AzTrials
AzTrials

Primary ImmunodeficiencyPhase 1/2ASISinPINCT02123615

ASIS for GAMMAGARD in Primary Immunodeficiency

A Phase 1/2 study testing Gadolinium For abdomen, Gadolinium For lower back and Efficacy of Gammagard subcutaneously at Week 12 in people with Primary Immunodeficiency, run by ASIS Corporation at 1 site in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

ASIS Corporation (ASIS) has developed the only automatic injection system for delivery of injectable products to it's optimum/right spot, just outside of the fascia, which exists subdermally (between the skin and muscle). Read more about this study

Who is it for?
Ages 21 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Primary Immunodeficiency
What is being tested?
Gadolinium For abdomen, Gadolinium For lower back and Efficacy of Gammagard subcutaneously at Week 12
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteUnited States
Study dates
Jan 2016to Jun 2016
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Main Criteria for Inclusion: Eligible Ages: 12 Years to 65
  • Genders Eligible for Study: Both
  • Accepts Healthy Volunteers: Yes
  • Must be outpatient, male or female, of any race, between 18 and 65 years of age.
  • Must be able to understand the requirements of the study including maintaining a diary, and sign informed consent.
  • Must be in good general health as determined by investigator.
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  • If female of childbearing potential, must have negative pregnancy test result at screening visit and practice reliable method of contraception
  • Inclusion Criteria for Primary Immunodeficiency in particular:
  • Patients 12 years or older. This includes, but is not limited to, common variable immunodeficiency (CVID), X-linked agammaglobulinemia, congenital agammaglobulinemia, Wiskott-Aldrich syndrome, and severe combined immunodeficiencies1,2.

Who cannot join

  • Exclusion Criteria for Primary Immunodeficiency in particular:
  • Females who are pregnant, nursing, or planning a pregnancy during the study period or who are not using a reliable means of contraception.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Automatic Subdermal Injector System, Inc

    Westminster, California, 92683

    Li Nguyen, MD, 714-453-7857, dr.li.nguyen@asis-inc.com

    Thanh Phung, MD, (714)-893-1915, thanhphung@idit-inc.com

Other trials in United States

About this study

ASIS Corporation (ASIS) has developed the only automatic injection system for delivery of injectable products to it's optimum/right spot, just outside of the fascia, which exists subdermally (between the skin and muscle). Bloodless basically implies longer lasting medicinal effects, and minimal side effects - advantages that reflect the NIH mission of enhancing health, lengthening life, and reducing the burdens of illness and disability. ASIS device is stabilized on the surface of the skin with negative pressure and emits an electrical current to create a bloodless cavity subdermally. ASIS device correctly, automatically, and consistently delivers therapeutic agents, yet requiring little skill of a practitioner - providing the steady and safe infusion into subdermal bloodless space of virtually any injectable product in addition to Botox, including GAMMAGARD LIQUID, Enbrel, Insulin, and Fillers, etc. According to the FDA, "This innovation will have major impact on the healthcare industry."

Read the detailed description

Aim 1 would require 6 months, to demonstrate ASIS device's consistent performance on 60 subjects with Primary Immunodeficiency (PI), and the particular skin affected by this disease.

30 subjects will receive Gadolinium subcutaneously, and 30 subjects will receive Gadolinium subdermally with ASIS device. An MRI will be taken promptly after Gadolinium injection, as starting reference, to which subsequent MRI taken at 6 hrs, 12 hrs, and 24 hrs later will be compared for Persistent %. Since there isn't a way to measure level of Gadolinium within it, or any other (e.g.

GAMMAGARD) for that matter, at least the Prolongation of Gadolinium may be approximated by the greater or longer Persistent % on MRI. However, this approximation can only work if the variables are minimized to the same population with Primary Immunodeficiency (PI), and the particular skin affected by it. Case in point, Primary Immunodeficiency (PI) patients are prone to infection, and tend to have scared skin with less vascularity, so expectantly will have prolonged Gadolinium subcutaneously Persistent %, which will be very different from the skin of normal patients, while the Gadolinium subdermally Persistent % may or may not change. Therefore, the Relative Prolongation Ability Score or total Persistent % subdermally over that of total Persistent % subcutaneously, will be different and very specific for the particular skin affected by Primary Immunodeficiency. However, they are valuable indicators that will help us modify the GAMMAGARD dosage and duration to inject into that "unknown" subdermal space for Aim 2.

Aim 2 would require 12 months, using GAMMAGARD, instead of Gadolinium, to demonstrate the advantages of ASIS device subdermally over subcutaneously, for the same Primary Immunodeficiency subjects. Of course that Relative Prolongation Ability Score in Aim1 will be valuable, but it isn't absolutely required to start Aim 2, because GAMMAGARD's Pharmacokinetics will be studied anyway, by following Peak and Trough levels of immunoglobulin G.

However, the Pharmacokinetics of subdermally injected GAMMAGARD will be just dependent on GAMMAGARD's diffusion out of that subdermal bloodless space; therefore, if GAMMAGARD getting into the bloodstream becomes so severely inhibited, then we can just change the osmolality of GAMMAGARD in the end. The therapeutic advantages of GAMMAGARD with ASIS device subdermally over subcutaneously will also be studied by comparing the reduction of Validated Acute Serious Bacterial Infections, adverse reactions, and injection site pain.

Being tested
Gadolinium For abdomen, Gadolinium For lower back, Efficacy of Gammagard subcutaneously at Week 12, Efficacy of Gammagard subcutaneously at Week 24, Efficacy of Gammagard subcutaneously at Week 36
Keywords
Primary Immunodeficiency, Subdermal bloodless space, Subdermal injection, Subcutaneous injection, Injectable electromyography needle, Electrical stimulation, MRI with Gadolinium
Medical subject headings
Primary Immunodeficiency Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Gadolinium For abdomenDrug

    Also called Gadolinium Magnevist® (gadopentetate dimeglumine)

    Gadolinium 1cc/ diluted with 19cc normal saline (for <40kg) or 29cc normal saline (for >40kg) subdermally with ASIS Device for 30 patients.

    Gadolinium For abdomen Total Persistent % subdermally on MRI at 6 hrs, 12 hrs, and 24 hrs.

  • Gadolinium For abdomenDrug

    Also called Gadolinium Magnevist® (gadopentetate dimeglumine)

    Gadolinium 1cc/ diluted with 19cc normal saline (for <40kg) or 29cc normal saline (for >40kg) subcutaneously for 30 patients.

    Gadolinium For abdomen Total Persistent % subcutaneously on MRI at 6 hrs, 12 hrs, and 24 hrs.

  • Gadolinium For abdomenDrug

    Also called Gadolinium Magnevist® (gadopentetate dimeglumine)

    Gadolinium For abdomen Relative Prolongation Ability Score or total Persistent % of Gadolinium subdermally over total Persistent % of Gadolinium subcutaneously on MRI.

  • Gadolinium For lower backDrug

    Also called Gadolinium Magnevist® (gadopentetate dimeglumine)

    Gadolinium For lower back Total Persistent % subdermally on MRI at 6 hrs, 12 hrs, and 24 hrs. Gadolinium 1cc/ diluted with 19cc normal saline (for <40kg) or 29cc normal saline (for >40kg) subdermally with ASIS Device for 30 patients.

  • Gadolinium For lower backDrug

    Also called Gadolinium Magnevist® (gadopentetate dimeglumine)

    Gadolinium For lower back Total cumulative Persistent % of Gadolinium subcutaneously on MRI at 6 hrs, 12 hrs, and 24 hrs. Gadolinium 1cc/ diluted with 19cc normal saline (for <40kg) or 29cc normal saline (for >40kg) subcutaneously for 30 patients.

  • Gadolinium For lower backDrug

    Also called Gadolinium Magnevist® (gadopentetate dimeglumine)

    Gadolinium For lower back Relative Prolongation Ability Score or total Persistent % of Gadolinium subdermally over total Persistent % of Gadolinium subcutaneously on MRI .

  • Efficacy of Gammagard subcutaneously at Week 12Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    subjects (%) of any infections as Efficacy of Gammagard subcutaneously at Week 12.

  • Efficacy of Gammagard subcutaneously at Week 12Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate of any infections as Efficacy of Gammagard subcutaneously at Week 12.

  • Efficacy of Gammagard subcutaneously at Week 12Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    subjects (%) with Antibiotic use as Efficacy of Gammagard subcutaneously at Week 12.

  • Efficacy of Gammagard subcutaneously at Week 12Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate with Antibiotic use as Efficacy of Gammagard subcutaneously at Week 12.

  • Efficacy of Gammagard subcutaneously at Week 12Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    subjects (%) with Days out of work as Efficacy of Gammagard subcutaneously at Week 12.

  • Efficacy of Gammagard subcutaneously at Week 12Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate with Days out of work as Efficacy of Gammagard subcutaneously at Week 12.

  • Efficacy of Gammagard subcutaneously at Week 12Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    (%) with hospitalized infections as Efficacy of Gammagard subcutaneously at Week 12.

  • Efficacy of Gammagard subcutaneously at Week 12Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate with hospitalized infections as Efficacy of Gammagard subcutaneously at Week 12.

  • Efficacy of Gammagard subcutaneously at Week 24Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    subjects (%) of any infections as Efficacy of Gammagard subcutaneously at Week 24.

  • Efficacy of Gammagard subcutaneously at Week 24Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate of any infections as Efficacy of Gammagard subcutaneously at Week 24.

  • Efficacy of Gammagard subcutaneously at Week 24Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    subjects (%) with Antibiotic use as Efficacy of Gammagard subcutaneously at Week 24.

  • Efficacy of Gammagard subcutaneously at Week 24Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate with Antibiotic use as Efficacy of Gammagard subcutaneously at Week 24.

  • Efficacy of Gammagard subcutaneously at Week 24Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    subjects (%) with Days out of work as Efficacy of Gammagard subcutaneously at Week 24.

  • Efficacy of Gammagard subcutaneously at Week 24Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate with Days out of work as Efficacy of Gammagard subcutaneously at Week 24

  • Efficacy of Gammagard subcutaneously at Week 24Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    (%) with hospitalized infections as Efficacy of Gammagard subcutaneously at Week 24.

  • Efficacy of Gammagard subcutaneously at Week 24Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate with hospitalized infections as Efficacy of Gammagard subcutaneously at Week 24.

  • Efficacy of Gammagard subcutaneously at Week 36Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    subjects (%) of any infections as Efficacy of Gammagard subcutaneously at Week 36.

  • Efficacy of Gammagard subcutaneously at Week 36Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate of any infections as Efficacy of Gammagard subcutaneously at Week 36.

  • Efficacy of Gammagard subcutaneously at Week 36Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    subjects (%) with Antibiotic use as Efficacy of Gammagard subcutaneously at Week 36.

  • Efficacy of Gammagard subcutaneously at Week 36Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate with Antibiotic use as Efficacy of Gammagard subcutaneously at Week 36.

  • Efficacy of Gammagard subcutaneously at Week 36Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    subjects (%) with Days out of work as Efficacy of Gammagard subcutaneously at Week 36.

  • Efficacy of Gammagard subdermally at Week 36Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate with Days out of work as Efficacy of Gammagard subcutaneously at Week 36.

  • Efficacy of Gammagard subdermally at Week 36Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    (%) with hospitalized infections as Efficacy of Gammagard subcutaneously at Week 36.

  • Efficacy of Gammagard subdermally at Week 36Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate with hospitalized infections as Efficacy of Gammagard subcutaneously at Week 36.

  • Efficacy of Gammagard subdermally at Week 12Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    subjects (%) of any infections as Efficacy of Gammagard subdermally at Week 12

  • Efficacy of Gammagard subdermally at Week 12Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate of any infections as Efficacy of Gammagard subdermally at Week 12

  • Efficacy of Gammagard subdermally at Week 12Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    subjects (%) with Antibiotic use as Efficacy of Gammagard subdermally at Week 12

  • Efficacy of Gammagard subdermally at Week 12Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate with Antibiotic use as Efficacy of Gammagard subdermally at Week 12

  • Efficacy of Gammagard subdermally at Week 12Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    subjects (%) with Days out of work as Efficacy of Gammagard subdermally at Week 12

  • Efficacy of Gammagard subdermally at Week 12Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate with Days out of work as Efficacy of Gammagard subdermally at Week 12

  • Efficacy of Gammagard subdermally at Week 12Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    (%) with hospitalized infections as Efficacy of Gammagard subdermally at Week 12

  • Efficacy of Gammagard subdermally at Week 12Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate with hospitalized infections as Efficacy of Gammagard subdermally at Week 12.

  • Efficacy of Gammagard subdermally at Week 24Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    subjects (%) of any infections as Efficacy of Gammagard subdermally at Week 24.

  • Efficacy of Gammagard subdermally at Week 24Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate of any infections as Efficacy of Gammagard subdermally at Week 24.

  • Efficacy of Gammagard subdermally at Week 24Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    subjects (%) with Antibiotic use as Efficacy of Gammagard subdermally at Week 24.

  • Efficacy of Gammagard subdermally at Week 24Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate with Antibiotic use as Efficacy of Gammagard subdermally at Week 24.

  • Efficacy of Gammagard subdermally at Week 24Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    subjects (%) with Days out of work as Efficacy of Gammagard subdermally at Week 24.

  • Efficacy of Gammagard subdermally at Week 24Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate with Days out of work as Efficacy of Gammagard subdermally at Week 24.

  • Efficacy of Gammagard subdermally at Week 24Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    (%) with hospitalized infections as Efficacy of Gammagard subdermally at Week 24.

  • Efficacy of Gammagard subdermally at Week 24Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate with hospitalized infections as Efficacy of Gammagard subdermally at Week 24.

  • Efficacy of Gammagard subdermally at Week 36Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    subjects (%) of any infections as Efficacy of Gammagard subdermally at Week 36.

  • Efficacy of Gammagard subdermally at Week 36Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate of any infections as Efficacy of Gammagard subdermally at Week 36.

  • Efficacy of Gammagard subdermally at Week 36Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    subjects (%) with Antibiotic use as Efficacy of Gammagard subdermally at Week 36.

  • Efficacy of Gammagard subdermally at Week 36Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate with Antibiotic use as Efficacy of Gammagard subdermally at Week 36.

  • Efficacy of Gammagard subdermally at Week 36Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    subjects (%) with Days out of work as Efficacy of Gammagard subdermally at Week 36.

  • Efficacy of Gammagard subdermally at Week 36Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate with Days out of work as Efficacy of Gammagard subdermally at Week 36.

  • Efficacy of Gammagard subdermally at Week 36Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    (%) with hospitalized infections as Efficacy of Gammagard subdermally at Week 36.

  • Efficacy of Gammagard subdermally at Week 36Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Annual rate with hospitalized infections as Efficacy of Gammagard subdermally at Week 36.

  • Adverse Reactions of Gammagard subcutaneously at Week 12Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Adverse Reactions of Gammagard subcutaneously at Week 12, in number of Local Reactions, Headache, Fever, Nausea, Vomiting, Fatigue, Diarrhea, Asthma, Oropharyngeal, and Abdominal Pain.

  • Adverse Reactions of Gammagard subcutaneously at Week 24Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Adverse Reactions of Gammagard subcutaneously at Week 24, in number of Local Reactions, Headache, Fever, Nausea, Vomiting, Fatigue, Diarrhea, Asthma, Oropharyngeal, and Abdominal Pain.

  • Adverse Reactions of Gammagard subcutaneously at Week 36Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Adverse Reactions of Gammagard subcutaneously at Week 36, in number of Local Reactions, Headache, Fever, Nausea, Vomiting, Fatigue, Diarrhea, Asthma, Oropharyngeal, and Abdominal Pain.

  • Adverse Reactions of Gammagard subdermally at Week 12Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Adverse Reactions of Gammagard subdermally at Week 12, in number of Local Reactions, Headache, Fever, Nausea, Vomiting, Fatigue, Diarrhea, Asthma, Oropharyngeal, and Abdominal Pain

  • Adverse Reactions of Gammagard subdermally at Week 24Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Adverse Reactions of Gammagard subdermally at Week 24, in number of Local Reactions, Headache, Fever, Nausea, Vomiting, Fatigue, Diarrhea, Asthma, Oropharyngeal, and Abdominal Pain.

  • Adverse Reactions of Gammagard subdermally at Week 36Drug

    Also called Gammagard [Immune Globulin Infusion (Human)]

    Adverse Reactions of Gammagard subdermally at Week 36, in number of Local Reactions, Headache, Fever, Nausea, Vomiting, Fatigue, Diarrhea, Asthma, Oropharyngeal, and Abdominal Pain.

Study groups in NCT02123615
Study groupRoleWhat they receive
Gadolinium For abdomenExperimentalGadolinium For abdomen Total Persistent % subdermally, For abdomen Total Persistent % subcutaneously, and For abdomen Relative Prolongation Ability Score. Gadolinium Magnevist® (gadopentetate dimeglumine) 1cc/ diluted with 19cc normal saline (for <40kg) or 29cc normal saline (for >40kg), subcutaneously for 30 patients, and subdermally with ASIS Device for 30 patients.
Receives: Drug: Gadolinium For abdomen; Drug: Gadolinium For lower back
Gadolinium For lower backExperimental1cc/ diluted with 19cc normal saline (for <40kg) or 29cc normal saline (for >40kg), subcutaneously for 30 patients, and subdermally with ASIS Device for 30 patients. Gadolinium For lower back Total Persistent % subdermally, For lower back Total Persistent % subcutaneously, and For lower back Relative Prolongation Ability Score.
Receives: Drug: Gadolinium For abdomen; Drug: Gadolinium For lower back
subjects (%) of any infectionsExperimentalsubjects (%) of any infections as Efficacy of Gammagard subcutaneously at Week 12, Efficacy of Gammagard subcutaneously at Week 24, and Efficacy of Gammagard subcutaneously at Week 36, vs. Efficacy of Gammagard subdermally at Week 12, Efficacy of Gammagard subdermally at Week 24, and Efficacy of Gammagard subdermally at Week 36.
Receives: Drug: Efficacy of Gammagard subcutaneously at Week 12; Drug: Efficacy of Gammagard subcutaneously at Week 24; Drug: Efficacy of Gammagard subcutaneously at Week 36; Drug: Efficacy of Gammagard subdermally at Week 36; Drug: Efficacy of Gammagard subdermally at Week 12; Drug: Efficacy of Gammagard subdermally at Week 24
Annual rate of any infectionsExperimentalAnnual rate of any infections as Efficacy of Gammagard subcutaneously at Week 12, Efficacy of Gammagard subcutaneously at Week 24, and Efficacy of Gammagard subcutaneously at Week 36, vs. Efficacy of Gammagard subdermally at Week 12, Efficacy of Gammagard subdermally at Week 24, and Efficacy of Gammagard subdermally at Week 36.
Receives: Drug: Efficacy of Gammagard subcutaneously at Week 12; Drug: Efficacy of Gammagard subcutaneously at Week 24; Drug: Efficacy of Gammagard subcutaneously at Week 36; Drug: Efficacy of Gammagard subdermally at Week 36; Drug: Efficacy of Gammagard subdermally at Week 12; Drug: Efficacy of Gammagard subdermally at Week 24
subjects (%) with Antibiotic useExperimentalsubjects (%) with Antibiotic use as Efficacy of Gammagard subcutaneously at Week 12, Efficacy of Gammagard subcutaneously at Week 24, and Efficacy of Gammagard subcutaneously at Week 36, vs. Efficacy of Gammagard subdermally at Week 12, Efficacy of Gammagard subdermally at Week 24, and Efficacy of Gammagard subdermally at Week 36.
Receives: Drug: Efficacy of Gammagard subcutaneously at Week 12; Drug: Efficacy of Gammagard subcutaneously at Week 24; Drug: Efficacy of Gammagard subcutaneously at Week 36; Drug: Efficacy of Gammagard subdermally at Week 36; Drug: Efficacy of Gammagard subdermally at Week 12; Drug: Efficacy of Gammagard subdermally at Week 24
Annual rate with Antibiotic useExperimentalAnnual rate with Antibiotic use as Efficacy of Gammagard subcutaneously at Week 12, Efficacy of Gammagard subcutaneously at Week 24, and Efficacy of Gammagard subcutaneously at Week 36, vs. Efficacy of Gammagard subdermally at Week 12, Efficacy of Gammagard subdermally at Week 24, and Efficacy of Gammagard subdermally at Week 36.
Receives: Drug: Efficacy of Gammagard subcutaneously at Week 12; Drug: Efficacy of Gammagard subcutaneously at Week 24; Drug: Efficacy of Gammagard subcutaneously at Week 36; Drug: Efficacy of Gammagard subdermally at Week 36; Drug: Efficacy of Gammagard subdermally at Week 12; Drug: Efficacy of Gammagard subdermally at Week 24
subjects (%) with Days out of workExperimentalsubjects (%) with Days out of work as Efficacy of Gammagard subcutaneously at Week 12, Efficacy of Gammagard subcutaneously at Week 24, and Efficacy of Gammagard subcutaneously at Week 36, vs. Efficacy of Gammagard subdermally at Week 12, Efficacy of Gammagard subdermally at Week 24, and Efficacy of Gammagard subdermally at Week 36.
Receives: Drug: Efficacy of Gammagard subcutaneously at Week 12; Drug: Efficacy of Gammagard subcutaneously at Week 24; Drug: Efficacy of Gammagard subcutaneously at Week 36; Drug: Efficacy of Gammagard subdermally at Week 36; Drug: Efficacy of Gammagard subdermally at Week 12; Drug: Efficacy of Gammagard subdermally at Week 24
Annual rate with Days out of workExperimentalAnnual rate with Days out of work as Efficacy of Gammagard subcutaneously at Week 12, Efficacy of Gammagard subcutaneously at Week 24, and Efficacy of Gammagard subcutaneously at Week 36, vs. Efficacy of Gammagard subdermally at Week 12, Efficacy of Gammagard subdermally at Week 24, and Efficacy of Gammagard subdermally at Week 36.
Receives: Drug: Efficacy of Gammagard subcutaneously at Week 12; Drug: Efficacy of Gammagard subcutaneously at Week 24; Drug: Efficacy of Gammagard subcutaneously at Week 36; Drug: Efficacy of Gammagard subdermally at Week 36; Drug: Efficacy of Gammagard subdermally at Week 12; Drug: Efficacy of Gammagard subdermally at Week 24
(%) with hospitalized infectionsExperimental(%) with hospitalized infections as Efficacy of Gammagard subcutaneously at Week 12, Efficacy of Gammagard subcutaneously at Week 24, and Efficacy of Gammagard subcutaneously at Week 36, vs. Efficacy of Gammagard subdermally at Week 12, Efficacy of Gammagard subdermally at Week 24, and Efficacy of Gammagard subdermally at Week 36.
Receives: Drug: Efficacy of Gammagard subcutaneously at Week 12; Drug: Efficacy of Gammagard subcutaneously at Week 24; Drug: Efficacy of Gammagard subcutaneously at Week 36; Drug: Efficacy of Gammagard subdermally at Week 36; Drug: Efficacy of Gammagard subdermally at Week 12; Drug: Efficacy of Gammagard subdermally at Week 24
Annual rate hospitalized infectionsExperimentalAnnual rate hospitalized infections as Efficacy of Gammagard subcutaneously at Week 12, Efficacy of Gammagard subcutaneously at Week 24, and Efficacy of Gammagard subcutaneously at Week 36, vs. Efficacy of Gammagard subdermally at Week 12, Efficacy of Gammagard subdermally at Week 24, and Efficacy of Gammagard subdermally at Week 36.
Receives: Drug: Efficacy of Gammagard subcutaneously at Week 12; Drug: Efficacy of Gammagard subcutaneously at Week 24; Drug: Efficacy of Gammagard subcutaneously at Week 36; Drug: Efficacy of Gammagard subdermally at Week 36; Drug: Efficacy of Gammagard subdermally at Week 12; Drug: Efficacy of Gammagard subdermally at Week 24
Adverse Injection Local ReactionsExperimentalAdverse Injection Local Reactions as Adverse Reactions of Gammagard subcutaneously at Week 12, Adverse Reactions of Gammagard subcutaneously at Week 24, and Adverse Reactions of Gammagard subcutaneously at Week 36, vs. Adverse Reactions of Gammagard subdermally at Week 12, Adverse Reactions of Gammagard subdermally at Week 24, and Adverse Reactions of Gammagard subdermally at Week 36.
Receives: Drug: Adverse Reactions of Gammagard subcutaneously at Week 12; Drug: Adverse Reactions of Gammagard subcutaneously at Week 24; Drug: Adverse Reactions of Gammagard subcutaneously at Week 36; Drug: Adverse Reactions of Gammagard subdermally at Week 12; Drug: Adverse Reactions of Gammagard subdermally at Week 24; Drug: Adverse Reactions of Gammagard subdermally at Week 36
Adverse Reactions HeadacheExperimentalHeadache as Adverse Reactions of Gammagard subcutaneously at Week 12, Adverse Reactions of Gammagard subcutaneously at Week 24, and Adverse Reactions of Gammagard subcutaneously at Week 36, vs. Adverse Reactions of Gammagard subdermally at Week 12, Adverse Reactions of Gammagard subdermally at Week 24, and Adverse Reactions of Gammagard subdermally at Week 36.
Receives: Drug: Adverse Reactions of Gammagard subcutaneously at Week 12; Drug: Adverse Reactions of Gammagard subcutaneously at Week 24; Drug: Adverse Reactions of Gammagard subcutaneously at Week 36; Drug: Adverse Reactions of Gammagard subdermally at Week 12; Drug: Adverse Reactions of Gammagard subdermally at Week 24; Drug: Adverse Reactions of Gammagard subdermally at Week 36
Adverse Reactions FeverExperimentalFever as Adverse Reactions of Gammagard subcutaneously at Week 12, Adverse Reactions of Gammagard subcutaneously at Week 24, and Adverse Reactions of Gammagard subcutaneously at Week 36, vs. Adverse Reactions of Gammagard subdermally at Week 12, Adverse Reactions of Gammagard subdermally at Week 24, and Adverse Reactions of Gammagard subdermally at Week 36.
Receives: Drug: Adverse Reactions of Gammagard subcutaneously at Week 12; Drug: Adverse Reactions of Gammagard subcutaneously at Week 24; Drug: Adverse Reactions of Gammagard subcutaneously at Week 36; Drug: Adverse Reactions of Gammagard subdermally at Week 12; Drug: Adverse Reactions of Gammagard subdermally at Week 24; Drug: Adverse Reactions of Gammagard subdermally at Week 36
Adverse Reactions NauseaExperimentalNausea as Adverse Reactions of Gammagard subcutaneously at Week 12, Adverse Reactions of Gammagard subcutaneously at Week 24, and Adverse Reactions of Gammagard subcutaneously at Week 36, vs. Adverse Reactions of Gammagard subdermally at Week 12, Adverse Reactions of Gammagard subdermally at Week 24, and Adverse Reactions of Gammagard subdermally at Week 36.
Receives: Drug: Adverse Reactions of Gammagard subcutaneously at Week 12; Drug: Adverse Reactions of Gammagard subcutaneously at Week 24; Drug: Adverse Reactions of Gammagard subcutaneously at Week 36; Drug: Adverse Reactions of Gammagard subdermally at Week 12; Drug: Adverse Reactions of Gammagard subdermally at Week 24; Drug: Adverse Reactions of Gammagard subdermally at Week 36
Adverse Reactions VomitingExperimentalVomiting as Adverse Reactions of Gammagard subcutaneously at Week 12, Adverse Reactions of Gammagard subcutaneously at Week 24, and Adverse Reactions of Gammagard subcutaneously at Week 36, vs. Adverse Reactions of Gammagard subdermally at Week 12, Adverse Reactions of Gammagard subdermally at Week 24, and Adverse Reactions of Gammagard subdermally at Week 36.
Receives: Drug: Adverse Reactions of Gammagard subcutaneously at Week 12; Drug: Adverse Reactions of Gammagard subcutaneously at Week 24; Drug: Adverse Reactions of Gammagard subcutaneously at Week 36; Drug: Adverse Reactions of Gammagard subdermally at Week 12; Drug: Adverse Reactions of Gammagard subdermally at Week 24; Drug: Adverse Reactions of Gammagard subdermally at Week 36
Adverse Reactions FatigueExperimentalFatigue as Adverse Reactions of Gammagard subcutaneously at Week 12, Adverse Reactions of Gammagard subcutaneously at Week 24, and Adverse Reactions of Gammagard subcutaneously at Week 36, vs. Adverse Reactions of Gammagard subdermally at Week 12, Adverse Reactions of Gammagard subdermally at Week 24, and Adverse Reactions of Gammagard subdermally at Week 36.
Receives: Drug: Adverse Reactions of Gammagard subcutaneously at Week 12; Drug: Adverse Reactions of Gammagard subcutaneously at Week 24; Drug: Adverse Reactions of Gammagard subcutaneously at Week 36; Drug: Adverse Reactions of Gammagard subdermally at Week 12; Drug: Adverse Reactions of Gammagard subdermally at Week 24; Drug: Adverse Reactions of Gammagard subdermally at Week 36
Adverse Reactions DiarrheaExperimentalDiarrhea as Adverse Reactions of Gammagard subcutaneously at Week 12, Adverse Reactions of Gammagard subcutaneously at Week 24, and Adverse Reactions of Gammagard subcutaneously at Week 36, vs. Adverse Reactions of Gammagard subdermally at Week 12, Adverse Reactions of Gammagard subdermally at Week 24, and Adverse Reactions of Gammagard subdermally at Week 36.
Receives: Drug: Adverse Reactions of Gammagard subcutaneously at Week 12; Drug: Adverse Reactions of Gammagard subcutaneously at Week 24; Drug: Adverse Reactions of Gammagard subcutaneously at Week 36; Drug: Adverse Reactions of Gammagard subdermally at Week 12; Drug: Adverse Reactions of Gammagard subdermally at Week 24; Drug: Adverse Reactions of Gammagard subdermally at Week 36
Adverse Reactions AsthmaExperimentalAsthma as Adverse Reactions of Gammagard subcutaneously at Week 12, Adverse Reactions of Gammagard subcutaneously at Week 24, and Adverse Reactions of Gammagard subcutaneously at Week 36, vs. Adverse Reactions of Gammagard subdermally at Week 12, Adverse Reactions of Gammagard subdermally at Week 24, and Adverse Reactions of Gammagard subdermally at Week 36.
Receives: Drug: Adverse Reactions of Gammagard subcutaneously at Week 12; Drug: Adverse Reactions of Gammagard subcutaneously at Week 24; Drug: Adverse Reactions of Gammagard subcutaneously at Week 36; Drug: Adverse Reactions of Gammagard subdermally at Week 12; Drug: Adverse Reactions of Gammagard subdermally at Week 24; Drug: Adverse Reactions of Gammagard subdermally at Week 36
Adverse Reactions OropharyngealExperimentalOropharyngeal as Adverse Reactions of Gammagard subcutaneously at Week 12, Adverse Reactions of Gammagard subcutaneously at Week 24, and Adverse Reactions of Gammagard subcutaneously at Week 36, vs. Adverse Reactions of Gammagard subdermally at Week 12, Adverse Reactions of Gammagard subdermally at Week 24, and Adverse Reactions of Gammagard subdermally at Week 36.
Receives: Drug: Adverse Reactions of Gammagard subcutaneously at Week 12; Drug: Adverse Reactions of Gammagard subcutaneously at Week 24; Drug: Adverse Reactions of Gammagard subcutaneously at Week 36; Drug: Adverse Reactions of Gammagard subdermally at Week 12; Drug: Adverse Reactions of Gammagard subdermally at Week 24; Drug: Adverse Reactions of Gammagard subdermally at Week 36
Adverse Reactions Abdominal PainExperimentalAbdominal Pain as Adverse Reactions of Gammagard subcutaneously at Week 12, Adverse Reactions of Gammagard subcutaneously at Week 24, and Adverse Reactions of Gammagard subcutaneously at Week 36, vs. Adverse Reactions of Gammagard subdermally at Week 12, Adverse Reactions of Gammagard subdermally at Week 24, and Adverse Reactions of Gammagard subdermally at Week 36.
Receives: Drug: Adverse Reactions of Gammagard subcutaneously at Week 12; Drug: Adverse Reactions of Gammagard subcutaneously at Week 24; Drug: Adverse Reactions of Gammagard subcutaneously at Week 36; Drug: Adverse Reactions of Gammagard subdermally at Week 12; Drug: Adverse Reactions of Gammagard subdermally at Week 24; Drug: Adverse Reactions of Gammagard subdermally at Week 36

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Relative Prolongation Ability Score for Gadolinium subdermally injected

    Gadolinium will be injected with ASIS subdermally (30) or conventional subcutaneous (30) for 60 adult subjects with Primary Immunodeficiency. The first MRI taken promptly after Gadolinium injection for each patient would be his or her reference of 100% Persistent, to which his or her subsequent MRI taken @ 6 hr, @ 12 hr, and @24hr later will be compared for Persistent %. This approximation can only work if the variables are minimized to the same population with Primary Immunodeficiency. The Relative Prolongation Ability Score or total Persistent % subdermally over total Persistent % subcutaneously, in Primary Immunodeficiency will be very valuable indicators for us to modify the GAMMAGARD dosage and duration for testing with that "unknown" subdermal bloodless space in Aim 2.

    Measured: 6 months

Secondary outcomes (1)
  1. Efficacy of GAMMAGARD subcutaneously vs. subdermally in Primary Immunodeficiency

    The therapeutic efficacy of GAMMAGARD, in terms of reduction of Validated Acute Serious Bacterial Infections will be compared, eg. subjects (%) and Annual rate of any infections, subjects (%) and Annual rate of Antibiotic use, subjects (%) and Annual rate with Days out of work, subjects (%) and Annual rate of hospitalized infections, to demonstrate the advantages of ASIS device subdermally over subcutaneously for GAMMAGARD at Week 12, 24, and 36.

    Measured: 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Apr 2014 (estimated)
  2. Study startJan 2016
  3. Primary completionJun 2016 (estimated)
  4. Study completionJun 2016 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02123615
Sponsor's protocol ID
NCTEB017805
Other IDs
1R01EB017805
Acronym
ASISinPI
Status last verified
Jun 2015
First submitted
11 Apr 2014
Last updated
24 Jun 2015
Results posted
No
Data monitoring committee
Yes

Publications

  • Paonessa DF, Goldstein JC. Anatomy and physiology of head and neck infections (with emphasis on the fascia of the face and neck). Otolaryngol Clin North Am. 1976 Oct;9(3):561-80. No abstract available.

    PubMed 980495
  • Magnevist (gadopentetate dimeglumine) Injection Product Information: http://pharma.bayer.com/scripts/pages/en/products/diagnostic_imaging/index.php

  • Botox (onabotulinumtoxinA) Product Information: http://www.botoxcosmetic.com/botox_physician_info/Clinical_Information.aspx http://www.clinicaltrials.gov/ct2/show/NCT01313767?term=Botox+pi&rank=1

  • GAMMAGARD LIQUID Comparison of Intravenous and Subcutaneous Administration in Primary Immunodeficiency Diseases (PID): http://www.clinicaltrials.gov/ct2/show/NCT00546871?term=Gammagard+subcutaneous&rank=5

  • Daw Z, Padmore R, Neurath D, Cober N, Tokessy M, Desjardins D, Olberg B, Tinmouth A, Giulivi A. Hemolytic transfusion reactions after administration of intravenous immune (gamma) globulin: a case series analysis. Transfusion. 2008 Aug;48(8):1598-601. doi: 10.1111/j.1537-2995.2008.01721.x. Epub 2008 May 2.

    PubMed 18466176
  • Mignogna MD, Fortuna G, Ruoppo E, Adamo D, Leuci S, Fedele S. Variations in serum hemoglobin, albumin, and electrolytes in patients receiving intravenous immunoglobulin therapy: a real clinical threat? Am J Clin Dermatol. 2007;8(5):291-9. doi: 10.2165/00128071-200708050-00004.

    PubMed 17902731
  • Kreil TR, Berting A, Kistner O, Kindermann J. West Nile virus and the safety of plasma derivatives: verification of high safety margins, and the validity of predictions based on model virus data. Transfusion. 2003 Aug;43(8):1023-8. doi: 10.1046/j.1537-2995.2003.00496.x.

    PubMed 12869106
  • Ochs HD, Gupta S, Kiessling P, Nicolay U, Berger M; Subcutaneous IgG Study Group. Safety and efficacy of self-administered subcutaneous immunoglobulin in patients with primary immunodeficiency diseases. J Clin Immunol. 2006 May;26(3):265-73. doi: 10.1007/s10875-006-9021-7.

    PubMed 16783465
  • Gardulf A, Nicolay U, Asensio O, Bernatowska E, Bock A, Carvalho BC, Granert C, Haag S, Hernandez D, Kiessling P, Kus J, Pons J, Niehues T, Schmidt S, Schulze I, Borte M. Rapid subcutaneous IgG replacement therapy is effective and safe in children and adults with primary immunodeficiencies--a prospective, multi-national study. J Clin Immunol. 2006 Mar;26(2):177-85. doi: 10.1007/s10875-006-9002-x. Epub 2006 Apr 26.

    PubMed 16758340
  • Orange JS, Hossny EM, Weiler CR, Ballow M, Berger M, Bonilla FA, Buckley R, Chinen J, El-Gamal Y, Mazer BD, Nelson RP Jr, Patel DD, Secord E, Sorensen RU, Wasserman RL, Cunningham-Rundles C; Primary Immunodeficiency Committee of the American Academy of Allergy, Asthma and Immunology. Use of intravenous immunoglobulin in human disease: a review of evidence by members of the Primary Immunodeficiency Committee of the American Academy of Allergy, Asthma and Immunology. J Allergy Clin Immunol. 2006 Apr;117(4 Suppl):S525-53. doi: 10.1016/j.jaci.2006.01.015.

    PubMed 16580469
  • Bonilla FA, Bernstein IL, Khan DA, Ballas ZK, Chinen J, Frank MM, Kobrynski LJ, Levinson AI, Mazer B, Nelson RP Jr, Orange JS, Routes JM, Shearer WT, Sorensen RU; American Academy of Allergy, Asthma and Immunology; American College of Allergy, Asthma and Immunology; Joint Council of Allergy, Asthma and Immunology. Practice parameter for the diagnosis and management of primary immunodeficiency. Ann Allergy Asthma Immunol. 2005 May;94(5 Suppl 1):S1-63. doi: 10.1016/s1081-1206(10)61142-8. No abstract available.

    PubMed 15945566
  • Kahwaji J, Barker E, Pepkowitz S, Klapper E, Villicana R, Peng A, Chang R, Jordan SC, Vo AA. Acute hemolysis after high-dose intravenous immunoglobulin therapy in highly HLA sensitized patients. Clin J Am Soc Nephrol. 2009 Dec;4(12):1993-7. doi: 10.2215/CJN.04540709. Epub 2009 Oct 15.

    PubMed 19833910

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Gadolinium For abdomen, Gadolinium For lower back and Efficacy of Gammagard subcutaneously at Week 12 in people with Primary Immunodeficiency, run by ASIS Corporation at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 24 Jun 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Li Nguyen, MD ((714)-453-7857, dr.li.nguyen@asis-inc.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Relative Prolongation Ability Score for Gadolinium subdermally injected (time frame: 6 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02123615, which also lists 12 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Jun 2015.

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