BP-SCIG 20% treatment for primary immunodeficiency
Open-label, Multicentre, Tolerability, Safety and Pharmacokinetics Study of the Medicinal Product BP-SCIG 20% (Human Normal Immunoglobulin for Subcutaneous Administration) Manufactured by BIOPHARMA PLASMA LLC, Followed by an Efficacy Assessment of Long-term Use in Patients With Primary Immunodeficiency (PID)
This will test BP-SCIG 20%, a 20% subcutaneous immunoglobulin given weekly (with an optional loading dose), in children and adults with primary immunodeficiency who need IgG replacement.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Enrollment | 56 (estimated) |
| Ages | 0 Years and up |
| Sex | All |
| Sponsor | Biopharma Plasma LLC Industry-sponsored |
| Locations | 12 sites (Cherkasy and 11 other locations) |
| Trial ID | NCT07346859 on ClinicalTrials.gov |
What this trial studies
The trial enrolls children (≥9.1 kg) and adults with primary immunodeficiency and impaired antibody production who require immunoglobulin replacement and have prior IVIG or SCIG treatment. After a screening period of up to two months, participants may receive a loading dose of BP-SCIG 20% spread over several days, followed by weekly maintenance doses targeting a cumulative monthly dose of 0.4–0.8 g/kg for 52 weeks. The first four administrations are performed in a hospital setting, treatment is organized into 13 cycles, and there is a one-week follow-up after the final cycle. Safety, tolerability, and maintenance of IgG levels will be monitored throughout the treatment period.
Who should consider this trial
Good fit: Children (≥9.1 kg) and adults with documented primary immunodeficiency and impaired antibody production who have been receiving regular IVIG or SCIG replacement are ideal candidates.
Not a fit: Patients who do not require IgG replacement, have contraindications to immunoglobulin therapy, or cannot complete the required hospital visits for initial administrations are unlikely to benefit.
Why it matters
Potential benefit: If successful, BP-SCIG 20% could provide an effective weekly subcutaneous IgG option to help prevent infections and maintain protective IgG levels in people with primary immunodeficiency.
How similar studies have performed: Subcutaneous immunoglobulin therapies are an established approach with many prior studies showing maintenance of IgG levels and reduced infections, though product-specific data for BP-SCIG 20% are limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * a signed informed written consent of the patient/patient's parents or legally authorised representative to take part in the study; * children from 0 to 18 years of age, of both sexes; or adult patients: males and females older than 18 years; * a diagnosis of primary immunodeficiency with impaired antibody production document-supported according to the ESID criteria, requiring replacement therapy with immunoglobulins; * patients with a body weight of no less than 9.1 kg; * patients who received replacement therapy with intravenous immunoglobulin (IVIG) products at intervals from 21 to 28 days at the dose of 0.4-0.8 g/kg, for at least 4 months prior to the start of the study and have total serum IgG levels ≥5 g/L\*, which is confirmed by the results of no less than 2 measurements performed immediately before the scheduled IVIG administration after signing the ICF, or patients who received replacement therapy with subcutaneous immunoglobulin (SCIG) products at the dose of 0.4-0.8 g/kg per month, for at least 4 months prior to the start of the study, and have total serum IgG levels ≥5 g/L\*, based on the results of no less than 2 measurements performed immediately before the scheduled SCIG administration after signing the ICF; or patients with a newly established diagnosis of PID who have not yet received replacement therapy with IgG products (treatment-naïve patients) and have a serum IgG level ≤ 4 g/L; * absence of episodes of serious bacterial infections (bacteraemia or sepsis, bacterial meningitis, osteomyelitis/septic arthritis, bacterial pneumonia, visceral abscess) while taking the previous medicinal product and absence of episodes of hospitalisation for at least 3 months prior to inclusion in the study and during the screening period (prior to the first administration of the IMP BP-SCIG 20%); * a negative pregnancy test (in female patients with childbearing potential); readiness to use reliable methods of contraception throughout the study period; * patient's ability, in the Investigator's judgement, to comply with all the requirements of the study protocol. Exclusion Criteria: * at the request of the patient/patient's parents/patient's legally authorised representative at any time and for any reason; * patient developing serious and/or unexpected AEs/ARs during the study, which require discontinuation of the product; * blood transfusions or transfusions of blood components and products, with the exception of the IMP; * the need to use medicinal products disallowed as part of this study; * systematic lack of patient compliance with the treatment regimen prescribed by the Investigator; * systematic lack of patient compliance with the procedures specified in this protocol; * exclusion based on screening results, including emergence of episodes of serious bacterial infections while receiving a previous IV immunoglobulin product and episodes of hospitalisation during the screening period (before the first administration of the IMP BP-SCIG 20%). * Receiving the IMP BP-SCIG 20% for less than 4 months; * Presence of episodes of serious bacterial infections (bacteraemia or sepsis, bacterial meningitis, osteomyelitis/septic arthritis, bacterial pneumonia, visceral abscess) at the time of investigation of PK parameters.
Where this trial is running
Cherkasy and 11 other locations
- Municipal Non-Profit Enterprise "Cherkasy Regional Children's Hospital" of the Cherkasy Regional Council — Cherkasy, Ukraine (Not_yet_recruiting)
- Regional Municipal Non-Profit Enterprise "Chernivtsi Regional Teaching Hospital" — Chernivtsi, Ukraine (Recruiting)
- Municipal Non-Profit Enterprise "Ivano-Frankivsk Regional Teaching Hospital" of the Ivano-Frankivsk Regional Council — Ivano-Frankivsk, Ukraine (Recruiting)
- Municipal Non-Profit Enterprise "Ivano-Frankivsk Regional Children's Teaching Hospital" of the Ivano-Frankivsk Regional Council — Ivano-Frankivsk, Ukraine (Not_yet_recruiting)
- Municipal Non-Profit Enterprise "Kyiv City Children's Teaching Hospital No. 1" — Kyiv, Ukraine (Not_yet_recruiting)
- LLC "Allergy and Cough Clinic" — Lutsk, Ukraine (Recruiting)
- Municipal Enterprise "Volyn Regional Territorial Medical Association for the Protection of Motherhood and Childhood" of the Volyn Regional Council — Lutsk, Ukraine (Not_yet_recruiting)
- Municipal Non-Profit Enterprise of the Lviv Regional Council "Lviv Regional Teaching Diagnostic Centre" — Lviv, Ukraine (Recruiting)
- Municipal Non-Profit Enterprise of the Lviv Regional Council "Clinical Centre of Children's Medicine", structural unit "West Ukrainian Specialised Centre" — Lviv, Ukraine (Not_yet_recruiting)
- Municipal Non-Profit Enterprise "Central Municipal Hospital" of Rivne City Council — Rivne, Ukraine (Recruiting)
- Municipal Non-Profit Enterprise "Vinnytsia Regional Teaching Hospital named after M.I. Pyrohov" of the Vinnytsia Regional Council — Vinnytsia, Ukraine (Not_yet_recruiting)
- Municipal Non-Profit Enterprise "Vinnytsia Regional Children's Teaching Hospital" of the Vinnytsia Regional Council — Vinnytsia, Ukraine (Not_yet_recruiting)
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.