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Immune Globulin

Phase 3

Immunologic Deficiency Syndrome | Monoclonal antibody | Immunology |Grifols, S.A.|Trials Updated: Mar 10, 2021

Immune Globulin target and mechanism

ModalityMonoclonal antibody

Also known as Intravenous Immune Globulin, Immune Globulin Intravenous (Human)

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials7
Total Enrollment584

FDA Designations

No designations recorded

Immune Globulin clinical trials

Immune Globulin · 7 trials · 10 indications

Phase 3 2Phase 2 5
NCT00220740Immune Globulin Intravenous (IGIV) For Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)Polyradiculoneuropathy, Chronic Inflammatory Demyelinating
COMPLETED117 Analytics
NCT00220766Rapid Infusion of Immune Globulin Intravenous (Human) In Primary Immunodeficiency PatientsImmunologic Deficiency Syndrome
COMPLETED100 Analytics
PHASE3COMPLETED
Immune Globulin Intravenous (IGIV) For Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)
Polyradiculoneuropathy, Chronic Inflammatory DemyelinatingUnlock trial analytics
PHASE3COMPLETED
Rapid Infusion of Immune Globulin Intravenous (Human) In Primary Immunodeficiency Patients
Immunologic Deficiency SyndromeUnlock trial analytics

Study Endpoints

Primary Endpoints

Comparison of the Responder Rates Between Two Treatment Groups in the Efficacy Period
6 months

The primary efficacy objective was the comparison of IGIV-C and Placebo group Responder rates. An Efficacy Period Responder was defined as a subject with ≥ 1 point improvement in the adjusted Inflammatory Neuropathy Case And Treatment (INCAT) score, with the improvement maintained through the end of Week 24 in the Efficacy Period. Measurements are reported in INCAT scale of 0-5 in both lower and upper extremities, for a total score of 0 to 10. INCAT scores for arm disability: 0 = no upper limb problems; 5 = inability to use either arm for any purposeful movement. INCAT scores for leg disability: 0= walking not affected; 5 = restricted to wheelchair, unable to stand and walk a few steps with help

Infusion related adverse events
within 72 hours after infusion
Percentage of Participants Dying or Requiring ICU Admission
Up to Day 29
Percentage of Participants Who are Dependent on High Flow Oxygen Devices or Invasive Mechanical Ventilation
Day 29
Geometric Least Square Means of Area Under the Curve (AUC) for Plasma Total Immunoglobulin G (IgG)
IV Phase (21 or 28 days) at IV Visit #1, pre- and post-dose: 0 hr., 1 hr., and 1, 2, 3, 5, 7, 14, 21, and 28 days; SC Phase at Week #17, pre- and post-dose: 0 hr., and 1, 3, 4, 5, and 7 days

Geometric least-squares mean of steady-state plasma concentration of total IgG vs. time profile (AUC).

Mean Change in Visual Acuity (Logarithm of the Minimum Angle of Resolution [LogMAR]) Score From Baseline for IGIV-C, 10% Compared to Placebo at Week 12 or at Last LogMAR Assessment (Conducted at or After Week 8 of the Treatment Period)
At Week 12 or, if the Week 12 assessment is not available, at the last LogMAR assessment conducted at or after Week 8 of the Treatment Period

Using the LogMAR score, lower values correspond to higher visual acuity. For example, a visual acuity of 20/20 corresponds to a LogMAR value of zero (0), and a visual acuity of 20/100 corresponds to a LogMAR value of 0.7.

Free Hemoglobin
24 hours after treatment

Free hemoglobin as a measure to assess hemolysis.

Hematocrit
24 hrs after treatment

Hematocrit as a measure to assess hemolysis

Red Blood Cells
24 hrs after treatment

Red blood cells as a measure to assess hemolysis

Change From Baseline in Platelet Levels
24 hours Post infusion and Day 7
Percentage of Relapse Free Subjects (no Relapse)
12 months

A relapse was defined for the purposes of this study as the appearance or reappearance of one or more neurological symptoms or worsening of an old symptom attributed to multiple sclerosis (MS) persisting for at least 48 hours and immediately preceded by a relatively stable or improving neurological state of at least 30 days.

Secondary Endpoints

Mean Change in the Amplitude (Millivolts) in the Most Severely Affected Motor Nerve During the Efficacy Period
6 months
Mean Change in Grip Strength During the Efficacy Period
6 months
Time to Relapse for Subjects Who Were IGIV-C Responders or IGIV-C Rescue Successes, During the Randomized Withdrawal Period
6 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Group 1EXPERIMENTALIGIV-C
Group 2PLACEBO_COMPARATOR -
Intravenous Immune Globulin + Standard Medical TreatmentEXPERIMENTALParticipants will receive the first intravenous (IV) infusion of IVIG on Day 1 up to a net dose of 2 gram per kilogram (g/kg), based upon participant's (body weight) administered in divided doses as infusions of 500 milligram per kilogram (mg/kg), based upon participant's body weight, over 4 days or 400 mg/kg, based upon participant's body weight, over 5 days. Participants will also receive all standard of care interventions while hospitalized, from Day 1 to Day 29.
Standard Medical TreatmentACTIVE_COMPARATORParticipants will receive all standard of care interventions required throughout the participant's hospitalization, from Day 1 to Day 29
Immune Globulin Intravenous (Human)EXPERIMENTALImmune Globulin Intravenous (Human), 10%, Caprylate/Chromatography Purified
Group 3PLACEBO_COMPARATORplacebo (0.1% albumin) 4 ml/kg bw/infusion

Interventions

NameTypeDescription
Immune Globulin IV (Human), 10% Caprylate/Chromatography PurifiedDRUG2 g/kg body weight ideally over 2-4 days . Thereafter, study drug infusion (IGIV-C) will be administered every 3 weeks at a dose of 1 g/kg bw, given over 1-2 days for a total of 7 additional infusions
Albumin (Human) 25%, United States Pharmacopeia (USP)DRUGAlbumin 25%, USP diluted with dextrose 5% to a final concentration of 0.1% as an intravenous infusion. Alternatively, it may be a bottled placebo of 0.1% Albumin (Human) in 0.2 M Glycine, 1.1 mm sodium caprylate, 0.25% sodium chloride. 2 g/kg body weight ideally over 2-4 days . Thereafter, infusion (placebo) will be administered every 3 weeks at a dose of 1 g/kg bw, given over 1-2 days for a total of 7 additional infusions
Immune Globulin Intravenous [Human], 10% Caprylate/Chromatography PurifiedDRUG -
Dextrose, 5% in WaterDRUG -
Intravenous Immune GlobulinBIOLOGICALIVIG Intravenous infusion
Standard Medical TreatmentDRUGSMT
Immune Globulin Intravenous (Human)BIOLOGICALThis trial was an open-label, single-sequence, study. The enrolled subjects received IGIV-C via two routes of administration (IV for 4 -5 weeks and SC for 24 weeks) in order to compare the PK variables, safety and tolerability of SC administration of IGIV-C. Certain subjects required IV IGIV-C dosing during a Run-in Phase (3 - 4 months) for steady-state conditions prior to the IV phase. Subjects received two IV infusions of IGIV (between 200 - 600 mg based on the subject's previous IgG dosing regimen, 3 to 4 weeks apart) until a steady-state was reached at which time PK profiling was performed. Subjects began weekly SC administration (1.37 times the weekly equivalency of each subject's monthly IV dose) 1 week following last IV dose and followed for a period of six months.
Immune Globulin IV [Human], 10% Caprylate/Chromatography PurifiedDRUGIGIV-C 10% at a dose of 1.0g/kg was to be given on 2 occasions as a single daily infusion: Group 1 were to receive their first IGIV-C, 10-% infusion at a rate of 0.08 mL/kg/min and a second infusion at 0.14 mL/kg/min. and Group 2 were to receive their first IGIV-C, 10-% infusion at a rate of 0.14 mL/kg/min and a second infusion at a rate of 0.08 mL/kg/min.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites32

Inclusion Criteria: * Documented diagnosis of CIDP must be made by a neurologist specializing/experienced in neuromuscular diseases based on: a) Progressive or relapsing motor and sensory dysfunction of more than one limb resulting from neuropathy over the 2 months prior to the date informed consen...

Countries:United StatesArgentinaCanadaCzechiaGermanyIsraelItalyMexicoPolandSerbiaSpainAustriaGreeceHungarySlovakiaSwedenUnited Kingdom
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Frequently asked questions about Immune Globulin

What is Immune Globulin used for?

Immune Globulin is being studied in several conditions, including COVID-19, immunologic deficiency syndrome, age-related macular degeneration, relapsing-remitting multiple sclerosis, chronic inflammatory demyelinating polyradiculoneuropathy, and idiopathic thrombocytopenic purpura. It is an investigational therapy and has not been approved for these uses.

Who makes Immune Globulin?

Immune Globulin is developed by Grifols, S.A., which trades under the ticker GRFS. Grifols is a global healthcare company focused on plasma-derived medicines and transfusion medicine.

What phase is Immune Globulin in?

Immune Globulin is in Phase 2 clinical development. The program includes completed Phase 2 trials in COVID-19 and immunologic deficiency syndrome, with additional completed Phase 2 studies in macular degeneration and relapsing-remitting multiple sclerosis.

What clinical trials is Immune Globulin in?

Immune Globulin has been evaluated in completed Phase 2 trials, including NCT04432324 in hospitalized COVID-19 patients, NCT00389324 in primary immunodeficiency, NCT00220805 in age-related macular degeneration, and NCT00220779 in relapsing-remitting multiple sclerosis. No active trials are currently listed.

Is Immune Globulin the same as intravenous immune globulin?

Yes, Immune Globulin is also known as intravenous immune globulin, immune globulin IV [human], and immune globulin intravenous (human). The 10% caprylate/chromatography purified formulation is one specific version of this product.