The purpose of this study is to determine whether IGIV3I Grifols 10% is effective in the treatment of immune thrombocytopenic purpura.
To determine if IGIV3I Grifols 10% is a consistently effective treatment in patients diagnosed with immune thrombocytopenic purpura with respect to: 1. Increase of platelet count ≥ 50x10\^9/L (primary objective). 2. Time taken for the platelet count to reach ≥ 50x10\^9/L. 3. The length of time the platelet count remains ≥ 50x10\^9/L. 4. The maximum platelet level. 5. Regression of bleeding episodes during the first 10 or 14 days. To determine if IGIV3I Grifols 10% is safe with respect to: Nature, severity and frequency of adverse reactions during and after infusions by percentage of subjects and percentage of infusions.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
18
Immune Globulin Intravenous (Human)
Federal Research Clinical Centre of Pediatric Hematology, Oncology and Immunology Roszdrava
Moscow, Russia
Haematology Research Centre of Russian Academy of Medical Science
Moscow, Russia
Hospital General Vall d´Hebron
Barcelona, Spain
. Hospital de León
León, Spain
Responder Patients
The primary efficacy endpoint was the proportion of patients who reached a platelet count ≥ 50x10\^9/L.
Time frame: At any time during the study period (The platelet count was measured at Days 1-6, 10, 14. 21, 30, 60, 90).
Maximum Platelet Level Reached During the Follow-up Period
Platelet count was measured at various time points in the follow-up period after infusion.
Time frame: During the follow-up period (time points: Days 6, 10, 14, 21, 30, 60, 90 post-first infusion day [Day 1])
Time to Reach Platelet Count ≥ 50x10^9/L (≤ Days)
The time taken for the platelet count to reach ≥ 50x10\^9/L from first dose
Time frame: At any time during the study period (time points: Days 1-6, 10, 14, 21, 30, 60, 90 post-first infusion day [Day 1])
Length of Time Platelet Count Remains ≥ 50x10^9/L (≥ Days)
Length of time platelet count remained ≥ 50x10\^9/L from first dose (Day 1)
Time frame: At any time during the study period (up to 3 months [90 days])
Regression of Hemorrhages.
Percentage of subjects with regression of hemorrhages of Types 1 to 3: * Type 0: Patients without symptoms of bleeding at the first infusion continue without presenting spontaneous bleeding * Type 1: Patients with bleeding symptoms at the first infusion had a reduction of the size of large ecchymoses, and no spontaneous appearance of new ecchymoses * Type 2: Patients with bleeding symptoms at the first infusion had a decrease in the number of cutaneous petechiae, or the extent of the affected area of the body decreased * Type 3: Patients had active mucosal bleedings at the first infusion, these episodes stopped without re-bleeding, and there was no occurrence of new spontaneous mucosal hemorrhages (e.g., gingival bleeding, epistaxis)
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Hospital General Universitario La Paz
Madrid, Spain
Hospital Universitario La Fe
Valencia, Spain
Hillingdon Hospital
Middlesex, United Kingdom
Time frame: First 10 to14 days since the first infusion day (Day 1)
Frequency of Adverse Reactions During and After Infusions by Percentage of Patients
All adverse events (AEs) are tabulated and summarized. The incidence, severity, and causal relationship of the AEs to IGIV3I Grifols are presented by system organ class after medical coding according to the version 15.0 of Medical Dictionary for Regulatory Activities (MedDRA). The frequency of patients with at least one AE and adverse drug reactions are estimated.
Time frame: At any time during the study period (from patient's signature of the informed consent form until 3 months of follow-up)
Frequency of Adverse Reactions During and After Infusions by Percentage of Infusions
All adverse events (AEs) are tabulated and summarized. The incidence, severity, and causal relationship of the AEs to IGIV3I Grifols are presented by system organ class after medical coding according to the version 15.0 of Medical Dictionary for Regulatory Activities (MedDRA). The frequency of infusions associated with at least one AE and adverse drug reactions are estimated.
Time frame: At any time during the study period (from patient's signature of the informed consent form until 3 months of follow-up)
Changes in Vital Signs and Clinically Relevant Changes in Laboratory Parameters After the Infusions, Including Renal Function (Creatinine Levels)
Laboratory parameters at each treatment day and visit are summarized by patient. Results were marked as normal/abnormal (whether the result is below, within or above the respective reference range) and relevant/irrelevant (as determined by the investigator). The number of abnormal values considered clinically relevant changes (based on the investigator's judgment) was listed.
Time frame: At any time during the study period (from patient's signature of the informed consent form until 3 months of follow-up)
Viral Safety Through the Investigation of Patients Virology Status (Hepatitis A Virus [HA
The results of HIV-1 and -2 antibodies, HCV antibody, HBsAg, HBV antibodies, HAV antibodies, HIV nucleic acid amplification test \[NAT\], and HCV NAT on Day 1, Day 14, and at Month 1, Month 2 and Month 3 were recorded for several of these markers (as appropriate). A comparison of negative viral markers on Day 1 and Month 3 was performed
Time frame: At any time during the study period (from patient's signature of the informed consent form until 3 months of follow-up)