Status:

WITHDRAWN

Study Comparing Weekly Intravenous Administration of OctaAlpha1 With a Marketed Preparation Glassia® in Subjects With Alpha-1-antitrypsin Deficiency

Lead Sponsor:

Octapharma

Conditions:

Alpha 1-Antitrypsin Deficiency

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

This randomized trial is being conducted to show non-inferiority of OctaAlpha1 compared to Glassia® in terms of the serum trough levels at steady state. This will be conducted in individuals with alph...

Eligibility Criteria

Inclusion

  • Any subject who needs chronic IV augmentation and maintenance therapy with A1PI because of congenital alpha-1-proteinase inhibitor (A1PI) deficiency and clinically diagnosed emphysema
  • ≥18 years of age
  • Individuals with A1PI serum concentration \<11 µM at screening
  • Following bronchodilators:
  • Initial FEV1(pred) between 25% and 75% or
  • If the initial FEV1 was greater than 75% of predicted, a diffusing capacity of the lung for carbon monoxide (DLC O) less than 70% of predicted
  • Following bronchodilators: Initial forced expiratory volume/forced vital capacity (FEV1/FVC) ratio less than 70%
  • Non-smoking for at least 6 months before study treatment starts
  • Able to understand and provide written informed consent
  • Women of reproductive age: negative result of pregnancy test (human chorionic gonadotropin \[HCG\]-based assay) and agreement to use adequate contraception for the duration of the trial

Exclusion

  • Any inflammatory condition or malignant tumor in the 7 days before treatment starts that according to investigator judgment might influence the metabolism of an enzyme inhibitor such as A1PI
  • More than one A1PI-deficiency related exacerbation and/or hospitalization during the 3 months before study treatment starts
  • Clinically significant liver or kidney disease in the preceding 6 months before study treatment starts
  • Severe gas exchange abnormality (i.e., PaCO2 ≥46 mmHg)
  • Known IgA deficiency with documented antibodies against IgA
  • History of hypersensitivity to blood or plasma derived products, or any component of the product
  • Known presence of antibodies against A1PI
  • Seropositivity for HBsAg or HCV, HIV-1/2 IgG antibodies
  • Administration of A1PI products in the 4 weeks before study treatment starts
  • Participating in another clinical study currently or during the 3 months before study treatment starts.
  • Live viral vaccination within the last month before study treatment starts
  • A current life-threatening malignancy
  • Emergency operation within 3 months before study treatment starts
  • History of, or suspected, alcohol or drug abuse within 1 year before study treatment starts or currently on drug abuse therapy
  • Pregnant and nursing women

Key Trial Info

Start Date :

July 1 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2019

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT03385395

Start Date

July 1 2018

End Date

December 1 2019

Last Update

April 10 2018

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