More than one race
    0 0
        Unknown or Not Reported
    3 3
    Ethnicity (NIH/OMB)
    Units: Subjects
        Hispanic or Latino
    14 14
        Not Hispanic or Latino
    67 67
        Unknown or Not Reported
    4 4
    Height
    Units: centimeters (cm)
        arithmetic mean (standard deviation)
    171.5 ( 10.98 ) -
    Body Mass Index (BMI)
    BMI = weight (kg)/[height (m)^2]
    Units: kilograms per meter square (kg/m^2)
        arithmetic mean (standard deviation)
    27.42 ( 5.587 ) -
    Weight
    Units: kilograms (kg)
        arithmetic mean (standard deviation)
    80.89 ( 18.856 ) -

    End points

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    End points reporting groups
    Reporting group title
    HYQVIA/HyQvia
    Reporting group description
    Participants received HYQVIA/HyQvia (recombinant human hyaluronidase [rHuPH20] at a dose of 80 units per gram (U/g) immunoglobulin G [IgG], followed by subcutaneous [SC] immune globulin infusion [IGI] 10%) at the same monthly equivalent dose as the individual participant’s IgG treatment in Study 161403, every 3 or 4 weeks in this Extension Study for 77.3 months or until relapse.

    Subject analysis set title
    Placebo Then HYQVIA/HyQvia
    Subject analysis set type
    Per protocol
    Subject analysis set description
    Participants received placebo in the study 161403 and received HYQVIA/HyQvia (rHuPH20 at a dose of 80 U/g IgG, followed by SC IGI 10%) at the same monthly equivalent dose as the individual participant’s IgG treatment in Study 161403, every 3 or 4 weeks in this Extension Study for 77.3 months or until relapse.

    Subject analysis set title
    HYQVIA/HyQvia Then HYQVIA/HyQvia
    Subject analysis set type
    Per protocol
    Subject analysis set description
    Participants received HYQVIA/HyQvia in the study 161403 and received HYQVIA/HyQvia (rHuPH20 at a dose of 80 U/g IgG, followed by SC IGI 10%) at the same monthly equivalent dose as the individual participant’s IgG treatment in Study 161403, every 3 or 4 weeks in this Extension Study for 77.3 months or until relapse.

    Primary: Number of Participants With any Treatment-emergent Serious Adverse Events (SAEs) and Adverse Events (AEs), Regardless of Causality

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    End point title
    Number of Participants With any Treatment-emergent Serious Adverse Events (SAEs) and Adverse Events (AEs), Regardless of Causality [1]
    End point description
    An AE was defined as any untoward medical occurrence in a participant administered an investigational product (IP) that did not necessarily have a causal relationship with the treatment. An SAE was defined as an untoward medical occurrence that at any dose met one or more of the following criteria: outcome was fatal/resulted in death, was life-threatening, required inpatient hospitalisation or resulted in prolongation of an existing hospitalisation, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. Treatment emergent adverse events (TEAEs) were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: participants
        Any TEAE
    76
        Any Serious TEAE
    20
    No statistical analyses for this end point

    Primary: Number of Participants With Causally Related Treatment-emergent SAEs and AEs

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    End point title
    Number of Participants With Causally Related Treatment-emergent SAEs and AEs [2]
    End point description
    An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. An SAE was defined as an untoward medical occurrence that at any dose met one or more of the following criteria: outcome was fatal/resulted in death, was life-threatening, required inpatient hospitalisation or resulted in prolongation of an existing hospitalisation, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Causality was used to determine whether there was a reasonable possibility that the IP was etiologically related to/associated with the AE. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: participants
        Any IP-related TEAE
    51
        Any IP-related Serious TEAE
    3
    No statistical analyses for this end point

    Primary: Number of Participants With Adverse Reactions (ARs) or Suspected Adverse Reactions (SARs) Categorised as Serious and Non-serious

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    End point title
    Number of Participants With Adverse Reactions (ARs) or Suspected Adverse Reactions (SARs) Categorised as Serious and Non-serious [3]
    End point description
    An AR plus SAR is any AE that meets any of the following criteria: an AE considered by either the investigator and/or the sponsor to be possibly or probably related to IP administration, or that begins during infusion of IP or within 72 hours following the end of IP infusion, or AE for which causality assessment is missing or indeterminate. Serious AR/SAR=any AR/SAR that is an untoward medical occurrence which at any dose meets one or more of following criteria: outcome is fatal/results in death, is life-threatening, requires inpatient hospitalisation or results in prolongation of existing hospitalisation, results in persistent or significant disability/incapacity,is a congenital anomaly/birth defect,is a medically important event,thromboembolic events,hemolytic anemia. Nonserious AR/SAR=AR/SAR that does not meet the criteria. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [3] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: participants
        Any Serious AR/SAR
    7
        Any Non-serious AR/SAR
    57
    No statistical analyses for this end point

    Primary: Number of Causally Related Treatment-Emergent SAEs and AEs Associated With Infusions

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    End point title
    Number of Causally Related Treatment-Emergent SAEs and AEs Associated With Infusions [4]
    End point description
    An AE=any untoward medical occurrence in participant administered IP that did not necessarily have causal relationship with treatment. An SAE=an untoward medical occurrence that at any dose met one/more of following criteria: outcome was fatal/resulted in death, was life-threatening, required inpatient hospitalisation/resulted in prolongation of existing hospitalisation, resulted in persistent/significant disability/incapacity, was congenital anomaly/birth defect, was medically important event. TEAEs=AEs that occurred during or after administration of the first dose of IP in this Extension Study. AEs associated with an infusion are defined as AEs occurring after administration of IP (or any TEAE). Causality was used to determine whether there was a reasonable possibility that the IP was etiologically related to/associated with the AE. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [4] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: events in participants
    number (not applicable)
        IP-Related Serious TEAEs
    3
        IP-Related TEAEs
    798
    No statistical analyses for this end point

    Primary: Number of Treatment-Emergent SAEs and AEs Associated With Infusions, Regardless of Causality

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    End point title
    Number of Treatment-Emergent SAEs and AEs Associated With Infusions, Regardless of Causality [5]
    End point description
    An AE=any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. An SAE was defined as an untoward medical occurrence that at any dose met one or more of the following criteria: outcome was fatal/resulted in death, was life-threatening, required inpatient hospitalisation or resulted in prolongation of an existing hospitalisation, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. AEs associated with an infusion are defined as AEs occurring after administration of IP (or any TEAE). Participants can have more than one TEAE associated with infusion. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [5] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: events in participants
    number (not applicable)
        Serious TEAEs
    30
        TEAEs
    1406
    No statistical analyses for this end point

    Primary: Percentage of Participants With Treatment-Emergent Adverse Events That May be a Result of Immune-Mediated Responses

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    End point title
    Percentage of Participants With Treatment-Emergent Adverse Events That May be a Result of Immune-Mediated Responses [6]
    End point description
    Percentage of participants with TEAEs that may be a result of immune-mediated response to either immunoglobulin, rHuPH20, or other factors such as allergic reactions, immune complex-mediated reactions: local, complex-mediated reactions: systemic, thrombotic and embolic events were assessed. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. The percentage was rounded off to the nearest decimal. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [6] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: percentage of participants
        number (not applicable)
    7.1
    No statistical analyses for this end point

    Primary: Number of Infusions Associated With One or More Systemic TEAEs

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    End point title
    Number of Infusions Associated With One or More Systemic TEAEs [7]
    End point description
    An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the Medical Dictionary for Regulatory Activities (MedDRA) Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Infusions associated with one or more AEs are defined as follows: if an AE occurs after an infusion but prior to the next infusion that infusion is associated with that AE. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [7] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: infusions
        number (not applicable)
    50
    No statistical analyses for this end point

    Primary: Number of Serious and Non-Serious ARs or SARs Associated with Infusions

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    End point title
    Number of Serious and Non-Serious ARs or SARs Associated with Infusions [8]
    End point description
    AR/SAR=AE that meets any of following criteria:AE considered by investigator/sponsor to be possibly/probably related to IP administration,begins during/within 72 hours following end of IP infusion/AE for which causality assessment is missing/indeterminate. ARs/SARs associated with infusion=AEs considered by investigator to be occurring after IP administration.Serious AR/SAR=AR/SAR that is untoward medical occurrence which at any dose meets any of following criteria:outcome is fatal,life-threatening,requires inpatient hospitalisation/prolongation of existing hospitalisation,results in persistent/significant disability/incapacity,is a congenital anomaly/birth defect,is a medically important event,thromboembolic events,hemolytic anemia.Nonserious AR/SAR=AR/SAR that does not meet criteria. Participants can have >1 AR/SAR associated with infusion. Safety Analysis Set included all participants who were enrolled in this Extension Study & who received at least 1 dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [8] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: events in participants
    number (not applicable)
        Serious ARs/SARs
    8
        Non-Serious ARs/SARs
    913
    No statistical analyses for this end point

    Primary: Number of Infusions for Which the Infusion Rate Was Reduced and/or the Infusion was Interrupted or Stopped due to Intolerability and/or TEAEs

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    End point title
    Number of Infusions for Which the Infusion Rate Was Reduced and/or the Infusion was Interrupted or Stopped due to Intolerability and/or TEAEs [9]
    End point description
    An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [9] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: infusions
        number (not applicable)
    3
    No statistical analyses for this end point

    Primary: Number of Infusions Associated with One or More Local TEAEs

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    End point title
    Number of Infusions Associated with One or More Local TEAEs [10]
    End point description
    An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Infusions associated with one or more AEs are defined as follows: if an AE occurs after an infusion but prior to the next infusion that infusion is associated with that AE. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [10] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: infusions
        number (not applicable)
    17
    No statistical analyses for this end point

    Primary: Number of TEAEs Temporally Associated With Infusions

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    End point title
    Number of TEAEs Temporally Associated With Infusions [11]
    End point description
    TEAEs that occurred during infusion or within 72 hours post-infusion were considered to be temporally associated with infusions. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Participants can have more than one TEAE temporally associated with infusion. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [11] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: events in participants
        number (not applicable)
    857
    No statistical analyses for this end point

    Primary: Rate of TEAEs Categorised as Systemic and Local Regardless of Causality, Expressed as Number of Events Per Participant

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    End point title
    Rate of TEAEs Categorised as Systemic and Local Regardless of Causality, Expressed as Number of Events Per Participant [12]
    End point description
    TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Events per participant was calculated by dividing number of events by total number of participants in the Safety Analysis Set. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [12] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: AEs/participant
    number (not applicable)
        Systemic TEAEs
    10.38
        Local TEAEs
    6.16
    No statistical analyses for this end point

    Primary: Rate of TEAEs Categorised as Systemic and Local Regardless of Causality, Expressed as Number of Events Per Infusion

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    End point title
    Rate of TEAEs Categorised as Systemic and Local Regardless of Causality, Expressed as Number of Events Per Infusion [13]
    End point description
    TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Events per infusion was calculated by dividing number of events by total number of infusions administered to participants in the Safety Analysis Set. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [13] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: AEs/infusion
    number (not applicable)
        Systemic TEAEs
    0.25
        Local TEAEs
    0.15
    No statistical analyses for this end point

    Primary: Rate of TEAEs Categorised as Systemic and Local Regardless of Causality, Expressed as Number of Events Per 1000 Participant-year

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    End point title
    Rate of TEAEs Categorised as Systemic and Local Regardless of Causality, Expressed as Number of Events Per 1000 Participant-year [14]
    End point description
    TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Events per participant-years was calculated as follows: 1000 x (number of events / total number of days of exposure, i.e., the sum of duration of treatment for all participants in the Safety Analysis Set, divided by 365.25). Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [14] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: AEs/1000 participant-year
    number (not applicable)
        Systemic TEAEs
    4000.23
        Local TEAEs
    2376.55
    No statistical analyses for this end point

    Primary: Rate of IP-Related TEAEs Categorised as Systemic and Local, Expressed as Number of Events Per 1000 Participant-year

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    End point title
    Rate of IP-Related TEAEs Categorised as Systemic and Local, Expressed as Number of Events Per 1000 Participant-year [15]
    End point description
    TEAEs=AEs that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". An adverse event that was “possibly related” or “probably related” to IP, or for which the relationship was unknown or missing, was considered as a “related AE”. Events per participant-years was calculated as follows: 1000 x (number of events / total number of days of exposure, i.e., the sum of duration of treatment for all participants in the Safety Analysis Set, divided by 365.25). Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [15] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: AEs/1000 participant-year
    number (not applicable)
        Systemic IP-Related TEAEs
    1301.66
        Local IP-Related TEAEs
    2317.59
    No statistical analyses for this end point

    Primary: Rate of IP-Related TEAEs Categorised as Systemic and Local, Expressed as Number of Events Per Participant

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    End point title
    Rate of IP-Related TEAEs Categorised as Systemic and Local, Expressed as Number of Events Per Participant [16]
    End point description
    TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". An adverse event that was “possibly related” or “probably related” to IP, or for which the relationship was unknown or missing, was considered as a “related AE”. Events per participant was calculated by dividing number of events by total number of participants in the Safety Analysis Set. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [16] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: AEs/participant
    number (not applicable)
        Systemic IP-Related TEAEs
    3.38
        Local IP-Related TEAEs
    6.01
    No statistical analyses for this end point

    Primary: Rate of IP-Related TEAEs Categorised as Systemic and Local, Expressed as Number of Events Per Infusion

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    End point title
    Rate of IP-Related TEAEs Categorised as Systemic and Local, Expressed as Number of Events Per Infusion [17]
    End point description
    TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". An adverse event that was “possibly related” or “probably related” to IP, or for which the relationship was unknown or missing, was considered as a “related AE”. Events per infusion was calculated by dividing number of events by total number of infusions administered to participants in the Safety Analysis Set. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [17] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: AEs/infusion
    number (not applicable)
        Systemic IP-Related TEAEs
    0.08
        Local IP-Related TEAEs
    0.15
    No statistical analyses for this end point

    Primary: Rate of ARs or SARs Categorised as Local and Systemic, Expressed as Reactions Per Infusion

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    End point title
    Rate of ARs or SARs Categorised as Local and Systemic, Expressed as Reactions Per Infusion [18]
    End point description
    An AR plus SAR is any AE that meets any of the following criteria: an AE considered by either the investigator and/or the sponsor to be possibly or probably related to IP administration, or that begins during infusion of IP or within 72 hours following the end of IP infusion, or AE for which causality assessment is missing or indeterminate. Systemic AEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local AEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Events per infusion was calculated by dividing number of events by total number of infusions administered to participants in the Safety Analysis Set. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [18] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: reactions/infusion
    number (not applicable)
        Systemic ARs/SARs
    0.11
        Local ARs/SARs
    0.15
    No statistical analyses for this end point

    Primary: Rate of ARs or SARs Categorised as Local and Systemic, Expressed as Reactions Per 1000 Participant-year

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    End point title
    Rate of ARs or SARs Categorised as Local and Systemic, Expressed as Reactions Per 1000 Participant-year [19]
    End point description
    An AR+SAR is any AE that meets any of following criteria: AE considered by either investigator and/or sponsor to be possibly/probably related to IP administration/that begins during infusion of IP/within 72 hours following end of IP infusion/AE for which causality assessment is missing/indeterminate. Systemic AEs=AEs that were not included in MedDRA Higher Level Group Term "administration site reactions" & did not contain phrase "injection site". Local AEs=AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Events per participant-years was calculated as follows: 1000 x (number of events / total number of days of exposure, i.e., the sum of duration of treatment for all participants in the Safety Analysis Set, divided by 365.25). Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [19] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: reactions/1000 participant-year
    number (not applicable)
        Systemic ARs/SARs
    1764.27
        Local ARs/SARs
    2376.55
    No statistical analyses for this end point

    Primary: Rate of ARs or SARs Categorised as Local and Systemic, Expressed as Reactions Per Participant

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    End point title
    Rate of ARs or SARs Categorised as Local and Systemic, Expressed as Reactions Per Participant [20]
    End point description
    An AR plus SAR is any AE that meets any of the following criteria: an AE considered by either the investigator and/or the sponsor to be possibly or probably related to IP administration, or that begins during infusion of IP or within 72 hours following the end of IP infusion, or AE for which causality assessment is missing or indeterminate. Systemic AEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local AEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Events per participant was calculated by dividing number of events by total number of participants in the Safety Analysis Set. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [20] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: reactions/participant
    number (not applicable)
        Systemic ARs/SARs
    4.58
        Local ARs/SARs
    6.16
    No statistical analyses for this end point

    Primary: Number of Participants That Experienced Treatment-Emergent Local Infusion Site Reactions

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    End point title
    Number of Participants That Experienced Treatment-Emergent Local Infusion Site Reactions [21]
    End point description
    TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. AE=any untoward medical occurrence in participant administered an IP that does not have causal relationship with treatment. Adverse reaction/suspected adverse reaction=AE that is considered by the investigator to be possibly or probably related to IP administration, or for which the causality is indeterminate or missing, or that begins during infusion of IP or within 72 hours following the end of IP infusion. All local infusion site treatment-emergent AEs were reported as adverse reactions. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [21] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: participants
    30
    No statistical analyses for this end point

    Primary: Rate of Moderate or Severe TEAEs That May be a Result of Immune-Mediated Responses, Expressed as Number of Events Per 100 Infusions

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    End point title
    Rate of Moderate or Severe TEAEs That May be a Result of Immune-Mediated Responses, Expressed as Number of Events Per 100 Infusions [22]
    End point description
    An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. A moderate or severe AE could be a result of immune-mediated response to either immunoglobulin, rHuPH20, or other concomitant medications. The severity of each AE was assessed by the investigator using clinical expertise. Rate per 100 infusions was calculated by dividing the number of events by the total number of infusions and multiplying that by 100. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [22] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: AEs/100 infusions
        number (not applicable)
    0.0860
    No statistical analyses for this end point

    Primary: Number of Participants With Moderate or Severe TEAEs That may be a Result of Immune-Mediated Responses

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    End point title
    Number of Participants With Moderate or Severe TEAEs That may be a Result of Immune-Mediated Responses [23]
    End point description
    AE=any untoward medical occurrence in participant administered IP that did not necessarily have causal relationship with treatment. TEAEs=AEs that occurred during/after administration of first dose of IP in this Extension Study. Moderate/severe AE could be result of immune-mediated response to either immunoglobulin,rHuPH20/other factors like allergic reactions,immune complex-mediated reactions:local,complex-mediated reactions:systemic, thrombotic&embolic events.Severity of AEs was assessed by investigator using clinical expertise based on following description:moderate=AE produces limited impairment of function,may require therapeutic intervention&produces no sequela;severe=AE results in marked impairment of function&may lead to temporary inability to resume usual life pattern&produces sequela,which require prolonged therapeutic intervention. Safety Analysis Set included all participants who were enrolled in this Extension Study & who received at least 1 dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [23] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: participants
    3
    No statistical analyses for this end point

    Primary: Number of Participants With a TEAE That led to Discontinuation From Study

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    End point title
    Number of Participants With a TEAE That led to Discontinuation From Study [24]
    End point description
    An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [24] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: participants
    4
    No statistical analyses for this end point

    Primary: Number of Participants Whose Anti-Hyaluronidase Binding Antibody Titers Rose by ≥4-fold From Baseline

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    End point title
    Number of Participants Whose Anti-Hyaluronidase Binding Antibody Titers Rose by ≥4-fold From Baseline [25]
    End point description
    Number of participants whose anti-hyaluronidase antibody titers rose by ≥4 fold from the baseline value at any point during the study was assessed. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    Baseline, up to 6.6 years
    Notes
    [25] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: participants
    16
    No statistical analyses for this end point

    Primary: Number of Participants With Binding Antibodies to rHuPH20

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    End point title
    Number of Participants With Binding Antibodies to rHuPH20 [26]
    End point description
    Binding antibodies were defined as anti-rHuPH20 titer ≥1:160. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication. Overall number analysed is the number of participants with data available for analyses.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [26] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    84
    Units: participants
    14
    No statistical analyses for this end point

    Primary: Number of Participants With Treatment-Emergent Local Tolerability Events During Ramp-up

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    End point title
    Number of Participants With Treatment-Emergent Local Tolerability Events During Ramp-up [27]
    End point description
    Participants with local tolerability events=for which infusion rate was reduced and/or infusion was interrupted/stopped due to intolerability and/or AEs.These events were assessed during initial ramp-up for each participant i.e.,during first 8 weeks of open-label extension study 161505[NCT02955355]among participants originally randomised to placebo(as being in placebo arm,they had no ramp-up during the 161403[NCT02549170]study)versus during 8-week ramp-up for participants originally randomised to active HYQVIA in double-blind 161403 study.Thus, data for this endpoint are presented per bifurcation of participants in study 161403. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least 1 dose of study medication. As prespecified in SAP, comparative local tolerability data for ramp-up of 8 weeks from studies 161403 (for participants originally randomised to HYQVIA in double-blind) & 161505 were reported in results of study 161505.
    End point type
    Primary
    End point timeframe
    During the ramp-up (8 weeks)
    Notes
    [27] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    Placebo Then HYQVIA/HyQvia HYQVIA/HyQvia Then HYQVIA/HyQvia
    Number of subjects analysed
    42
    43
    Units: participants
    6
    13
    No statistical analyses for this end point

    Primary: Number of Participants With Local Infusion Reactions, as a Function of Dosing Interval, Infusion Rate per Site, and Infusion Volume per Site

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    End point title
    Number of Participants With Local Infusion Reactions, as a Function of Dosing Interval, Infusion Rate per Site, and Infusion Volume per Site [28]
    End point description
    Local infusion reactions were defined as local (administration site-related) adverse events. Median infusion rate per site was derived as the median value across all participants, per participant’s average infusion rate, by site: actual volume infused / duration in hours of infusion / number of sites. Median infusion volume per site was derived as the median value across all participants, per participant’s average actual volume infused, by site: actual volume infused / number of sites. Number of participants with local infusion reactions as a function of each of these categories are presented below. Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [28] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: participants
        3 Week Dosing Interval
    8
        4 Week Dosing Interval
    22
        < Median Infusion Rate per Site
    15
        ≥ Median Infusion Rate per Site
    15
        < Median Infusion Volume per Site
    15
        ≥ Median Infusion Volume per Site
    15
    No statistical analyses for this end point

    Primary: Number of Participants With Neutralising Antibodies Binding to rHuPH20

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    End point title
    Number of Participants With Neutralising Antibodies Binding to rHuPH20 [29]
    End point description
    Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication. Overall number analysed is the number of participants with data available for analyses.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [29] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    84
    Units: participants
    2
    No statistical analyses for this end point

    Primary: Number of Participants With a Decline of Anti-rHuPH20 Binding Antibody Titers to the Antibody Titer Level at Baseline in Study 161403 or to <1:160 Antibody Titer Level at the Study Completion or Early Discontinuation

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    End point title
    Number of Participants With a Decline of Anti-rHuPH20 Binding Antibody Titers to the Antibody Titer Level at Baseline in Study 161403 or to <1:160 Antibody Titer Level at the Study Completion or Early Discontinuation [30]
    End point description
    Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [30] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    85
    Units: participants
    12
    No statistical analyses for this end point

    Primary: Number of Participants who Had >1:10,000 Anti-rHuPH20 Binding Antibody Titers With Neutralising Antibodies

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    End point title
    Number of Participants who Had >1:10,000 Anti-rHuPH20 Binding Antibody Titers With Neutralising Antibodies [31]
    End point description
    Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication. Overall number analysed is the number of participants who had >1:10,000 anti-rHuPH20 antibody titers.
    End point type
    Primary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    Notes
    [31] - 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: Only descriptive analysis was planned for this endpoint.
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    8
    Units: participants
        Neutralizing Antibodies
    2
    No statistical analyses for this end point

    Secondary: Number of Participants Who Had >1:10,000 Anti-rHuPH20 Binding Antibody Titers Showing Cross Reactivity With Hyaluronidase (Hyal)-1,2 and 4

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    End point title
    Number of Participants Who Had >1:10,000 Anti-rHuPH20 Binding Antibody Titers Showing Cross Reactivity With Hyaluronidase (Hyal)-1,2 and 4
    End point description
    Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication. Overall number analysed is the number of participants who had >1:10,000 anti-rHuPH20 antibody titers.
    End point type
    Secondary
    End point timeframe
    From the first dose of study drug up to end of study (up to 6.6 years)
    End point values
    HYQVIA/HyQvia
    Number of subjects analysed
    8
    Units: participants
    0
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From the first dose of study drug up to end of study (up to 6.6 years)
    Adverse event reporting additional description
    Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    24.0
    Reporting groups
    Reporting group title
    HYQVIA/HyQvia
    Reporting group description
    Participants received HYQVIA/HyQvia (rHuPH20 at a dose of 80 U/g IgG, followed by SC IGI 10%) at the same monthly equivalent dose as the individual participant’s IgG treatment in Study 161403, every 3 or 4 weeks in this Extension Study for 77.3 months or until relapse.

    Serious adverse events
    HYQVIA/HyQvia
    Total subjects affected by serious adverse events
         subjects affected / exposed
    20 / 85 (23.53%)
         number of deaths (all causes)
    1
         number of deaths resulting from adverse events
    1
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Cholangiocarcinoma
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Mantle cell lymphoma
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cardiac disorders
    Ventricular fibrillation
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Sinus tachycardia
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cardiac failure
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    Conus medullaris syndrome
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Ischaemic stroke
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Syncope
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Eye disorders
    Papilloedema
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Inguinal hernia
         subjects affected / exposed
    2 / 85 (2.35%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Diarrhoea
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Abdominal pain
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Reproductive system and breast disorders
    Vaginal polyp
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Chronic obstructive pulmonary disease
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hypoventilation
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Psychiatric disorders
    Depression
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Musculoskeletal and connective tissue disorders
    Systemic lupus erythematosus
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Rotator cuff syndrome
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Intervertebral disc degeneration
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Fibromyalgia
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Appendicitis
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    COVID-19
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Tuberculosis
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Skin infection
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Pulmonary tuberculosis
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pulmonary tuberculoma
         subjects affected / exposed
    1 / 85 (1.18%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    1 / 85 (1.18%)
         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
    HYQVIA/HyQvia
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    63 / 85 (74.12%)
    Injury, poisoning and procedural complications
    Fall
         subjects affected / exposed
    5 / 85 (5.88%)
         occurrences all number
    5
    Vascular disorders
    Hypertension
         subjects affected / exposed
    8 / 85 (9.41%)
         occurrences all number
    8
    Nervous system disorders
    Headache
         subjects affected / exposed
    23 / 85 (27.06%)
         occurrences all number
    123
    General disorders and administration site conditions
    Pyrexia
         subjects affected / exposed
    17 / 85 (20.00%)
         occurrences all number
    66
    Infusion site pruritus
         subjects affected / exposed
    5 / 85 (5.88%)
         occurrences all number
    15
    Fatigue
         subjects affected / exposed
    12 / 85 (14.12%)
         occurrences all number
    17
    Infusion site erythema
         subjects affected / exposed
    13 / 85 (15.29%)
         occurrences all number
    336
    Infusion site pain
         subjects affected / exposed
    5 / 85 (5.88%)
         occurrences all number
    11
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    7 / 85 (8.24%)
         occurrences all number
    13
    Diarrhoea
         subjects affected / exposed
    11 / 85 (12.94%)
         occurrences all number
    13
    Nausea
         subjects affected / exposed
    11 / 85 (12.94%)
         occurrences all number
    18
    Vomiting
         subjects affected / exposed
    8 / 85 (9.41%)
         occurrences all number
    10
    Respiratory, thoracic and mediastinal disorders
    Oropharyngeal pain
         subjects affected / exposed
    5 / 85 (5.88%)
         occurrences all number
    8
    Skin and subcutaneous tissue disorders
    Erythema
         subjects affected / exposed
    5 / 85 (5.88%)
         occurrences all number
    43
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    6 / 85 (7.06%)
         occurrences all number
    8
    Arthralgia
         subjects affected / exposed
    12 / 85 (14.12%)
         occurrences all number
    26
    Pain in extremity
         subjects affected / exposed
    6 / 85 (7.06%)
         occurrences all number
    18
    Myalgia
         subjects affected / exposed
    5 / 85 (5.88%)
         occurrences all number
    5
    Infections and infestations
    Urinary tract infection
         subjects affected / exposed
    7 / 85 (8.24%)
         occurrences all number
    9
    Upper respiratory tract infection
         subjects affected / exposed
    7 / 85 (8.24%)
         occurrences all number
    10
    Influenza
         subjects affected / exposed
    8 / 85 (9.41%)
         occurrences all number
    10
    COVID-19
         subjects affected / exposed
    18 / 85 (21.18%)
         occurrences all number
    19

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    27 Jun 2016
    The following changes were made as per Amendment 1: 1) Specified that eligible participants may also be recruited from Study 161601 (NCT02955355). 2) The maximum treatment duration was clarified to extend up to 3 years if mandated by regulations. 3) Text was added to clarify the determination of infusion rate based on participant weight, and to specify the differences for administration with single, bifurcated, or trifurcated SC needle sets. 4) The number of potential participants was increased from 124 to 149. 5) A description of Study 161403 was added. 6) The planned statistical analysis was updated. Subgroup analysis was removed and changed to single group analysis. 7) The maximum infusion volume was defined as 1200 milliliters per day (mL/d). 8) Clarified that each participant should be kept on the same infusion schedule as in the parent study.
    13 Nov 2018
    The following changes were made as per Amendment 2: 1) All references to Study 161601 was deleted. 2) Planned duration of participant participation was revised. 3) Revised text for dose and mode of administration of IP. 4) Revised rHuPH20 administration text to clarify that the initial infusion rate is to carry over from Study 161403. 5) Planned final analysis of the study was updated. 6) A new section was added on guidance on reporting and assessing rHuPH20 (hyaluronidase) antibody test results. 7) Text was revised for sample size and power calculations.
    05 Aug 2019
    The following changes were made as per Amendment 3: 1) Updated primary outcome measures section to include local infusion site reactions to be reported as AEs. 2) Added that an interim analysis is planned to be performed 6 months after unblinding of Study 161403 (unblinding of Epoch 1).
    10 Jan 2022
    The following changes were made as per Amendment 4: 1) Target accrual was updated to 88 throughout the protocol. 2) Changed the description for safety/ tolerability outcome measures. 3) Clarified that analyses will be presented by actual treatment received in Study 161403 Epoch 1 and overall. 4) Updated the planned interim analysis timing.

    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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