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All patients will receive the investigational medicinal product BP-SCIG 20%, solution for subcutaneous administration, manufactured by BIOPHARMA PLASMA LLC. A loading dose of IMP may be required (at the Investigator's decision): at least 0.2-0.5 g/kg (1.0-2.5 mL/kg) of body weight. This dose is distributed across several days, with a maximum daily dose of 0.1 to 0.15 g/kg. After achieving a steady-state (minimal) level of IgG, maintenance doses are administered at repeated intervals (approximately once a week) to achieve a cumulative monthly dose of 0.4-0.8 g/kg.
The clinical trial will consist of three periods, namely:
screening period: lasting up to 2 months, and involving three screening visits; treatment period (from Cycle 1 visit [the first 4 administrations of the IMP are to be performed in a hospital setting] during the 52 weeks to the last visit of Cycle 13).
follow-up period after completion of the last cycle of the treatment period, with a duration of 1 week.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single group receiving BP-SCIG20% | Experimental | Patients receive BP-SCIG 20% (human normal immunoglobulin, 200 mg/mL, IgG ≥95%) administered subcutaneously. Dosage: 0.4-0.8 g/kg per month, divided into weekly infusions. Duration: Long-term treatment as per study protoco |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BP-SCIG 20% | Drug | Human normal immunoglobulin 200 mg/mL (including immunoglobulin G (IgG) no less than 95 %) administered subcutaneously. Distribution of immunoglobulin G subclasses in the product: IgG1: 65.6 %, IgG2: 22.1 %, IgG3:10.8 %, IgG4:1.5 % The maximum content of immunoglobulin A is 100 µg/mL. |
| Measure | Description | Time Frame |
|---|---|---|
| Trough Plasma Concentration of Total IgG at Steady State | Mean monthly trough plasma concentration of total IgG prior to the next BP-SCIG 20% infusion, measured after 4 months of treatment and assessed over 6 months, compared with previous therapy (BIOVEN). | From baseline through 12 months of treatment |
| Number of Serious Bacterial Infections per Subject per Year | Occurrence of less than 1 serious bacterial infection per patient per year during 52 weeks of BP-SCIG 20% treatment. Serious bacterial infection includes sepsis, bacterial pneumonia, bacterial visceral infections, bacterial meningitis, osteomyelitis/septic arthritis. | From baseline through 12 months of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Fraction of patients reaching IgG ≥5 g/L | Percentage of patients achieving serum IgG ≥5 g/L prior to scheduled infusion. | From baseline through 12 months of treatment |
| Incidence of non-serious infections |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Municipal Non-Profit Enterprise "Cherkasy Regional Children's Hospital" of the Cherkasy Regional Council | Not yet recruiting | Cherkasy | Ukraine |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Sep 5, 2025 | Dec 26, 2025 | Prot_000.pdf |
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| ID | Term |
|---|---|
| D000081207 | Primary Immunodeficiency Diseases |
| ID | Term |
|---|---|
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |
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This study does not involve the distribution of patients into groups. Of patients in all age categories who meet inclusion criteria and passed the screening, and who do not meet any of the non-inclusion (exclusion) criteria, one group is formed, which will receive the investigational product.
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Number of non-serious infectious disease episodes per patient per year
| From baseline through 12 months of treatment |
| Duration of non-serious infections | Total duration of non-serious infections per patient per year. | From baseline through 12 months of treatment |
| Antibiotic use | Fraction of patients receiving antibiotics and mean number of days of antibiotic therapy per year. | From baseline through 12 months of treatment |
| Hospital admissions due to infection | Number and duration of hospital admissions due to infection per patient per year. | From baseline through 12 months of treatment |
| Regional Municipal Non-Profit Enterprise "Chernivtsi Regional Teaching Hospital" | Recruiting | Chernivtsi | 58001 | Ukraine |
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| Municipal Non-Profit Enterprise "Ivano-Frankivsk Regional Teaching Hospital" of the Ivano-Frankivsk Regional Council | Recruiting | Ivano-Frankivsk | 76008 | Ukraine |
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| Municipal Non-Profit Enterprise "Ivano-Frankivsk Regional Children's Teaching Hospital" of the Ivano-Frankivsk Regional Council | Not yet recruiting | Ivano-Frankivsk | Ukraine |
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| Municipal Non-Profit Enterprise "Kyiv City Children's Teaching Hospital No. 1" | Not yet recruiting | Kyiv | 04209 | Ukraine |
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| LLC "Allergy and Cough Clinic" | Recruiting | Lutsk | 43000 | Ukraine |
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| Municipal Enterprise "Volyn Regional Territorial Medical Association for the Protection of Motherhood and Childhood" of the Volyn Regional Council | Not yet recruiting | Lutsk | Ukraine |
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| Municipal Non-Profit Enterprise of the Lviv Regional Council "Lviv Regional Teaching Diagnostic Centre" | Recruiting | Lviv | 79010 | Ukraine |
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| Municipal Non-Profit Enterprise of the Lviv Regional Council "Clinical Centre of Children's Medicine", structural unit "West Ukrainian Specialised Centre" | Not yet recruiting | Lviv | 79035 | Ukraine |
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| Municipal Non-Profit Enterprise "Central Municipal Hospital" of Rivne City Council | Recruiting | Rivne | 33017 | Ukraine |
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| Municipal Non-Profit Enterprise "Vinnytsia Regional Teaching Hospital named after M.I. Pyrohov" of the Vinnytsia Regional Council | Not yet recruiting | Vinnytsia | 21018 | Ukraine |
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| Municipal Non-Profit Enterprise "Vinnytsia Regional Children's Teaching Hospital" of the Vinnytsia Regional Council | Not yet recruiting | Vinnytsia | Ukraine |
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