ClinicalTrials.gg
CompletedNCT02955355Updated Aug 28, 2024Results posted

Long-Term Tolerability and Safety of HYQVIA/HyQvia in CIDP

A Phase 3 interventional study of HYQVIA in Chronic Inflammatory Demyelinating Polyradiculoneuropathy, sponsored by Baxalta now part of Shire. Completed at 35 sites in 18 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-08-28.

Sponsored by Baxalta now part of Shire (part of Takeda) · Phase 3, Interventional, and Treatment

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Phase
Phase 3
Study type
Interventional
Enrollment
85
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 11 studies testing Immunoglobulin G in Polyradiculoneuropathy, Chronic Inflammatory Demyelinating — 2 open to participants now, 2 under way, 2 of them phase 3. Immunoglobulin G · Polyradiculoneuropathy, Chronic Inflammatory Demyelinating.

Enrollment
3rd of 11
85 · median 50
Started
2016
the only one that year
Phase 3
6 of 11
2 open now
Registered
9th of 11
by date
Lead sponsor
2 of 11
Baxalta now part of Shire

Among the 11 studies testing Immunoglobulin G in Polyradiculoneuropathy, Chronic Inflammatory Demyelinating, this one is the 3rd largest by enrollment, is the only one that started in 2016, is one of 6 in phase 3, and was the 9th registered.

Polyradiculoneuropathy, Chronic Inflammatory Demyelinating

137 studies on the registry are indexed under Polyradiculoneuropathy, Chronic Inflammatory Demyelinating; 51 are open to participants now.

Browse Polyradiculoneuropathy, Chronic Inflammatory Demyelinating studies →

Open to participants now

2 of the 11 studies testing Immunoglobulin G in Polyradiculoneuropathy, Chronic Inflammatory Demyelinating are open now, in 12 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

About Immunoglobulin G

Immunoglobulin G: first FDA approval 1944 (Baygam, Gamastan S/D), first EMA approval 2006. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 36 Polyradiculoneuropathy, Chronic Inflammatory Demyelinating studies recruiting now, 24 (67%) set no upper age limit and 9 (25%) stop at 75 or younger; 4 take children under 18; 2 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 11 studies testing Immunoglobulin G in Polyradiculoneuropathy, Chronic Inflammatory Demyelinating, or all of them as a file.
02

Study summary

Adults with Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP) who have completed study 161403 will be able to take part in this study.

The main aim of the study is to evaluate side effects in the long-term treatment with HYQVIA/HyQvia.

All participants will receive HYQVIA/HyQvia in the same way as they were receiving in study 161403. The dosing interval of HYQVIA/HyQvia can be adjusted after 12 weeks of treatment in study 161505 if the study doctor determines that it is safe to do so.

Participants will visit the clinic within 1 week after the first and second dose of HYQVIA/HyQvia and then every 12 weeks for the duration of the study.

03

Conditions studied

  • Chronic Inflammatory Demyelinating Polyradiculoneuropathy
04

Who can participate

Ages eligible
18 Years and older
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. Has completed Epoch 1 of Study 161403 without CIDP worsening.
  2. If female of , the participant must have a negative pregnancy test at baseline and agree to employ adequate measures (eg, birth control pills/patches, intrauterine device, or diaphragm or condom [for male partner] with spermicidal jelly or foam) throughout the course of the study.

Exclusion criteria

Exclusion Criteria:

  1. Participant has a serious medical condition such that the participant's safety or medical care would be impacted by participation in this Extension Study.
  2. New medical condition that developed during participation in study 161403 that, in the judgment of the investigator, could increase risk to the participant or interfere with the evaluation of medicinal product (IMP) and/or conduct of the study.
  3. Participant is scheduled to participate in another non-Baxalta clinical study involving an IP or investigational device during the course of this study.
  4. The participant is nursing or intends to begin nursing during the course of the study
  5. Participant has participated in another clinical study involving an investigational product (IP) or investigational device within 30 days prior to enrollment or is scheduled to participate in another clinical study (with the exception of study 161403) involving an IP or investigational device during the course of this study.
  6. The participant is a family member or employee of the investigator.
Terms in these criteria, in plain language(3)

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.

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.

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
85 participants (actual)

Study arms

  • Experimental
    HYQVIA/HyQvia

    Participants received HYQVIA/HyQvia (recombinant human hyaluronidase \[rHuPH20\] at a dose of 80 units per gram (U/g) immunoglobulin G \[IgG\], followed by subcutaneous \[SC\] immune globulin infusion \[IGI\] 10%) at the same monthly equivalent dose as the individual participant's IgG treatment in Study 161403, every 3 or 4 weeks in this Extension Study for 77.3 months or until relapse.

    Biological: HYQVIA

Interventions

  • BiologicalHYQVIA

    Drug pages: Immunoglobulin G · Hyaluronoglucosaminidase

    Participants received HYQVIA/HyQvia SC which contains both Immune Globulin Infusion 10% (Human) (IGI, 10%) and recombinant human hyaluronidase (rHuPH20).

    Also known as: 10%) with recombinant human hyaluronidase (rHuPH20), Immune Globulin Infusion 10% (Human) (IGI, IGI

06

What researchers measure

Primary outcomes

  1. Number of Participants With Any Treatment-emergent Serious Adverse Events (SAEs) and Adverse Events (AEs), Regardless of Causality

    An AE was defined as any untoward medical occurrence in a participant administered an investigational product (IP) that did not necessarily have a causal relationship with the treatment. An SAE was defined as an untoward medical occurrence that at any dose met one or more of the following criteria: outcome was fatal/resulted in death, was life-threatening, required inpatient hospitalization or resulted in prolongation of an existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. Treatment emergent adverse events (TEAEs) were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  2. Number of Participants With Causally Related Treatment-emergent SAEs and AEs

    An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. An SAE was defined as an untoward medical occurrence that at any dose met one or more of the following criteria: outcome was fatal/resulted in death, was life-threatening, required inpatient hospitalization or resulted in prolongation of an existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Causality was used to determine whether there was a reasonable possibility that the IP was etiologically related to/associated with the AE.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  3. Number of Participants With Adverse Reactions (ARs) or Suspected Adverse Reactions (SARs) Categorized as Serious and Non-serious

    An AR plus SAR is any AE that meets any of the following criteria: an AE considered by either the investigator and/or the sponsor to be possibly or probably related to IP administration, or that begins during infusion of IP or within 72 hours following the end of IP infusion, or AE for which causality assessment is missing or indeterminate. Serious AR/SAR=any AR/SAR that is an untoward medical occurrence which at any dose meets one or more of following criteria: outcome is fatal/results in death, is life-threatening, requires inpatient hospitalization or results in prolongation of existing hospitalization, results in persistent or significant disability/incapacity,is a congenital anomaly/birth defect,is a medically important event,thromboembolic events,hemolytic anemia. Nonserious AR/SAR=AR/SAR that does not meet the criteria.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  4. Percentage of Participants With Treatment-Emergent Adverse Events That May be a Result of Immune-Mediated Responses

    Percentage of participants with TEAEs that may be a result of immune-mediated response to either immunoglobulin, rHuPH20, or other factors such as allergic reactions, immune complex-mediated reactions: local, complex-mediated reactions: systemic, thrombotic and embolic events were assessed. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. The percentage was rounded off to the nearest decimal.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  5. Number of Treatment-Emergent SAEs and AEs Associated With Infusions, Regardless of Causality

    An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. An SAE was defined as an untoward medical occurrence that at any dose met one or more of the following criteria: outcome was fatal/resulted in death, was life-threatening, required inpatient hospitalization or resulted in prolongation of an existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. AEs associated with an infusion are defined as AEs occurring after administration of IP (or any TEAE). Participants can have more than one TEAE associated with infusion.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  6. Number of Causally Related Treatment-Emergent SAEs and AEs Associated With Infusions

    An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. An SAE was defined as an untoward medical occurrence that at any dose met one or more of the following criteria: outcome was fatal/resulted in death, was life-threatening, required inpatient hospitalization or resulted in prolongation of an existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. AEs associated with an infusion are defined as AEs occurring after administration of IP (or any TEAE). Causality was used to determine whether there was a reasonable possibility that the IP was etiologically related to/associated with the AE.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  7. Number of TEAEs Temporally Associated With Infusions

    TEAEs that occurred during infusion or within 72 hours post-infusion were considered to be temporally associated with infusions. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Participants can have more than one TEAE temporally associated with infusion.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  8. Number of Serious and Non-Serious ARs or SARs Associated With Infusions

    An AR/SAR=any AE that meets any of following criteria: AE considered by either investigator and/or sponsor to be possibly or probably related to IP administration, begins during infusion of IP or within 72 hours following end of IP infusion,or AE for which causality assessment is missing or indeterminate. ARs/SARs associated with an infusion=AEs considered by the investigator to be occurring after administration of IP. Serious AR/SAR=any AR/SAR that is an untoward medical occurrence which at any dose meets one or more of following criteria: outcome is fatal/results in death, is life-threatening, requires inpatient hospitalization or results in prolongation of existing hospitalization, results in persistent or significant disability/incapacity,is a congenital anomaly/birth defect,is a medically important event,thromboembolic events,hemolytic anemia. Nonserious AR/SAR=AR/SAR that does not meet the criteria. Participants can have more than one AR/SAR associated with infusion.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  9. Number of Infusions Associated With One or More Systemic TEAEs

    An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the Medical Dictionary for Regulatory Activities (MedDRA) Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Infusions associated with one or more AEs are defined as follows: if an AE occurs after an infusion but prior to the next infusion that infusion is associated with that AE.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  10. Number of Infusions Associated With One or More Local TEAEs

    An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Infusions associated with one or more AEs are defined as follows: if an AE occurs after an infusion but prior to the next infusion that infusion is associated with that AE.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  11. Number of Infusions for Which the Infusion Rate Was Reduced and/or the Infusion Was Interrupted or Stopped Due to Intolerability and/or TEAEs

    An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  12. Rate of TEAEs Categorized as Systemic and Local Regardless of Causality, Expressed as Number of Events Per Infusion

    TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Data for number of events per infusion was assessed at the group level calculated by dividing number of events by total number of infusions administered to participants in the Safety Analysis Set.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  13. Rate of TEAEs Categorized as Systemic and Local Regardless of Causality, Expressed as Number of Events Per Participant

    TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Data for number of events per participant was assessed at the group level calculated by dividing number of events by total number of participants in the Safety Analysis Set.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  14. Rate of TEAEs Categorized as Systemic and Local Regardless of Causality, Expressed as Number of Events Per 1000 Participant-year

    TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Events per participant-years was calculated as follows: 1000 x (number of events / total number of days of exposure, i.e., the sum of duration of treatment for all participants in the Safety Analysis Set, divided by 365.25).

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  15. Rate of IP-Related TEAEs Categorized as Systemic and Local, Expressed as Number of Events Per Infusion

    TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". An adverse event that was "possibly related" or "probably related" to IP, or for which the relationship was unknown or missing, was considered as a "related AE". Data for number of events per infusion was assessed at the group level calculated by dividing number of events by total number of infusions administered to participants in the Safety Analysis Set.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  16. Rate of IP-Related TEAEs Categorized as Systemic and Local, Expressed as Number of Events Per Participant

    TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". An adverse event that was "possibly related" or "probably related" to IP, or for which the relationship was unknown or missing, was considered as a "related AE". Data for number of events per participant was assessed at the group level calculated by dividing number of events by total number of participants in the Safety Analysis Set.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  17. Rate of IP-Related TEAEs Categorized as Systemic and Local, Expressed as Number of Events Per 1000 Participant-year

    TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". An adverse event that was "possibly related" or "probably related" to IP, or for which the relationship was unknown or missing, was considered as a "related AE". Events per participant-years was calculated as follows: 1000 x (number of events / total number of days of exposure, i.e., the sum of duration of treatment for all participants in the Safety Analysis Set, divided by 365.25).

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  18. Rate of ARs or SARs Categorized as Local and Systemic, Expressed as Reactions Per Infusion

    An AR plus SAR is any AE that meets any of the following criteria: an AE considered by either the investigator and/or the sponsor to be possibly or probably related to IP administration, or that begins during infusion of IP or within 72 hours following the end of IP infusion, or AE for which causality assessment is missing or indeterminate. Systemic AEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local AEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Data for number of events per infusion was assessed at the group level calculated by dividing number of events by total number of infusions administered to participants in the Safety Analysis Set.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  19. Rate of ARs or SARs Categorized as Local and Systemic, Expressed as Reactions Per Participant

    An AR plus SAR is any AE that meets any of the following criteria: an AE considered by either the investigator and/or the sponsor to be possibly or probably related to IP administration, or that begins during infusion of IP or within 72 hours following the end of IP infusion, or AE for which causality assessment is missing or indeterminate. Systemic AEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local AEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Data for number of events per participant was assessed at the group level calculated by dividing number of events by total number of participants in the Safety Analysis Set.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  20. Rate of ARs or SARs Categorized as Local and Systemic, Expressed as Reactions Per 1000 Participant-year

    An AR plus SAR is any AE that meets any of the following criteria: an AE considered by either the investigator and/or the sponsor to be possibly or probably related to IP administration, or that begins during infusion of IP or within 72 hours following the end of IP infusion, or AE for which causality assessment is missing or indeterminate. Systemic AEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local AEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Events per participant-years was calculated as follows: 1000 x (number of events / total number of days of exposure, i.e., the sum of duration of treatment for all participants in the Safety Analysis Set, divided by 365.25).

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  21. Number of Participants With a TEAE That Led to Discontinuation From Study

    An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  22. Number of Participants With Moderate or Severe TEAEs That May be a Result of Immune-Mediated Responses

    An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. A moderate or severe AE could be a result of immune-mediated response to either immunoglobulin, rHuPH20, or other factors such as allergic reactions, immune complex-mediated reactions: local, complex-mediated reactions: systemic, thrombotic and embolic events. The severity of each AE was assessed by the investigator using clinical expertise based on the following description: moderate=AE produces limited impairment of function and may require therapeutic intervention and produces no sequela/sequelae; severe=AE results in a marked impairment of function and may lead to temporary inability to resume usual life pattern and produces sequela/sequelae, which require (prolonged) therapeutic intervention.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  23. Rate of Moderate or Severe TEAEs That May be a Result of Immune-Mediated Responses, Expressed as Number of Events Per 100 Infusions

    An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. A moderate or severe AE could be a result of immune-mediated response to either immunoglobulin, rHuPH20, or other concomitant medications. The severity of each AE was assessed by the investigator using clinical expertise. Data for number of events per 100 infusions was assessed at the group level calculated by dividing number of events by total number of infusions and multiplying that by 100.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  24. Number of Participants That Experienced Treatment-Emergent Local Infusion Site Reactions

    TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. AE=any untoward medical occurrence in participant administered an IP that does not have causal relationship with treatment. Adverse reaction/suspected adverse reaction=AE that is considered by the investigator to be possibly or probably related to IP administration, or for which the causality is indeterminate or missing, or that begins during infusion of IP or within 72 hours following the end of IP infusion. All local infusion site treatment-emergent AEs were reported as adverse reactions.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  25. Number of Participants With Treatment-Emergent Local Tolerability Events During Ramp-up

    Participants with local tolerability events were those for which the infusion rate was reduced and/or the infusion was interrupted or stopped due to intolerability and/or AEs. These events were assessed during the initial ramp-up for each participant i.e., during the first 8 weeks of open-label extension study 161505 \[NCT02955355\] among participants originally randomized to placebo (as being in the placebo arm, they had no ramp-up during the 161403 \[NCT02549170\] study) versus during the 8-week ramp-up for participants originally randomized to active HYQVIA in double-blind 161403 study. Thus, the data for this outcome measure are presented per the bifurcation of participants in the study 161403.

    Time frame: During the ramp-up (8 weeks)

  26. Number of Participants With Local Infusion Reactions, as a Function of Dosing Interval, Infusion Rate Per Site, and Infusion Volume Per Site

    Local infusion reactions were defined as local (administration site-related) adverse events. Median infusion rate per site was derived as the median value across all participants, per participant's average infusion rate, by site: actual volume infused / duration in hours of infusion / number of sites. Median infusion volume per site was derived as the median value across all participants, per participant's average actual volume infused, by site: actual volume infused / number of sites. Number of participants with local infusion reactions as a function of each of the categories are presented below.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  27. Number of Participants Whose Anti-Hyaluronidase Binding Antibody Titers Rose by ≥4-fold From Baseline

    Number of participants whose anti-hyaluronidase antibody titers rose by ≥4 fold from the baseline value at any point during the study was assessed.

    Time frame: Baseline, up to 6.6 years

  28. Number of Participants With Binding Antibodies to rHuPH20

    Binding antibodies were defined as anti-rHuPH20 titer ≥1:160.

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  29. Number of Participants With Neutralizing Antibodies Binding to rHuPH20

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  30. Number of Participants With a Decline of Anti-rHuPH20 Binding Antibody Titers to the Antibody Titer Level at Baseline in Study 161403 or to <1:160 Antibody Titer Level at the Study Completion or Early Discontinuation

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

  31. Number of Participants Who Had >1:10,000 Anti-rHuPH20 Binding Antibody Titers With Neutralizing Antibodies

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

Secondary outcomes

  1. Number of Participants Who Had >1:10,000 Anti-rHuPH20 Binding Antibody Titers Showing Cross Reactivity With Hyaluronidase (Hyal)-1,2 and 4

    Time frame: From the first dose of study drug up to end of study (up to 6.6 years)

07

Results

Posted Aug 28, 2024

Participant flow

Participants took part in the study at 39 investigative sites worldwide from 14 November 2016 to 04 July 2023.

Participant flow — Overall Study
MilestoneHYQVIA/HyQvia
Started85
Completed0
Not completed85
Withdrew: Adverse event4
Withdrew: Death1
Withdrew: Physician decision21
Withdrew: Site terminated by sponsor35
Withdrew: Withdrawal by subject19
Withdrew: Reason not specified5

Outcome measures

PrimaryNumber of Participants With Any Treatment-emergent Serious Adverse Events (SAEs) and Adverse Events (AEs), Regardless of Causality

An AE was defined as any untoward medical occurrence in a participant administered an investigational product (IP) that did not necessarily have a causal relationship with the treatment. An SAE was defined as an untoward medical occurrence that at any dose met one or more of the following criteria: outcome was fatal/resulted in death, was life-threatening, required inpatient hospitalization or resulted in prolongation of an existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. Treatment emergent adverse events (TEAEs) were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Count of participants · Participants
Number of Participants With Any Treatment-emergent Serious Adverse Events (SAEs) and Adverse Events (AEs), Regardless of Causality
ParticipantsHYQVIA/HyQvia
Any TEAE76
Any Serious TEAE20
PrimaryNumber of Participants With Causally Related Treatment-emergent SAEs and AEs

An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. An SAE was defined as an untoward medical occurrence that at any dose met one or more of the following criteria: outcome was fatal/resulted in death, was life-threatening, required inpatient hospitalization or resulted in prolongation of an existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Causality was used to determine whether there was a reasonable possibility that the IP was etiologically related to/associated with the AE.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Count of participants · Participants
Number of Participants With Causally Related Treatment-emergent SAEs and AEs
ParticipantsHYQVIA/HyQvia
Any IP-Related TEAE51
Any IP-Related Serious TEAE3
PrimaryNumber of Participants With Adverse Reactions (ARs) or Suspected Adverse Reactions (SARs) Categorized as Serious and Non-serious

An AR plus SAR is any AE that meets any of the following criteria: an AE considered by either the investigator and/or the sponsor to be possibly or probably related to IP administration, or that begins during infusion of IP or within 72 hours following the end of IP infusion, or AE for which causality assessment is missing or indeterminate. Serious AR/SAR=any AR/SAR that is an untoward medical occurrence which at any dose meets one or more of following criteria: outcome is fatal/results in death, is life-threatening, requires inpatient hospitalization or results in prolongation of existing hospitalization, results in persistent or significant disability/incapacity,is a congenital anomaly/birth defect,is a medically important event,thromboembolic events,hemolytic anemia. Nonserious AR/SAR=AR/SAR that does not meet the criteria.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Count of participants · Participants
Number of Participants With Adverse Reactions (ARs) or Suspected Adverse Reactions (SARs) Categorized as Serious and Non-serious
ParticipantsHYQVIA/HyQvia
Any Serious AR/SAR7
Any Non-serious AR/SAR57
PrimaryPercentage of Participants With Treatment-Emergent Adverse Events That May be a Result of Immune-Mediated Responses

Percentage of participants with TEAEs that may be a result of immune-mediated response to either immunoglobulin, rHuPH20, or other factors such as allergic reactions, immune complex-mediated reactions: local, complex-mediated reactions: systemic, thrombotic and embolic events were assessed. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. The percentage was rounded off to the nearest decimal.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Number · percentage of participants
Percentage of Participants With Treatment-Emergent Adverse Events That May be a Result of Immune-Mediated Responses
percentage of participantsHYQVIA/HyQvia
Percentage of Participants With Treatment-Emergent Adverse Events That May be a Result of Immune-Mediated Responses7.1
PrimaryNumber of Treatment-Emergent SAEs and AEs Associated With Infusions, Regardless of Causality

An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. An SAE was defined as an untoward medical occurrence that at any dose met one or more of the following criteria: outcome was fatal/resulted in death, was life-threatening, required inpatient hospitalization or resulted in prolongation of an existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. AEs associated with an infusion are defined as AEs occurring after administration of IP (or any TEAE). Participants can have more than one TEAE associated with infusion.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Number · events in participants
Number of Treatment-Emergent SAEs and AEs Associated With Infusions, Regardless of Causality
events in participantsHYQVIA/HyQvia
Serious TEAEs30
TEAEs1406
PrimaryNumber of Causally Related Treatment-Emergent SAEs and AEs Associated With Infusions

An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. An SAE was defined as an untoward medical occurrence that at any dose met one or more of the following criteria: outcome was fatal/resulted in death, was life-threatening, required inpatient hospitalization or resulted in prolongation of an existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. AEs associated with an infusion are defined as AEs occurring after administration of IP (or any TEAE). Causality was used to determine whether there was a reasonable possibility that the IP was etiologically related to/associated with the AE.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Number · events in participants
Number of Causally Related Treatment-Emergent SAEs and AEs Associated With Infusions
events in participantsHYQVIA/HyQvia
IP-Related Serious TEAEs3
IP-Related TEAEs798
PrimaryNumber of TEAEs Temporally Associated With Infusions

TEAEs that occurred during infusion or within 72 hours post-infusion were considered to be temporally associated with infusions. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Participants can have more than one TEAE temporally associated with infusion.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Number · events in participants
Number of TEAEs Temporally Associated With Infusions
events in participantsHYQVIA/HyQvia
Number of TEAEs Temporally Associated With Infusions857
PrimaryNumber of Serious and Non-Serious ARs or SARs Associated With Infusions

An AR/SAR=any AE that meets any of following criteria: AE considered by either investigator and/or sponsor to be possibly or probably related to IP administration, begins during infusion of IP or within 72 hours following end of IP infusion,or AE for which causality assessment is missing or indeterminate. ARs/SARs associated with an infusion=AEs considered by the investigator to be occurring after administration of IP. Serious AR/SAR=any AR/SAR that is an untoward medical occurrence which at any dose meets one or more of following criteria: outcome is fatal/results in death, is life-threatening, requires inpatient hospitalization or results in prolongation of existing hospitalization, results in persistent or significant disability/incapacity,is a congenital anomaly/birth defect,is a medically important event,thromboembolic events,hemolytic anemia. Nonserious AR/SAR=AR/SAR that does not meet the criteria. Participants can have more than one AR/SAR associated with infusion.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Number · events in participants
Number of Serious and Non-Serious ARs or SARs Associated With Infusions
events in participantsHYQVIA/HyQvia
Serious ARs/SARs8
Non-Serious ARs/SARs913
PrimaryNumber of Infusions Associated With One or More Systemic TEAEs

An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the Medical Dictionary for Regulatory Activities (MedDRA) Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Infusions associated with one or more AEs are defined as follows: if an AE occurs after an infusion but prior to the next infusion that infusion is associated with that AE.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Number · infusions
Number of Infusions Associated With One or More Systemic TEAEs
infusionsHYQVIA/HyQvia
Number of Infusions Associated With One or More Systemic TEAEs50
PrimaryNumber of Infusions Associated With One or More Local TEAEs

An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Infusions associated with one or more AEs are defined as follows: if an AE occurs after an infusion but prior to the next infusion that infusion is associated with that AE.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Number · infusions
Number of Infusions Associated With One or More Local TEAEs
infusionsHYQVIA/HyQvia
Number of Infusions Associated With One or More Local TEAEs17
PrimaryNumber of Infusions for Which the Infusion Rate Was Reduced and/or the Infusion Was Interrupted or Stopped Due to Intolerability and/or TEAEs

An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Number · infusions
Number of Infusions for Which the Infusion Rate Was Reduced and/or the Infusion Was Interrupted or Stopped Due to Intolerability and/or TEAEs
infusionsHYQVIA/HyQvia
Number of Infusions for Which the Infusion Rate Was Reduced and/or the Infusion Was Interrupted or Stopped Due to Intolerability and/or TEAEs3
PrimaryRate of TEAEs Categorized as Systemic and Local Regardless of Causality, Expressed as Number of Events Per Infusion

TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Data for number of events per infusion was assessed at the group level calculated by dividing number of events by total number of infusions administered to participants in the Safety Analysis Set.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Number · AEs/infusion
Rate of TEAEs Categorized as Systemic and Local Regardless of Causality, Expressed as Number of Events Per Infusion
AEs/infusionHYQVIA/HyQvia
Systemic TEAEs0.25
Local TEAEs0.15
PrimaryRate of TEAEs Categorized as Systemic and Local Regardless of Causality, Expressed as Number of Events Per Participant

TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Data for number of events per participant was assessed at the group level calculated by dividing number of events by total number of participants in the Safety Analysis Set.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Number · AEs/participant
Rate of TEAEs Categorized as Systemic and Local Regardless of Causality, Expressed as Number of Events Per Participant
AEs/participantHYQVIA/HyQvia
Systemic TEAEs10.38
Local TEAEs6.16
PrimaryRate of TEAEs Categorized as Systemic and Local Regardless of Causality, Expressed as Number of Events Per 1000 Participant-year

TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Events per participant-years was calculated as follows: 1000 x (number of events / total number of days of exposure, i.e., the sum of duration of treatment for all participants in the Safety Analysis Set, divided by 365.25).

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Number · AEs/1000 participant-year
Rate of TEAEs Categorized as Systemic and Local Regardless of Causality, Expressed as Number of Events Per 1000 Participant-year
AEs/1000 participant-yearHYQVIA/HyQvia
Systemic TEAEs4000.23
Local TEAEs2376.55
PrimaryRate of IP-Related TEAEs Categorized as Systemic and Local, Expressed as Number of Events Per Infusion

TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". An adverse event that was "possibly related" or "probably related" to IP, or for which the relationship was unknown or missing, was considered as a "related AE". Data for number of events per infusion was assessed at the group level calculated by dividing number of events by total number of infusions administered to participants in the Safety Analysis Set.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Number · AEs/infusion
Rate of IP-Related TEAEs Categorized as Systemic and Local, Expressed as Number of Events Per Infusion
AEs/infusionHYQVIA/HyQvia
Systemic IP-Related TEAEs0.08
Local IP-Related TEAEs0.15
PrimaryRate of IP-Related TEAEs Categorized as Systemic and Local, Expressed as Number of Events Per Participant

TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". An adverse event that was "possibly related" or "probably related" to IP, or for which the relationship was unknown or missing, was considered as a "related AE". Data for number of events per participant was assessed at the group level calculated by dividing number of events by total number of participants in the Safety Analysis Set.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Number · AEs/participant
Rate of IP-Related TEAEs Categorized as Systemic and Local, Expressed as Number of Events Per Participant
AEs/participantHYQVIA/HyQvia
Systemic IP-Related TEAEs3.38
Local IP-Related TEAEs6.01
PrimaryRate of IP-Related TEAEs Categorized as Systemic and Local, Expressed as Number of Events Per 1000 Participant-year

TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. Systemic TEAEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local TEAEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". An adverse event that was "possibly related" or "probably related" to IP, or for which the relationship was unknown or missing, was considered as a "related AE". Events per participant-years was calculated as follows: 1000 x (number of events / total number of days of exposure, i.e., the sum of duration of treatment for all participants in the Safety Analysis Set, divided by 365.25).

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Number · AEs/1000 participant-year
Rate of IP-Related TEAEs Categorized as Systemic and Local, Expressed as Number of Events Per 1000 Participant-year
AEs/1000 participant-yearHYQVIA/HyQvia
Systemic IP-Related TEAEs1301.66
Local IP-Related TEAEs2317.59
PrimaryRate of ARs or SARs Categorized as Local and Systemic, Expressed as Reactions Per Infusion

An AR plus SAR is any AE that meets any of the following criteria: an AE considered by either the investigator and/or the sponsor to be possibly or probably related to IP administration, or that begins during infusion of IP or within 72 hours following the end of IP infusion, or AE for which causality assessment is missing or indeterminate. Systemic AEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local AEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Data for number of events per infusion was assessed at the group level calculated by dividing number of events by total number of infusions administered to participants in the Safety Analysis Set.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Number · reactions/infusion
Rate of ARs or SARs Categorized as Local and Systemic, Expressed as Reactions Per Infusion
reactions/infusionHYQVIA/HyQvia
Systemic ARs/SARs0.11
Local ARs/SARs0.15
PrimaryRate of ARs or SARs Categorized as Local and Systemic, Expressed as Reactions Per Participant

An AR plus SAR is any AE that meets any of the following criteria: an AE considered by either the investigator and/or the sponsor to be possibly or probably related to IP administration, or that begins during infusion of IP or within 72 hours following the end of IP infusion, or AE for which causality assessment is missing or indeterminate. Systemic AEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local AEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Data for number of events per participant was assessed at the group level calculated by dividing number of events by total number of participants in the Safety Analysis Set.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Number · reactions/participant
Rate of ARs or SARs Categorized as Local and Systemic, Expressed as Reactions Per Participant
reactions/participantHYQVIA/HyQvia
Systemic ARs/SARs4.58
Local ARs/SARs6.16
PrimaryRate of ARs or SARs Categorized as Local and Systemic, Expressed as Reactions Per 1000 Participant-year

An AR plus SAR is any AE that meets any of the following criteria: an AE considered by either the investigator and/or the sponsor to be possibly or probably related to IP administration, or that begins during infusion of IP or within 72 hours following the end of IP infusion, or AE for which causality assessment is missing or indeterminate. Systemic AEs were defined as AEs that were not included in the MedDRA Higher Level Group Term "administration site reactions" and did not contain the phrase "injection site". Local AEs were defined as AEs that were included in the MedDRA Higher Level Group Term "administration site reactions" or contained the phrase "injection site" or "infection site". Events per participant-years was calculated as follows: 1000 x (number of events / total number of days of exposure, i.e., the sum of duration of treatment for all participants in the Safety Analysis Set, divided by 365.25).

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Number · reactions/1000 participant-year
Rate of ARs or SARs Categorized as Local and Systemic, Expressed as Reactions Per 1000 Participant-year
reactions/1000 participant-yearHYQVIA/HyQvia
Systemic ARs/SARs1764.27
Local ARs/SARs2376.55
PrimaryNumber of Participants With a TEAE That Led to Discontinuation From Study

An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Count of participants · Participants
Number of Participants With a TEAE That Led to Discontinuation From Study
ParticipantsHYQVIA/HyQvia
Number of Participants With a TEAE That Led to Discontinuation From Study4
PrimaryNumber of Participants With Moderate or Severe TEAEs That May be a Result of Immune-Mediated Responses

An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. A moderate or severe AE could be a result of immune-mediated response to either immunoglobulin, rHuPH20, or other factors such as allergic reactions, immune complex-mediated reactions: local, complex-mediated reactions: systemic, thrombotic and embolic events. The severity of each AE was assessed by the investigator using clinical expertise based on the following description: moderate=AE produces limited impairment of function and may require therapeutic intervention and produces no sequela/sequelae; severe=AE results in a marked impairment of function and may lead to temporary inability to resume usual life pattern and produces sequela/sequelae, which require (prolonged) therapeutic intervention.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Count of participants · Participants
Number of Participants With Moderate or Severe TEAEs That May be a Result of Immune-Mediated Responses
ParticipantsHYQVIA/HyQvia
Number of Participants With Moderate or Severe TEAEs That May be a Result of Immune-Mediated Responses3
PrimaryRate of Moderate or Severe TEAEs That May be a Result of Immune-Mediated Responses, Expressed as Number of Events Per 100 Infusions

An AE was defined as any untoward medical occurrence in a participant administered an IP that did not necessarily have a causal relationship with the treatment. TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. A moderate or severe AE could be a result of immune-mediated response to either immunoglobulin, rHuPH20, or other concomitant medications. The severity of each AE was assessed by the investigator using clinical expertise. Data for number of events per 100 infusions was assessed at the group level calculated by dividing number of events by total number of infusions and multiplying that by 100.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Number · AEs/100 infusions
Rate of Moderate or Severe TEAEs That May be a Result of Immune-Mediated Responses, Expressed as Number of Events Per 100 Infusions
AEs/100 infusionsHYQVIA/HyQvia
Rate of Moderate or Severe TEAEs That May be a Result of Immune-Mediated Responses, Expressed as Number of Events Per 100 Infusions0.0860
PrimaryNumber of Participants That Experienced Treatment-Emergent Local Infusion Site Reactions

TEAEs were defined as adverse events that occurred during or after administration of the first dose of IP in this Extension Study. AE=any untoward medical occurrence in participant administered an IP that does not have causal relationship with treatment. Adverse reaction/suspected adverse reaction=AE that is considered by the investigator to be possibly or probably related to IP administration, or for which the causality is indeterminate or missing, or that begins during infusion of IP or within 72 hours following the end of IP infusion. All local infusion site treatment-emergent AEs were reported as adverse reactions.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Count of participants · Participants
Number of Participants That Experienced Treatment-Emergent Local Infusion Site Reactions
ParticipantsHYQVIA/HyQvia
Number of Participants That Experienced Treatment-Emergent Local Infusion Site Reactions30
PrimaryNumber of Participants With Treatment-Emergent Local Tolerability Events During Ramp-up

Participants with local tolerability events were those for which the infusion rate was reduced and/or the infusion was interrupted or stopped due to intolerability and/or AEs. These events were assessed during the initial ramp-up for each participant i.e., during the first 8 weeks of open-label extension study 161505 \[NCT02955355\] among participants originally randomized to placebo (as being in the placebo arm, they had no ramp-up during the 161403 \[NCT02549170\] study) versus during the 8-week ramp-up for participants originally randomized to active HYQVIA in double-blind 161403 study. Thus, the data for this outcome measure are presented per the bifurcation of participants in the study 161403.

Time frame:
During the ramp-up (8 weeks)
Reported as:
Count of participants · Participants
Number of Participants With Treatment-Emergent Local Tolerability Events During Ramp-up
ParticipantsPlacebo Then HYQVIA/HyQviaHYQVIA/HyQvia Then HYQVIA/HyQvia
Number of Participants With Treatment-Emergent Local Tolerability Events During Ramp-up613
PrimaryNumber of Participants With Local Infusion Reactions, as a Function of Dosing Interval, Infusion Rate Per Site, and Infusion Volume Per Site

Local infusion reactions were defined as local (administration site-related) adverse events. Median infusion rate per site was derived as the median value across all participants, per participant's average infusion rate, by site: actual volume infused / duration in hours of infusion / number of sites. Median infusion volume per site was derived as the median value across all participants, per participant's average actual volume infused, by site: actual volume infused / number of sites. Number of participants with local infusion reactions as a function of each of the categories are presented below.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Count of participants · Participants
Number of Participants With Local Infusion Reactions, as a Function of Dosing Interval, Infusion Rate Per Site, and Infusion Volume Per Site
ParticipantsHYQVIA/HyQvia
3 Week Dosing Interval8
4 Week Dosing Interval22
< Median Infusion Rate per Site15
≥ Median Infusion Rate per Site15
< Median Infusion Volume per Site15
≥ Median Infusion Volume per Site15
PrimaryNumber of Participants Whose Anti-Hyaluronidase Binding Antibody Titers Rose by ≥4-fold From Baseline

Number of participants whose anti-hyaluronidase antibody titers rose by ≥4 fold from the baseline value at any point during the study was assessed.

Time frame:
Baseline, up to 6.6 years
Reported as:
Count of participants · Participants
Number of Participants Whose Anti-Hyaluronidase Binding Antibody Titers Rose by ≥4-fold From Baseline
ParticipantsHYQVIA/HyQvia
Number of Participants Whose Anti-Hyaluronidase Binding Antibody Titers Rose by ≥4-fold From Baseline16
PrimaryNumber of Participants With Binding Antibodies to rHuPH20

Binding antibodies were defined as anti-rHuPH20 titer ≥1:160.

Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Count of participants · Participants
Number of Participants With Binding Antibodies to rHuPH20
ParticipantsHYQVIA/HyQvia
Number of Participants With Binding Antibodies to rHuPH2014
PrimaryNumber of Participants With Neutralizing Antibodies Binding to rHuPH20
Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Count of participants · Participants
Number of Participants With Neutralizing Antibodies Binding to rHuPH20
ParticipantsHYQVIA/HyQvia
Number of Participants With Neutralizing Antibodies Binding to rHuPH202
PrimaryNumber of Participants With a Decline of Anti-rHuPH20 Binding Antibody Titers to the Antibody Titer Level at Baseline in Study 161403 or to <1:160 Antibody Titer Level at the Study Completion or Early Discontinuation
Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Count of participants · Participants
Number of Participants With a Decline of Anti-rHuPH20 Binding Antibody Titers to the Antibody Titer Level at Baseline in Study 161403 or to <1:160 Antibody Titer Level at the Study Completion or Early Discontinuation
ParticipantsHYQVIA/HyQvia
Number of Participants With a Decline of Anti-rHuPH20 Binding Antibody Titers to the Antibody Titer Level at Baseline in Study 161403 or to <1:160 Antibody Titer Level at the Study Completion or Early Discontinuation12
PrimaryNumber of Participants Who Had >1:10,000 Anti-rHuPH20 Binding Antibody Titers With Neutralizing Antibodies
Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Count of participants · Participants
Number of Participants Who Had >1:10,000 Anti-rHuPH20 Binding Antibody Titers With Neutralizing Antibodies
ParticipantsHYQVIA/HyQvia
Number of Participants Who Had >1:10,000 Anti-rHuPH20 Binding Antibody Titers With Neutralizing Antibodies2
SecondaryNumber of Participants Who Had >1:10,000 Anti-rHuPH20 Binding Antibody Titers Showing Cross Reactivity With Hyaluronidase (Hyal)-1,2 and 4
Time frame:
From the first dose of study drug up to end of study (up to 6.6 years)
Reported as:
Count of participants · Participants
Number of Participants Who Had >1:10,000 Anti-rHuPH20 Binding Antibody Titers Showing Cross Reactivity With Hyaluronidase (Hyal)-1,2 and 4
ParticipantsHYQVIA/HyQvia
Number of Participants Who Had >1:10,000 Anti-rHuPH20 Binding Antibody Titers Showing Cross Reactivity With Hyaluronidase (Hyal)-1,2 and 40

Adverse events

Collected over From the first dose of study drug up to end of study (up to 6.6 years). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
HYQVIA/HyQvia1/85 (1.2%)20/85 (23.5%)63/85 (74.1%)
Most frequent serious events
Showing 10 of 27
Most frequent serious events
EventHYQVIA/HyQvia
Inguinal herniaGastrointestinal disorders2/85
Abdominal painGastrointestinal disorders1/85
AppendicitisInfections and infestations1/85
COVID-19Infections and infestations1/85
Cardiac failureCardiac disorders1/85
CholangiocarcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/85
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders1/85
Conus medullaris syndromeNervous system disorders1/85
DepressionPsychiatric disorders1/85
DiarrhoeaGastrointestinal disorders1/85
Most frequent other events
Showing 10 of 22
Most frequent other events
EventHYQVIA/HyQvia
HeadacheNervous system disorders23/85
COVID-19Infections and infestations18/85
PyrexiaGeneral disorders17/85
Infusion site erythemaGeneral disorders13/85
ArthralgiaMusculoskeletal and connective tissue disorders12/85
FatigueGeneral disorders12/85
DiarrhoeaGastrointestinal disorders11/85
NauseaGastrointestinal disorders11/85
HypertensionVascular disorders8/85
InfluenzaInfections and infestations8/85

Baseline characteristics

Safety Analysis Set included all participants who were enrolled in this Extension Study and who received at least one dose of study medication.

Age, Continuous
Age, Continuous(years)HYQVIA/HyQvia
Mean54.3 ± 13.11
Sex: Female, Male
Sex: Female, Male(Participants)HYQVIA/HyQvia
Female39
Male46
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)HYQVIA/HyQvia
Hispanic or Latino14
Not Hispanic or Latino67
Unknown or Not Reported4
Race (NIH/OMB)
Race (NIH/OMB)(Participants)HYQVIA/HyQvia
American Indian or Alaska Native1
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White81
More than one race0
Unknown or Not Reported3
Height
Height(centimeters (cm))HYQVIA/HyQvia
Mean171.5 ± 10.98
Weight
Weight(kilograms (kg))HYQVIA/HyQvia
Mean80.89 ± 18.856
Body Mass Index (BMI)
Body Mass Index (BMI)(kilograms per meter square (kg/m^2))HYQVIA/HyQvia
Mean27.42 ± 5.587
08

Study locations

35 sites
  • Arizona Neuromuscular Research Center
    Phoenix, Arizona 85028, United States
  • Hosp.Britanico de Buenos Aires
    Ciudad Autonoma Buenos Aires, 1280, Argentina
  • Instituto de Neurologia de Curitiba - Hospital Ecoville
    Curitiba, Paraná 81210-310, Brazil
  • University of Alberta Hospital
    Edmonton, Alberta T6G 2B7, Canada
  • LHSC - University Hospital
    London, Ontario N6A 5A5, Canada
  • Toronto General Hospital, University Health Network
    Toronto, Ontario M5G 2C4, Canada
  • Institucion Prestadora de Servicios de Salud de la Universidad de Antioquia "IPS UNIVERSITARIA"
    Medellin, 050010, Colombia
  • Fakultni nemocnice Ostrava
    Ostrava, Poruba 708 52, Czechia
  • Fakultni nemocnice v Motole
    Prague 5, 150 06, Czechia
  • Århus Universitetshospital
    Aarhus C, 8000, Denmark
  • CHU de Nice
    Nice, Alpes Maritimes 06002, France
  • Groupe Hospitalier Pellegrin - Hôpital Pellegrin
    Bordeaux Cedex, Gironde 33076, France
  • Hopital Neurologique Pierre Wertheimer
    Bron Cedex, Rhone 69677, France
  • Universitaetsklinikum Leipzig AoeR
    Leipzig, Sachsen 04103, Germany
  • University Hospital of Patra
    Patras, 26504, Greece
  • Azienda Ospedaliero Universitaria San Martino
    Genova, 16132, Italy
  • Azienda Ospedaliera Universitaria Policlinico G. Martino
    Messina, 98122, Italy
  • Fondazione Istituto Neurologico Casimiro Mondino
    Pavia, 27100, Italy
  • Azienda Ospedaliero Universitaria Pisana
    Pisa, 56126, Italy
  • Azienda Ospedaliero-Universitaria Santa Maria della Misericordia
    Udine, 33100, Italy
  • Instituto Nacional de Ciencias Médicas y Nutricion Dr. Salvador Zubiran
    Mexico, Distrito Federal 14080, Mexico
  • Uniwersyteckie Centrum Kliniczne
    Gdansk, 80-952, Poland
  • Samodzielny Publiczny Szpital Kliniczny Nr 4 w Lublinie
    Lublin, 20-090, Poland
  • Uniwersytecki Szpital Kliniczny nr 1 im. Norberta Barlickiego
    Łódź, 90-153, Poland
  • Clinical Center of Serbia
    Belgrade, 11000, Serbia
  • Military Medical Academy
    Belgrade, 11000, Serbia
  • Clinical Center Nis
    Nis, 18000, Serbia
  • Fakultna nemocnica Nitra
    Nitra, 95001, Slovakia
  • Hospital Universitari Vall d'Hebron
    Barcelona, 08035, Spain
  • Pamukkale Uni. Med. Fac.
    Denizli, 20070, Turkey
  • Dokuz Eylul University Faculty of Medicine
    Izmir, 35340, Turkey
  • Selcuk Universitesi Selcuklu Tip Fakultesi Hastanesi
    Konya, 42075, Turkey
  • Celal Bayar University Medical Faculty
    Manisa, 45030, Turkey
  • King's College Hospital
    London, Greater London SE5 9RS, United Kingdom
  • The Walton Centre
    Liverpool, Merseyside L9 7LJ, United Kingdom
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Access criteria: IPD from eligible studies will be shared with qualified researchers according to the criteria and process described on https://vivli.org/ourmember/takeda/. For approved requests, the researchers will be provided access to anonymized data (to respect patient privacy in line with applicable laws and regulations) and with information necessary to address the research objectives under the terms of a data sharing agreement.

Data sharing details ↗ · vivli.org

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2016 to primary completion in Jul 2023, 79 months.

Results were first posted in Aug 2024, 1 year 1 month after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 2, 2016
First posted
Nov 4, 2016
StartActual
Nov 14, 2016
Primary completionActual
Jul 4, 2023
CompletionActual
Jul 4, 2023
Results first posted
Aug 28, 2024
Last update
Aug 28, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 28, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02955355
Collaborators
Takeda Development Center Americas, Inc.
Responsible party
Sponsor
First posted
Nov 4, 2016
Start date
Nov 14, 2016
Primary completion
Jul 4, 2023
Completion
Jul 4, 2023
Results posted
Aug 28, 2024
Last update
Aug 28, 2024

Study contacts

Study Director
study director · Takeda

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Immunoglobulin G · Hyaluronoglucosaminidase

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