Trial Outcomes & Findings for Immunoglobulin Levels and Occurrence of Infections After Lung Transplantation and Impact of IgG Replacement (NCT NCT01361178)

NCT ID: NCT01361178

Last Updated: 2017-03-22

Results Overview

The primary outcome for this study will be the total number of days with pneumonia. Pneumonia will be defined by the presence of both clinical and radiographic criteria: fever (temperature ≥ 38oC), cough, dyspnea, purulent expectoration and/or changes in the previous characteristics of respiratory secretions; and chest X-ray or CT scan revealing a new or progressive alveolar or interstitial infiltrate or cavitation that could not be explained by any other noninfectious cause.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

133 participants

Primary outcome timeframe

Up to two years post-transplant

Results posted on

2017-03-22

Participant Flow

Participant milestones

Participant milestones
Measure
Transplant Patients Who do Not Receive SQ IVIG
Patients participating in the observational arm of the study who do not need to receive IgG replacement.
Transplant Patients Who Receive SQ IVIG
Patients participating in the observational arm of the study who are randomized to receive a dosage of SQ IVIG due to low IgG level. SQ IVIG: Group 1 will receive SQ IgG at the lower end of the dosing range at 100 mg/kg/week and group 2 will receive SQ IgG at the higher end of the dosing range at 200 mg/kg/week
Overall Study
STARTED
122
11
Overall Study
COMPLETED
109
11
Overall Study
NOT COMPLETED
13
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Transplant Patients Who do Not Receive SQ IVIG
Patients participating in the observational arm of the study who do not need to receive IgG replacement.
Transplant Patients Who Receive SQ IVIG
Patients participating in the observational arm of the study who are randomized to receive a dosage of SQ IVIG due to low IgG level. SQ IVIG: Group 1 will receive SQ IgG at the lower end of the dosing range at 100 mg/kg/week and group 2 will receive SQ IgG at the higher end of the dosing range at 200 mg/kg/week
Overall Study
Death
13
0

Baseline Characteristics

Immunoglobulin Levels and Occurrence of Infections After Lung Transplantation and Impact of IgG Replacement

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Transplant Patients Who do Not Receive SQ IVIG
n=122 Participants
Patients participating in the observational arm of the study who do not need to receive IgG replacement.
Transplant Patients Who Receive SQ IVIG
n=11 Participants
Patients participating in the observational arm of the study who are randomized to receive a dosage of SQ IVIG due to low IgG level. SQ IVIG: Group 1 will receive SQ IgG at the lower end of the dosing range at 100 mg/kg/week and group 2 will receive SQ IgG at the higher end of the dosing range at 200 mg/kg/week
Total
n=133 Participants
Total of all reporting groups
Age, Continuous
62 years
n=99 Participants
52 years
n=107 Participants
61 years
n=206 Participants
Sex: Female, Male
Female
46 Participants
n=99 Participants
5 Participants
n=107 Participants
51 Participants
n=206 Participants
Sex: Female, Male
Male
76 Participants
n=99 Participants
6 Participants
n=107 Participants
82 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
8 Participants
n=99 Participants
0 Participants
n=107 Participants
8 Participants
n=206 Participants
Race (NIH/OMB)
White
113 Participants
n=99 Participants
11 Participants
n=107 Participants
124 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Diagnosis
IPF
44 Participants
n=99 Participants
2 Participants
n=107 Participants
46 Participants
n=206 Participants
Diagnosis
COPD
37 Participants
n=99 Participants
3 Participants
n=107 Participants
40 Participants
n=206 Participants
Diagnosis
Cystic Fibrosis
10 Participants
n=99 Participants
3 Participants
n=107 Participants
13 Participants
n=206 Participants
Diagnosis
Scleroderma
11 Participants
n=99 Participants
1 Participants
n=107 Participants
12 Participants
n=206 Participants
Diagnosis
Sarcoidosis
3 Participants
n=99 Participants
1 Participants
n=107 Participants
4 Participants
n=206 Participants
Diagnosis
Pulmonary Hypertension
3 Participants
n=99 Participants
0 Participants
n=107 Participants
3 Participants
n=206 Participants
Diagnosis
Other
14 Participants
n=99 Participants
1 Participants
n=107 Participants
15 Participants
n=206 Participants
Induction Agent
Alemtuzamab
84 Participants
n=99 Participants
5 Participants
n=107 Participants
89 Participants
n=206 Participants
Induction Agent
Basiliximab
38 Participants
n=99 Participants
6 Participants
n=107 Participants
44 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Up to two years post-transplant

The primary outcome for this study will be the total number of days with pneumonia. Pneumonia will be defined by the presence of both clinical and radiographic criteria: fever (temperature ≥ 38oC), cough, dyspnea, purulent expectoration and/or changes in the previous characteristics of respiratory secretions; and chest X-ray or CT scan revealing a new or progressive alveolar or interstitial infiltrate or cavitation that could not be explained by any other noninfectious cause.

Outcome measures

Outcome measures
Measure
Transplant Patients Who do Not Receive SQ IVIG
n=122 Participants
Patients participating in the observational arm of the study who do not need to receive IgG replacement.
Transplant Patients Who Receive SQ IVIG
n=11 Participants
Patients participating in the observational arm of the study who are randomized to receive a dosage of SQ IVIG due to low IgG level. SQ IVIG: Group 1 will receive SQ IgG at the lower end of the dosing range at 100 mg/kg/week and group 2 will receive SQ IgG at the higher end of the dosing range at 200 mg/kg/week
The Primary Outcome Will be the Total Number of Days With Pneumonia.
1714 Number of days
51 Number of days

Adverse Events

Transplant Patients Who do Not Receive SQ IVIG

Serious events: 0 serious events
Other events: 0 other events
Deaths: 13 deaths

Transplant Patients Who Receive SQ IVIG

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Andrej Petrov, MD

University of Pittsburgh

Phone: 412-648-6215

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place