Primary Immunodeficiency Diseases (PID)Phase 3NCT03277313
Efficacy, Safety, Tolerability, Immunogenicity and Pharmacokinetic Evaluation of HYQVIA in Pediatric PIDD Subjects
A Phase 3 study testing HYQVIA in people with Primary Immunodeficiency Diseases (PID), run by Baxalta now part of Shire at 19 sites in United States.
Trial summary
The purpose of the study is to acquire additional data on efficacy, safety, tolerability, immunogenicity, pharmacokinetic (PK) and other parameters of HYQVIA in pediatric (age ≥ 2 to <16 years) participants with primary immunodeficiency disease (PIDD). Read more about this study
- Who is it for?
- Ages 2 to 15 years
- Conditions the study is for
- Primary Immunodeficiency Diseases (PID)
- What is being tested?
- HYQVIA
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 44 participants
- Where
- 19 sitesUnited States
- Study dates
- 25 Sep 2017to 20 Jul 2022
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 2 to 15 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Participant must have a documented diagnosis of a form of primary immunodeficiency (PI) involving a defect in antibody formation and requiring gammaglobulin replacement, as defined according to the International Union of Immunological Societies (IUIS) Scientific Committee 2015 (Picard et al., 2015) prior to enrollment. The diagnosis must be confirmed by the sponsor´s Medical Director prior to first treatment with IP in the study.
- Participant is at least two and below 16 years of age at the time of screening.
- Participant has been receiving a consistent dose of Immunoglobulin G (IgG), administered in compliance with the respective product information for a period of at least three months prior to screening. The average minimum pre-study dose over that interval was equivalent to 300 mg/kg BW / 4 weeks and a maximum dose equivalent to 1000 mg/kg body weight (BW) / 4 weeks.
- Participant has a serum trough level of IgG > 5 g/L at screening.
- If female of childbearing potential, participant presents with a negative pregnancy test and agrees to employ adequate birth control measures for the duration of the study.
- Participant /legally authorized representative is willing and able to comply with the requirements of the protocol.
Who cannot join
- Participant has a known history of or is positive at screening for one or more of the following: hepatitis B surface antigen (HBsAg), polymerase chain reaction (PCR) for hepatitis C virus (HCV), PCR for human immunodeficiency virus (HIV) Type 1/2.
- Abnormal laboratory values at screening meeting any one of the following criteria (abnormal tests may be repeated once to determine if they are persistent):
- Persistent alanine aminotransferase (ALT) and aspartate aminotransferase (AST) > 2.5 times the upper limit of normal (ULN) for the testing laboratory
- Persistent severe neutropenia (defined as an absolute neutrophil count [ANC] ≤ 500/mm^3)
- Participant has anemia that would preclude phlebotomy for laboratory studies, according to standard practice at the site.
- Participant has an ongoing history of hypersensitivity or persistent reactions (urticaria, breathing difficulty, severe hypotension, or anaphylaxis) following intravenous (IV) immunoglobulin, subcutaneous (SC) immunoglobulin, and/or Immune Serum Globulin (ISG) infusions.
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- Participant has severe Immunoglobulin A (IgA) deficiency (less than 7.0 mg/dL) with known anti-IgA antibodies and a history of hypersensitivity.
- Participant has a known allergy to hyaluronidase.
- Participant has active infection and is receiving antibiotic therapy for the treatment of infection at the time of screening.
- Participant has a bleeding disorder or a platelet count less than 20,000/μL, or who, in the opinion of the investigator, would be at significant risk of increased bleeding or bruising as a result of SC therapy.
- Participant has severe dermatitis that would preclude adequate sites for safe product administration in the opinion of the investigator.
- Participant has participated in another clinical study involving an IP or investigational device within 30 days prior to enrollment or is scheduled to participate in another clinical study involving an IP or investigational device during the course of this study.
- Participant is a family member or employee of the investigator.
- If female, participant is pregnant or lactating at the time of enrollment.
Trial locations and contacts
19 sites in 1 country.
19 sites in 1 country
United States19 sites
Georgia Pollens Clinical Research Centers, Inc.
Albany, Georgia, 31707
Emory Healthcare
Atlanta, Georgia, 30322
University of Alabama Medical Center
Birmingham, Alabama, 35294
Boston Children's Hospital
Boston, Massachusetts, 02115
Women & Children's Hospital of Buffalo
Buffalo, New York, 14203
Marshall University Joan C. Edwards School of Medicine
Charleston, West Virginia, 25701
Carolinas Healthcare System
Charlotte, North Carolina, 28203
Allergy Asthma & Immunology Relief of Charlotte
Charlotte, North Carolina, 28277
Allergy Partners of North Texas Research
Dallas, Texas, 75230
Section on Immunopathogenesis and Clinical Immunology
Fairfax, Virginia, 22030
Northwell Health, Inc. PRIME
Great Neck, New York, 11021
Connecticut Children's Medical Center
Hartford, Connecticut, 06106
University of Miami Pediatric Allergy and Immunology
Miami, Florida, 33136
OK Institute of Allergy & Asthma Clinical Research, LLC
Oklahoma City, Oklahoma, 73131
University of Utah
Salt Lake City, Utah, 84132
Washington University
St Louis, Missouri, 63110
University of South Florida Physician Group
St. Petersburg, Florida, 33701
Stony Brook Children's Hospital
Stony Brook, New York, 11794
Vital Prospects Clinical Research Institute, P.C.
Tulsa, Oklahoma, 74136
About this study
Official title: Efficacy, Safety, Tolerability, Immunogenicity and Pharmacokinetic Evaluation of HYQVIA in Pediatric Subjects With Primary Immunodeficiency Diseases
The purpose of the study is to acquire additional data on efficacy, safety, tolerability, immunogenicity, pharmacokinetic (PK) and other parameters of HYQVIA in pediatric (age ≥ 2 to <16 years) participants with primary immunodeficiency disease (PIDD).
- Conditions
- Primary Immunodeficiency Diseases (PID)
- Being tested
- HYQVIA
- Medical subject headings
- Primary Immunodeficiency Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
HYQVIABiological
Also called IGI 10% with rHuPH20
Immune Globulin Infusion 10% (Human) with Recombinant Human Hyaluronidase (IGI, 10% with rHuPH20)
| Study group | Role | What they receive |
|---|---|---|
| Epoch 1 | Experimental | Pediatric participants with PIDD who were on IV or non-HYQVIA SC treatment with immunoglobulin were enrolled and treated with HYQVIA SC with a dose or interval ramp-up period of up to six weeks. HYQVIA dose was planned to be equivalent to 100% (± 5%) of pre-study treatment. Dose frequency was one treatment interval of one week, then one treatment interval of two weeks for participants who were planned to be treated every three weeks, and one more treatment interval of three weeks for participants who were planned to be treated every four weeks. Receives: Biological: HYQVIA |
| Epoch 2 | Experimental | Epoch 1 was followed by Epoch 2 with HYQVIA treatment infusions given once every 3 or 4 weeks, depending on the participant's previous IV dosing schedule (for IV pretreated participants) and at the discretion of the investigator and participant (for SC-pretreated participants) up to approximately 36 months. Receives: Biological: HYQVIA |
What is being measured
The primary outcome is the main question the study is designed to answer.
Rate Represented as Mean Number of Acute Serious Bacterial Infections (ASBI) Per Participant-year
The rate of ASBI was defined as the mean number of ASBI per participant-year based on the United States (U.S.) Food and drugs Administration (FDA) guidance for industry to support marketing of human immune globulin intravenous (IGIV) as replacement therapy for primary humoral immunodeficiency and the European Medicines Agency (EMA) guideline on the clinical investigation of human normal immunoglobulin for SC and /or intramuscular administration. ASBI included bacteremia/sepsis, bacterial meningitis, osteomyelitis/septic arthritis, bacterial pneumonia, and visceral abscess, diagnosed according to the Diagnostic Criteria for Acute Serious Bacterial Infections.
Measured: From first dose of study drug up to end of Study Epoch 2 (up to approximately 37.2 months)
Secondary outcomes (46)
Rate Represented as Mean Number of All Infections Per Participant-year
The rate of all infections was defined as the mean number of all infections per participant-year. Number of all infections was calculated as number of infections per participant-year.
Measured: From first dose of study drug up to end of Study Epoch 2 (up to approximately 37.2 months)
Epoch 2: Trough Levels of Immunoglobulin G (IgG) Total and IgG Subclasses
Measured: Study Epoch 2, Year 1: Months 0, 6, and 12; Year 2: Months 18, 24 and 36
Epoch 2: Trough Levels of Specific Antibodies to Clinically Relevant Pathogens Categorized as Clostridium Tetani Toxoid and Hepatitis B Virus
Measured: Study Epoch 2, Year 2: Months 6, 24, and 36
Epoch 2: Trough Levels of Specific Antibodies to Clinically Relevant Pathogen Haemophilus Influenzae B
Measured: Study Epoch 2, Year 2: Months 6, 24, and 36
Epoch 2: Area Under the Curve Normalized for Week (AUCweek)
Measured: Study Epoch 2, Month 6: Day 0 pre-infusion, and at Days 2, 4, 10, 21 and 28 post-infusion
Epoch 2: Area Under the Curve Over the Infusion Interval (AUCTau)
Measured: Study Epoch 2, Month 6: Day 0 pre-infusion, and at Days 2, 4, 10, 21 and 28 post-infusion
Epoch 2: Apparent Clearance (CL/F)
Measured: Study Epoch 2, Month 6: Day 0 pre-infusion, and at Days 2, 4, 10, 21 and 28 post-infusion
Epoch 2: Maximum Concentration (Cmax)
Measured: Study Epoch 2, Month 6: Day 0 pre-infusion, and at Days 2, 4, 10, 21 and 28 post-infusion
Epoch 2: Minimum Concentration (Cmin)
Measured: Study Epoch 2, Month 6: Day 0 pre-infusion, and at Days 2, 4, 10, 21 and 28 post-infusion
Epoch 2: Time to Maximum Concentration (Tmax)
Measured: Study Epoch 2, Month 6: Day 0 pre-infusion, and at Days 2, 4, 10, 21 and 28 post-infusion
Epoch 2: Terminal Half-life (T 1/2)
Measured: Study Epoch 2, Month 6: Day 0 pre-infusion, and at Days 2, 4, 10, 21 and 28 post-infusion
Number of Participants With Serious Adverse Events (SAEs) Excluding Infections, Related and Not Related
An SAE is defined as an untoward medical occurrence that at any dose is fatal, life-threatening, requires inpatient hospitalization or results in prolongation of an existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is a medically important event. Number of participants who experienced SAEs, related or not related, was reported.
Measured: From first dose of study drug up to EOS (up to 4 years 9 months)
Rate of SAEs Excluding Infections, Related and Not Related, Per Infusion
Rate of SAEs per infusion was calculated as number of serious adverse events/total number of infusions administered to participants in the analysis set. Rate of SAEs per infusion (excluding infections) was reported.
Measured: From first dose of study drug up to EOS (up to 4 years 9 months)
Number of Participants With All Treatment Emergent Adverse Events (TEAEs) Excluding Infections, Related and Not Related
An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. A TEAE is defined as an adverse event with an onset that occurs after receiving study drug. Number of participants who experienced TEAEs, related or not related, was reported.
Measured: From first dose of study drug up to EOS (up to 4 years 9 months)
Rate of All TEAEs Excluding Infections, Related and Not Related, Per Infusion
Rate of all TEAEs per infusion was calculated as number of any adverse reaction events/total number of infusions administered to participants in the analysis set. Rate of any adverse reactions per infusion (excluding infections) was reported.
Measured: From first dose of study drug up to EOS (up to 4 years 9 months)
Number of Participants With Local TEAEs Excluding Infections, Related and Not Related
An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. A TEAE is defined as an adverse event with an onset that occurs after receiving study drug. Number of participants who experienced local TEAEs, related or not related, was reported.
Measured: From first dose of study drug up to EOS (up to 4 years 9 months)
Rate of Local TEAEs Excluding Infections, Related and Not Related, Per Infusion
Rate of local TEAEs per infusion was calculated as number of local TEAEs/total number of infusions administered to participants in the analysis set. Rate of local TEAEs per infusion (excluding infections) was reported.
Measured: From first dose of study drug up to EOS (up to 4 years 9 months)
Number of Participants With Systemic TEAEs Excluding Infections, Related and Not Related
An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. A TEAE is defined as an adverse event with an onset that occurs after receiving study drug. Number of participants who experienced systemic TEAEs, related or not related, was reported.
Measured: From first dose of study drug up to EOS (up to 4 years 9 months)
Rate of Systemic TEAEs Excluding Infections, Related and Not Related, Per Infusion
Rate of systemic TEAEs per infusion was calculated as number of systemic TEAEs/total number of infusions administered to participants in the analysis set. Rate of systemic TEAEs per infusion (excluding infections) was reported.
Measured: From first dose of study drug up to EOS (up to 4 years 9 months)
Number of Participants With All Temporally Associated TEAEs Excluding Infections
An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. TEAE is defined as an adverse event with an onset that occurs after receiving study drug. Number of participants who experienced all temporally associated TEAEs, related or not related, was reported.
Measured: From beginning of infusion up to 72 hours post infusion
Rate of All Temporally Associated TEAEs Excluding Infections Per Infusion
Rate of all temporally associated TEAEs per infusion was calculated as number of all temporally associated TEAEs/total number of infusions administered to participants in the analysis set. Rate of all temporally associated TEAEs per infusion (excluding infections) was reported.
Measured: From beginning of infusion up to 72 hours post infusion
Number of Participants With All Related (Causally) and/or Temporally Associated TEAEs Excluding Infections
An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. A TEAE is defined as an adverse event with an onset that occurs after receiving study drug. Number of participants with any related (causally) and/or temporally associated TEAEs (excluding infections) was reported. Temporally-associated TEAEs were defined as TEAEs which begin during infusion of IP or within 72 hours following the end of IP infusion.
Measured: From beginning of infusion up to 72 hours post infusion
Rate of Participants With All Related (Causally) and/or Temporally Associated TEAEs Excluding Infections Per Infusion
Rate of any related (causally) and/or temporally associated TEAEs per infusion was calculated as number of related and/or temporally associated adverse events/ total number of infusions administered to participants in the analysis set. TEAEs recorded in the study database as "possibly related" or "probably related" to HYQVIA are considered HYQVIA-related adverse events. Temporally-associated TEAEs were defined as TEAEs which begin during infusion of IP or within 72 hours following the end of IP infusion. Rate of any related (causally) and/or temporally associated TEAEs per infusion (excluding infections) was reported.
Measured: From beginning of infusion up to 72 hours post infusion
Percentage of Participants With Any TEAEs Excluding Infections
An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. A TEAE is defined as an adverse event with an onset that occurs after receiving study drug. Percentages are rounded off to whole number at the nearest decimal.
Measured: From first dose of study drug up to EOS (up to 4 years 9 months)
Number of Participants Who Developed Positive Titer (≥160) of Binding or Neutralizing Antibodies to rHuPH20
Number of participants who developed positive titer (rHuPH20 titer ≥160) of binding antibodies to rHuPH20 was reported. Neutralizing antibodies were only tested if the participant had a titer of ≥160 of binding antibodies. Participants with multiple assessments of titer of ≥160 of binding antibodies are counted only once.
Measured: From first dose of study drug up to EOS (up to 4 years 9 months)
Percentage of Participants Who Developed Positive Titer (≥160) of Binding or Neutralizing Antibodies to rHuPH20
Percentage of participants who developed positive titer (rHuPH20 titer ≥160) of binding antibodies to rHuPH20 was reported. Neutralizing antibodies were only tested if the participant had a titer of ≥160 of binding antibodies. Participants with multiple assessments of titer of ≥160 of binding antibodies are counted only once. Percentages are rounded off to whole number at the nearest decimal.
Measured: From first dose of study drug up to EOS (up to 4 years 9 months)
Epoch 2: Number of Infusions Per Month
Measured: Study Epoch 2: Up to 36 months
Epoch 2: Number of Infusion Sites (Needle Sticks) Per Infusion
Measured: Study Epoch 2: Up to 36 months
Epoch 2: Number of Infusion Sites (Needle Sticks) Per Month
Measured: Study Epoch 2: Up to 36 months
Epoch 2: Duration of Infusion
Duration of infusion is calculated as (stop time of infusion - start time of infusion) (in Epoch 2). Duration of infusion is the time from the start of rHuPH20 infusion until the stop time of immunoglobulin infusion.
Measured: Study Epoch 2: Up to 36 months
Epoch 2: Maximum Infusion Rate Per Site
HYQVIA treatment infusions in Epoch 2 were given at a rate of 10 milliliters per hour per site (mL/h/site) to 160 ml/h/site (body weight [BW] of <40 kg) and 10 mL/h/site to 300 mL/h/site (BW of ≥40 kg).
Measured: Study Epoch 2: Up to 36 months
Epoch 2: Infusion Volume Per Site
Infusion volume per site is calculated as (actual IgG volume (mL) / total number of infusion sites used).
Measured: Study Epoch 2: Up to 36 months
Epoch 2: Infusions Which Were Discontinued, Slowed, or Interrupted Due to an AE
Measured: Study Epoch 2: Up to 36 months
Epoch 2: Percentage of Infusions Which Were Discontinued, Slowed, or Interrupted Due to an AE
Percentages are rounded off to whole number at the nearest decimal.
Measured: Study Epoch 2: Up to 36 months
Epoch 1: Number of Weeks to Reach Final Dose Interval
Measured: Epoch 1 (up to 6 weeks)
Epoch 2: Percentage of Participants Who Achieved a Treatment Interval of Three or Four Weeks in Epoch 2
Percentages are rounded off to whole number at the nearest decimal. Percentages may sum up to more than 100% as assigned treatment interval could be changed during the study.
Measured: Study Epoch 2: Up to 36 months
Epoch 2: Percentage of Participants Who Maintained a Treatment Interval of Three or Four Weeks in Epoch 2 for 12 Months
Percentages are rounded off to whole number at the nearest decimal.
Measured: Study Epoch 2: Up to 12 months
Health-related Quality of Life (HRQoL): Change From Baseline in Pediatric Quality of Life Inventory (Peds-QL) Score
Peds-QL=generic questionnaire developed and validated to measure HRQoL among pediatric population. It included assessment of 4 dimensions: physical functioning (8 items), emotional functioning (8 items), social functioning (8 items), and school functioning (Age groups: Toddler (2-4years),Young child (5-7years),Child (8-12years), and Teens (13-<16years). Depending on the participants age, questionnaire may be completed by participant or parent/caregiver as appropriate. Items were scored on a 5-point Likert scale: 0=never a problem; 1=almost never a problem; 2=sometimes a problem; 3=often a problem; and 4=almost always a problem). All Scores were transformed on a total scale from 0-100 where, 0=100, 1=75, 2=50, 3=25, and 4=0. Higher scores indicating better health status. End of Epoch 2 summarizes all participant's data for their last epoch 2 visit (so not including the participant that discontinued in epoch 1).
Measured: Epoch 1: Baseline (First Infusion); Study Epoch 2: Up to Month 36
HRQoL: Change From Baseline in EuroQol Five Dimensions Questionnaire (EQ-5D) Score
The EQ-5D is a validated, self-administered assessment of overall health consisting of 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). Participants were asked to describe their health state that day by choosing 1 of 3 responses that reflect the levels of severity for each of the five dimensions: no problems, some or moderate problems, or extreme problems. The domain scores are calculated with higher scores indicating worsening health status. The EQ-5D also includes a standard vertical 20-cm visual analogue scale (similar to a thermometer) for recording a participant's rating of their current HRQoL state, which ranged from 0 to 100, where 0 indicated worst imaginable health state and 100 was best imaginable health state. End of Epoch 2 summarizes all participant's data for their last epoch 2 visit (so not including the participant that discontinued in epoch 1).
Measured: Epoch 1: Baseline (First Infusion); Study Epoch 2: Up to Month 36
Treatment Preference and Satisfaction: Change From Baseline in Assessment of Life Quality Index (LQI) Score
The LQI is a validated questionnaire assessing participant perceptions of their HRQoL and their treatment specifically among participants who use IgG therapy. This questionnaire covers 4 domains: treatment interferences, therapy-related problems, therapy setting, and treatment costs. The LQI domains are scored from 0 to 100, with higher scores associated with better IgG treatment satisfaction. End of Epoch 2 summarizes all participant's data for their last epoch 2 visit (so not including the participant that discontinued in epoch 1).
Measured: Epoch 1: Baseline (First Infusion); Study Epoch 2: Up to Month 36
Treatment Preference and Satisfaction: Change From Baseline in Assessment of Treatment Satisfaction and Medication Questionnaire (TSQM-9) Score
The TSQM-9 is a 9-item, validated, self-administered instrument to assess participant satisfaction with medication, which assesses 3 domains: effectiveness, convenience, and global satisfaction. The TSQM-9 domain scores range from 0 to 100 with higher scores representing higher satisfaction. End of Epoch 2 summarizes all participant's data for their last epoch 2 visit (so not including the participant that discontinued in epoch 1).
Measured: Epoch 1: Baseline (First Infusion); Study Epoch 2: Up to Month 36
Treatment Preference and Satisfaction: Number of Participants Who Completed Treatment Preference Questionnaire
The treatment preference questionnaire, internally developed by the study sponsor, is a self-administered, non-validated scale assessing participant preference for various attributes of immunoglobulin G (IgG) therapy.End of Epoch 2 summarizes all participant's data for their last epoch 2 visit (so not including the participant that discontinued in epoch 1).
Measured: Study Epoch 2: Up to Month 36
Health Resource Utilization: Days Not Able to go to School or Work, or to Perform Normal Daily Activities
Days not able to go to school or work, or to perform normal daily activities due to infection or other illnesses were calculated as days not able to go to school or work, or to perform normal daily activities due to infection or other illnesses per participant-year. Per participant-years = number or days reported / total number of years of study duration, i.e., the sum of study duration for all participants in the analysis set, divided by 365.25.
Measured: From first dose of study drug up to EOS (up to 4 years 9 months)
Health Resource Utilization: Days on Antibiotics
Days on antibiotics were calculated as days on antibiotics per participant-year. Per participant-years = number or days reported / total number of years of study duration, i.e., the sum of study duration for all participants in the analysis set, divided by 365.25.
Measured: From first dose of study drug up to EOS (up to 4 years 9 months)
Health Resource Utilization: Number of Hospitalizations
Number of hospitalizations, indication for the hospitalization (infection or non-infection) were calculated as number of hospitalizations, indication for the hospitalization (infection or non-infection) per participant-year. Per participant-years = number or days reported / total number of years of study duration, i.e., the sum of study duration for all participants in the analysis set, divided by 365.25.
Measured: From first dose of study drug up to EOS (up to 4 years 9 months)
Health Resource Utilization: Number of Days Hospitalized Per Participant-Year
Number of days hospitalized were calculated as number of days hospitalized per participant-year. Per participant-years = number or days reported / total number of years of study duration, i.e., the sum of study duration for all participants in the analysis set, divided by 365.25.
Measured: From first dose of study drug up to EOS (up to 4 years 9 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Sep 2017
- Study start25 Sep 2017
- Primary completion20 Jul 2022
- Study completion20 Jul 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Primary Immunodeficiency Diseases (PID)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 44 participants (actual)
Sponsor and investigators
- Lead sponsor
- Baxalta now part of Shire
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Baxalta Innovations GmbH, now part of Shire
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, Shire
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03277313
- Sponsor's protocol ID
- 161503
- Status last verified
- Sep 2023
- First submitted
- 7 Sep 2017
- Last updated
- 23 Oct 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
Publications
Li Z, Teng Y, Russo-Schwarzbaum S, McCoy B. Pharmacokinetics of hyaluronidase-facilitated subcutaneous immunoglobulin 10% in pediatric patients with primary immunodeficiency disease. Immunother Adv. 2026 Apr 3;6(1):ltag003. doi: 10.1093/immadv/ltag003. eCollection 2026.
PubMed 41937917
Study at a glance
From the registry record, last updated by the sponsor on 23 Oct 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy, Safety, Tolerability, Immunogenicity and Pharmacokinetic Evaluation of HYQVIA in Pediatric Subjects With Primary Immunodeficiency Diseases
- ClinicalTrials.gov ID
- NCT03277313
- Acronym / sponsor ID
- 161503
- Conditions
- Primary Immunodeficiency Diseases (PID)
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 44 participants (actual)
- Lead sponsor
- Baxalta now part of ShireIndustry (pharma, biotech, devices)
- Collaborators
- Baxalta Innovations GmbH, now part of Shire
- Study start
- 25 Sep 2017 (actual)
- Primary completion
- 20 Jul 2022 (actual)
- Study completion
- 20 Jul 2022 (actual)
- First posted
- 11 Sep 2017 (actual)
- Results
- Posted 23 Oct 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to acquire additional data on efficacy, safety, tolerability, immunogenicity, pharmacokinetic (PK) and other parameters of HYQVIA in pediatric (age ≥ 2 to <16 years) participants with primary immunodeficiency disease (PIDD).
Study design
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Epoch 1 | Experimental | Biological: HYQVIAPediatric participants with PIDD who were on IV or non-HYQVIA SC treatment with immunoglobulin were enrolled and treated with HYQVIA SC with a dose or interval ramp-up period of up to six weeks. HYQVIA dose was planned to be equivalent to 100% (± 5%) of pre-study treatment. Dose frequency was one treatment interval of one week, then one treatment interval of two weeks for participants who were planned to be treated every three weeks, and one more treatment interval of three weeks for participants who were planned to be treated every four weeks. |
| Epoch 2 | Experimental | Biological: HYQVIAEpoch 1 was followed by Epoch 2 with HYQVIA treatment infusions given once every 3 or 4 weeks, depending on the participant's previous IV dosing schedule (for IV pretreated participants) and at the discretion of the investigator and participant (for SC-pretreated participants) up to approximately 36 months. |
Who may qualify
- Ages
- 2 to 15 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (6 listed)
- Participant must have a documented diagnosis of a form of primary immunodeficiency (PI) involving a defect in antibody formation and requiring gammaglobulin replacement, as defined according to the International Union of Immunological Societies (IUIS) Scientific Committee 2015 (Picard et al., 2015) prior to enrollment. The diagnosis must be confirmed by the sponsor´s Medical Director prior to first treatment with IP in the study.
- Participant is at least two and below 16 years of age at the time of screening.
- Participant has been receiving a consistent dose of Immunoglobulin G (IgG), administered in compliance with the respective product information for a period of at least three months prior to screening. The average minimum pre-study dose over that interval was equivalent to 300 mg/kg BW / 4 weeks and a maximum dose equivalent to 1000 mg/kg body weight (BW) / 4 weeks.
- Participant has a serum trough level of IgG > 5 g/L at screening.
- If female of childbearing potential, participant presents with a negative pregnancy test and agrees to employ adequate birth control measures for the duration of the study.
Key exclusion criteria (14 listed)
- Participant has a known history of or is positive at screening for one or more of the following: hepatitis B surface antigen (HBsAg), polymerase chain reaction (PCR) for hepatitis C virus (HCV), PCR for human immunodeficiency virus (HIV) Type 1/2.
- Abnormal laboratory values at screening meeting any one of the following criteria (abnormal tests may be repeated once to determine if they are persistent):
- Participant has anemia that would preclude phlebotomy for laboratory studies, according to standard practice at the site.
- Participant has an ongoing history of hypersensitivity or persistent reactions (urticaria, breathing difficulty, severe hypotension, or anaphylaxis) following intravenous (IV) immunoglobulin, subcutaneous (SC) immunoglobulin, and/or Immune Serum Globulin (ISG) infusions.
- Participant has severe Immunoglobulin A (IgA) deficiency (less than 7.0 mg/dL) with known anti-IgA antibodies and a history of hypersensitivity.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| HYQVIAAlso: IGI 10% with rHuPH20Immune Globulin Infusion 10% (Human) with Recombinant Human Hyaluronidase (IGI, 10% with rHuPH20) | Biological | Epoch 1, Epoch 2 |
Primary outcome
Rate Represented as Mean Number of Acute Serious Bacterial Infections (ASBI) Per Participant-year
Time frame: From first dose of study drug up to end of Study Epoch 2 (up to approximately 37.2 months)
The rate of ASBI was defined as the mean number of ASBI per participant-year based on the United States (U.S.) Food and drugs Administration (FDA) guidance for industry to support marketing of human immune globulin intravenous (IGIV) as replacement therapy for primary humoral immunodeficiency and the European Medicines Agency (EMA) guideline on the clinical investigation of human normal immunoglobulin for SC and /or intramuscular administration. ASBI included bacteremia/sepsis, bacterial meningitis, osteomyelitis/septic arthritis, bacterial pneumonia, and visceral abscess, diagnosed according to the Diagnostic Criteria for Acute Serious Bacterial Infections.
46 secondary outcomes
Rate Represented as Mean Number of All Infections Per Participant-year
Time frame: From first dose of study drug up to end of Study Epoch 2 (up to approximately 37.2 months)
Epoch 2: Trough Levels of Immunoglobulin G (IgG) Total and IgG Subclasses
Time frame: Study Epoch 2, Year 1: Months 0, 6, and 12; Year 2: Months 18, 24 and 36
Epoch 2: Trough Levels of Specific Antibodies to Clinically Relevant Pathogens Categorized as Clostridium Tetani Toxoid and Hepatitis B Virus
Time frame: Study Epoch 2, Year 2: Months 6, 24, and 36
Epoch 2: Trough Levels of Specific Antibodies to Clinically Relevant Pathogen Haemophilus Influenzae B
Time frame: Study Epoch 2, Year 2: Months 6, 24, and 36
Epoch 2: Area Under the Curve Normalized for Week (AUCweek)
Time frame: Study Epoch 2, Month 6: Day 0 pre-infusion, and at Days 2, 4, 10, 21 and 28 post-infusion
Epoch 2: Area Under the Curve Over the Infusion Interval (AUCTau)
Time frame: Study Epoch 2, Month 6: Day 0 pre-infusion, and at Days 2, 4, 10, 21 and 28 post-infusion
Epoch 2: Apparent Clearance (CL/F)
Time frame: Study Epoch 2, Month 6: Day 0 pre-infusion, and at Days 2, 4, 10, 21 and 28 post-infusion
Epoch 2: Maximum Concentration (Cmax)
Time frame: Study Epoch 2, Month 6: Day 0 pre-infusion, and at Days 2, 4, 10, 21 and 28 post-infusion
Epoch 2: Minimum Concentration (Cmin)
Time frame: Study Epoch 2, Month 6: Day 0 pre-infusion, and at Days 2, 4, 10, 21 and 28 post-infusion
Epoch 2: Time to Maximum Concentration (Tmax)
Time frame: Study Epoch 2, Month 6: Day 0 pre-infusion, and at Days 2, 4, 10, 21 and 28 post-infusion
Epoch 2: Terminal Half-life (T 1/2)
Time frame: Study Epoch 2, Month 6: Day 0 pre-infusion, and at Days 2, 4, 10, 21 and 28 post-infusion
Number of Participants With Serious Adverse Events (SAEs) Excluding Infections, Related and Not Related
Time frame: From first dose of study drug up to EOS (up to 4 years 9 months)
Rate of SAEs Excluding Infections, Related and Not Related, Per Infusion
Time frame: From first dose of study drug up to EOS (up to 4 years 9 months)
Number of Participants With All Treatment Emergent Adverse Events (TEAEs) Excluding Infections, Related and Not Related
Time frame: From first dose of study drug up to EOS (up to 4 years 9 months)
Rate of All TEAEs Excluding Infections, Related and Not Related, Per Infusion
Time frame: From first dose of study drug up to EOS (up to 4 years 9 months)
Number of Participants With Local TEAEs Excluding Infections, Related and Not Related
Time frame: From first dose of study drug up to EOS (up to 4 years 9 months)
Rate of Local TEAEs Excluding Infections, Related and Not Related, Per Infusion
Time frame: From first dose of study drug up to EOS (up to 4 years 9 months)
Number of Participants With Systemic TEAEs Excluding Infections, Related and Not Related
Time frame: From first dose of study drug up to EOS (up to 4 years 9 months)
Rate of Systemic TEAEs Excluding Infections, Related and Not Related, Per Infusion
Time frame: From first dose of study drug up to EOS (up to 4 years 9 months)
Number of Participants With All Temporally Associated TEAEs Excluding Infections
Time frame: From beginning of infusion up to 72 hours post infusion
Rate of All Temporally Associated TEAEs Excluding Infections Per Infusion
Time frame: From beginning of infusion up to 72 hours post infusion
Number of Participants With All Related (Causally) and/or Temporally Associated TEAEs Excluding Infections
Time frame: From beginning of infusion up to 72 hours post infusion
Rate of Participants With All Related (Causally) and/or Temporally Associated TEAEs Excluding Infections Per Infusion
Time frame: From beginning of infusion up to 72 hours post infusion
Percentage of Participants With Any TEAEs Excluding Infections
Time frame: From first dose of study drug up to EOS (up to 4 years 9 months)
Number of Participants Who Developed Positive Titer (≥160) of Binding or Neutralizing Antibodies to rHuPH20
Time frame: From first dose of study drug up to EOS (up to 4 years 9 months)
Percentage of Participants Who Developed Positive Titer (≥160) of Binding or Neutralizing Antibodies to rHuPH20
Time frame: From first dose of study drug up to EOS (up to 4 years 9 months)
Epoch 2: Number of Infusions Per Month
Time frame: Study Epoch 2: Up to 36 months
Epoch 2: Number of Infusion Sites (Needle Sticks) Per Infusion
Time frame: Study Epoch 2: Up to 36 months
Epoch 2: Number of Infusion Sites (Needle Sticks) Per Month
Time frame: Study Epoch 2: Up to 36 months
Epoch 2: Duration of Infusion
Time frame: Study Epoch 2: Up to 36 months
Epoch 2: Maximum Infusion Rate Per Site
Time frame: Study Epoch 2: Up to 36 months
Epoch 2: Infusion Volume Per Site
Time frame: Study Epoch 2: Up to 36 months
Epoch 2: Infusions Which Were Discontinued, Slowed, or Interrupted Due to an AE
Time frame: Study Epoch 2: Up to 36 months
Epoch 2: Percentage of Infusions Which Were Discontinued, Slowed, or Interrupted Due to an AE
Time frame: Study Epoch 2: Up to 36 months
Epoch 1: Number of Weeks to Reach Final Dose Interval
Time frame: Epoch 1 (up to 6 weeks)
Epoch 2: Percentage of Participants Who Achieved a Treatment Interval of Three or Four Weeks in Epoch 2
Time frame: Study Epoch 2: Up to 36 months
Epoch 2: Percentage of Participants Who Maintained a Treatment Interval of Three or Four Weeks in Epoch 2 for 12 Months
Time frame: Study Epoch 2: Up to 12 months
Health-related Quality of Life (HRQoL): Change From Baseline in Pediatric Quality of Life Inventory (Peds-QL) Score
Time frame: Epoch 1: Baseline (First Infusion); Study Epoch 2: Up to Month 36
HRQoL: Change From Baseline in EuroQol Five Dimensions Questionnaire (EQ-5D) Score
Time frame: Epoch 1: Baseline (First Infusion); Study Epoch 2: Up to Month 36
Treatment Preference and Satisfaction: Change From Baseline in Assessment of Life Quality Index (LQI) Score
Time frame: Epoch 1: Baseline (First Infusion); Study Epoch 2: Up to Month 36
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Oct 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41937917Li Z, Teng Y, Russo-Schwarzbaum S, McCoy B. Pharmacokinetics of hyaluronidase-facilitated subcutaneous immunoglobulin 10% in pediatric patients with primary immunodeficiency disease. Immunother Adv. 2026 Apr 3;6(1):ltag003. doi: 10.1093/immadv/ltag003. eCollection 2026.
- To obtain more information on the study, click here/on this linkLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Study Director study director
Shire
19 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing HYQVIA in people with Primary Immunodeficiency Diseases (PID), run by Baxalta now part of Shire at 19 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 23 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 19 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 23 Oct 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Rate Represented as Mean Number of Acute Serious Bacterial Infections (ASBI) Per Participant-year (time frame: From first dose of study drug up to end of Study Epoch 2 (up to approximately 37.2 months)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03277313, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Oct 2023.