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Completed

NCT Number: NCT00511147

IGIV Study for Chronic ITP Patients Ages 3-70

Idiopathic (immune) thrombocytopenic purpura (ITP) is an autoimmune disorder characterized by platelet destruction and thrombocytopenia (peripheral blood platelet count < 150 x 10^9/L). IVIG therapy is useful in patients in whom the platelet count has to be raised either due to bleeding signs, or where bleeding is predicted (e.g., surgery or parturition). The primary goal of treatment is to maintain the platelet count at a hemostatic level. This study will test the safety and efficacy of IGIV3I Grifols 10% in the treatment of patients with chronic ITP.

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Key information

Conditions

Idiopathic Thrombocytopenic Purpura Autoimmune Diseases Blood Coagulation Disorders Blood Platelet Disorders Cytopenia Hematologic Diseases Hemic and Lymphatic Diseases Hemorrhage Hemorrhagic Disorders Immune System Diseases Pathologic Processes Pathological Conditions, Signs and Symptoms Purpura Purpura, Thrombocytopenic Purpura, Thrombocytopenic, Idiopathic Signs and Symptoms Skin Manifestations Thrombocytopenia Thrombotic Microangiopathies

Age range

3 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

University of Alberta, Edmonton, Alberta, Canada

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Diagnosis of chronic ITP
  • Platelet count ≤ 20 x 10^9/L
  • When administered corticosteroids at any time within 3 weeks before screening visit, the subject must have completed at least 3 weeks (21 days) of therapy at a stable and constant dose and schedule prior to screening visit
  • When administered azathioprine (immunosuppressant) at any time within 3 months before screening visit, the subject must have received a stable dose and schedule for at least 3 months prior to screening visit
  • When administered vinca alkaloids (eg., vincristine) at any time within 2 weeks before screening visit, the subject must have received a stable dose and schedule for at least 2 weeks prior to screening visit
  • When administered attenuated androgens (eg, danazol) at any time within 8 weeks before screening visit, the subject must have received a stable dose and schedule for at least 8 weeks prior to screening visit.
  • Females of childbearing potential must test negative for pregnancy

Key Exclusion Criteria:

  • History or clinical evidence of medical conditions (other than ITP) felt to be the underlying cause of the thrombocytopenia
  • Diagnosis of secondary immune thrombocytopenia
  • History of severe (eg, anaphylactic) reactions to blood or any blood- derived product
  • History of intolerance to any component of the IP, such as sorbitol
  • Suffering serious and/or life-threatening hemorrhage/bleeding defined as:
  • Any intracranial or central nervous system bleeding
  • Any hemorrhagic event in which the subject is at risk of death at the time of the event
  • Females who are pregnant or nursing an infant child
  • Known to have immunoglobulin A (IgA) deficiency
  • Known to abuse alcohol, opiates, psychotropic agents or other chemicals or drugs, or has done so within 12 months of the screening visit
  • Documented diagnosis of thrombotic complications to polyclonal IVIG therapy in the past
  • Unstable or uncontrolled disease, or condition, related to, or impacting, cardiac function: unstable angina, congestive heart failure, uncontrolled arterial hypertension
  • Is anemic (hemoglobin < 9 g/dL)
  • Renal impairment (ie, serum creatinine > 1.5 x upper limit of normal [ULN])
  • Aspartate aminotransferase or alanine aminotransferase levels > 2.5 x ULN
  • Known to have a positive test for either HCV or HIV (HIV 1/2)
  • Splenectomy within the prior 8 weeks to the screening visit
  • currently receiving any treatment for ITP except corticosteroids, azathioprine, vinca alkaloids or danazol
  • Received an immune serum globulin (ISG) product within the prior 3 weeks (21 days) to the screening visit
  • Received any alkylating agent (eg, cyclophosphamide) within 5 weeks prior to the screening visit
  • Received rituximab within the prior 3 months to the screening visit
  • Was currently receiving, or received, any therapeutic drug or device that was not approved by a Regulatory Authority (US or Canadian) for any indication within the prior 12 weeks to the screening visit

Treatment and study plan

IGIV3I Grifols 10%

Biological

IGIV3I Grifols 10% 1 g/kg/day given on two consecutive days, Day 1 and Day 2, for a total dose of 2 g/kg over two days.

Other names: Intravenous immunoglobulin

Primary outcomes

  1. Response Rate

    Time frame: 8 days

    Defined by the percentage of treated patients in whom platelet counts increase from ≤ 20 x 10^9/L to ≥ 50 x 10^9/L by Day 8 ± 1 [where the day of the first infusion is Day 1]

Secondary outcomes

  1. Time to Platelet Count Recovery

    Time frame: 30 days

    Defined by the number of days elapsed from Day 1 (the day of the first infusion of the IP) to the day when the platelet count is first known to be ≥ 50 x 10^9/L at any moment during the clinical follow-up period ending on Day 30 ± 1

  2. Duration of Response

    Time frame: 30 days

    Defined by the number of consecutive days for which the platelet count remains ≥ 50 x 10^9/L at any moment during the clinical follow-up period ending on Day 30 ± 1.

  3. Regression of Hemorrhage/Bleedings

    Time frame: 15 days

    Defined by the percentage of treated patients with hemorrhage/bleedings at Day 1 (i.e., the day of the first infusion, pre-infusion) who improve their diathesis during the clinical follow-up period ending on Day 15 ± 1.

Sponsors and collaborators

Lead sponsor

Grifols Biologicals, LLC

Industry

Collaborators

  • Instituto Grifols, S.A.

Registry information

Official study title

A Multi-center, Prospective, Open-label, Clinical Trial to Assess the Safety and the Efficacy of a New Intravenous Immune Globulin (IGIV3I Grifols 10%) in Patients With Idiopathic (Immune) Thrombocytopenic Purpura

Important dates

Study start
2008
Primary completion
2014
Study completion
2014
First posted
Aug 3, 2007
Registry last updated
Jun 12, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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