IGIV Study for Chronic ITP Patients Ages 3-70
- Conditions
- Idiopathic Thrombocytopenic Purpura
- Interventions
- Biological: IGIV3I Grifols 10%
- Registration Number
- NCT00511147
- Lead Sponsor
- Grifols Biologicals, LLC
- Brief Summary
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 64
- 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
- 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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description IGIV3I Grifols 10% (All Subjects) IGIV3I Grifols 10% All subjects with Chronic ITP
- Primary Outcome Measures
Name Time Method Response Rate 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 Outcome Measures
Name Time Method Regression of Hemorrhage/Bleedings 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.
Time to Platelet Count Recovery 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
Duration of Response 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.
Trial Locations
- Locations (44)
Kenmar Research Institute, LLC
🇺🇸Los Angeles, California, United States
Western Pennsylvannia Hospital
🇺🇸Pittsburgh, Pennsylvania, United States
Arizona Oncology Associates
🇺🇸Tucson, Arizona, United States
Scottsdale Medical Specialists
🇺🇸Scottsdale, Arizona, United States
Cancer Center of Central Connecticut
🇺🇸Southington, Connecticut, United States
Connecticut Children's Medical Center
🇺🇸Hartford, Connecticut, United States
Scripps Cancer Center
🇺🇸La Jolla, California, United States
Halifax Health Medical Center
🇺🇸Daytona Beach, Florida, United States
Hematology Oncology Associates
🇺🇸Lake Worth, Florida, United States
Advocate Hope Children's Hospital
🇺🇸Oak Lawn, Illinois, United States
Emory University School of Medicine Winship Cancer Center
🇺🇸Atlanta, Georgia, United States
University of Iowa Children's Hospital
🇺🇸Iowa City, Iowa, United States
Cleveland Clinic Florida
🇺🇸Weston, Florida, United States
Capital Comprehensive Cancer Care Clinic
🇺🇸Jefferson City, Missouri, United States
Kalamazoo Hematology & Oncology
🇺🇸Kalamazoo, Michigan, United States
CTO Breslin Cancer Center/MSU/Great Lakes Cancer Institute
🇺🇸Lansing, Michigan, United States
UMDNJ-RWJ Medical School
🇺🇸New Brunswick, New Jersey, United States
Mt. Sinai Medical Center
🇺🇸New York, New York, United States
Baptist Cancer Center
🇺🇸Beaumont, Texas, United States
Cook Children's Medical Center
🇺🇸Fort Worth, Texas, United States
Tyler Hematology Oncology PA
🇺🇸Tyler, Texas, United States
St. Joseph's Healthcare
🇨🇦Hamilton, Ontario, Canada
St. John's Medical College Hospital
🇮🇳Bangalore, India
Netaji Subhash Chandra Bose Cancer Research Institute
🇮🇳Kolkata, India
Artemis Health Institute
🇮🇳Haryana, India
Christian Medical College
🇮🇳Vellore, India
Sahyadri Specialty Hospital
🇮🇳Pune, India
Apple Hospital
🇮🇳Surat, India
Fundacion de Investigacion de Diego
🇵🇷San Juan, Puerto Rico
Kodlikeri Hospital
🇮🇳Maharashtra, India
Phoenix Children's Hospital
🇺🇸Phoenix, Arizona, United States
Children's Hospital, University of Oklahoma
🇺🇸Oklahoma City, Oklahoma, United States
VA Medical Center
🇺🇸Washington, D.C., District of Columbia, United States
Children's Hospital of Orange County
🇺🇸Orange, California, United States
University of Mississippi
🇺🇸Jackson, Mississippi, United States
Narayana Hrudayalaya Hospitals
🇮🇳Karnataka, Bangalore, India
Shalby Hospitals
🇮🇳Ahmedabad, India
Grant Medical Foundation, Ruby Hall Clinic
🇮🇳Pune, India
Georgetown University
🇺🇸Washington, D.C., District of Columbia, United States
Lakeland Regional Cancer Center
🇺🇸Tampa, Florida, United States
St. Joseph's Children's Hospital of Tampa
🇺🇸Tampa, Florida, United States
Children's Hospital
🇺🇸New Orleans, Louisiana, United States
MCV Hospital
🇺🇸Richmond, Virginia, United States
University of Alberta
🇨🇦Edmonton, Alberta, Canada