ClinicalTrials.gg
Enrolling by invitationNCT02796937SPARTA-OLEUpdated Jun 23, 2026

Long Term Safety of Alpha1-Proteinase Inhibitor in Subjects With Alpha1 Antitrypsin Deficiency

A Phase 3 interventional study of Alpha-1 MP in Pulmonary Emphysema in Alpha-1 Antitrypsin Deficiency, sponsored by Grifols Therapeutics LLC. Enrolling by invitation at 28 sites in 12 countries. Open to participants aged 20 Years to 72 Years. Per ClinicalTrials.gov, last updated 2026-06-23.

Sponsored by Grifols Therapeutics LLC (part of Grifols) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
290
Allocation
Not applicable
Ages
20 Years to 72 Years
Sex
All
01

Study summary

This is a 2-year open-label, multicenter extension of the double-blind, placebo-controlled GTi1201 study. The purpose of this study is to obtain an additional 2 years of safety data for intravenously administered Alpha1-MP 60 mg/kg/week in subjects with alpha1-antitrypsin deficiency (AATD).

Read the detailed description

This is a 2-year open-label extension of the double-blind, placebo-controlled GTi1201 study. The purpose of this study is to obtain an additional 2 years of safety data for intravenously administered Alpha-1 MP 60 mg/kg/week in subjects with AATD.

The study consists of a Screening Visit (the same visit as the End-of-Study Visit in the GTi1201 study for subjects who complete the GTi1201 study or is the same visit as the Early Discontinuation Visit for subjects meeting the early withdrawal criterion for forced expiratory volume in 1 second [FEV1] decline), a treatment period of 104 weeks (beginning immediately after screening [on the same day as the Screening Visit] but no sooner than 1 week after the last infusion of investigational product in the GTi1201 study), and an End-of-Study Visit.

Subjects meeting the entrance criteria of the extension study will begin receiving weekly intravenous (IV) infusions of Alpha-1 MP 60 mg/kg on the day of screening and will continue to receive weekly infusions for a total of 104 infusions.

Safety assessments will include adverse events, concomitant medications, complete physical examination (excluding breast and genitourinary examination), hematology, chemistry, urine cotinine, and pregnancy test. Efficacy assessments will include whole lung computed tomography density, quality-of-life assessment, carbon monoxide diffusing capacity, and pulmonary function tests. The occurrence of chronic obstructive pulmonary exacerbations, will also be evaluated as a safety and as an efficacy measurement.

02

Conditions studied

  • Pulmonary Emphysema in Alpha-1 Antitrypsin Deficiency

Keywords

  • Pulmonary Emphysema
  • Alpha-1 Antitrypsin Deficiency
  • AATD
  • Alpha-1 PI Deficiency
  • Alpha-1 Proteinase Inhibitor
03

In context

Pulmonary Emphysema

64 studies on the registry are indexed under Pulmonary Emphysema; 7 are open to participants now.

This study's planned enrollment of 290 is above the median of 33 across 49 interventional studies indexed under Pulmonary Emphysema.

Browse Pulmonary Emphysema studies →

Lead sponsor

Grifols Therapeutics LLC is the lead sponsor of 46 studies on the registry; 4 are open to participants now.

Of its 13 completed or terminated interventional studies of FDA-regulated products, 13 (100%) have results posted.

First submitted after Grifols Therapeutics LLC became part of Grifols.

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

04

Who can participate

Ages eligible
20 Years to 72 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

  • Has completed participation in Study GTi1201 (ie, completed Week 156 and Week 160/End-of-Study Visit) OR has experienced a decline in at the annualized rate of ≥134.4 mL/year at or after the Week 104 Visit in GTi1201.
  • Is willing and able to provide

Exclusion criteria

Exclusion Criteria:

  • Is unable to physically or mentally undergo a CT scan (eg, unable to fit inside the CT scanner, claustrophobic).
  • Has severe concomitant disease including, but not limited to, congestive heart failure and liver cirrhosis.
  • Has primary and/or secondary ( disease) pulmonary or other current malignancy with \<1 year predicted overall survival.
  • Has a metal object (newly received since starting GTi1201) that might interfere with chest CT quality and quantification. Metal objects include, but are not limited to, cardiac pacemaker, defibrillator, metal prosthetic heart valve, metal projectile, metal weapon fragments, or metal shoulder prosthesis.
  • Is a female who is pregnant, breastfeeding or, if of , unwilling to practice a highly effective method of (oral, injectable, or implanted hormonal methods of contraception; placement of an intrauterine device or intrauterine system; condom or occlusive cap with spermicidal foam/gel/film/cream/suppository; male sterilization; or abstinence) throughout the study.
  • Has clinical signs and symptoms of viral infection requiring virus safety testing at the Week 160/End-of-Study Visit or Early Discontinuation Visit in Study GTi1201, and the virus safety test results are indicative of acute or chronic infection with hepatitis A virus (HAV), virus (HBV), virus (HCV), (HIV), or parvovirus B19 (B19V). Note: If the virus safety test results are indicative of acute or chronic infection with HAV, HBV, HCV, HIV, or B19V, the subject will be considered a screen failure and must be withdrawn from the study.
  • Has current evidence of smoking, which includes electronic/vapor cigarettes, or has a positive urine cotinine test at the Week 160/End-of- Study Visit in Study GTi1201 that is due to smoking.
  • Has current evidence of chronic alcoholism or illicit drug abuse (addiction).
  • Is currently participating in another product (IP) study.
  • Has a history of anaphylaxis or severe systemic response to any plasma- derived alpha1-PI preparation or other blood product(s).
  • In the opinion of the investigator, is likely to have compliance problems with the protocol and the procedures of the protocol.
  • Has any medical condition that the investigator feels might confound the results of the study or pose an additional risk to the subject during study participation.
Terms in these criteria, in plain language(10)

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.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
290 participants (estimated)

Study arms

  • Experimental
    Alpha-1 MP

    Alpha-1 MP 60 mg/kg/week for up to 104 weeks

    Biological: Alpha-1 MP

Interventions

  • BiologicalAlpha-1 MP

    Alpha-1 MP 60 mg/kg/week for up to 104 weeks

    Also known as: Prolastin-C

06

What researchers measure

Primary outcomes

  1. Adverse events (AEs)

    Monitoring of AEs

    Time frame: Week 1 through Week 108

  2. Serious AEs (SAEs)

    Monitoring of SAEs

    Time frame: Week 1 through Week 108

  3. Discontinuations from the study due to AEs

    Monitoring of discontinuations due to AEs

    Time frame: Week 1 through Week 108

Secondary outcomes

  1. Change from baseline in whole lung PD15 (15th percentile point)

    Whole lung PD15 measured by computed tomography scans

    Time frame: Week 1 through Week 104

  2. Change from baseline in carbon monoxide diffusing capacity (DLco)

    DLco performed according to American Thoracic Society/European Respiratory Society (ATS/ERS) guidelines

    Time frame: Week 52 and Week 104

  3. Changes from baseline in forced expiratory volume in 1 second (FEV1)

    FEV1 performed according to ATS/ERS guidelines

    Time frame: Week 52 and Week 104

  4. Change from baseline in Saint George's Respiratory Questionnaire

    Health-related quality of life assessment tool

    Time frame: Week 52 and Week 104

  5. Incidence and severity of Chronic Obstructive Pulmonary Disease (COPD)exacerbations

    Severe COPD exacerbations as defined by ATS/ERS guidelines

    Time frame: Week 2 through Week 108

  6. Change from baseline in the EQ-5D-5L Questionnaire

    Heath-related quality of life assessment tool

    Time frame: Week 52 and Week 104

07

Study locations

28 sites
  • Grifols Investigative Site
    Phoenix, Arizona 85013, United States
  • Grifols Investigative Site
    Miami, Florida 33136, United States
  • Grifols Investigative Site
    Wilmington, North Carolina 28401, United States
  • Grifols Investigative Site
    Portland, Oregon 97239, United States
  • Grifols Investigative Site
    Charleston, South Carolina 29425, United States
  • Grifols Investigative Site
    Tyler, Texas 75708, United States
  • Grifols Investigative Site
    Darlinghurst, New South Wales 2010, Australia
  • Grifols Investigative Site
    Adelaide, 5000, Australia
  • Grifols Investigative Site
    Chermside, 4032, Australia
  • Grifols Investigative Site
    Fitzroy, 3065, Australia
  • Grifols Investigative Site
    Nedlands, 6009, Australia
  • Grifols Investigative Site
    Halifax, B3H 3A7, Canada
  • Grifols Investigative Site
    Toronto, M5T 3A9, Canada
  • Grifols Investigative Site
    Arhus C, 8000, Denmark
  • Grifols Investigative Site
    Hellerup, 2900, Denmark
  • Grifols Investigative Site
    Tallinn, 13419, Estonia
  • Grifols Investigative Site
    Turku, 20520, Finland
  • Grifols Investigative Site
    Bron, Rhone 69677, France
  • Grifols Investigative Site
    Chisinau, 2025, Moldova
  • Grifols Investigative Site
    Auckland, 2025, New Zealand
  • Grifols Investigative Site
    Christchurch, 8011, New Zealand
  • Grifols Investigative Site
    Hamilton, 3200, New Zealand
  • Grifols Investigative Site
    Krakow, 31-066, Poland
  • Grifols Investigative Site
    Warsaw, 01-138, Poland
  • Grifols Investigative Site
    Barnaul, 656038, Russia
  • Grifols Investigative Site
    Gothenburg, 413 45, Sweden
  • Grifols Investigative Site
    Malmö, 20502, Sweden
  • Grifols Investigative Site
    Stockholm, 11361, Sweden
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02796937
Responsible party
Sponsor
First posted
Jun 13, 2016
Start date
Jul 2016
Primary completion
Sep 2028 (estimated)
Completion
Feb 2029 (estimated)
Last update
Jun 23, 2026

Oversight

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

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