Study to Evaluate the Efficacy and Safety of PANZYGA in Pediatric Patients With Chronic Immune Thrombocytopenia (ITP)

Phase 4

Terminated

Conditions: Chronic Immune Thrombocytopenia

Interventions: Biological: Panzyga

Registration Number: NCT03866798

Lead Sponsor: Octapharma

Brief Summary: This is a prospective, open-label, single-arm, multicenter, Phase 4 study evaluating the efficacy and safety of PANZYGA in pediatric patients with chronic ITP.

Detailed Description: Not available

Recruitment & Eligibility

Status: TERMINATED

Sex: All

Target Recruitment: 6

Inclusion Criteria

Females and males aged from ≥1 year to <18 years old
Confirmed diagnosis of Chronic Immune Thrombocytopenia (ITP) according to American Society of Hematology (ASH) 2019 guidelines
Platelets count <30x10^9/L at the Baseline Visit
Voluntarily given written informed consent (provided by patient's parent or legal guardian) and assent (provided by patient [if age-appropriate per IRB (Institutional Review Board) requirements])
Sexually active females who have been using at least 1 acceptable form of birth control for a minimum of 30 days (or a minimum of 3 months for hormonal contraceptives) prior to the Screening visit and must agree to use at least 1 acceptable method of contraception throughout the study and for 30 days after the last dose of PANZYGA. Acceptable methods of birth control for this study include: intrauterine device (IUD), hormonal contraception, male or female condom, spermicide gel, diaphragm, sponge, or cervical cap. For non-sexually active females who have begun menstruating, abstinence is considered an acceptable method of birth control.
Parent or legal guardian must agree and be willing to assist the participant attend study visits, and to follow all protocol requirements and instructions of the study doctor

Exclusion Criteria

Thrombocytopenia secondary to other diseases (such as Acquired Immunodeficiency Syndrome [AIDS] or systemic lupus erythematosus [SLE]), drug-related thrombocytopenia, or congenital thrombocytopenia
Administration of intravenous immunoglobulin (IGIV) or anti-D immunoglobulin within 3 weeks (+/- 3 days) before enrollment
Administration of thrombopoietin receptor agonists when the dose has NOT been stable within 3 weeks before enrollment and a dosage change is planned before Day 32
Administration of oral immunosuppressants when the dose has NOT been stable during the preceding 2 months (2 weeks for long-term corticosteroid therapy) and a dosage change is planned before Day 32 (Note: topical agents and inhaled corticosteroid therapy use is permitted)
Administration of long-term anti-prolific agents or attenuated androgen therapy when the dose has NOT been stable during the preceding 2 months and a dosage change is planned before Day 32
Nonresponsive to previous treatment with IGIV or anti-D immunoglobulin
Evidence of an active major bleeding episode at Screening
Splenectomy in the previous 3 months or planned splenectomy throughout the study period
Evans syndrome (experiencing active disease with 2 out of 3 of the following: autoimmune thrombocytopenia, autoimmune hemolytic anemia, and/or autoimmune neutropenia)
Known or suspected human immunodeficiency virus (HIV), hepatitis B virus (HBV), and/or hepatitis C virus (HCV) infections
Emergency surgery in the previous 4 weeks
Severe liver and/or kidney disease (alanine aminotransferase [ALT] >3x upper limit of normal (ULN), aspartate aminotransferase [AST] >3x upper limit of normal (ULN), and/or creatinine >120 µmol/L)
History of severe hypersensitivity to blood or plasma derived products, or any component of the PANZYGA
Known immunoglobulin A (IgA) deficiency and antibodies against IgA
History of, or suspected alcohol or drug abuse in the previous year
Females who are pregnant or nursing
Unable or unwilling to comply with the study protocol
Receipt of any other investigational medicinal product within 3 months before study entry
Risk factors* for thromboembolic events in whom the risks outweigh the potential benefit of PANZYGA treatment.
Any other condition(s), that in the Investigator's opinion, make it undesirable for the patient to participate in the study or may interfere with protocol compliance.
- Risk factors include, but are not limited to: obesity, advanced age, hypertension, diabetes, a history of atherosclerosis/vascular disease or thrombotic events, hyperlipidemia, multiple cardiovascular risk factors, acquired or inherited thrombophilic disorders, prolonged periods of immobilization, severe hypovolemia, central venous catheterization, active malignancy and/or known or suspected hyperviscosity.

Study & Design

Study Type: INTERVENTIONAL

Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Panzyga	Panzyga	Panzyga

Primary Outcome Measures

Name	Time	Method
Platelet Count Increase	8 Days	Number of subjects with an increase in platelet count at least once to ≥50 × 10\^9/L within 7 days after the first infusion, i.e., by Day 8 (increase must have occurred at least once on any day up to and including Day 8).

Secondary Outcome Measures

Name	Time	Method
Days to Reach Platelet Count of at Least 50x10^9/L	Through study completion, up to 37 days	Number of days for subjects to reach Platelet Count of at least 50x10\^9/L after infusion
Duration of Platelet Response	Through study completion, up to 37 days	Number of days the platelet count remains above at least 50x10\^9/L
Maximum Platelet Count	Through study completion, up to 37 days	Maximum platelet count (10\^9/L) for each subjects