ClinicalTrials.gg
CompletedNCT02584608Updated Jan 8, 2021Results posted

Use of ACTIMMUNE in Patients With ADO2

A Phase 2 interventional study of ACTIMMUNE in Autosomal Dominant Osteopetrosis Type 2, sponsored by Indiana University. Completed at 1 site in United States. Open to participants aged 3 Years to 65 Years. Per ClinicalTrials.gov, last updated 2021-01-08.

Sponsored by Indiana University · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
3 Years to 65 Years
Sex
All
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Study summary

This study is an open label use of ACTIMMUNE for patients with Autosomal Dominant Osteopetrosis Type 2(ADO2). Effects of treatment will be evaluated after 14 weeks on ACTIMMUNE by bone resorption markers. This study will treat 12 patients with ADO2 recruited from Indiana University and Riley Hospital for Children at Indiana University Health.

Read the detailed description

This is a single center, open-label, dose-escalation study evaluating the efficacy, as defined by biochemical endpoints, and safety profiles of ACTIMMUNE in ADO2 subject.

The investigators will treat 12 ADO2 subjects (children or adults age 3-65) with Actimmune® via a dose escalation protocol to a dose of 50 µg/m2 subcutaneously three times per week (TIW) for 8 weeks. If serum CTX does not increase by more than 25% by week 8, the dose will be increased to 100 µg/m2 subcutaneously TIW.

Individual subjects in whom ACTIMMUNE administration increases bone resorption markers during the 14 weeks of this trial will be eligible for a 1 year extension trial.

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Conditions studied

  • Autosomal Dominant Osteopetrosis Type 2

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In context

Osteopetrosis

22 studies on the registry are indexed under Osteopetrosis; 4 are open to participants now.

This study's enrollment of 12 is below the median of 15 across 17 interventional studies indexed under Osteopetrosis.

Browse Osteopetrosis studies →

Lead sponsor

Indiana University is the lead sponsor of 986 studies on the registry; 198 are open to participants now.

Of its 148 completed or terminated interventional studies of FDA-regulated products, 118 (80%) have results posted.

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

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Who can participate

Ages eligible
3 Years to 65 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

  1. Subject is diagnosed with ADO2 as determined by the investigator.

    Individuals will be screened who have either been diagnosed with osteopetrosis and have a clinical phenotype and/or family history that is consistent with ADO2, have been told that they have an abnormally high bone density (>3SD above mean for age and sex), or a clinical presentation consistent with ADO2. Initial contact will be with members of ADO2 kindreds who have known disease.

  2. Provide written for competent adults and for minors provide written assent (if appropriate) and written informed consent by a legally authorized representative after the nature of the study has been explained, and prior to any research-related procedures
  3. Ages 3 to 65 years inclusive.
  4. Willing to use reliable method of [i.e. oral or patch hormonal contraceptives, intrauterine device, physical barrier methods, tubal ligation or hysterectomy, vasectomy (partner) or abstinence] throughout the study and for 30 days after the last dose of study drug.

Exclusion criteria

Exclusion Criteria:

  1. Any unstable illness that in the investigator's opinion precludes participation in the study.
  2. Serum calcium >10.6 mg/dl at screening.
  3. using the MDRD equation in adults (or the modified Schwartz equation for children) of \< 35 ml/min/1.73m2.
  4. Nephrocalcinosis on screening ultrasound Grade 3 or higher [18]. Subjects with grade 3 or higher nephrocalcinosis will be excluded because we anticipate that use of study drug will increase bone resorption, resulting in increased urinary calcium excretion, which could, potentially, lead to worsening nephrocalcinosis. The grading scale is listed below:

0 = Normal

  1. = Faint hyperechogenic rim around the sides and tip of the medullary pyramids
  2. = More intense echogenic rim with echoes faintly filling the entire medullary pyramid
  3. = Intense echoes throughout the medullary pyramid
  4. = Solitary focus of echoes at the tip of the medullary pyramid/nephrolithiasis
  1. Use of any product (drug or device) within 30 days prior to randomization.
  1. Subject reported history of .
  1. A recent (past 5 years) history of alcoholism or intravenous drug abuse.
  1. History of to IFN-ɣ or E. coli-derived products.
  1. History of liver disease as evidenced by laboratory results at Screening ( [AST] or alanine aminotransferase [ALT] >2x the ), except when in the opinion of the investigator the liver disease is caused by extra medullary hematopoiesis.
  1. Pregnant or nursing women or those who plan on becoming pregnant during the study.
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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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.

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.

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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Treatment

    ACTIMMUNE 50 µg/m2 subcutaneously three times per week (TIW) for 8 weeks

    Drug: ACTIMMUNE

Interventions

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What researchers measure

Primary outcomes

  1. Changes in Bone Resorption Markers From Baseline to 14 Weeks.

    Evaluate for changes in bone resorption markers including CTX, NTX/creatinine ratio between baseline and 14 weeks

    Time frame: baseline, 14 weeks

Secondary outcomes

  1. Change in Bone Turnover Markers Between After Completion of 6-12 Weeks of Treatment

    Evaluate for changes in bone turnover markers including TRAP5b, NTX, CTX/TRAP5b ratio after 6-12 weeks of treatment.

    Time frame: 6-12 weeks

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Results

Posted Jan 8, 2021

Participant flow

Participant flow — Overall Study
MilestoneTreatment
Started12
Completed12
Not completed0

Outcome measures

PrimaryChanges in Bone Resorption Markers From Baseline to 14 Weeks.

Evaluate for changes in bone resorption markers including CTX, NTX/creatinine ratio between baseline and 14 weeks

Time frame:
baseline, 14 weeks
Reported as:
Mean · percentage of change
Changes in Bone Resorption Markers From Baseline to 14 Weeks.
percentage of changeTreatment
Percent change of CTX2.2 (-35.7 to 90.5)
Percent change of NTX/creatinine ratio-2.1 (-50.5 to 55.5)
SecondaryChange in Bone Turnover Markers Between After Completion of 6-12 Weeks of Treatment

Evaluate for changes in bone turnover markers including TRAP5b, NTX, CTX/TRAP5b ratio after 6-12 weeks of treatment.

Time frame:
6-12 weeks
Reported as:
Mean · percentage of change
Change in Bone Turnover Markers Between After Completion of 6-12 Weeks of Treatment
percentage of changeTreatment
TRAP5B-15.34 (-57.07 to 13.1)
NTX-2.09 (-50.51 to 55.54)
CTX/TRAP5b ratio26.31 (-35.91 to 144.57)

Adverse events

Collected over From signing consent till final followup at 18 weeks (4 weeks after stopping study drug). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment0/12 (0%)0/12 (0%)10/12 (83.3%)
Most frequent other events
Showing 10 of 25
Most frequent other events
EventTreatment
HeadacheNervous system disorders10/12
FatigueNervous system disorders9/12
nauseaGastrointestinal disorders9/12
flu like symptomsProduct Issues8/12
myalgiaMusculoskeletal and connective tissue disorders7/12
white blood cell decreasedBlood and lymphatic system disorders6/12
arthralgiaMusculoskeletal and connective tissue disorders5/12
diarrheaGastrointestinal disorders5/12
neutrophil count decreasedBlood and lymphatic system disorders5/12
vomitingGastrointestinal disorders5/12

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Treatment
<=18 years3
Between 18 and 65 years9
>=65 years0
Age, Continuous
Age, Continuous(years)Treatment
Total30.48 (8.1 to 50.8)
Sex: Female, Male
Sex: Female, Male(Participants)Treatment
Female6
Male6
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Treatment
Hispanic or Latino0
Not Hispanic or Latino12
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Treatment
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American1
White11
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Treatment
United States12
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Study locations

1 site
  • Indiana University School of Medicine
    Indianapolis, Indiana 46202, United States
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References and documents

Publications

  • Imel EA, Liu Z, Acton D, Coffman M, Gebregziabher N, Tong Y, Econs MJ. Interferon Gamma-1b Does Not Increase Markers of Bone Resorption in Autosomal Dominant Osteopetrosis. J Bone Miner Res. 2019 Aug;34(8):1436-1445. doi: 10.1002/jbmr.3715. Epub 2019 May 13. PubMed 30889272 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 8, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02584608
Lead sponsor
Indiana University
Collaborators
Horizon Pharma Ireland, Ltd., Dublin Ireland
Responsible party
Michael Econs (MD, Professor of Endocrinlogy and Metabolism, Indiana University) — Principal investigator
First posted
Oct 22, 2015
Start date
Jan 1, 2016
Primary completion
Nov 12, 2019
Completion
Nov 12, 2019
Results posted
Jan 8, 2021
Last update
Jan 8, 2021

Study contacts

Michael J Econs, MD
principal investigator · Indiana University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2020. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Interferon gamma-1b

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