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Phase 2 N=129 Randomized Quadruple-blind Treatment

Safety and Pharmacokinetics Study of Anthrax Immune Globulin Intravenous (AIGIV)

Anthrax

Enrolled (actual)
129
Serious AEs
2.4%
Results posted
Jun 2018
Primary outcome: Primary: Number of Participants Reporting Adverse Events (AEs) — 28; 5; 29; 11 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
AIGIV 3.5 mg/kg (Biological); Gamunex 90 mg/kg (Biological); AIGIV 7.0 mg/kg (Biological); Gamunex 180 mg/kg (Biological); AIGIV 14.0 mg/kg (Biological); Gamunex 360 mg/kg (Biological)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Emergent BioSolutions
Primary completion
Oct 2010

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants Reporting Adverse Events (AEs)
28; 5; 29; 11; 29; 15
SECONDARY
Maximum Plasma Titer/Concentration of TNA (Toxin Neutralizing Antibody) (Cmax)
1.07; 2.21; 4.31
SECONDARY
Time of Cmax
4.49; 7.81; 7.35
SECONDARY
Area Under the Curve to the Last Time With a Measurable TNA Titer (AUC[0-t])
323.03; 636.31; 1277.30
SECONDARY
Area Under the Curve to Infinity (AUC[0-inf])
329.01; 698.26; 1401.08
SECONDARY
Elimination Rate Constant
0.0014; 0.0013; 0.0012
SECONDARY
Elimination Half-life (t½)
489.36; 526.36; 569.98
SECONDARY
Mean Residence Time (MRT)
679.67; 694.68; 724.82

Summary

The purpose of this study is to: * evaluate the safety profile of a single intravenous administration of AIGIV (containing either 3.5 mg/kg, 7.0 mg/kg or 14.0 mg/kg anti-PA IgG) as compared with either 90 mg/kg, 180 mg/kg or 360 mg/kg total IgG, GAMUNEX® (immune globulin intravenous (human) 10% caprylate/chromatography purified). GAMUNEX is a trademark of Talecris Biotherapeutics. * evaluate the pharmacokinetic (PK) profile of a single intravenous administration of AIGIV (containing either 3.5 mg/kg, 7.0 mg/kg or 14.0 mg/kg anti-PA IgG) as measured by lethal toxin neutralizing antibody (TNA).

Eligibility Criteria

Inclusion Criteria

  • Between 18 and 65 years of age, inclusive.
  • Have a minimal weight of 110 lbs and a body mass index (BMI) between 17 and 35.
  • In good health.
  • For pre-menopausal female subjects, using acceptable methods of birth control.
  • Willing and capable of complying with all aspects of the protocol through completion of the program period.
  • No blood donation in the preceding 8 weeks; willing to not donate whole blood or plasma during the clinical trial; and willing to not donate whole blood or plasma for up to one year following the last infusion.
  • Has read and signed an informed consent form.
  • Adequate venous access and can receive intravenous infusion.

Exclusion Criteria

  • Previously intolerant of immune globulin or blood product preparations or known immunodeficiency.
  • Previous treatment with immune globulin products or blood products within three months of study.
  • Previous receipt of anthrax vaccine, known exposure to anthrax organisms, or previously enlisted in the military.
  • Receipt of any live vaccine within three months or inactivated vaccine within 2 weeks prior to study; plans to receive any vaccine at any time during the study.
  • Participation in any investigational clinical trial within one month prior to study.
  • Positive serology for human immunodeficiency virus (HIV), hepatitis B virus, or hepatitis C virus.
  • Receipt of chemotherapy, radiation therapy, immunosuppressive therapy, or high-dose corticosteroid therapy within five years of study.
  • Use of prohibited medications as defined in the protocol.
  • History of drug or alcohol abuse within 1 year of study.
  • History of IgA deficiency.
  • Pregnancy.
  • Positive Coombs test at screening.
  • Males with a hemoglobin value less than 13.2 gm/dL and females less than 10.9 gm/dL.
  • Absolute eosinophil counts greater than 600 cells/mm3 or Absolute lymphocyte counts less than 1000 cells/mm3.
  • Aspartate aminotransferase (AST) >55 U/L or alanine aminotransferase (ALT) >60 U/L.
  • Hyperglycemia with random blood glucose >141 mg/dL, fasting blood glucose >112 mg/dL, or urine glucose >50 mg/dL; or hypoglycemia with a blood glucose 25 mg/dL or creatinine, for males >1.4 mg/dL and, for females >1.2 mg/dL.
  • Creatinine clearance 15 mg/dL for males and non-menstruating females, or >30 mg/dL for menstruating females.
  • Febrile illness within three days prior to infusion.
  • History of significant medical or psychiatric condition or abnormal laboratory tests indicating possible underlying medical condition.
  • An opinion of the investigator that a condition exists that would preclude compliance with protocol-specified procedures.
  • Absolute neutrophil count is less than 3000 cells/mm3 as defined by the central lab (screening) or local lab (pre-infusion) for cohort B. Absolute neutrophil count is less than 2500 cells/mm3 as defined by the central lab (screening) or local lab (pre-infusion) for cohort C.
  • White blood cell counts are less than 3500 cells/mm3 as defined by the central lab (screening) or local lab (pre-infusion) for cohorts B and C.
  • History of a severe or anaphylactic reaction to quinolone or penicillin antibiotics.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00845650). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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