ClinicalTrials.gg
CompletedNCT01289847Updated Dec 23, 2014Results posted

A Study to Find Out How Safe and Effective Gammaplex® is in Young People With Primary Immunodeficiency

A Phase 4 interventional study of Gammaplex in Primary Immune Deficiency Disorders, Common Variable Immunodeficiency and X-linked Agammaglobulinemia, sponsored by Bio Products Laboratory. Completed at 10 sites in 3 countries. Open to participants aged 2 Years to 16 Years. Per ClinicalTrials.gov, last updated 2014-12-23.

Primary conditionWiskott-Aldrich SyndromeRegistry: Primary Immunodeficiency DiseasesReclassifiedWhy we changed it
Registry
Primary Immunodeficiency Diseases — the first condition term the registry derived for this study.
ClinicalTrials.gg
Wiskott-Aldrich Syndrome
Why
  1. The study's listed conditions name Wiskott-Aldrich Syndrome, a narrower term within Primary Immunodeficiency Diseases.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Bio Products Laboratory · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
25
Allocation
Not applicable
Ages
2 Years to 16 Years
Sex
All
01

Study summary

The main objective is to determine the efficacy of Gammaplex by measuring the number of serious acute bacterial infections during treatment with Gammaplex over a 12 month period. The secondary objectives are to assess the safety and tolerability of Gammaplex and to compare the data collected from adult subjects with PID from the GMX01 study

02

Conditions studied

  • Primary Immune Deficiency Disorders
  • Common Variable Immunodeficiency
  • X-linked Agammaglobulinemia
  • Hyper-IgM Syndrome
  • Wiskott-Aldrich Syndrome

Keywords

  • Primary Immune Deficiency Disorders
  • Common Variable Immunodeficiency
  • X-linked agammaglobulinemia
  • Hyper-IgM syndrome
  • Wiskott-Aldrich Syndrome
  • Immunoglobulins
  • Bacterial Infections
03

In context

Wiskott-Aldrich Syndrome Reclassified

41 studies on the registry are indexed under Wiskott-Aldrich Syndrome; 4 are open to participants now.

This study's enrollment of 25 is above the median of 20 across 29 interventional studies indexed under Wiskott-Aldrich Syndrome.

Browse Wiskott-Aldrich Syndrome studies →

Lead sponsor

Bio Products Laboratory is the lead sponsor of 27 studies on the registry; none are open to participants now.

Compared within Wiskott-Aldrich Syndrome, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Primary Immunodeficiency Diseases. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
2 Years to 16 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • The subject is between the ages of or is equal to 2 and 16 years of age, of either sex, belonging to any ethnic group, and above a minimum weight of 10 kg. This weight is based on the amount of blood required for testing.
  • The subject has a primary immunodeficiency disease, which has as a significant component of hypogammaglobulinemia and/or antibody deficiency (e.g. common variable immunodeficiency, X-linked and autosomal forms of agammaglobulinemia, hyper-IgM syndrome, Wiskott-Aldrich Syndrome). NB Isolated deficiency of a single IgG subclass, or of specific antibodies without hypogammaglobulinemia per se, does not qualify for inclusion.
  • Subjects already receiving IGIV replacement therapy require the following before their first infusion of Gammaplex:
  • Documented IGIV dose(s) and treatment intervals for the last 2 consecutive routine IGIV treatments (one of which can be the screening visit result). The previous doses should also meet the following conditions before study entry: Have not changed by ± 50% of the mean dose for at least 3 months; be between 300 and 800 mg/kg/infusion; be given every 21-28 days, inclusive; be a licensed or product (Phase III or IIIb).
  • Documented previous IgG trough levels for the last 2 consecutive routine IGIV treatments for the last 2 consecutive routine IGIV treatments: Maintained at least 300 mg/dL above baseline serum IgG levels (defined as before initiation of any gamma globulin treatment for that subject); must be more than/equal to 600 mg/dL.
  • If a subject is a female of , she must have a negative result on an HCG-based pregnancy test.
  • If a subject is a female who is or becomes sexually active, she must practice by using a method of proven reliability for the duration of the study.
  • The subject is willing to comply with all aspects of the protocol, including blood sampling, for the duration of the study.
  • The subject, if old enough (generally 6 years to 16), has signed a Child Assent Form and the subject's parent or legal guardian has signed the Form, both approved by the IEC/IRB.

Exclusion criteria

Exclusion Criteria:

  • Has not been treated with IGIV (treatment naive subject)
  • The subject has a history of any severe anaphylactic reaction to blood or any blood-derived product.
  • The subject is known to be intolerant to any component of Gammaplex, such as sorbitol (i.e. intolerance to fructose).
  • The subject has selective IgA deficiency, history of reaction to products containing IgA, or has a history of antibodies to IgA.
  • Subjects who have completed the study and subjects who have withdrawn cannot participate in the study for a second time.
  • The subject is currently receiving, or has received, any agent, other than an immune serum globulin (ISG) preparation that is being evaluated in a Phase III or IIIb study, within the prior 3 months.
  • The subject has been exposed to blood or any blood product or derivative within the last 6 months, other than a commercially available IGIV or other forms of commercially available and licensed ISG. If an unlicensed ISG product that is in Phase III or IIIb has been given, the subject cannot be infused with Gammaplex until 20 days after the last dose was given.
  • The subject is pregnant or is nursing.
  • The subject, at screening, has levels greater than 2.5 times the as defined at the central laboratory of any of the following: ( (ALT); Aspartate transaminase (AST) Lactate dehydrogenase (LDH)).
  • The subject has a severe renal impairment (defined as serum creatinine greater than 2 times the upper limit of normal or BUN greater than 2.5 times the upper limit of normal for the range of the laboratory doing the analysis); the subject is on dialysis; the subject has a history of acute renal failure.
  • The subject is known to abuse alcohol, opiates, psychotropic agents, or other chemicals or drugs, or has done so within the past 12 months.
  • The subject has a history of DVT, or thrombotic complications of IGIV therapy.
  • The subject suffers from any acute or chronic medical condition (e.g. renal disease or predisposing conditions for renal disease, or protein losing state) that, in the opinion of the investigator, may interfere with the conduct of the study.
  • The subject has an acquired medical condition, such as, chronic or recurrent neutropenia (ANC \< 1000 x 109/L) or AIDS known to cause secondary immune deficiency, or is post or recovering from hematopoietic stem cell transplantation.
  • The subject is receiving the following medication: Systemic long-term (i.e. not intermittent or burst, daily, >1 mg of prednisone equivalent/kg/day).
  • The subject is receiving or Immunomodulatory drugs.
  • The subject has non-controlled arterial hypertension.
  • The subject has anemia ( \<10 g/dL) at screening.
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
25 participants (actual)

Study arms

  • Experimental
    Gammaplex

    Biological: Gammaplex

Interventions

  • BiologicalGammaplex

    GAMMAPLEX 5g/100 mL, dose is 300-800 mg/kg/infusion every 21 or 28 days, intravenously. The total duration of treatment with GAMMAPLEX will be 12 months with a 3 month follow-up.

06

What researchers measure

Primary outcomes

  1. Adverse Events

    Number of subjects with serious, acute, bacterial infections as a measure of efficacy

    Time frame: 12 months

Secondary outcomes

  1. Therapeutic Efficacy

    Number and proportion of subjects who maintain trough IgG levels at least as high as the average of the 2 previous trough levels before the first Gammaplex infusion

    Time frame: From week 15 onwards

  2. Therapeutic Efficacy

    Number of days off school

    Time frame: 12 months

  3. Therapeutic Efficacy

    Number of days in hospital

    Time frame: 12 months

  4. Therapeutic Efficacy

    Visits to physicians and/or emergency room

    Time frame: 12 months

  5. Therapeutic Efficacy

    Number of days on therapeutic antibiotics

    Time frame: 12 months

07

Results

Posted Dec 23, 2014

Participant flow

First enrollment: 06 April 2011; Last Subject completed 23 April 2014; Nine recruiting sites globally: United States (US) (seven sites), Chile (one site) and Israel (one site)

Participant flow — Overall Study
MilestoneGammaplex
Started25
Completed24
Not completed1
Withdrew: Patient could not comply with visits1

Outcome measures

PrimaryAdverse Events

Number of subjects with serious, acute, bacterial infections as a measure of efficacy

Time frame:
12 months
Reported as:
Number · participants
Adverse Events
participantsGammaplex
Adverse Events2
Statistical analysis
  • Gammaplex · one-sample Poisson rate · p = 0.01
SecondaryTherapeutic Efficacy

Number and proportion of subjects who maintain trough IgG levels at least as high as the average of the 2 previous trough levels before the first Gammaplex infusion

Time frame:
From week 15 onwards
Reported as:
Number · participants
Therapeutic Efficacy
participantsGammaplex
Therapeutic Efficacy7
Statistical analysis
  • Gammaplex · one-sample Poisson method · p = 0.01
SecondaryTherapeutic Efficacy

Number of days off school

Time frame:
12 months
Reported as:
Mean · days
Therapeutic Efficacy
daysGammaplex
Therapeutic Efficacy7.8 ± 12.06
SecondaryTherapeutic Efficacy

Number of days in hospital

Time frame:
12 months
Reported as:
Mean · days
Therapeutic Efficacy
daysGammaplex
Therapeutic Efficacy0.3 ± 0.87
SecondaryTherapeutic Efficacy

Visits to physicians and/or emergency room

Time frame:
12 months
Reported as:
Mean · visits
Therapeutic Efficacy
visitsGammaplex
Therapeutic Efficacy4.0 ± 4.67
SecondaryTherapeutic Efficacy

Number of days on therapeutic antibiotics

Time frame:
12 months
Reported as:
Mean · days
Therapeutic Efficacy
daysGammaplex
Therapeutic Efficacy32.0 ± 28.28

Adverse events

Collected over AEs were documented from the date Informed Consent Form or Assent was signed until 30 days after the last dose of Gammaplex was infused.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Gammaplex—3/25 (12%)25/25 (100%)
Most frequent serious events
Most frequent serious events
EventGammaplex
left lower lobe pneumoniaRespiratory, thoracic and mediastinal disorders1/25
left lower lobe pneumoniaRespiratory, thoracic and mediastinal disorders1/25
Acute Gastroenterirtis (AGE)Gastrointestinal disorders1/25
Most frequent other events
Showing 10 of 44
Most frequent other events
EventGammaplex
HeadacheNervous system disorders13/25
PyrexiaGeneral disorders9/25
NasopharyngitisInfections and infestations8/25
CoughRespiratory, thoracic and mediastinal disorders8/25
Nasal congestionRespiratory, thoracic and mediastinal disorders8/25
Acute sinusitisInfections and infestations7/25
Upper respiratory tract infectionInfections and infestations6/25
NauseaGastrointestinal disorders6/25
Viral upper respiratory tract infectionInfections and infestations5/25
FatigueGeneral disorders5/25

Baseline characteristics

Age, Customized
Age, Customized(participants)Gammaplex
2 to 5 year age group3
6 to 11 year age group12
12 to 16 year age group10
Sex: Female, Male
Sex: Female, Male(Participants)Gammaplex
Female6
Male19
Region of Enrollment
Region of Enrollment(participants)Gammaplex
United States22
Israel2
Chile1
08

Study locations

10 sites
  • Department of Medicine, University of California
    Irvine, California 92697., United States
  • Children's Hospital Los Angeles
    Los Angeles, California 90027, United States
  • IMMUNOe International Reseach Centers
    Centennial, Colorado 80112, United States
  • Family Allergy & Asthma Center, PC
    Atlanta,, Georgia 30342, United States
  • Rush University Medical Center
    Chicago,, Illinois 60612, United States
  • Children's Hospital of Pittsburgh of UPMC
    Pittsburgh, Pennsylvania 15224, United States
  • Allergy, Asthma & Immunology Clinic, P.A
    Irving, Texas 75063, United States
  • Children's Hospital of Richmond, VA
    Richmond, Virginia 23219, United States
  • Hospital de Niňos Roberto del Río
    Santiago, 8380418, Chile
  • Safra Children's Hospital, Sheba Medical Center
    Tel-Hashomer, 52621, Israel
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 23, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01289847
Lead sponsor
Bio Products Laboratory
Responsible party
Sponsor
First posted
Feb 4, 2011
Start date
Mar 2011
Primary completion
Apr 2014
Completion
Apr 2014
Results posted
Dec 23, 2014
Last update
Dec 23, 2014

Study contacts

Tim J. Aldwinckle, MD
study director · Medical Director

Oversight

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

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Studies of the drug tested here: Immunoglobulins, Intravenous

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