Safety and Pharmacokinetics of Alpha-1 Proteinase Inhibitor in Subjects With Alpha1-Antitrypsin Deficiency
SPARK
A Randomized Double-blind Crossover Study to Assess the Safety and Pharmacokinetics of Two Different Doses of Weekly Intravenous Administration of Alpha1-Proteinase Inhibitor (Human) Prolastin®-C in Subjects With Alpha1-Antitrypsin Deficiency
This date has not been verified as actual or estimated.
Primary Completion
January 2012
Actual (reported)
Study Completion
January 2012
Actual (reported)
Brief Summary
This is a study to assess the safety and pharmacokinetics of weekly infusions of 120 mg/kg of Prolastin-C (alpha1-proteinase inhibitor \[alpha1-PI\] \[Human\]), compared to weekly infusions of 60 mg/kg of Prolastin-C in patients with alpha 1-antitrypsin deficiency (AATD).
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
30 participants
Study completion date
January 2012
Actual (reported)
Listed locations
1 countries · 5 sites
Trial Relationships
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
First Submitted
September 29, 2010
Actual (reported)
First Posted
October 1, 2010
Actual (reported)
Study Start
November 2010
Date type not reported
This date has not been verified as actual or estimated.
Subjects With Treatment-Emergent Adverse Events (TEAEs)
Number of subjects experiencing at least one TEAE. TEAEs were defined as any adverse event (AE) during the study that began on or after the date of first dose of investigational product (i.e., Prolastin-C).
22 weeks
Subjects With Drug-Related TEAE(s)
Number of subjects with at least one TEAE that was determined by the Investigator to be either "possibly related" or "related" to the investigational product (i.e., Prolastin-C).
22 weeks
Subjects With Treatment-Emergent Serious Adverse Events (SAEs)
Number of subjects who experienced at least one treatment-emergent SAE.
22 weeks
Subjects Withdrawn Due to an AE(s)
Number of subjects who were withdrawn from the study due to at least one AE.
Secondary Outcomes (2)
AUC0-7days
Week 8 and Week 18 at the following timepoints: 0 (pre-infusion), completion of first infusion bag, completion of 2nd infusion bag, and 15 min, 30 min, and 1, 2, 4, 8, 24, 48, 120, and 168 hours post-dose
Mean Trough
Single measurment immediately prior to infusion at Weeks 6, 7, 8, 9 and Weeks 16, 17, 18, 19
Study Arms (2)
Prolastin-C, 60 mg/kg
ACTIVE COMPARATOR
60 mg/kg weekly infusion of Prolastin-C for 8 weeks. Subjects were infused with 60 mg/kg Prolastin-C by means of one of two possible treatment sequences: 1) 60 mg/kg weekly infusion of Prolastin-C for 8 weeks followed by 120 mg/kg Prolastin-C for 8 weeks, or 2) 120 mg/kg Prolastin-C for 8 weeks followed by 60 mg/kg weekly infusion of Prolastin-C for 8 weeks (total of 16 weeks).
Biological: Prolastin-C, 60 mg/kg
Prolastin-C, 120 mg/kg
EXPERIMENTAL
120 mg/kg weekly infusion of Prolastin-C for 8 weeks. Subjects were infused with 120 mg/kg Prolastin-C by means of one of two possible treatment sequences: 1) 60 mg/kg weekly infusion of Prolastin-C for 8 weeks followed by 120 mg/kg Prolastin-C for 8 weeks, or 2) 120 mg/kg Prolastin-C for 8 weeks followed by 60 mg/kg weekly infusion of Prolastin-C for 8 weeks (total of 16 weeks).
Biological: Prolastin-C, 120 mg/kg
Interventions
Prolastin-C, 60 mg/kgBiological
60 mg/kg weekly infusion of Prolastin-C for 8 weeks
Also known as: Alpha1-Proteinase Inhibitor, Alpha1-Proteinase Inhibitor (Human), Modified Process, Alpha-1 MP
Prolastin-C, 60 mg/kg
Prolastin-C, 120 mg/kgBiological
120 mg/kg weekly infusion of Prolastin-C for 8 weeks
Medical University of South Carolina, Division of Pulmonary and Critical Care Medicine
Charleston, South Carolina, 29425-6300, United States
The University of Texas Health Science Center at Tyler
Tyler, Texas, 75708, United States
Related Publications (1)
Willis T, Wee K, Mohn G. A high-purity Alpha-1 proteinase inhibitor from human plasma, TAL6004. Proceeding of the 19th European Respiratory Society Annual Congress; 2009 Sep 12-16; Vienna, Austria. Abstracts;34:S53.
BACKGROUND
MeSH Terms
Conditions
Emphysemaalpha 1-Antitrypsin Deficiency
Interventions
alpha 1-AntitrypsinMp alpha1 receptor
Condition Hierarchy (Ancestors)
Pathologic ProcessesPathological Conditions, Signs and SymptomsLiver DiseasesDigestive System DiseasesLung DiseasesRespiratory Tract DiseasesGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesSubcutaneous Emphysema
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Have a post-bronchodilator Forced Expired Volume in 1 second (FEV1) of ≥30% and \<80% and FEV1/forced vital capacity (FVC) \<70%
If receiving alpha-1 PI augmentation therapy, be willing to discontinue the treatment for the duration of the study
You may not qualify if:
Had a moderate or severe pulmonary exacerbation during the 4 weeks before the study
History of lung or liver transplant
Any lung surgery during the past 2 years
Confirmed liver cirrhosis
Elevated liver enzymes
Severe concurrent disease
Females who are pregnant or breast-feeding or unwilling to practice effective contraception during the study
Infection with hepatitis A, B, or C, human immunodeficiency or parvovirus B19
Smoking during the past 6 months
Use of systemic steroids within 4 weeks of the study
Use of antibiotics for an exacerbation within 4 weeks of the study
Contact the study team to confirm eligibility.
Intervention Hierarchy (Ancestors)
GlycoproteinsGlycoconjugatesCarbohydratesSerpinsPeptidesAmino Acids, Peptides, and ProteinsAcute-Phase ProteinsBlood ProteinsProteinsAlpha-GlobulinsSerum GlobulinsGlobulins
Charlie Strange, MD
Medical University of South Carolina, Division of Pulmonary and Critical Care Medicine
PRINCIPAL INVESTIGATOR
Primary Completion
January 2012
Actual (reported)
Study Completion
January 2012
Actual (reported)
Last Updated
May 20, 2013
Results First Posted
May 20, 2013
Record last verified: 2013-04
Source record
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Source: ClinicalTrials.gov.
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