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| ID | Type | Description | Link |
|---|---|---|---|
| ZLB06_006CR | Other Identifier | CSL Behring | |
| 2007-000710-37 | EudraCT Number |
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The objective of this study is to assess efficacy, safety, and convenience of purified human antibodies administered under the skin in the treatment of MMN patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vivaglobin | Experimental | Vivaglobin® is a 16% (160 mg/mL) liquid formulation of human normal immunoglobulin for subcutaneous infusion. Subjects will receive weekly infusions of Vivaglobin® at a weekly dosage calculated based on previous intravenous immunoglobulin treatment (between 0.1 to 0.5 g/kg body weight per week). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vivaglobin | Biological |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline to Week 24 in Muscle Strength | The change in Medical Research Council (MRC) score was determined at week 24 compared to baseline using descriptive statistics and nonparametric, two-sided 95% confidence intervals based on the Hodges-Lehmann method. Data for one of the eight subjects was from week 13 as week 24 data were not available. The 200-point MRC sum score is the sum of scores for 20 bilateral (left and right side) muscle groups, each rated between 0 (no movement) to 5 (normal movement/power). A higher MRC sum score indicates greater muscle contraction/limb movement. Positive values for change in MRC sum score indicate improvement, with a more positive value indicating greater muscle contraction/ limb movement compared with the value at baseline. | Baseline to week 24 |
| Mean Overall MRC Score at Baseline and Week 24 | The 200-point MRC sum score is the sum of scores for 20 bilateral (left and right side) muscle groups, each rated between 0 (no movement) to 5 (normal movement/power). A higher MRC sum score indicates greater muscle contraction/limb movement. | Baseline and week 24 |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline to Week 24 in Disability | The change in disability score was determined at week 24 compared to baseline using descriptive statistics and nonparametric two-sided 95% confidence intervals based on the Hodges-Lehmann method. Data for one of the eight subjects was from week 13 as week 24 data were not available. Disability was measured using a modified Guy's Neurological Disability Scale, which comprises subscales for upper and lower limb disability. Both subscales comprise 6 grades, numbered from 0 (no upper limb problem/walking is not affected) to 5 (unable to use either arm for any purposeful movements/usually uses a wheelchair indoors). The disability score is calculated as the sum of both subscales, resulting in a score ranging from 0 to 10. A higher disability score indicates greater disability. Negative values for change in disability score indicate improvement, with a more negative value indicating greater improvement compared with the value at baseline. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Matthias Sturzenegger, MD | Inselspital, University Hospital of Bern | Principal Investigator |
| Bernd Kieseier, MD | Neurologische Klinik, Heinrich-Heine-University, Düsseldorf | Principal Investigator |
| Giancarlo Comi, MD | San Raffaele Hospital | Principal Investigator |
| Siraj Misbah, MD | Dept. Clinical Immunology, Oxford Radcliffe Hospitals | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| San Raffaele Hospital | Milan | Italy | ||||
| Inselspital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Result | Misbah S, et al. Efficacy and safety of subcutaneous immunoglobulin, Vivaglobin, in patients with multifocal motor neuropathy. Journal of Neurology 257(Suppl 1):S105-S106, 2010. | ||
| 21692906 | Result | Misbah SA, Baumann A, Fazio R, Dacci P, Schmidt DS, Burton J, Sturzenegger M. A smooth transition protocol for patients with multifocal motor neuropathy going from intravenous to subcutaneous immunoglobulin therapy: an open-label proof-of-concept study. J Peripher Nerv Syst. 2011 Jun;16(2):92-7. doi: 10.1111/j.1529-8027.2011.00330.x. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Vivaglobin | Human normal immunoglobulin, 0.1 to 0.5 g/kg body weight per week. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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|
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| ID | Title | Description |
|---|---|---|
| BG000 | Vivaglobin | Human normal immunoglobulin, 0.1 to 0.5 g/kg body weight per week. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change From Baseline to Week 24 in Muscle Strength | The change in Medical Research Council (MRC) score was determined at week 24 compared to baseline using descriptive statistics and nonparametric, two-sided 95% confidence intervals based on the Hodges-Lehmann method. Data for one of the eight subjects was from week 13 as week 24 data were not available. The 200-point MRC sum score is the sum of scores for 20 bilateral (left and right side) muscle groups, each rated between 0 (no movement) to 5 (normal movement/power). A higher MRC sum score indicates greater muscle contraction/limb movement. Positive values for change in MRC sum score indicate improvement, with a more positive value indicating greater muscle contraction/ limb movement compared with the value at baseline. | The Intention-to-Treat (ITT) data set comprised all patients treated with the study drug who had at least one post-baseline measurement for muscle strength. | Posted | Mean | 95% Confidence Interval | score on a scale | Baseline to week 24 |
|
For the duration of the study, up to Week 25.
The SDS comprised all treated patients. "General disorders" were collected under the Medical Dictionary for Regulatory Activities System organ class (MedDRA SOC) General disorders and administration site conditions.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Vivaglobin | Human normal immunoglobulin, 0.1 to 0.5 g/kg body weight per week. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Spontaneous haematoma | Blood and lymphatic system disorders | MedDRA (11.1) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trial Disclosure Manager | CSL Behring | Use email contact | clinicaltrials@cslbehring.com |
| ID | Term |
|---|---|
| C510539 | Vivaglobin |
| D005719 | gamma-Globulins |
| ID | Term |
|---|---|
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
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| Baseline to week 24 |
| Mean Disability Score at Baseline and Week 24 | Disability was measured using a modified Guy's Neurological Disability Scale, which comprises subscales for upper and lower limb disability. Both subscales comprise 6 grades, numbered from 0 (no upper limb problem/walking is not affected) to 5 (unable to use either arm for any purposeful movements/usually uses a wheelchair indoors). The disability score is calculated as the sum of both subscales, resulting in a score ranging from 0 to 10. A higher disability score indicates greater disability. | Baseline and Week 24 |
| Change From Baseline to the Completion Visit in Motor Function | The change in motor function was determined at the completion visit compared to baseline using descriptive statistics and nonparametric two-sided 95% confidence intervals based on the Hodges-Lehmann method. For each patient, four specific tasks were defined according to his/her weakened muscle group. The patient had to grade each of the tasks on a 5-point scale ranging from 0 (normal function) to 4 (not possible). The overall motor function score was calculated as the sum of the 4 grades, resulting in a score ranging from 0 (optimal) to 16 (worst). The baseline motor function score was calculated as the mean of the patient's assessments at Screening and Week 1. Negative values for change in motor function score indicate improvement, with a more negative value indicating greater improvement compared with the value at baseline. | Baseline to the completion visit (up to week 25) |
| Mean Motor Function Score at Screening and Week 25 | For each patient, four specific tasks were defined according to his/her weakened muscle group. The patient had to grade each of the tasks on a 5-point scale ranging from 0 (normal function) to 4 (not possible). The overall motor function score was calculated as the sum of the 4 grades, resulting in a score ranging from 0 (optimal) to 16 (worst). | Screening and week 25 |
| Health-Related Quality of Life at Baseline and Week 25 | Assessed using a questionnaire on patients' satisfaction with current immunoglobulin G (IgG) treatment, treatment at home, and treatment at the hospital/doctor's office. The questions were answered by choosing a number between 1 (extremely good) and 7 (extremely bad). Note: No patients received IgG treatment at the hospital/doctor's office at Week 25. | At baseline and week 25 |
| Treatment Satisfaction at Baseline and Week 25 | Treatment satisfaction was assessed using the Life Quality Index, which comprises 15 items rated on a 7-point scale (1 = worst rating, 7 = best rating) with a possible maximum score of 105. The highest score indicates the highest satisfaction with the impact of treatment on social factors. The 15 items were summarized to 4 scales: treatment interference, therapy-related problems, therapy setting, and treatment costs. The raw scores for these scales were transformed to a score ranging from 0 to 100, with 100 being the best score achievable. | At baseline and week 25 |
| Overall Health Status at Baseline and Week 25 | Overall Health Status was assessed using a Visual Analogue Scale (VAS). Patients were asked to rate their overall health status by placing a mark on a 100 mm VAS, with 0 being the worst imaginable state and 100 being the best imaginable state. | Baseline and week 25 |
| Number of Patients With Adverse Events (AEs) by Severity and Relatedness | Included all AEs that occurred during the entire study period. Mild AE: Did not interfere with routine activities; Moderate AE: Interfered somewhat with routine activities; Severe AE: Impossible to perform routine activities. | For the duration of the study, up to Week 25 |
| Rate of AEs by Severity and Relatedness | The rate was the number of AEs over the number of infusions administered. Included all AEs that occurred during the entire study period. Mild AE: Did not interfere with routine activities; Moderate AE: Interfered somewhat with routine activities; Severe AE: Impossible to perform routine activities. | For the duration of the study, up to Week 25 |
| Number of Patients With Local/Injection Site Reactions | All AEs arising from local/injection site reactions. | For the duration of the study, up to Week 25 |
| Number of Patients With Clinically Relevant Changes in Laboratory Parameters | Laboratory parameters included hematology, serum chemistry, and urinalysis parameters. | Baseline to Week 25 |
| Number of Patients With Clinically Relevant Changes in Vital Signs | Vital signs included heart rate, systolic blood pressure, diastolic blood pressure, and body temperature. | Baseline to Week 25 |
| Bern |
| Switzerland |
| Dept. Clinical Immunology, Oxford Radcliffe Hospitals | Oxford | United Kingdom |
| years |
|
| Age, Customized | Number | participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Vivaglobin |
Human normal immunoglobulin, 0.1 to 0.5 g/kg body weight per week. |
|
|
| Secondary | Change From Baseline to Week 24 in Disability | The change in disability score was determined at week 24 compared to baseline using descriptive statistics and nonparametric two-sided 95% confidence intervals based on the Hodges-Lehmann method. Data for one of the eight subjects was from week 13 as week 24 data were not available. Disability was measured using a modified Guy's Neurological Disability Scale, which comprises subscales for upper and lower limb disability. Both subscales comprise 6 grades, numbered from 0 (no upper limb problem/walking is not affected) to 5 (unable to use either arm for any purposeful movements/usually uses a wheelchair indoors). The disability score is calculated as the sum of both subscales, resulting in a score ranging from 0 to 10. A higher disability score indicates greater disability. Negative values for change in disability score indicate improvement, with a more negative value indicating greater improvement compared with the value at baseline. | The analysis population comprised the subjects in the ITT data set (ie, all patients treated with the study drug) who had at least one post-baseline value (and if necessary a baseline value). | Posted | Mean | 95% Confidence Interval | score on a scale | Baseline to week 24 |
|
|
|
| Secondary | Mean Disability Score at Baseline and Week 24 | Disability was measured using a modified Guy's Neurological Disability Scale, which comprises subscales for upper and lower limb disability. Both subscales comprise 6 grades, numbered from 0 (no upper limb problem/walking is not affected) to 5 (unable to use either arm for any purposeful movements/usually uses a wheelchair indoors). The disability score is calculated as the sum of both subscales, resulting in a score ranging from 0 to 10. A higher disability score indicates greater disability. | The analysis population comprised the subjects in the ITT data set (ie, all patients treated with the study drug) who had at least one post-baseline value (and if necessary a baseline value). | Posted | Mean | Full Range | score on a scale | Baseline and Week 24 |
|
|
|
| Secondary | Change From Baseline to the Completion Visit in Motor Function | The change in motor function was determined at the completion visit compared to baseline using descriptive statistics and nonparametric two-sided 95% confidence intervals based on the Hodges-Lehmann method. For each patient, four specific tasks were defined according to his/her weakened muscle group. The patient had to grade each of the tasks on a 5-point scale ranging from 0 (normal function) to 4 (not possible). The overall motor function score was calculated as the sum of the 4 grades, resulting in a score ranging from 0 (optimal) to 16 (worst). The baseline motor function score was calculated as the mean of the patient's assessments at Screening and Week 1. Negative values for change in motor function score indicate improvement, with a more negative value indicating greater improvement compared with the value at baseline. | The analysis population comprised the subjects in the ITT data set (ie, all patients treated with the study drug) who had at least one post-baseline value (and if necessary a baseline value). | Posted | Mean | 95% Confidence Interval | score on a scale | Baseline to the completion visit (up to week 25) |
|
|
|
| Primary | Mean Overall MRC Score at Baseline and Week 24 | The 200-point MRC sum score is the sum of scores for 20 bilateral (left and right side) muscle groups, each rated between 0 (no movement) to 5 (normal movement/power). A higher MRC sum score indicates greater muscle contraction/limb movement. | The ITT data set comprised all patients treated with the study drug who had at least one post-baseline measurement for muscle strength. | Posted | Mean | Full Range | score on a scale | Baseline and week 24 |
|
|
|
| Secondary | Mean Motor Function Score at Screening and Week 25 | For each patient, four specific tasks were defined according to his/her weakened muscle group. The patient had to grade each of the tasks on a 5-point scale ranging from 0 (normal function) to 4 (not possible). The overall motor function score was calculated as the sum of the 4 grades, resulting in a score ranging from 0 (optimal) to 16 (worst). | The analysis population comprised the subjects in the ITT data set (ie, all patients treated with the study drug) who had at least one post-baseline value (and if necessary a baseline value). | Posted | Mean | Full Range | score on a scale | Screening and week 25 |
|
|
|
| Secondary | Health-Related Quality of Life at Baseline and Week 25 | Assessed using a questionnaire on patients' satisfaction with current immunoglobulin G (IgG) treatment, treatment at home, and treatment at the hospital/doctor's office. The questions were answered by choosing a number between 1 (extremely good) and 7 (extremely bad). Note: No patients received IgG treatment at the hospital/doctor's office at Week 25. | The analysis population comprised the subjects in the ITT data set (ie, all patients treated with the study drug) who had at least one post-baseline value (and if necessary a baseline value). | Posted | Mean | Full Range | units on a scale | At baseline and week 25 |
|
|
|
| Secondary | Treatment Satisfaction at Baseline and Week 25 | Treatment satisfaction was assessed using the Life Quality Index, which comprises 15 items rated on a 7-point scale (1 = worst rating, 7 = best rating) with a possible maximum score of 105. The highest score indicates the highest satisfaction with the impact of treatment on social factors. The 15 items were summarized to 4 scales: treatment interference, therapy-related problems, therapy setting, and treatment costs. The raw scores for these scales were transformed to a score ranging from 0 to 100, with 100 being the best score achievable. | The analysis population comprised the subjects in the ITT data set (ie, all patients treated with the study drug) who had at least one post-baseline value (and if necessary a baseline value). | Posted | Mean | Full Range | units on a scale | At baseline and week 25 |
|
|
|
| Secondary | Overall Health Status at Baseline and Week 25 | Overall Health Status was assessed using a Visual Analogue Scale (VAS). Patients were asked to rate their overall health status by placing a mark on a 100 mm VAS, with 0 being the worst imaginable state and 100 being the best imaginable state. | The analysis population comprised the subjects in the ITT data set (ie, all patients treated with the study drug) who had at least one post-baseline value (and if necessary a baseline value). | Posted | Mean | Full Range | units on a scale | Baseline and week 25 |
|
|
|
| Secondary | Number of Patients With Adverse Events (AEs) by Severity and Relatedness | Included all AEs that occurred during the entire study period. Mild AE: Did not interfere with routine activities; Moderate AE: Interfered somewhat with routine activities; Severe AE: Impossible to perform routine activities. | The safety data set (SDS) comprised all treated patients. | Posted | Number | participants | For the duration of the study, up to Week 25 |
|
|
|
| Secondary | Rate of AEs by Severity and Relatedness | The rate was the number of AEs over the number of infusions administered. Included all AEs that occurred during the entire study period. Mild AE: Did not interfere with routine activities; Moderate AE: Interfered somewhat with routine activities; Severe AE: Impossible to perform routine activities. | The SDS comprised all treated patients. | Posted | Number | AEs per infusion | For the duration of the study, up to Week 25 | Infusions | Participants |
|
|
|
| Secondary | Number of Patients With Local/Injection Site Reactions | All AEs arising from local/injection site reactions. | The SDS comprised all treated patients. | Posted | Number | participants | For the duration of the study, up to Week 25 |
|
|
|
| Secondary | Number of Patients With Clinically Relevant Changes in Laboratory Parameters | Laboratory parameters included hematology, serum chemistry, and urinalysis parameters. | The SDS comprised all treated patients. | Posted | Number | participants | Baseline to Week 25 |
|
|
|
| Secondary | Number of Patients With Clinically Relevant Changes in Vital Signs | Vital signs included heart rate, systolic blood pressure, diastolic blood pressure, and body temperature. | The SDS comprised all treated patients. | Posted | Number | participants | Baseline to Week 25 |
|
|
|
| 0 |
| 8 |
| 4 |
| 8 |
| Asthenia | General disorders | MedDRA (11.1) | Systematic Assessment |
|
| Injection-site oedema | General disorders | MedDRA (11.1) | Systematic Assessment |
|
| Injection-site pruritus | General disorders | MedDRA (11.1) | Systematic Assessment |
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| Influenza | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
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| Orchitis | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
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| Hemicephalalgia | Nervous system disorders | MedDRA (11.1) | Systematic Assessment |
|
| Multifocal motor neuropathy | Nervous system disorders | MedDRA (11.1) | Systematic Assessment |
|
| Erythema | Skin and subcutaneous tissue disorders | MedDRA (11.1) | Systematic Assessment |
|
| Skin reaction | Skin and subcutaneous tissue disorders | MedDRA (11.1) | Systematic Assessment |
|
CSL agreements and restrictions on publishing may vary with individual investigators; however, CSL will not prohibit any investigator from publishing. CSL supports the publication of results from all centers of a multi-center trial and generally requires that reports based on single-site data not precede the primary publication of the entire clinical trial.
| D000602 |
| Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
|
| At home, week 25 (n = 7) |
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| In the hospital/doctor's office, baseline (n = 7) |
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| Therapy-related problems, week 25 (n = 7) |
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| Therapy setting, baseline (n = 8) |
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| Therapy setting, week 25 (n = 6) |
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| Treatment costs, baseline (n = 8) |
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| Treatment costs, week 25 (n = 6) |
|
| Title | Measurements |
|---|
|
| Severe AEs |
|
| Not related AEs |
|
| Possibly related AEs |
|
| Probably related AEs |
|
| Related AEs |
|
| Title | Measurements |
|---|---|
|
| Severe AEs |
|
| Not related AEs |
|
| Possibly related AEs |
|
| Probably related AEs |
|
| Related AEs |
|
| Skin reaction |
|