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HypogammaglobulinemiaPhase 3EXCELLNCT05645107

A Study to Evaluate Efficacy, Safety, and PK of XEMBIFY®+Standard Medical Treatment (SMT) Compared to Placebo+SMT to Prevent Infections in Participants With HGG and Recurrent or Severe Infections Associated With B-cell Chronic Lymphocytic Leukemia, Multiple Myeloma, and Non-Hodgkin Lymphoma

A Phase 3 study testing Xembify in people with Hypogammaglobulinemia and Bacterial Infections, run by Grifols Therapeutics LLC at 62 sites in 8 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The primary purpose of the study is to evaluate whether biweekly administered XEMBIFY® plus Standard Medical Treatment (SMT) over a one-year period will reduce the rate of major bacterial infections per participant per year in B-cell CLL, MM, and NHL participants with hypogammaglobulinemia (HGG) in comparison to the… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Xembify
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
386 participants
Where
62 sitesin 8 countries
Study dates
26 Dec 2022to Aug 2029
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants ≥18 years of age at screening visit
  • Participants with documented and confirmed diagnosis of any of the below diseases:
  • B-cell CLL according to International Workshop on CLL (iwCLL) criteria and RAI staging of intermediate (1 and 2) or high (3 and 4)
  • MM according to the International Myeloma Working Group criteria (IMWG), R-ISS stage II or, III; or
  • Histologically confirmed diagnosis of B-Cell NHL, Stage III or above (IV, Progressive/refractory, or recurrent/relapsed stage) according to the Lugano Classification.
  • Participants with HGG with IgG levels less than 5 g/L. (Note: For MM subjects, the IgG level is adjusted by subtracting the M-protein [Mspike] to reflect the true polyclonal IgG concentration.)
  • Participants with documented history of at least one severe bacterial infection (bacterial or viral) or recurrent bacterial/viral infections (that is., ≥ 3 infections) within 12 months before the screening visit. Severe bacterial/viral infections ≥ Grade 3 (as defined by Common Terminology Criteria for Adverse Events [CTCAE] Grades).

Who cannot join

  • Participants with documented history of hematopoietic stem cell transplant (allogenic transplant in the previous 24 months, and autologous transplant in the previous 3 months) before Screening visit.
  • Participants currently receiving immunoglobulin replacement therapy (IgRT) or have received IgG replacement treatment (i.e., prior immune globulin replacement therapy) within 6 months before the screening visit.
  • Participants with active infections at time of screening visit. Specific supportive anti-infective prophylactic defined in the CLL National Comprehensive Cancer Network (NCCN) or iwCLL guidelines and/or local/international guidelines for the CLL, and defined in local/international guidelines for MM and NHL are allowed, or recommended in the updated labelling of specific active target disease medicines used during the participation in the trial is also allowed.
  • Participants with active second malignancies.
  • Participants with known primary immunodeficiency (PI).
  • Participants with a life expectancy less than 1.5 years.
Show all 18Show fewer
  • Participants with clinical evidence of any significant acute or chronic disease that, in the opinion of the investigator, may interfere with successful completion of the trial or place the subject at undue medical risk.
  • Participants have had a known serious adverse reaction (AR) to immunoglobulin or any anaphylactic reaction to blood or any blood-derived product.
  • Participants have a history of blistering skin disease, bleeding disorder, diffuse rash, recurrent skin infections, or other disorders where SC therapy would be contraindicated during the study based upon the Investigator's discretion.
  • Participants have known Selective Immunoglobulin A (IgA) Deficiency (with or without antibodies to IgA) (Note: exclusion is for the specific diagnostic entity. It does not exclude other forms of humoral primary immunodeficiency which have decreased IgA in addition to decreased IgG requiring IgG replacement).
  • Participants with severe known kidney disease [as defined by estimated glomerular filtration rate [eGFR] less than (\<) 30 milliliter (mL)/min/1.73 square meter (m2)] as determined by the Principal Investigator.
  • Participants that have liver enzyme levels (alanine aminotransferase [ALT], aspartate aminotransferase [AST], gammaglutamyl transferase [GGT], or lactate dehydrogenase [LDH]) greater than 3 times the upper limit of normal (ULN) at the Screening Visit as defined by the testing laboratory.
  • Participants have a history (either 1 episode within the year prior to the Screening Visit or 2 previous episodes over a lifetime) of or current diagnosis of thromboembolism (example, myocardial infarction, cerebrovascular accident, or transient ischemic attack) or deep venous thrombosis.
  • Participants currently have a known hyperviscosity syndrome or hypercoagulable states.
  • Participants have a known previous infection or clinical signs and symptoms consistent with current hepatitis B virus or hepatitis C virus infection.
  • Participants with non-controlled arterial hypertension (systolic blood pressure [SBP] greater than 140 millimeters of mercury (mmHg) and/or diastolic blood pressure [DBP] greater than 90 mmHg), and/or a heart rate (HR) greater than100 bpm.
  • Participants with known substance or prescription drug abuse within 12 months before the Screening Visit.
  • Participants have participated in another clinical trial within 30 days prior to screening (observational studies without investigative treatments [non-interventional] are permitted).

Trial locations and contacts

62 sites in 8 countries. Contact the study team or a site near you to ask about taking part.

Marina Acosta Enslen contact

marina.acostaenslen@grifols.com

62 sites in 8 countries

Bulgaria14 sites, 14 recruiting
  • GC2202 Study Site 202

    Burgas, 8000

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 203

    Plovdiv, 4000

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 210

    Plovdiv, 4003

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 205

    Rousse, 7000

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 209

    Sofia, 1142

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 201

    Sofia, 1431

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 206

    Sofia, 1606

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 207

    Sofia, 1612

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 211

    Sofia, 1618

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 212

    Sofia, 1750

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 213

    Sofia, 1756

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 204

    Sofia, 1797

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 208

    Sofia, 1797

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 214

    Stara Zagora, 6000

    karen.pellath@grifols.com

    Recruiting

Other trials in Bulgaria

Romania10 sites, 10 recruiting
  • GC2202 Study Site 503

    Brasov, RO, 500052

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 511

    Bucharest, Bucharest, 022328

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 501

    Bucharest, Bucharest, 20125

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 504

    Bucharest, RO, 30171

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 509

    Bucharest, 022322

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 508

    Bucharest, 050098

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 506

    Cluj-Napoca, RO, 400015

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 507

    Constanța, 905900

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 510

    Iași, 700483

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 502

    Timișoara, RO, 300041

    karen.pellath@grifols.com

    Recruiting

Other trials in Romania

United States9 sites, 8 recruiting
  • GC2202 Study Site 111

    Bethesda, Maryland, 20889

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 118

    Bullhead City, Arizona, 86642

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 105

    Canton, Ohio, 44718

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 109

    Greenville, North Carolina, 27843

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 115

    Huntington Park, California, 90255

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Decentralized Study Site 114

    Morrisville, North Carolina, 27560

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 110

    Rockville, South Carolina, 29732

    Withdrawn
  • GC2202 Study Site 103

    St. Petersburg, Florida, 33701

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 117

    Wilson, North Carolina, 27893

    karen.pellath@grifols.com

    Recruiting

Other trials in United States

Poland9 sites, 9 recruiting
  • GC2202 Study Site 408

    Bydgoszcz, 85-168

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 401

    Krakow, Lesser Poland Voivodeship, 31-501

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 410

    Krakow, 31-826

    karen.pellath@grifols.com

    Not yet recruiting
  • GC2202 Study Site 403

    Legnica, Lower Silesian Voivodeship, 59-220

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 409

    Olsztyn, 10-228

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 405

    Słupsk, Pomeranian Voivodeship, 76-200

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 402

    Torun, Kuyavian-Pomeranian Voivodeship, 87-100

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 407

    Torun, 87-100

    karen.pellath@grifols.com

    Not yet recruiting
  • GC2202 Study Site 406

    Wałbrzych, Lower Silesian Voivodeship, 58 309

    karen.pellath@grifols.com

    Recruiting

Other trials in Poland

Hungary8 sites, 7 recruiting
  • GC2202 Study Site 301

    Budapest, 1097

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 308

    Budapest, 1122

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 306

    Debrecen, 4032

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 304

    Eger, 3300

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 302

    Győr, 9024

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 307

    Szeged, 6725

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 305

    Székesfehérvár, Fejér, 8000

    Withdrawn
  • GC2202 Study Site 303

    Szekszárd, 7110

    karen.pellath@grifols.com

    Recruiting

Other trials in Hungary

Serbia7 sites, 6 recruiting
  • GC2202 Study Site 602

    Belgrade, 11000

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 604

    Belgrade, 11000

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 605

    Belgrade, 11080

    Withdrawn
  • GC2202 Study Site 607

    Belgrade, 11080

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 603

    Kamenitz, 21204

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 601

    Kragujevac, 34000

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 606

    Niš, 18000

    karen.pellath@grifols.com

    Recruiting

Other trials in Serbia

Bosnia and Herzegovina3 sites, 3 recruiting
  • GC2202 Study Site 702

    Banja Luka, 780000

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 703

    Mostar, 88000

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 701

    Sarajevo, 71000

    karen.pellath@grifols.com

    Not yet recruiting

Other trials in Bosnia and Herzegovina

Croatia2 sites, 2 recruiting
  • GC2202 Study Site 801

    Rijeka, 51000

    karen.pellath@grifols.com

    Recruiting
  • GC2202 Study Site 802

    Zagreb, 10000

    karen.pellath@grifols.com

    Recruiting

Other trials in Croatia

About this study

Official title: A Randomized, Multi-Center, Parallel, Double-Blinded, Placebo-Controlled Clinical Trial to Evaluate Efficacy, Safety, and Pharmacokinetics of XEMBIFY® Plus Standard Medical Treatment Compared to Placebo Plus Standard Medical Treatment to Prevent Infections in Patients With Hypogammaglobulinemia and Recurrent or Severe Infections Associated With B-cell Chronic Lymphocytic Leukemia, Multiple Myeloma, and Non-Hodgkin Lymphoma

The primary purpose of the study is to evaluate whether biweekly administered XEMBIFY® plus Standard Medical Treatment (SMT) over a one-year period will reduce the rate of major bacterial infections per participant per year in B-cell CLL, MM, and NHL participants with hypogammaglobulinemia (HGG) in comparison to the Placebo plus SMT group.

Being tested
Xembify, Placebo
Keywords
XEMBIFY, CLL, SMT, Hypogammaglobulinemia (HGG), MM, NHL
Medical subject headings
Agammaglobulinemia, Bacterial Infections, Leukemia, Lymphocytic, Chronic, B-Cell, Lymphoma, Non-Hodgkin

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • XembifyDrug

    Also called Immune Globulin Subcutaneous (Human), 20% (IGSC 20%)

    SC infusion pump

  • PlaceboDrug

    Also called 0.9% Normal Saline

    SC infusion pump

Study groups in NCT05645107
Study groupRoleWhat they receive
XEMBIFY + Standard Medical Treatment (SMT)ExperimentalParticipants will receive a loading dose of 150 milligrams per kilograms per day (mg/kg/day) (Week 1, Days 1 to 5) subcutaneously (SC) for 5 consecutive daily doses followed by biweekly infusions of 300 mg/kg/2-week starting Week 3 (Day 15) through Week 51 (end of Treatment Phase). The SMT will include the active treatments and the other supportive treatments that the participants will need during their participation.
Receives: Drug: Xembify
Placebo + SMTPlacebo comparatorParticipants will receive sterile 0.9 percent Sodium Chloride Injection (commercially available in the corresponding country) starting at Week 1 (Days 1 to 5) SC for 5 consecutive daily doses followed by biweekly infusions starting at Week 3 (Day 15) through Week 51. The SMT will include the active treatments and the other supportive treatments that the participants will need during their participation.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Annual Rate of Major Bacterial Infections per Year

    Measured: Up to Week 51

Secondary outcomes (13)
  1. Time to First Onset of Major Bacterial Infection

    Measured: Up to Week 51

  2. Percentage of Participants who Experience Major Bacterial Infections

    Measured: Up to Week 51

  3. Rate of all Bacterial Infections Determined by the Investigator

    Measured: Up to Week 51

  4. Percentage of Participants who Experience Bacterial Infections

    Measured: Up to Week 51

  5. Time to First Onset of Non-Major Bacterial Infections

    Measured: Up to Week 51

  6. Number of Days on Which Participants Were on Antibiotics

    Measured: Up to Week 51

  7. Number of Hospitalizations due to any Infections

    Measured: Up to Week 51

  8. Duration of Hospitalizations due to any Infections

    Measured: Up to Week 51

  9. Number of Hospitalizations due to Major Bacterial Infections

    Measured: Up to Week 51

  10. Duration of Hospitalizations due to Major Bacterial Infections

    Measured: Up to Week 51

  11. Rate of all Infections as Determined by the Investigator

    Measured: Up to Week 51

  12. Number of Participants with Validated Infections

    Measured: Up to Week 51

  13. Time to First Onset of any Infection

    Measured: Up to Week 51

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Dec 2022
  2. Study start26 Dec 2022
  3. Primary completionAug 2029 (estimated)
  4. Study completionAug 2029 (estimated)

Resources

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
386 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05645107
Sponsor's protocol ID
GC2202
Other IDs
XEMBIFY® - CLL, MM, and NHL, 2022-502193-16-00
Acronym
EXCELL
Status last verified
Sep 2026
First submitted
1 Dec 2022
Last updated
30 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Xembify in people with Hypogammaglobulinemia and Bacterial Infections, run by Grifols Therapeutics LLC at 62 sites in 8 countries.

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 7 inclusion and 18 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: looking for participants now, as of the sponsor's last update on 30 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 62 sites in Bulgaria, Romania, United States, Poland, Hungary and 3 more countries. 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. Some participants in this study may receive a placebo. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Karen Pellath (+1 9194337967, karen.pellath@grifols.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Annual Rate of Major Bacterial Infections per Year (time frame: Up to Week 51). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 30 Sep 2026.

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