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CompletedNCT03369301Updated Mar 2, 2022

The Effect of Subcutaneous Immunoglobulin Gammanorm on the Distribution of IgG Subclasses and on Immunity of Patients With Secondary Immunodeficiency

An observational study in Secondary Immune Deficiency, sponsored by Octapharma. Completed at 6 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-03-02.

Sponsored by Octapharma · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
102
Ages
18 Years and older
Sex
All
01

Study summary

Patients with Myeloma or CLL with severe secondary hypogammaglobinemia and recurrent infections will be included in this study; for whom an IgSC treatment was prescribed. The IgSC prescription will be the decision of the treating physician. Patient care and follow up will be performed according to the current clinical practice and the recommendations of HAS.

02

Conditions studied

  • Secondary Immune Deficiency
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Every eligible patient for the selection criteria will be consecutively included in the study to avoid any selection bias.

Inclusion criteria

  1. Adult male or female (≥18 years old), Myeloma or Chronic Lymphocytic Leukemia patients with secondary hypogammaglobinemia and recurring infections.
  2. Patients with indication for IgSC treatment but who have not started the treatment yet. Prior IgSC or IgIV treatment 6 months before inclusion is accepted (with a washout period of 6 months minimum).
  3. Patient having received all the necessary information about the study and signed an informed consent document.

Exclusion criteria

Exclusion Criteria:

  1. Patient having initiated an IgSC treatment.
  2. Patient having received IgSC or IgIV treatment within 6 months prior to inclusion.
  3. Incapacity/Inability to attend the follow-up visits.
  4. Patient refusing to participate in the study.
  5. HIV positive patients.
  6. Incapacity to understand the study objective and process, to agree or to give informed consent to participate in the study.
  7. Pregnant or breast-feeding women
04

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
102 participants (actual)
Patient registry
No

Groups and cohorts

  • Gammanorm

    Patients on Gammanorm per standard of care

    Drug: Gammanorm

  • Other Subcutaneous Immunoglobulin

    Patients on subcutaneous immunoglobulin treatments other than Gammanorm

    Drug: Other Subcutaneous Immunoglobulins

Interventions

  • DrugGammanorm

    Gammanorm given per standard of care

  • DrugOther Subcutaneous Immunoglobulins

    Other Subcutaneous Immunoglobulins given per standard of care

05

What researchers measure

Primary outcomes

  1. Distribution of difference subclasses of IgGs with respect to subcutaneous immunoglobulin treatment

    Distribution of difference subclasses of IgGs with respect to subcutaneous immunoglobulin treatment collected as biological data including immunoglobulins (quantitative dosage and electrophoresis), lymphocytes, CD14 monocytes, polynuclear neutrophils, polynuclear basophils and dendritic cells

    Time frame: 12 months

Secondary outcomes

  1. Change in immune system

    To analyze the change in the immune system (CD14 monocytes, polynuclear neutrophils, polynuclear basophils and dendritic cells)

    Time frame: 12 months

  2. IgG levels

    To analyze the IgG levels with respect to the IgSC treatment

    Time frame: 12 months

  3. Lymphocytic Repertoire analyzing the evolution of the lymphocytic repertoire (CD3, CD4, CD8, CD19, CD56, and CD27).

    To analyze the evolution of the lymphocytic repertoire (CD3, CD4, CD8, CD19, CD56, and CD27).

    Time frame: 12 months

  4. IgSC treatment

    To characterize the IgSC treatment duration and the patient management (observance, duration and reason of termination)

    Time frame: 12 months

  5. Bacterial Infections

    To evaluate the severe and non-severe bacterial infection rates

    Time frame: 12 months

  6. Antibiotic Consumption

    To evaluate the antibiotics consumption during the study

    Time frame: 12 months

  7. Hospitalizations due to infections

    Evaluate the hospitalization rates due to infections

    Time frame: 12 months

  8. Safety of IgSCs to characterize the IgSCs safety, including the adverse events that are not considered to be related to the study treatment

    To characterize the IgSCs safety, including the adverse events that are not considered to be related to the study treatment

    Time frame: 12 months

  9. Predictive Factors of Recurrent Infections

    To characterize potential predictive factors or markers of recurrent infections despite of the Ig treatment by collecting information about infections at follow up visits, especially bacterial infections and their respective antibiotherapy

    Time frame: 12 months

06

Study locations

6 sites
  • CH William Morey Chalon-sur-Saône
    Chalon-sur-Saône, 71100, France
  • CHD Vendée
    La Roche-sur-Yon, 85000, France
  • CH la Rochelle - Hôpital Saint Louis
    La Rochelle, 17000, France
  • CH Orléans
    Orléans, 45100, France
  • CHU Bordeaux Centre François Magendie Hopital Haut -Lévêque
    Pessac, 33604, France
  • CH Saint Malo
    Saint-Malo, 35400, France
07

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03369301
Lead sponsor
Octapharma
Responsible party
Sponsor
First posted
Dec 12, 2017
Start date
Sep 25, 2017
Primary completion
Nov 22, 2019
Completion
Nov 22, 2019
Last update
Mar 2, 2022

Oversight

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

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This study is completed, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.

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