Status:

COMPLETED

Double-blind, Randomized, Placebo-controlled, Prospective Phase III Study Evaluating Efficacy and Safety of Panzyga in Primary Infection Prophylaxis in Patients With Chronic Lymphocytic Leukemia ("PRO-SID" Study)

Lead Sponsor:

Octapharma

Conditions:

Chronic Lymphocytic Leukemia

Hypogammaglobulinemia

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

Study Evaluating Efficacy and Safety of Panzyga in Primary Infection Prophylaxis in Patients with Chronic Lymphocytic Leukemia

Eligibility Criteria

Inclusion

  • Treatment-naïve or relapsed/refractory CLL patients undergoing CLL antineoplastic treatment. Diagnosis of B-cell CLL established according to International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria and documented within medical records.
  • Hypogammaglobulinemia (IgG levels \<5 g/L) as confirmed by the Central Laboratory.
  • ≥18 years of age.
  • Voluntarily given, fully informed written and signed consent obtained before any study-related procedures are conducted.

Exclusion

  • IgG treatment within 3 months prior to Screening.
  • Antibiotic prophylaxis and/or treatment within 7 days prior to Baseline (with the exception of trimethoprim-sulfamethoxazole \[TMP/SMX\], diaminodiphenyl sulfone \[dapsone\] and pentamidine inhalation).
  • Current major infection or \>1 major infection in the previous 6 months before Baseline.
  • History of anaphylaxis or severe systemic response to immunoglobulin, blood or plasma-derived products or any Panzyga component.
  • History of a non-CLL malignancy or other medical condition with life-expectancy of less than two years.
  • Severe liver disease, with signs of ascites and/or hepatic encephalopathy.
  • Severe kidney disease (as defined by estimated glomerular filtration rate \[eGFR\] \<30 mL/min/1.73 m2).
  • Body weight \>140 kg.
  • Eastern Cooperative Oncology Group (ECOG) performance score of \>2 (Appendix 1).
  • Female patients of childbearing potential unwilling to use a protocol-required method of contraception (as per protocol section 7.3.9 b) from the Screening Visit throughout the study treatment period and for 30 days following the last dose of study drug.
  • Human immunodeficiency virus (HIV) infection at Screening (defined for the study as positive HIV antibody test).
  • Patients found to be chronic carriers of hepatitis B 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 undergoing CLL therapy, and patients with active HBV, defined as high HBV titers.
  • Uncontrolled hepatitis C infection at Screening (defined for the study as positive hepatitis virus C \[HCV\] polymerase chain reaction \[PCR\]).
  • Pregnant and lactating women.
  • Subjects with a history of thromboembolic events (TEE) such as deep vein thrombosis, pulmonary embolism, myocardial infarction, ischemic stroke, transient ischemic attack, peripheral artery disease (Fontaine IV) within 6 months before Baseline.
  • Planned or ongoing immunosuppressive treatment (other than for CLL or corticosteroids) or other forbidden medication during the entire study duration after study enrollment.
  • Participation in another interventional clinical trial that is either blinded or involves an investigational (not approved) product within 3 months before Baseline or during the course of the clinical study. Participation in observational clinical trials or open-label trials involving an approved product may be permitted after consultation with the medical monitor.
  • Known IgA deficiency with antibodies to IgA.
  • Known blood hyperviscosity, or other hypercoagulable states.
  • Patients unable or unwilling to understand or comply with the study protocol.

Key Trial Info

Start Date :

October 5 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 19 2025

Estimated Enrollment :

247 Patients enrolled

Trial Details

Trial ID

NCT04502030

Start Date

October 5 2020

End Date

September 19 2025

Last Update

October 3 2025

Active Locations (84)

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Page 1 of 21 (84 locations)

1

Octapharma Research Site

St. Petersburg, Florida, United States, 33709

2

Octapharma Research Site

Columbus, Georgia, United States, 31904

3

Octapharma Research Site

Macon, Georgia, United States, 31201

4

Octapharma Research Site

New Orleans, Louisiana, United States, 70112