ClinicalTrials.gg
Not yet recruitingNCT06150833BoyaIVIGUpdated Jun 3, 2026

IVIG Boya: Safety, Efficacy, and Pharmacokinetics

A Phase 3 interventional study of Boya IVIG in Primary Immunodeficiency Disease, sponsored by Azidus Brasil. Not yet recruiting. Open to participants aged 2 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-06-03.

Sponsored by Azidus Brasil · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
2 Years to 60 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 27 studies testing Immunoglobulins, Intravenous in Primary Immunodeficiency Diseases — 2 open to participants now, 4 under way, 4 of them phase 3. Immunoglobulins, Intravenous · Primary Immunodeficiency Diseases.

Planned enrollment
7th of 26
50 · median 45
Started
2026
the only one that year
Phase 3
18 of 27
2 open now
Registered
27th of 27
by date
Lead sponsor
2 of 27
Azidus Brasil

Among the 27 studies testing Immunoglobulins, Intravenous in Primary Immunodeficiency Diseases, this one is the 7th largest by planned enrollment of the 26 interventional ones, is the only one that started in 2026, is one of 18 in phase 3, and was the 27th registered.

By phase

27 studies; the count open now beside each. This study's row is marked.

Phase 3this study18 · 2 open
Phase 2/33 · 0 open
Phase 43 · 0 open
Phase 22 · 0 open
Phase 1/21 · 0 open

By the year they started

First in 2000; this study’s year is marked. 1 started in 2026.

Size and results

Median enrollment 45 across the 26 interventional studies. Of the 23 that completed or were terminated, 14 (61%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 27 studies testing Immunoglobulins, Intravenous in Primary Immunodeficiency Diseases, or all of them as a file.
02

Study summary

The goal of this phase 3, open-label, single-group clinical trial is to assess the efficacy of Boya IVIG in maintaining the mean number of serious bacterial infections to less than one per year in participants with primary immunodeficiency (PYD) due to common variable immunodeficiency (CVID), as defined by the European Immunodeficiency Society (ESCID) / Pan American Immunodeficiency Group (PAGID), or X-linked agammaglobulinemia (XLA), as defined by molecular genetic testing (ESCID/PAGID).

The safety and pharmacokinetics (PK) of the investigational product will also be evaluated.

Participants must:

  • Visit the research center every 21 or 28 days to receive the experimental product infusion and undergo a medical examination.
  • During weekly telephone calls, report, if applicable, adverse events and hospitalizations; the number of school or workdays missed due to infections; the length of hospital stay; and the use of antibiotics for therapeutic purposes.
Read the detailed description

Fifty male or female participants aged 2 to 60 years, either treatment-naive or already receiving intravenous immunoglobulin replacement therapy, will be enrolled, including at least 20 participants aged 2 to 17 years. The study will also examine the pharmacokinetic (PK) profile in adult participants.

After obtaining signed informed consent or assent, screening will include reviewing immunodeficiency history in medical records, performing safety examinations, and assessing eligibility against inclusion and exclusion criteria.

Subjects who pass screening will begin a 6-visit run-in period. For participants already receiving treatment, the interval between intravenous injections should remain as prescribed before enrollment unless modified during the run-in period. During this period, participants will receive the study IVIG. For treatment-naïve participants, the dose and administration interval during the run-in will be determined by the Investigator.

After the run-in, the one-year trial will begin at V0. Study visits will be scheduled every 21 or 28 days, based on the participant's prescribed treatment plan. Each visit will have a ±3-day window around the scheduled date. At each visit, blood samples will be collected immediately before each IVIG dose to measure IgG trough levels. If a visit occurs earlier or later than the scheduled date, whether within or outside the allowed window, the timing of the next visit will be based on the actual date of the previous visit to maintain consistent planned inter-visit intervals throughout the study.

The V0 assessment will begin when participants have IgG concentrations ≥5 g/L on two consecutive infusions under the same dosing conditions. Therefore, the run-in period may include only two visits. If, among the six visits, the trough IgG concentration does not reach 5 g/L on two consecutive visits, the participant will be considered to have failed screening but may be rescreened.

To characterize the pharmacokinetic (PK) profile of the investigational product, at least 20 adult participants will undergo additional blood sampling between two consecutive study visits to measure total IgG concentrations and antigen-specific antibody levels, including anti-pneumococcal capsular polysaccharide, anti-Haemophilus influenzae, and anti-measles antibodies.

PK sampling should preferably be performed at Visit 4 (V4), provided that a stable dosing regimen has been maintained. Participants receiving IVIG on a 21-day schedule should collect seven samples at 30 minutes, 2 hours, 24 hours, 72 hours, 7 days, 14 days, and 21 days post-infusion. Participants receiving IVIG on a 28-day schedule should collect eight additional samples at 30 minutes, 2 hours, 24 hours, 72 hours, 14 days, 21 days, and 28 days post-infusion.

The PK profile should be evaluated only after at least four consecutive dosing intervals with no changes in posology, meaning both the dose and dosing interval remain unchanged, preferably at Visit 4 (V4). If any dose or interval adjustments occur between V0 and V4, PK profile sampling should be delayed until the next visit, after dosage stability is confirmed.

Participants will be contacted weekly between infusions to collect data on adverse events, concomitant medications, duration of infection treatment, and time lost from work or school due to infections during the period.

Additionally, subjects will have continued access to the investigator's team to report adverse events and to receive advice on next steps or additional medical evaluations, if necessary.

Medical evaluation, vital signs, and oximetry, adverse events, and concomitant medication will be assessed at all visits.

Safety laboratory tests (including direct Coombs and pregnancy tests) will be performed at every 4th or 5th visit.

03

Conditions studied

  • Primary Immunodeficiency Disease

Keywords

  • IVIG
  • primary immunodeficiency disease
  • PID
  • common variable immunodeficiency
  • CVID
  • X-linked agammaglobulinemia
  • XLA
04

Who can participate

Ages eligible
2 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria

  1. Men or women; age between 02 and 60 years; written /assent.
  2. Diagnosis of primary immunodeficiency disease (PID) with decreased antibody production due to common variable immunodeficiency (CVID) or X-linked agammaglobulinemia (XLA).
  3. Treatment-naïve patients and those receiving intravenous immunoglobulin replacement therapy at 21- to 28-day intervals, with doses ranging from 300 to 800 mg/kg per infusion.
  4. Negative pregnancy test in females of ; willingness to use effective methods throughout the study.
  5. Subjects currently receiving any subcutaneous or intramuscular immunoglobulin may be enrolled by switching to IVIG therapy at the investigator's discretion, considering the potential benefit to the participant.

Exclusion Criteria Patients who meet any of the following criteria will be disqualified from participating.

  1. Known intolerance or to immunoglobulins or components of the study drug.
  2. Any to the use of immunoglobulins.
  3. Patients with a \< 18.5 or > 40 kg/m2.
  4. Secondary immunodeficiency or clinical conditions that potentially cause secondary immunodeficiency, such as chronic lymphocytic leukemia, lymphoma, multiple myeloma, enteropathies, or nephropathies with protein loss and hypoalbuminemia.
  5. changes in safety assessments, defined as:

    • Blood count

      • \< 10,5 g/dL
      • Leukocytes \< 3,000 cells/mm3 or > 11,000 cells/mm3
      • \< 1,000 cells/mm3
    • Coagulation:

      o PT and > 2,5 x .

    • Biochemistry:

      • > 6.5%
      • total and fractions, alkaline phosphatase, , AST, GGT > 2.5 x ULN
      • creatinine above 3mg/dL or \<30mL/min
    • Urine I:

      • Clinically significant leukocyturia at the discretion of the investigator.
  6. History of serious bacterial infections within three months before screening, presence of an active infection at the time of inclusion, and failure to fully resolve any non-serious infection at least two weeks before screening.
  7. Any febrile illness in the 14 days before inclusion.
  8. Any active or resolved cancer in the last 12 months before screening.
  9. Receiving any blood products (except intravenous immunoglobulins) during the last 3 months before screening.
  10. History of thrombotic events (including myocardial infarction, cerebral vascular accident [including stroke], pulmonary embolism, and deep vein thrombosis) within the last 6 months before enrollment or the presence of significant risk factors for thrombosis events.
  11. Previous use of within 3 months before enrollment.
  12. Selective immunoglobulin A (IgA) deficiency or the presence of known antibodies against IgA.
  13. Pregnancy, unreliable contraceptive methods, or lactation period (women only)
  14. Known alcohol or drug abuse.
  15. Patients with mental disorders that, in the investigator's opinion, may affect adherence to the protocol.
  16. Other primary immunodeficiencies (PIDs) besides CVID or XLA.
  17. Inability to comply with protocol activities.
  18. Patients who are infected with , , , or syphilis.
  19. Any surgery scheduled to occur during the trial period.
  20. Patients with cystic fibrosis
  21. Patients with poorly controlled epilepsy, migraine, or hypertension (SBP ≥ 160 and/or DBP ≥ 100) managed with medication.
  22. Subjects who have finished participation in a clinical trial with another experimental IVIG, less than one year before enrollment, may be included if they have a potential benefit as per CNS Res. 251/1997.
  23. Any other medical condition that, in the investigator's opinion, may increase the risk of participation in this study.
Terms in these criteria, in plain language(19)

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.

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.

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.

Hypersensitivity

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

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Clinically significant

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

Hemoglobin (Hb)

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

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

ULN (upper limit of normal)

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

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

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

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

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

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

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.

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.

05

Study design

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

Study arms

  • Experimental
    Boya IVIG

    All participants will receive Boya IVIG: Dose: 200 to 800 mg/kg Schedule of administration: 21- or 28-day interval Time frame: 54 weeks (21-day interval) or 56 weeks (28-day interval)

    Biological: Boya IVIG

Interventions

  • BiologicalBoya IVIG

    Intervention: Biological: Boya IVIG Boya IVIG is a 5% human immunoglobulin for intravenous administration

    Also known as: IVIG, BOYA

06

What researchers measure

Primary outcomes

  1. Primary Efficacy Objective

    Average incidence of serious bacterial infections per participant between V0 and Vfinal.

    Time frame: 54 weeks (21-day interval schedule) or 56 weeks (28-day interval schedule)

Secondary outcomes

  1. Assessment of the rate of non-serious infections within one year

    The incidence of all acute infections except the serious acute bacterial infections within the 1-year follow-up (simple descriptive statistics).

    Time frame: Average incidence of non-serious infections per patient between Visit 0 and Final Visit (through study completion, an average of 1 year), as documented as treatment emergent adverse events (TEAEs).

  2. Missing time from school/work

    Assessment of time lost at school/work due to infections per year

    Time frame: Average number of days off from school/work per patient/year, as collected in weekly telephone contacts.

  3. Length of hospitalization

    Assessment of the length of hospital stay per year.

    Time frame: Number of days of hospitalization due to infections per participant/year between V0 and Vfinal, as documented as Adverse Events.

  4. Use of antibiotics

    Assess the use of antibiotics for therapeutic purposes.

    Time frame: Tabulation of all antibiotics used, separating those indicated for prophylactic and therapeutic purposes

Other outcomes

  1. Total IgG trough levels

    To assess the total IgG serum concentration before each infusion (IgG trough levels), between Visit 4 and Final Visit (through study completion).

    Time frame: 9 months

  2. Total IgG pharmacokinetic profile

    Assess total serum IgG levels at defined times, at the fifth consecutive infusion with stable dosing, regardless of the visit.

    Time frame: 21 or 28 days

  3. Total IgG primary and secondary PK parameters

    Determine area under the curv (AUC), maximum concentration (Cmax), elimination constant (Kel), distribution volume, half-life of total IgG from the concentration vs time curve.

    Time frame: 21 or 28 days

  4. Pharmacokinetic profile of anti-pneumococcal capsular antipolysaccharide

    Assess anti-pneumococcal capsular antipolysaccharide levels at defined times, at the fifth consecutive infusion with stable dosing, regardless of the visit.

    Time frame: 21 or 28 days

  5. Pharmacokinetic profile of anti-Haemophilus influenzae

    Assess anti-Haemophilus influenzae levels at defined times, at the fifth consecutive infusion with stable dosing, regardless of the visit.

    Time frame: 21 or 28 days

  6. Pharmacokinetic profile of anti-measles

    Assess anti-measles levels at defined times, at the fifth consecutive infusion with stable dosing, regardless of the visit.

    Time frame: 21 or 28 days

  7. Infusion-related adverse events

    Incidence, severity, and causality of adverse events during or within 72 hours after each infusion.

    Time frame: up to 72 hours after each infusion

  8. Emergent adverse events (TEAEs.)

    Incidence, severity, and causality of all treatment-emergent adverse events, except those related to the infusion.

    Time frame: 12 months

  9. Exploratory outcome

    Serum levels of IgG1, IgG2, IgG3, and IgG4 before V-6 and before and 30 minutes after the end of the V4 infusion.

    Time frame: 1 day

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • World Health Organization (2005) Recommendations for the production, control and regulation of human plasma for fractionation, Annex 4, TRS nº 941, pp. 69.
  • EMA/CHMP/BPWP/94033/2007 rev. 4. Guideline on the clinical investigation of human normal immunoglobulin for intravenous administration (IVIg), Sep,2020.
  • Brasil, Resolução nº 251, de 07 de agosto de 1977. Disponível em; https://www.inca.gov.br/sites/ufu.sti.inca.local/files//media/document//resolucao-cns-251-97.pdf. Acesso em 25 de out de 2023
  • Food and Drug Administration (2006). Guidance for Clinical Trial Sponsors on the Establishment and Operation of Clinical Trial Data Monitoring Committees. Rockville, MD, pp. 38.

Individual participant data

Plan to share: No — It is believed that after the data analysis and presentation to the National Commission on Research Ethics, all data of the study will become public.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2026; primary completion for Sep 2028, 24 months later.

Of 25 phase 3 interventional studies under Primary Immunodeficiency Diseases, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 41. This study's planned 24 months is below that.

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

Registered
Nov 21, 2023
First posted
Nov 29, 2023
StartEst.
Sep 2026
Primary completionEst.
Sep 2028
CompletionEst.
Sep 2028
Last update
Jun 3, 2026
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 Jun 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06150833
Lead sponsor
Azidus Brasil
Collaborators
Boya Bio Pharmaceutical Group Co Ltd
Responsible party
Sponsor
First posted
Nov 29, 2023
Start date
Sep 2026 (estimated)
Primary completion
Sep 2028 (estimated)
Completion
Sep 2028 (estimated)
Last update
Jun 3, 2026

Study contacts

Luciana Ferrara
Contact
luciana.ferrara@azidusbrasil.com.br
+55 19 981428814
Luciana Ferrara
study director · Azidus Brasil

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Immunoglobulins, Intravenous

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