ClinicalTrials.gg
RecruitingNCT07220915Updated Oct 28, 2026

Supporting Weak Immune System During Autoimmune Therapy: Testing Panzyga to Prevent Infections

A Phase 3 interventional study of Panzyga, 10% Intravenous Solution and Placebo in Hypogammaglobulinemia, Autoimmune Conditions and Rheumatic Conditions, sponsored by Octapharma. Recruiting at 25 sites in 7 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-28.

Sponsored by Octapharma · Phase 3, Interventional, and Prevention

From the registry’s dates

  • Started Jun 2026; still recruiting 5 months later.
Updated Oct 28, 2026First sites in Greece and CzechiaSite recruiting status changed+1 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
360
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Assess the Efficacy and Safety of Panzyga for Prevention of Major Infection in Patients with Hypogammaglobulinemia and Autoimmune or Rheumatic Conditions Receiving Treatment with B-cell Depletion Therapy

02

Conditions studied

  • Hypogammaglobulinemia
  • Autoimmune Conditions
  • Rheumatic Conditions
  • Infections
03

In context

Agammaglobulinemia

38 studies on the registry are indexed under Agammaglobulinemia; 10 are open to participants now.

This study's planned enrollment of 360 is above the median of 45 across 31 interventional studies indexed under Agammaglobulinemia.

Browse Agammaglobulinemia studies →

Lead sponsor

Octapharma is the lead sponsor of 71 studies on the registry; 8 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 16 (94%) have results posted.

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

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

Patients who meet all of the following criteria will be eligible to participate in the study:

  1. Are ≥18 years of age at time of , have been diagnosed with a rheumatic or condition, received their last BCDT dose within 3 months of Screening, and have the intention to receive BCDT during study participation. Note: Patients with the following indications are eligible: MS, RA, vasculitis/myositis, SLE, SS, IIM, MCTD, UCTD, myasthenia gravis, autoimmune encephalitis, CIDP, and neuromyelitis optica spectrum disorder). Other rheumatic and autoimmune conditions may also be acceptable with approval from the Medical Monitor.
  2. Have hypogammaglobulinemia (IgG levels \<5 g/L as confirmed by the central laboratory).
  3. Are willing and able to provide voluntary written informed consent for participation in the study and to comply with all protocol requirements..
  4. Are willing and able to comply with a highly effective method during and for 30 days after the treatment period. Contraceptive use by men and women of should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.

Exclusion criteria

Exclusion Criteria:

Patients who meet any of the following criteria will be excluded from participation in the study:

  1. Have a history of anaphylaxis or severe systemic response to immunoglobulin, blood, or plasma-derived products, or any Panzyga component
  2. Have a current major infection at Screening or had >1 major infection within 6 months prior to Baseline
  3. Have a history of thromboembolic events such as deep vein thrombosis, pulmonary embolism, myocardial infarction, ischemic stroke, , or peripheral artery disease (Fontaine IV) within 6 months prior to Baseline
  4. Have a known IgA deficiency with antibodies to IgA
  5. Have a known blood hyperviscosity or other hypercoagulable states
  6. Have been diagnosed with primary immunodeficiency.
  7. Have a severe liver disease, with signs of ascites or hepatic encephalopathy
  8. Have a severe kidney disease (as defined by \<30 mL/min/1.73 m2)
  9. Have a body weight >140 kg
  10. infection at Screening (defined for the study as positive HIV NAT test or reactive HIV- 1/2 antigen/antibody immunoassay followed by positive HIV-1/HIV-2 antibody differentiation immunoassay)
  11. Patients found to be chronic carriers of virus (HBV), defined by positive surface antigen (HBsAg), positive Hepatitis B core antibodies (HBcAb) and/or low HBV titers, who will not receive targeted antiviral therapy while participating in the study, and patients with active HBV, defined as high HBV titers.
  12. Uncontrolled infection at Screening (defined for the study as positive HCV PCR).
  13. Have received IgG treatment within 6 months prior to Screening or plan to receive IgG therapy, other than IMP, during the study
  14. Are receiving or plan to receive treatment (other than for underlying condition) or other forbidden medication during the entire study duration
  15. Are participating or plan to participate in another study that is either blinded or involves an medicinal product within 3 months prior to Baseline or during the course of this study. Participation in observational or open-label studies involving an approved product may be permitted after consultation with the Medical Monitor.
  16. If female, are pregnant or lactating
  17. Are likely to be non-compliant or uncooperative during the study, or unable to cooperate because of a language problem or poor mental development, in the opinion of the Investigator
Terms in these criteria, in plain language(11)

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

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.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

GFR and eGFR (kidney filtering)

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

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

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
360 participants (estimated)

Study arms

  • Active comparator
    Panzyga 10%

    Panzyga is a 10% Ig formulation for intravenous (IV) administration. The product is delivered as a ready-to-use solution in glass bottles. Patients in the Panzyga treatment arm will receive 0.4 g/kg (4 mL/kg) per single infusion every 4 weeks for up to 48 weeks (up to 13 infusions). In the open-label phase patients will receive Panzyga 0.4 g/kg. If 3-4 weeks after the first open-label infusion the IgG trough level falls below 7 g/L, the dose will be increased to 0.6 g/kg. Additionally, the dose may be increased to 0.6 g/kg if a patient experiences one more major infection, or ≥2 other (non-major) infections.

    Drug: Panzyga, 10% Intravenous Solution

  • Placebo comparator
    Placebo

    4 mL/kg 0.9% w/v sodium chloride solution per single IV infusion every 4 weeks for up to 48 weeks (up to 13 infusions).

    Other: Placebo

Interventions

  • Panzyga is a 10% Ig formulation for intravenous (IV) administration

  • OtherPlacebo

    4 mL/kg 0.9% w/v sodium chloride solution per single IV infusion

06

What researchers measure

Primary outcomes

  1. Occurrence of Major Infections in Participants

    Occurrence of at least one major infection or death in patients with or without primary infection prophylaxis with Panzyga during the treatment period. Each potential infection will be assessed by an Independent Adjudication Committee (IAC). Major infections will be defined as bacterial and/or viral infections, which are microbiologically documented or clinically documented requiring treatment with anti-infective, including those resulting in death, excluding confirmed cases of COVID-19.

    Time frame: 48 weeks

Secondary outcomes

  1. Time to Major Infections in Participants

    Time to first major infection (as assessed by the IAC) during the treatment period or death. The secondary safety endpoints of this study include the incidence of adverse events and changes from baseline in physical examinations and clinical laboratory parameters.

    Time frame: 48 weeks

  2. Number of Participants Experiencing AEs

    Incidents of AEs during the treatment period

    Time frame: 48 weeks

  3. Participants Experiencing Changes from Baseline in Physical Examinations, and Clinical Laboratory Parameters

    Changes from baseline in physical examination findings and clinical laboratory parameters will be assessed during the treatment period. Each parameter will be reported separately according to its unit of measure, such as body weight (kg), height (cm), body mass index (kg/m²), and individual laboratory values (e.g., hemoglobin \[g/dL\], serum creatinine \[mg/dL\]). Where applicable, related measurements (e.g., weight and height) will be combined to derive a single parameter, such as body mass index, to ensure consistent and interpretable results.

    Time frame: 48 Weeks

07

Study locations

11 of 25 sites recruiting
  • AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Phoenix
    Glendale, Arizona 85306, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • AARA Clinical Research - Arizona Arthritis and Rheumatology Associates - Mesa
    Mesa, Arizona 85210, United States
    Recruiting
  • Perseverance Research Center, Phoenix Neurological Associates
    Scottsdale, Arizona 85253, United States
    Recruiting
  • AARA Clinical Research - Arizona Arthritis and Rheumatology Associates - Tucson
    Tucson, Arizona 85704, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • AARA Clinical Research - Kansas City Physician Partners
    Kansas City, Missouri 64151, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • AARA Clinical Research - Murfreesboro Medical Clinic, Rheumatology
    Murfreesboro, Tennessee 37128, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • AARA Clinical Research - Lone Star Arthritis & Rheumatology Associates - Fort Worth
    Fort Worth, Texas 76109, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • AARA Clinical Research - Lone Star Arthritis & Rheumatology Associates - Irving 6750 N. MacArthur Blvd, Suite 304
    Irving, Texas 75039, United States
    Recruiting
  • Medical Center Artmed
    Plovdiv, 4002, Bulgaria
    Recruiting
  • UMHAT Sveti Georgi EAD
    Plovdiv, 4002, Bulgaria
    Recruiting
  • Vseobecna fakultni nemocnice, MS centrum
    Prague, Praha 2 128 00, Czechia
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • NeuropsychiatrieHK s.r.o.
    Hradec Králové, 500 02, Czechia
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Fakultni nemocnice Hradec Kralove
    Hradec Králové, 500 05, Czechia
    Recruiting
  • Nemocnice Pardubickeho kraje, a.s. - Pardubicka nemocnice
    Pardubice, 53203, Czechia
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Athens Naval Hospital
    Athens, 11521, Greece
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • University General Hospital of Keraklion
    Heraklion, 71110, Greece
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Hippokration General Hospital of Thessaloniki
    Thessaloniki, 54642, Greece
    Recruiting
  • P. Stradins Clinical University Hospital
    Riga, 1002, Latvia
    Recruiting
  • Riga East Clinical University Hospital
    Riga, 1079, Latvia
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Hospital of Lithuanian University of Health Sciences (LSMU) Kauno klinikos
    Kaunas, 50161, Lithuania
    Not yet recruiting
  • Vilnius University Hospital Santaros Klinikos, Santariskiu str 2, Vilnius University Hospital Santaros Klinikos A housing, 11th floor
    Vilnius, 08406, Lithuania
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Vilnius University Hospital Santaros Klinikos, Santariskiu g. 2
    Vilnius, 08661, Lithuania
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Vilnius University Hospital Santaros Klinikos, Santariskiu str. 2,
    Vilnius, 08661, Lithuania
    Recruiting
  • Copernicus Podmiot Leczniczy Sp. z o.o.
    Gdansk, 80803, Poland
    Recruiting
  • Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji
    Warsaw, 02-637, Poland
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2026 (actual). Primary completion is estimated for Dec 2029, 42 months after the start.

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

Registered
Sep 30, 2025
First posted
Oct 24, 2025
StartActual
Jun 10, 2026
Primary completionEst.
Dec 2029
CompletionEst.
Dec 2029
Last update
Oct 28, 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.
Sites
19 sites added — first sites in Greece and Czechia. 6 sites changed recruiting status (5 now recruiting, 1 now not yet recruiting)
Show 6 sites
  • Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji · Warsaw, PolandActive, not recruiting→Recruiting
  • AARA Clinical Research - Lone Star Arthritis & Rheumatology Associates - Irving 6750 N. MacArthur Blvd, Suite 304 · Irving, United StatesActive, not recruiting→Recruiting
  • UMHAT Sveti Georgi EAD · Plovdiv, BulgariaActive, not recruiting→Recruiting
  • P. Stradins Clinical University Hospital · Riga, LatviaActive, not recruiting→Recruiting
  • Hospital of Lithuanian University of Health Sciences (LSMU) Kauno klinikos · Kaunas, LithuaniaActive, not recruiting→Not yet recruiting
  • Vilnius University Hospital Santaros Klinikos, Santariskiu str. 2, · Vilnius, LithuaniaActive, not recruiting→Recruiting
Show 19 added (7 United States, 4 Czechia, 3 Greece, 3 Lithuania, 1 Bulgaria, 1 Poland)
  • AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Phoenix · Glendale, United States
  • AARA Clinical Research - Arizona Arthritis and Rheumatology Associates - Mesa · Mesa, United States
  • AARA Clinical Research - Arizona Arthritis and Rheumatology Associates - Tucson · Tucson, United States
  • AARA Clinical Research - Lone Star Arthritis & Rheumatology Associates - Fort Worth · Fort Worth, United States
  • AARA Clinical Research - Lone Star Arthritis & Rheumatology Associates - Irving 6750 N. MacArthur Blvd, Suite 304 · Irving, United States
  • Medical Center Artmed · Plovdiv, Bulgaria
  • University General Hospital of Keraklion · Heraklion, Greece
  • Vilnius University Hospital Santaros Klinikos, Santariskiu str 2, Vilnius University Hospital Santaros Klinikos A housing, 11th floor · Vilnius, Lithuania
  • Vilnius University Hospital Santaros Klinikos, Santariskiu g. 2 · Vilnius, Lithuania
  • Vilnius University Hospital Santaros Klinikos, Santariskiu str. 2, · Vilnius, Lithuania
  • Copernicus Podmiot Leczniczy Sp. z o.o. · Gdansk, Poland
  • AARA Clinical Research - Kansas City Physician Partners · Kansas City, United States
  • AARA Clinical Research - Murfreesboro Medical Clinic, Rheumatology · Murfreesboro, United States
  • Vseobecna fakultni nemocnice, MS centrum · Prague, Czechia
  • NeuropsychiatrieHK s.r.o. · Hradec Králové, Czechia
  • Fakultni nemocnice Hradec Kralove · Hradec Králové, Czechia
  • Nemocnice Pardubickeho kraje, a.s. - Pardubicka nemocnice · Pardubice, Czechia
  • Athens Naval Hospital · Athens, Greece
  • Hippokration General Hospital of Thessaloniki · Thessaloniki, Greece
across 2 updates, Sep 29, 2026 – Oct 28, 2026
Show all 2 updates
  1. Oct 28, 2026
    8 sites added — first site in Czechia. 5 sites changed recruiting status (4 now recruiting, 1 now not yet recruiting)
    Show 5 sites
    • AARA Clinical Research - Lone Star Arthritis & Rheumatology Associates - Irving 6750 N. MacArthur Blvd, Suite 304 · Irving, United StatesActive, not recruiting→Recruiting
    • UMHAT Sveti Georgi EAD · Plovdiv, BulgariaActive, not recruiting→Recruiting
    • P. Stradins Clinical University Hospital · Riga, LatviaActive, not recruiting→Recruiting
    • Hospital of Lithuanian University of Health Sciences (LSMU) Kauno klinikos · Kaunas, LithuaniaActive, not recruiting→Not yet recruiting
    • Vilnius University Hospital Santaros Klinikos, Santariskiu str. 2, · Vilnius, LithuaniaActive, not recruiting→Recruiting
    Show 8 added (4 Czechia, 2 United States, 2 Greece)
    • AARA Clinical Research - Kansas City Physician Partners · Kansas City, United States
    • AARA Clinical Research - Murfreesboro Medical Clinic, Rheumatology · Murfreesboro, United States
    • Vseobecna fakultni nemocnice, MS centrum · Prague, Czechia
    • NeuropsychiatrieHK s.r.o. · Hradec Králové, Czechia
    • Fakultni nemocnice Hradec Kralove · Hradec Králové, Czechia
    • Nemocnice Pardubickeho kraje, a.s. - Pardubicka nemocnice · Pardubice, Czechia
    • Athens Naval Hospital · Athens, Greece
    • Hippokration General Hospital of Thessaloniki · Thessaloniki, Greece
    + 1 other change: verification date
  2. Sep 29, 2026
    11 sites added — first site in Greece. Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji is now Recruiting
    Show 11 added (5 United States, 3 Lithuania, 1 Bulgaria, 1 Greece, 1 Poland)
    • AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Phoenix · Glendale, United States
    • AARA Clinical Research - Arizona Arthritis and Rheumatology Associates - Mesa · Mesa, United States
    • AARA Clinical Research - Arizona Arthritis and Rheumatology Associates - Tucson · Tucson, United States
    • AARA Clinical Research - Lone Star Arthritis & Rheumatology Associates - Fort Worth · Fort Worth, United States
    • AARA Clinical Research - Lone Star Arthritis & Rheumatology Associates - Irving 6750 N. MacArthur Blvd, Suite 304 · Irving, United States
    • Medical Center Artmed · Plovdiv, Bulgaria
    • University General Hospital of Keraklion · Heraklion, Greece
    • Vilnius University Hospital Santaros Klinikos, Santariskiu str 2, Vilnius University Hospital Santaros Klinikos A housing, 11th floor · Vilnius, Lithuania
    • Vilnius University Hospital Santaros Klinikos, Santariskiu g. 2 · Vilnius, Lithuania
    • Vilnius University Hospital Santaros Klinikos, Santariskiu str. 2, · Vilnius, Lithuania
    • Copernicus Podmiot Leczniczy Sp. z o.o. · Gdansk, Poland

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07220915
Lead sponsor
Octapharma
Responsible party
Sponsor
First posted
Oct 24, 2025
Start date
Jun 10, 2026
Primary completion
Dec 2029 (estimated)
Completion
Dec 2029 (estimated)
Last update
Oct 28, 2026

Study contacts

Theresa Conklin
Contact
t.conklin@crmg-usa.com
413-821-0022

Oversight

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

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Discussion

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Studies of the drug tested here: Panzyga

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