Safety and Pharmacokinetics Study of Anthrax Immune Globulin Intravenous (AIGIV)
Status: | Completed |
---|---|
Conditions: | Infectious Disease |
Therapuetic Areas: | Immunology / Infectious Diseases |
Healthy: | No |
Age Range: | 18 - 65 |
Updated: | 7/14/2018 |
Start Date: | February 2009 |
End Date: | October 2010 |
A Randomized, Double-Blind, Dose-Escalation Study Evaluating Pharmacokinetics and Safety of Anthrax Immune Globulin Intravenous (AIGIV)
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).
- 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).
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 <65 mg/dL.
- BUN >25 mg/dL or creatinine, for males >1.4 mg/dL and, for females >1.2 mg/dL.
- Creatinine clearance <80 mL/min.
- Urine protein >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.
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