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CompletedNCT00606905Updated Oct 8, 2012Results posted

Intravenous Immunoglobulin (IVIG) for Treatment of Unexplained Secondary Recurrent Miscarriage

An interventional study of Gamimune N or Gamunex 10% and normal saline in Miscarriage, Recurrent and Abortion, Habitual, sponsored by University of Chicago. Completed at 1 site in United States. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2012-10-08.

Sponsored by University of Chicago · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
82
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

Recurrent miscarriage is a prevalent reproductive problem that affects many couples who are trying to establish a family. This clinical study will evaluate the effectiveness of intravenous immunoglobulin (IVIG) in improving the live birth rate in couples who suffer from secondary recurrent miscarriage. This study will help in providing an answer to the question of whether IVIG is helpful in secondary recurrent miscarriage.

Read the detailed description

The purpose of this multi-center trial is to evaluate the efficacy of IVIG in improving the ongoing pregnancy (>20 weeks of gestation) rate in couples with unexplained secondary recurrent miscarriage, and; to characterize and compare pharmacokinetic and pharmacodynamic parameters for IVIG pre-conceptually and in the 1st and 2nd trimesters of pregnancy, so that an improved IVIG dosing strategy can be determined.

02

Conditions studied

  • Miscarriage, Recurrent
  • Abortion, Habitual

Keywords

  • Recurrent miscarriage
  • Recurrent spontaneous abortion
  • Habitual abortion
  • IVIG
  • Randomized Controlled Trial
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In context

Abortion, Spontaneous

320 studies on the registry are indexed under Abortion, Spontaneous; 53 are open to participants now.

This study's enrollment of 82 is below the median of 147 across 174 interventional studies indexed under Abortion, Spontaneous.

Browse Abortion, Spontaneous studies →

Lead sponsor

University of Chicago is the lead sponsor of 907 studies on the registry; 182 are open to participants now.

Of its 99 completed or terminated interventional studies of FDA-regulated products, 68 (69%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Couple has a history of unexplained secondary recurrent miscarriage.
  • Most recent pregnancy occurred within one year of discontinuing contraception.

Exclusion criteria

Exclusion Criteria:

  • Maternal IgA deficiency
  • Maternal history of immunoglobulin hypersensitivity.
  • Maternal contraindication to pregnancy.
  • Evidence of active hepatitis or immunocompromised state in either partner.
  • Concomitant use of medication(s) for treatment of recurrent miscarriage, such as but not limited to progesterone, clomiphene citrate, acetylsalicylic acid, heparin, glucocorticoids or hCG injections.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
82 participants (actual)

Study arms

  • Active comparator
    1

    IVIG, either Gamimune N (Talecris Biotherapeutics, Inc., Clayton, NC) or Gamunex 10% (Talecris Biotherapeutics, Inc., Clayton, NC), both as a 10% solution

    Biological: Gamimune N or Gamunex 10%

  • Placebo comparator
    2

    normal saline

    Other: normal saline

Interventions

  • BiologicalGamimune N or Gamunex 10%

    500 mg/kg administered in the follicular phase of the menstrual cycle. With conception, infusions every four weeks until 18-20 weeks of gestation.

    Also known as: Immune Globulin Intravenous (Human), 10%, IGIV-C, 10%

  • Othernormal saline

    equivalent volume of normal saline

06

What researchers measure

Primary outcomes

  1. Number of Successful Pregnancies Defined as an Ongoing Pregnancy Over 20 Weeks Gestation, Per Number of Index Pregnancies

    Time frame: 20 weeks gestation

07

Results

Posted Aug 30, 2010

Participant flow

Between November 1999 and February 2008, a total of 82 women were recruited from seven centers: University of British Columbia, University of Chicago, University of Tennessee-Memphis, University of Toronto, Ottawa University, Yale University and McMaster University.

Participant flow — Overall Study
MilestoneIVIGNormal Saline
Started3839
Pregnancy2933
Completed2324
Not completed1515
Withdrew: No pregnancy96
Withdrew: Non-index pregnancy14
Withdrew: Withdrew55

Outcome measures

PrimaryNumber of Successful Pregnancies Defined as an Ongoing Pregnancy Over 20 Weeks Gestation, Per Number of Index Pregnancies
Time frame:
20 weeks gestation
Reported as:
Number · Successful pregnancies
Number of Successful Pregnancies Defined as an Ongoing Pregnancy Over 20 Weeks Gestation, Per Number of Index Pregnancies
Successful pregnanciesIVIGNormal Saline
Number of Successful Pregnancies Defined as an Ongoing Pregnancy Over 20 Weeks Gestation, Per Number of Index Pregnancies1615
Statistical analysis
  • IVIG vs Normal Saline · Chi-squared · p = <0.05 · Odds ratio (or): 1.37 · 95% CI 0.41 to 4.61

Adverse events

Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
IVIG—0/23 (0%)9/23 (39.1%)
Normal Saline—0/24 (0%)2/24 (8.3%)
Most frequent other events
Most frequent other events
EventIVIGNormal Saline
myalgia, headaches, nausea, fever or chillsGeneral disorders4/230/24
rashSkin and subcutaneous tissue disorders3/230/24
gastrointestinal symptomsGastrointestinal disorders0/232/24
shortness of breathRespiratory, thoracic and mediastinal disorders1/230/24
headacheGeneral disorders1/230/24

Baseline characteristics

Age Continuous
Age Continuous(years)IVIGNormal SalineTotal
Mean36 ± 535 ± 436 ± 4
Sex: Female, Male
Sex: Female, Male(Participants)IVIGNormal SalineTotal
Female232447
Male000
08

Study locations

1 site
  • The University of Chicago
    Chicago, Illinois 60637, United States
09

References and documents

Publications

  • Stephenson MD, Kutteh WH, Purkiss S, Librach C, Schultz P, Houlihan E, Liao C. Intravenous immunoglobulin and idiopathic secondary recurrent miscarriage: a multicentered randomized placebo-controlled trial. Hum Reprod. 2010 Sep;25(9):2203-9. doi: 10.1093/humrep/deq179. Epub 2010 Jul 15. PubMed 20634190 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 8, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00606905
Lead sponsor
University of Chicago
Collaborators
University of British Columbia, University of Tennessee, Sunnybrook Health Sciences Centre, Grifols Therapeutics LLC
Responsible party
Sponsor
First posted
Feb 5, 2008
Start date
Nov 1999
Primary completion
Mar 2009
Completion
Jan 2010
Results posted
Aug 30, 2010
Last update
Oct 8, 2012

Study contacts

Mary D Stephenson, MD, MSc
study chair · University of Chicago
William Kutteh, MD, PhD
principal investigator · The University of Tennesee
Susan Purkiss, MD
principal investigator · The University of British Columbia
Cliff Librach, MD
principal investigator · Sunnybrook Health Sciences Centre

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2010. You cannot join it, but the record below documents what was studied.

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