Clinical trial • Phase III • Immunology

HUMAN NORMAL IMMUNOGLOBULIN; HYALURONIDASE (HUMAN RECOMBINANT) for Primary immunodeficiency diseases

Phase III trial of HUMAN NORMAL IMMUNOGLOBULIN; HYALURONIDASE (HUMAN RECOMBINANT) for Primary immunodeficiency diseases. 20 participants.

Overview

Trial Therapeutic Area
Immunology
Trial Disease
Primary immunodeficiency diseases
Trial Stage
Phase III
Drug Modality
Peptide/protein/enzyme
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
06-11-2023
First CTIS Authorization Date
11-03-2024

Trial design

Phase III trial in Germany, Netherlands, Denmark and others.

Target Sample Size
20

Eligibility

Recruits 20 paediatric patients.

Pregnancy Exclusion
Subject is pregnant or lactating at the time of screening or intends to become pregnant or begin lactating during the study.
Vulnerable Population
Minors are included. The protocol requires that the subject or, in the case of minors, legally designated representative(s) provide informed consent/assent prior to any study procedures; assent and parental/legally designated representative consent procedures are described and age-specific assent/parental ICF documents are provided (multiple assent/parental ICF templates for different minor age groups are included among the study documents).

Inclusion criteria

  • {"criterion_text":"- Has completed Study TAK-881-3001.\n- Subject or, in the case of minors, legally designated representative(s) is/are willing and able to comply with the requirements of the protocol.\n- The subject or, in the case of minors, legally designated representative(s) has/have provided informed consent/assent (if applicable), including providing consent for use of the investigational medicinal device (in US sites only), prior to the initiation of any study procedures."}

Exclusion criteria

  • {"criterion_text":"- Subject has a serious medical condition such that the subject’s safety or medical care would be impacted by participation in this long-term follow-up study.\n- New medical condition that developed during participation in Study TAK-881-3001 that, in the judgment of the investigator, could increase risk to the subject or interfere with the evaluation of TAK-881 and/or conduct of the study.\n- Subject was enrolled in another clinical study involving an IP or investigational device within 30 days prior to screening (with the exception of Study TAK-881-3001).\n- Subject is scheduled to participate in another clinical study involving an IP or investigational device during the course of this study.\n- Subject is a family member or employee of the investigator or the investigator’s site staff.\n- Subjects with potential to become pregnant who meet any one of the following criteria: a. Subject has a positive pregnancy test. b. Subject does not agree to employ a highly effective form of contraception for the duration of the study.\n- Subject is pregnant or lactating at the time of screening or intends to become pregnant or begin lactating during the study."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Occurrence of TEAEs.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Occurrence of infusion withdrawals, interruptions, and infusion rate reductions due to TAK-881-related TEAEs.","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- Efficacy • Annualized rate of all infections. • Annualized rate of ASBIs. • Annualized rate of episodes of fever. • Time to first ASBI. • Duration of infections.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Immunogenicity • Occurrence of positive binding (defined as titer ≥1:160) and neutralizing antibodies to rHuPH20.","definition_or_measurement_approach":"Occurrence of positive binding is defined as titer ≥1:160; neutralizing antibodies also assessed (as specified)."}
  • {"endpoint_text":"- Pharmacokinetics • Trough level of total IgG.","definition_or_measurement_approach":"Measurement of trough total IgG levels."}
  • {"endpoint_text":"- Treatment regimen • Dose of TAK-881. • Treatment interval of TAK-881.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Infusion parameters: • Number of infusions per month. • Number of infusion sites (needle sticks) per month. • Number of infusion sites (needle sticks) per infusion. • Duration of infusions (minutes). • Monthly infusion time (minutes/month). • Maximum tolerated infusion rate per site (mL/hour/site). • Infusion volume per site (mL/site). • Physical location of infusion (site/infusion center or home). • Subject, caregiver, or healthcare professional (HCP) administration of IP.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Subject satisfaction • Subject satisfaction evaluated by subject-reported scores on the Treatment Satisfaction Questionnaire for Medication (TSQM) - 9 items (TSQM-9).","definition_or_measurement_approach":"Assessed by TSQM-9 patient-reported instrument."}
  • {"endpoint_text":"- Health-related quality of life • Subject HRQoL evaluated via EQ-5D-5L.","definition_or_measurement_approach":"Assessed using the EQ-5D-5L questionnaire."}
  • {"endpoint_text":"- Treatment preferences • Treatment preferences measured by a disease-specific questionnaire.","definition_or_measurement_approach":"Disease-specific questionnaire as specified in protocol."}
  • {"endpoint_text":"- Healthcare resource utilization • Days not able to go to school, work, daycare or to perform normal daily activities due to infections and/or their treatment or other illnesses. • Days on antibiotics. • Number of hospitalizations, indication for the hospitalization (infection or other illnesses) and days hospitalized. • Number of acute physician visits due to infection or other illnesses.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Infusion preparation • HCP-measured time of infusion preparation per guidelines in the Pharmacy Manual/Site Infusion Manual. • Subject/caregiver measured time of infusion preparation per guidelines in the Subject Infusion Manual.","definition_or_measurement_approach":"Time measured by HCP and by subject/caregiver following specified manuals."}

Recruitment

Planned Sample Size
20
Recruitment Window Months
46
Consent Approach
Informed consent must be provided by the subject or, for minors, by legally designated representative(s) prior to any study procedures; assent is required for minors where applicable. Consent includes, for US sites only, consent for use of the investigational medical device. Age-specific assent and parental/legal representative ICFs are provided (multiple templates for different minor age ranges and language versions are included).

Methods

  • Recruitment materials and arrangements provided (documents listed: ConneX Travel Contact Card/Reference Guide, ClinCard materials, Study Passport, Welcome-Visit Guide, Study Journey Poster, ClinCard Fee Schedule).
  • K1/K2 recruitment and ICF process documents (patient recruitment procedure and ICF process) are provided for site-level recruitment.
  • Recruitment focused on participants who have completed Study TAK-881-3001 (inclusion criterion).
  • Site-based recruitment through participating hospitals/clinics (documents reference site Welcome-Visit Guide and Study Passport).

Geography

Total Number Of Sites
19
Total Number Of Participants
17

Germany

Earliest CTIS Part Ii Submission Date
12-02-2024
Latest Decision Or Authorization Date
12-03-2024
Processing Time Days
29
Number Of Sites
2
Number Of Participants
1

Sites

Site Name
Technische Universitat Dresden
Department Name
Klinik und Poliklinik für Kinder- und Jugendmedizin am Uniklinikum
Principal Investigator Name
Catharina Schuetz
Principal Investigator Email
catharina.schuetz@uniklinikum-dresden.de
Contact Person Name
Catharina Schuetz
Site Name
Universitaetsklinikum Tuebingen AöR
Department Name
Klinik für Kinder- und Jugendmedizin
Principal Investigator Name
Ursula Holzer
Principal Investigator Email
ursula.holzer@med.uni-tuebingen.de
Contact Person Name
Ursula Holzer

Netherlands

Earliest CTIS Part Ii Submission Date
05-03-2024
Latest Decision Or Authorization Date
15-03-2024
Processing Time Days
10
Number Of Sites
2
Number Of Participants
2

Sites

Site Name
Stichting Radboud University Medical Center
Department Name
Department of Internal Medicine
Principal Investigator Name
Frank van der Veerdonk
Principal Investigator Email
researchunit.aig@radboudumc.nl
Contact Person Name
Frank van der Veerdonk
Contact Person Email
researchunit.aig@radboudumc.nl
Site Name
Universitair Medisch Centrum Utrecht
Department Name
Rheumatology & Clinical Immunology,
Principal Investigator Name
Helen Leavis
Principal Investigator Email
h.leavis@umcutrecht.nl
Contact Person Name
Helen Leavis
Contact Person Email
h.leavis@umcutrecht.nl

Denmark

Earliest CTIS Part Ii Submission Date
23-02-2024
Latest Decision Or Authorization Date
12-03-2024
Processing Time Days
18
Number Of Sites
1
Number Of Participants
2

Sites

Site Name
Aarhus Universitetshospital
Department Name
Department of Infectious Diseases
Principal Investigator Name
Carsten Larsen
Principal Investigator Email
carsten.schade.larsen@vest.rm.dk
Contact Person Name
Carsten Larsen

Greece

Earliest CTIS Part Ii Submission Date
21-11-2023
Latest Decision Or Authorization Date
14-03-2024
Processing Time Days
114
Number Of Sites
1
Number Of Participants
1

Sites

Site Name
General Hospital Of Thessaloniki Papageorgiou
Department Name
4th Pediatric Clinic
Principal Investigator Name
Despoina Tramma
Principal Investigator Email
dtramma@auth.gr
Contact Person Name
Despoina Tramma
Contact Person Email
dtramma@auth.gr

Poland

Earliest CTIS Part Ii Submission Date
07-03-2024
Latest Decision Or Authorization Date
15-03-2024
Processing Time Days
8
Number Of Sites
4
Number Of Participants
4

Sites

Site Name
Instytut Pomnik Centrum Zdrowia Dziecka
Department Name
Klinika Immunologii
Principal Investigator Name
Małgorzata Pac
Principal Investigator Email
m.pac@ipczd.pl
Contact Person Name
Małgorzata Pac
Contact Person Email
m.pac@ipczd.pl
Site Name
Uniwersyteckie Centrum Kliniczne
Department Name
Klinika Pediatrii, Hematologii i Onkologii Oddzial Szybkiej Diagnostyki z Oddzialem Dziennym
Principal Investigator Name
Magdalena Malanowska
Principal Investigator Email
magdalena.malanowska@gumed.edu.pl
Contact Person Name
Magdalena Malanowska
Site Name
Wojskowy Instytut Medyczny Panstwowy Instytut Badawczy
Department Name
Centralny Szpital Kliniczny MON, Klinika Chorob Wew., Pneumonologii, Alergol. i Immunolo. Klinicznej
Principal Investigator Name
Ewa Więsik-Szewczyk
Principal Investigator Email
ewiesik-szewczyk@wim.mil.pl
Contact Person Name
Ewa Więsik-Szewczyk
Contact Person Email
ewiesik-szewczyk@wim.mil.pl
Site Name
Wojewodzkie Wielospecjalistyczne Centrum Onkologii I Traumatologii Im M.Kopernika W Lodzi
Department Name
Osr. Ped. im. dr. Korczaka w Lodzi Odd. Alergo. i Inter. Dzie. – Odd. Klinicz. Inter. Dzie. i Alergo
Principal Investigator Name
Agnieszka Brzozowska
Principal Investigator Email
alergol@kopernik.lodz.pl
Contact Person Name
Agnieszka Brzozowska
Contact Person Email
alergol@kopernik.lodz.pl

Slovakia

Earliest CTIS Part Ii Submission Date
14-02-2024
Latest Decision Or Authorization Date
11-03-2024
Processing Time Days
26
Number Of Sites
3
Number Of Participants
2

Sites

Site Name
Narodny Ustav Detskych Chorob
Department Name
Detska klinika LFUK a NUDCH
Principal Investigator Name
Peter Ciznar
Principal Investigator Email
Peter.Ciznar@nudch.eu
Contact Person Name
Peter Ciznar
Contact Person Email
Peter.Ciznar@nudch.eu
Site Name
OKIA s.r.o.
Department Name
Ambulancia klinickej imunologie a alergologie
Principal Investigator Name
Stefan Raffac
Principal Investigator Email
stevoraffac@gmail.com
Contact Person Name
Stefan Raffac
Contact Person Email
stevoraffac@gmail.com
Site Name
Univerzitna Nemocnica Martin
Department Name
Oddelenie klinickej imunologie a alergologie
Principal Investigator Name
Milos Jesenak
Principal Investigator Email
jesenak@gmail.com
Contact Person Name
Milos Jesenak
Contact Person Email
jesenak@gmail.com

Spain

Earliest CTIS Part Ii Submission Date
07-03-2024
Latest Decision Or Authorization Date
11-03-2024
Processing Time Days
4
Number Of Sites
4
Number Of Participants
2

Sites

Site Name
Hospital Clinic De Barcelona
Department Name
Infectious diseases service
Principal Investigator Name
Celia Guadalupe Cardozo Espinola
Principal Investigator Email
CGCARDOZ@clinic.cat
Contact Person Name
Celia Guadalupe Cardozo Espinola
Contact Person Email
CGCARDOZ@clinic.cat
Site Name
Hospital Universitario Ramon Y Cajal
Department Name
Hematology Service
Principal Investigator Name
Ana Andrés Martin
Principal Investigator Email
aandresm@salud.madrid.org
Contact Person Name
Ana Andrés Martin
Contact Person Email
aandresm@salud.madrid.org
Site Name
Sant Joan De Deu Barcelona Hospital
Department Name
Pediatric Allergy and Clinical Immunology Department
Principal Investigator Name
Laia Alsina Manrique de Lara
Principal Investigator Email
laia.alsina@sjd.es
Contact Person Name
Laia Alsina Manrique de Lara
Contact Person Email
laia.alsina@sjd.es
Site Name
Hospital Universitario La Paz
Department Name
Clinical Immunology Service
Principal Investigator Name
Eduardo Lopez Granados
Principal Investigator Email
elgranados@salud.madrid.org
Contact Person Name
Eduardo Lopez Granados
Contact Person Email
elgranados@salud.madrid.org

Czechia

Earliest CTIS Part Ii Submission Date
16-02-2024
Latest Decision Or Authorization Date
13-03-2024
Processing Time Days
26
Number Of Sites
2
Number Of Participants
3

Sites

Site Name
Fakultni Nemocnice Motol A Homolka
Department Name
Ústav imunologie
Principal Investigator Name
Anna Šedivá
Principal Investigator Email
Anna.sediva@fnmotol.cz
Contact Person Name
Anna Šedivá
Contact Person Email
Anna.sediva@fnmotol.cz
Site Name
Fakultni Nemocnice Brno
Department Name
Pediatricka klinika
Principal Investigator Name
Helena Schneiderova
Principal Investigator Email
schneiderova.helena@fnbrno.cz
Contact Person Name
Helena Schneiderova
Contact Person Email
schneiderova.helena@fnbrno.cz

Sponsor

Primary sponsor

Full Name
Takeda Development Center Americas Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Icon Clinical Research Limited
Responsibilities
Multiple sponsor duties including study management and operational tasks (codes listed in sponsor duties; includes 'Medicinal product management (site level); Home treatment; Patient reimbursement; Ancilliary Supplies').
Name
PRA Hellas CRO A.E.
Responsibilities
Study start up, contract negotiation and monitoring activities in Greece.

Third parties

  • {"country":"United States","full_name":"Eurofins Pharma Bioanalytics Services US Inc.","duties_or_roles":"[{\"code\":\"4\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"[{\"code\":\"1\"},{\"code\":\"11\"},{\"code\":\"12\"},{\"code\":\"13\"},{\"code\":\"14\"},{\"code\":\"15\",\"value\":\"Medicinal product management (site level); Home treatment; Patient reimbursement; Ancilliary Supplies\"},{\"code\":\"2\"},{\"code\":\"5\"},{\"code\":\"6\"},{\"code\":\"7\"},{\"code\":\"8\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"Belgium","full_name":"Clinigen Clinical Supplies Management","duties_or_roles":"[{\"code\":\"15\",\"value\":\"IP management (study)\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Bioagilytix Labs LLC","duties_or_roles":"[{\"code\":\"4\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"Clinigen Clinical Supplies Management GmbH","duties_or_roles":"[{\"code\":\"15\",\"value\":\"IP management (study)\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Q Squared Solutions Limited","duties_or_roles":"[{\"code\":\"4\"}]","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Greece","full_name":"PRA Hellas CRO A.E.","duties_or_roles":"[{\"code\":\"15\",\"value\":\"Study start up, contract negotiation and monitoring activities in Greece.\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Q Squared Solutions LLC","duties_or_roles":"[{\"code\":\"4\"}]","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Signant Health Global LLC","duties_or_roles":"[{\"code\":\"15\",\"value\":\"Electronic Clinical Outcome Assessments\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Suvoda LLC","duties_or_roles":"[{\"code\":\"3\"}]","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Marken LLP","duties_or_roles":"[{\"code\":\"15\",\"value\":\"Direct to Patient (DTP) and Direct from Patient (DFP) IP shipment\"}]","organisation_type":"Pharmaceutical company"}

Co-sponsors

  • Baxalta Innovations GmbH

Investigational products

Investigational Product Name
TAK-881
Active Substance
HUMAN NORMAL IMMUNOGLOBULIN; HYALURONIDASE (HUMAN RECOMBINANT)
Modality
Peptide/protein/enzyme
Routes Of Administration
SUBCUTANEOUS
Route
SUBCUTANEOUS
Authorisation Status
Authorised
Maximum Dose
120 g (max daily dose amount as listed)

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