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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT04138485




Registration number
NCT04138485
Ethics application status
Date submitted
14/10/2019
Date registered
24/10/2019

Titles & IDs
Public title
Efficacy and Safety of IgPro10 in Adults With Systemic Sclerosis (SSc)
Scientific title
A Randomized, Multicenter, Double-Blind, Placebo Controlled, Phase 2 Study to Evaluate the Efficacy and Safety of IgPro10 (Intravenous Immunoglobulin, Privigen®) for the Treatment of Adults With Systemic Sclerosis
Secondary ID [1] 0 0
2019-000906-31
Secondary ID [2] 0 0
IgPro10_2001
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Diffuse Cutaneous Systemic Sclerosis 0 0
Condition category
Condition code
Inflammatory and Immune System 0 0 0 0
Autoimmune diseases
Skin 0 0 0 0
Dermatological conditions
Skin 0 0 0 0
Other skin conditions

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Other - IgPro10
Treatment: Other - Placebo

Experimental: IgPro10 - 10% liquid formulation of human immunoglobulin for intravenous use

Placebo comparator: Placebo - 0.5% human albumin solution stabilized with 250 mmol/L L-proline


Treatment: Other: IgPro10
10% liquid formulation of human immunoglobulin for IVIG

Treatment: Other: Placebo
0.5% human albumin solution stabilized with 250 mmol/L L-proline
Intervention code [1] 0 0
Treatment: Other
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Response on American College of Rheumatology Combined Response Index in Diffuse Systemic Sclerosis (ACR CRISS) score in IgPro10 vs Placebo
Timepoint [1] 0 0
Over 48 weeks
Secondary outcome [1] 0 0
Proportion of subjects meeting cardiopulmonary or renal failure criteria in ACR CRISS Step 1 events
Timepoint [1] 0 0
Over 48 weeks
Secondary outcome [2] 0 0
Proportion of responders (ACR CRISS > 0.6)
Timepoint [2] 0 0
Over 48 weeks
Secondary outcome [3] 0 0
Mean change from Baseline in Modified Rodnan Skin Score (mRSS)
Timepoint [3] 0 0
Baseline and over48 weeks
Secondary outcome [4] 0 0
Mean change from Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI)
Timepoint [4] 0 0
Baseline and over 48 weeks
Secondary outcome [5] 0 0
Mean change from Baseline in Forced Vital Capacity (FVC)% predicted
Timepoint [5] 0 0
Baseline and over 48 weeks
Secondary outcome [6] 0 0
Mean change from Baseline in diffusing capacity of lung for carbon monoxide (DLCO)% predicted
Timepoint [6] 0 0
Baseline and over 48 weeks
Secondary outcome [7] 0 0
Mean change from Baseline in Physician Global Assessment (MDGA)
Timepoint [7] 0 0
Baseline and over 48 weeks
Secondary outcome [8] 0 0
Mean change from Baseline in Patient Global Assessment (PGA)
Timepoint [8] 0 0
Baseline and over 48 weeks
Secondary outcome [9] 0 0
Mean change from Baseline in UCLA Scleroderma Clinical Trial Consortium Gastrointestinal Tract 2.0 (UCLA SCTC GIT 2.0) total score and subscale
Timepoint [9] 0 0
Baseline and over 48 weeks
Secondary outcome [10] 0 0
Mean change from Baseline in Scleroderma Skin Patient Reported Outcome (SSPRO) score in IgPro10 vs Placebo
Timepoint [10] 0 0
Baseline and up to 48 weeks
Secondary outcome [11] 0 0
Proportion of responders in mRSS
Timepoint [11] 0 0
Up to 48 weeks
Secondary outcome [12] 0 0
Time to treatment failure (time from first infusion to time of first event) in IgPro10 vs Placebo
Timepoint [12] 0 0
Over 48 weeks
Secondary outcome [13] 0 0
Proportion of subjects with events at Week 48 in IgPro10 vs Placebo
Timepoint [13] 0 0
Over 48 weeks
Secondary outcome [14] 0 0
Mean change from Baseline in Cochin Hand Function Scale in IgPro10 vs Placebo
Timepoint [14] 0 0
Baseline and over 48 weeks
Secondary outcome [15] 0 0
Mean change from Baseline in Scleroderma Health Assessment Questionnaire (SHAQ) score in IgPro10 vs Placebo
Timepoint [15] 0 0
Baseline and over 48 weeks
Secondary outcome [16] 0 0
Mean change from baseline in muscle strength as measured by Manual Muscle Testing 8 (MMT) in IgPro10 vs Placebo
Timepoint [16] 0 0
Baseline and over 48 weeks
Secondary outcome [17] 0 0
Number of subjects with adverse events (AEs) including any AEs, treatment-emergent AEs (TEAEs), serious AEs (SAEs), and AEs of special interest (AESIs)
Timepoint [17] 0 0
Over 48 weeks
Secondary outcome [18] 0 0
Percentage of subjects with AEs, TEAEs, SAEs, AESIs
Timepoint [18] 0 0
Over 48 weeks
Secondary outcome [19] 0 0
Concentration of serum trough IgG levels at Baseline and prior to first infusion
Timepoint [19] 0 0
Baseline and up to 72 weeks
Secondary outcome [20] 0 0
Mean change from Baseline in Modified Rodnan skin score (mRSS)
Timepoint [20] 0 0
Baseline and over 72 weeks
Secondary outcome [21] 0 0
Mean change from Baseline in Patient global assessment (PGA)
Timepoint [21] 0 0
Baseline and over 72 weeks
Secondary outcome [22] 0 0
Proportion of responders (ACR CRISS > 0.6)
Timepoint [22] 0 0
Over 72 weeks
Secondary outcome [23] 0 0
Mean change from Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI)
Timepoint [23] 0 0
Baseline and over 72 weeks
Secondary outcome [24] 0 0
Mean change from Baseline in Forced Vital Capacity (FVC)% predicted
Timepoint [24] 0 0
Baseline and over 72 weeks
Secondary outcome [25] 0 0
Mean change from Baseline in diffusing capacity of lung for carbon monoxide (DLCO)% predicted
Timepoint [25] 0 0
Baseline and over 72 weeks
Secondary outcome [26] 0 0
Mean change from Baseline in Physician Global Assessment (MDGA)
Timepoint [26] 0 0
Baseline and over 72 weeks
Secondary outcome [27] 0 0
Number of subjects with adverse events (AEs) including any AEs, treatment-emergent AEs (TEAEs), serious AEs (SAEs), and AEs of special interest (AESIs)
Timepoint [27] 0 0
Over 72 weeks
Secondary outcome [28] 0 0
Percentage of subjects with AEs, TEAEs, SAEs, AESIs
Timepoint [28] 0 0
Over 72 weeks

Eligibility
Key inclusion criteria
* 1. Age =18 years (male or female) at time of providing written informed consent
* Documented diagnosis of SSc according to ACR / EULAR criteria 2013
* mRSS = 15 and = 45
* Disease duration = 5 years defined as the time from the first non-Raynaud's phenomenon manifestation
* Subjects within first 18 months of disease duration from first non-Raynaud's phenomenon manifestation.
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Primary rheumatic autoimmune disease other than dcSSc, including but not limited to rheumatoid arthritis, systemic lupus erythematosus, mixed connective tissue disorder, polymyositis, and dermatomyositis, as determined by the investigator Note: Subjects with fibromyalgia, secondary Sjogren's syndrome, and scleroderma-associated myopathy or myositis at Screening are not excluded
* Positive anti-centromere autoantibodies at Screening
* Evidence of severe chronic kidney disease with estimated glomerular filtration rate < 45 mL/min/1.73 m2 (as calculated by the Chronic Kidney Disease Epidemiology Collaboration equation) or receiving dialysis. Additionally, subjects with current confirmed diagnosis of diabetes mellitus and requiring medication, with eGFR < 90 mL/min/1.73m2 will be excluded from the study.
* History of documented thrombotic episode eg, PE, DVT, myocardial infarction, thromboembolic stroke at any time Note: past superficial thrombophlebitis more than two years from Screening is not exclusionary
* Documented thrombophilic abnormalities including blood hyperviscosity, protein S or protein C deficiency, anti-thrombin-3 deficiency, plasminogen deficiency, antiphospholipid syndrome, Factor V Leiden mutation, dysfibrinogenemia, or prothrombin G20210A mutation
* Greater than 3 specified current risk factors for TEEs (documented and currents conditions): atrial fibrillation, coronary disease, diabetes mellitus, dyslipidemia, hypertension, obesity (Body Mass Index = 30 kg/m2), recent significant trauma, and immobility (wheelchair-bound or bedridden)
* Ongoing active serious infection at Screening (including, but not limited to, pneumonia, bacteremia/septicemia, osteomyelitis/septic arthritis, bacterial meningitis, or visceral abscess)
* Malignancy in the past 2 years, except for non-melanoma skin cancer, cervical carcinoma in situ, or other in situ cancer if it has been excised and treated within in the past year
* Known hypoalbuminemia, protein-losing enteropathies, and any proteinuria (defined by total urine protein concentration > 0.2 g/L)
* Known IgA deficiency or serum IgA level < 5% lower limit of normal

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 2
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Withdrawn
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
20/12/2019
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
16/09/2020
Sample size
Target
Accrual to date
Final
0
Recruitment in Australia
Recruitment state(s)
NSW,SA
Recruitment hospital [1] 0 0
John Hunter Hospital / Autoimmune Resource and Research Centre - New Lambton Heights
Recruitment hospital [2] 0 0
PARC Clinical Research - Adelaide
Recruitment postcode(s) [1] 0 0
2305 - New Lambton Heights
Recruitment postcode(s) [2] 0 0
5005 - Adelaide
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Arizona
Country [2] 0 0
United States of America
State/province [2] 0 0
California
Country [3] 0 0
United States of America
State/province [3] 0 0
Colorado
Country [4] 0 0
United States of America
State/province [4] 0 0
District of Columbia
Country [5] 0 0
United States of America
State/province [5] 0 0
Kansas
Country [6] 0 0
United States of America
State/province [6] 0 0
Louisiana
Country [7] 0 0
United States of America
State/province [7] 0 0
Maryland
Country [8] 0 0
United States of America
State/province [8] 0 0
Massachusetts
Country [9] 0 0
United States of America
State/province [9] 0 0
Michigan
Country [10] 0 0
United States of America
State/province [10] 0 0
New Jersey
Country [11] 0 0
United States of America
State/province [11] 0 0
New York
Country [12] 0 0
United States of America
State/province [12] 0 0
Ohio
Country [13] 0 0
United States of America
State/province [13] 0 0
Pennsylvania
Country [14] 0 0
United States of America
State/province [14] 0 0
South Carolina
Country [15] 0 0
United States of America
State/province [15] 0 0
Texas
Country [16] 0 0
Argentina
State/province [16] 0 0
Buenos Aires
Country [17] 0 0
Argentina
State/province [17] 0 0
Ciudad Autonoma de Buenos Aires
Country [18] 0 0
Argentina
State/province [18] 0 0
Rosario
Country [19] 0 0
Belgium
State/province [19] 0 0
Gent
Country [20] 0 0
Belgium
State/province [20] 0 0
Leuven
Country [21] 0 0
Canada
State/province [21] 0 0
Toronto
Country [22] 0 0
France
State/province [22] 0 0
Caen
Country [23] 0 0
France
State/province [23] 0 0
Lille Cedex
Country [24] 0 0
France
State/province [24] 0 0
Nantes
Country [25] 0 0
France
State/province [25] 0 0
Paris
Country [26] 0 0
France
State/province [26] 0 0
Rennes
Country [27] 0 0
France
State/province [27] 0 0
Rouen cedex
Country [28] 0 0
France
State/province [28] 0 0
Strasbourg
Country [29] 0 0
Germany
State/province [29] 0 0
Bad Nauheim
Country [30] 0 0
Germany
State/province [30] 0 0
Berlin
Country [31] 0 0
Germany
State/province [31] 0 0
Freiburg
Country [32] 0 0
Germany
State/province [32] 0 0
Köln
Country [33] 0 0
Germany
State/province [33] 0 0
Mainz
Country [34] 0 0
Germany
State/province [34] 0 0
Tuebingen
Country [35] 0 0
Germany
State/province [35] 0 0
Ulm
Country [36] 0 0
Germany
State/province [36] 0 0
Wuppertal
Country [37] 0 0
Italy
State/province [37] 0 0
Ancona
Country [38] 0 0
Italy
State/province [38] 0 0
Bari
Country [39] 0 0
Italy
State/province [39] 0 0
Brescia
Country [40] 0 0
Italy
State/province [40] 0 0
Firenze
Country [41] 0 0
Italy
State/province [41] 0 0
L'Aquila
Country [42] 0 0
Italy
State/province [42] 0 0
Milano
Country [43] 0 0
Italy
State/province [43] 0 0
Modena
Country [44] 0 0
Italy
State/province [44] 0 0
Napoli
Country [45] 0 0
Italy
State/province [45] 0 0
Pavia
Country [46] 0 0
Italy
State/province [46] 0 0
Rome
Country [47] 0 0
Mexico
State/province [47] 0 0
Ciudad de México
Country [48] 0 0
Mexico
State/province [48] 0 0
Guadalajara
Country [49] 0 0
Mexico
State/province [49] 0 0
Jalisco
Country [50] 0 0
Mexico
State/province [50] 0 0
Mexico City
Country [51] 0 0
Mexico
State/province [51] 0 0
Mexico
Country [52] 0 0
Mexico
State/province [52] 0 0
San Luis Potosi
Country [53] 0 0
Poland
State/province [53] 0 0
Bialystok
Country [54] 0 0
Poland
State/province [54] 0 0
Gdansk
Country [55] 0 0
Poland
State/province [55] 0 0
Katowice
Country [56] 0 0
Poland
State/province [56] 0 0
Warszawa
Country [57] 0 0
Spain
State/province [57] 0 0
A Coruna
Country [58] 0 0
Spain
State/province [58] 0 0
Barcelona
Country [59] 0 0
Spain
State/province [59] 0 0
Madrid
Country [60] 0 0
Spain
State/province [60] 0 0
Sevilla
Country [61] 0 0
Spain
State/province [61] 0 0
Valencia
Country [62] 0 0
Switzerland
State/province [62] 0 0
Saint Gallen
Country [63] 0 0
United Kingdom
State/province [63] 0 0
Chester
Country [64] 0 0
United Kingdom
State/province [64] 0 0
Leeds
Country [65] 0 0
United Kingdom
State/province [65] 0 0
London

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
CSL Behring
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Study Director
Address 0 0
CSL Behring
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
What data in particular will be shared?
CSL will consider requests to share Individual Patient Data (IPD) from systemic review groups or bona-fide researchers. For information on the process and requirements for submitting a voluntary data sharing request for IPD, please contact CSL at clinicaltrials@cslbehring.com.

Applicable country specific privacy and other laws and regulations will be considered and may prevent sharing of IPD.

If the request is approved and the researcher has executed an appropriate data sharing agreement, IPD that has been appropriately anonymized will be available.

Supporting document/s available: Study protocol, Statistical analysis plan (SAP)
When will data be available (start and end dates)?
IPD requests may be submitted to CSL no earlier than 12 months after publication of the results of this study via an article made available on a public website.
Available to whom?
Requests may only be made by systematic review groups or bona-fide researchers whose proposed use of the IPD is non-commercial in nature and has been approved by an internal review committee.

An IPD request will not be considered by CSL unless the proposed research question seeks to answer a significant and unknown medical science or patient care question as determined by CSL's internal review committee.

The requesting party must execute an appropriate data sharing agreement before IPD will be made available.
Available for what types of analyses?
How or where can data be obtained?


What supporting documents are/will be available?

No Supporting Document Provided



Results publications and other study-related documents

No documents have been uploaded by study researchers.


Results not provided in https://clinicaltrials.gov/study/NCT04138485