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Phase 2 N=30 Randomized Quadruple-blind Treatment

Safety and Pharmacokinetics of Alpha-1 Proteinase Inhibitor in Subjects With Alpha1-Antitrypsin Deficiency

Emphysema · Alpha 1-antitrypsin Deficiency (AATD)

Enrolled (actual)
30
Serious AEs
0.0%
Results posted
May 2013
Primary outcome: Primary: Subjects With Treatment-Emergent Adverse Events (TEAEs) — 23; 18 participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Prolastin-C, 60 mg/kg (Biological); Prolastin-C, 120 mg/kg (Biological)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Grifols Therapeutics LLC
Primary completion
Jan 2012

Outcome Measures

OutcomeResultp-value
PRIMARY
Subjects With Treatment-Emergent Adverse Events (TEAEs)
23; 18
PRIMARY
Subjects With Drug-Related TEAE(s)
3; 1
PRIMARY
Subjects With Treatment-Emergent Serious Adverse Events (SAEs)
0; 0
PRIMARY
Subjects Withdrawn Due to an AE(s)
0; 0
PRIMARY
Subjects With Treatment-Emergent Pulmonary Exacerbation(s)
7; 5
PRIMARY
Subjects With Severe TEAE(s) or Pulmonary Exacerbation(s)
0; 0
PRIMARY
Number of TEAEs
69; 43
PRIMARY
Number of Drug-related TEAEs
5; 1
PRIMARY
Number of Treatment-Emergent Pulmonary Exacerbations
9; 6
SECONDARY
AUC0-7days
203.6; 344.8 <0.0001 sig
SECONDARY
Mean Trough
17.3; 27.7

Summary

This is a study to assess the safety and pharmacokinetics of weekly infusions of 120 mg/kg of Prolastin-C (alpha1-proteinase inhibitor [alpha1-PI] [Human]), compared to weekly infusions of 60 mg/kg of Prolastin-C in patients with alpha 1-antitrypsin deficiency (AATD).

Eligibility Criteria

Inclusion Criteria

  • Be between 18 and 70 years of age
  • Have a documented diagnosis of congenital AATD
  • Have a post-bronchodilator Forced Expired Volume in 1 second (FEV1) of ≥30% and <80% and FEV1/forced vital capacity (FVC) <70%
  • If receiving alpha-1 PI augmentation therapy, be willing to discontinue the treatment for the duration of the study

Exclusion Criteria

  • Had a moderate or severe pulmonary exacerbation during the 4 weeks before the study
  • History of lung or liver transplant
  • Any lung surgery during the past 2 years
  • Confirmed liver cirrhosis
  • Elevated liver enzymes
  • Severe concurrent disease
  • Females who are pregnant or breast-feeding or unwilling to practice effective contraception during the study
  • Infection with hepatitis A, B, or C, human immunodeficiency or parvovirus B19
  • Smoking during the past 6 months
  • Use of systemic steroids within 4 weeks of the study
  • Use of antibiotics for an exacerbation within 4 weeks of the study
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01213043). 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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