CVID patients confirmed according to ESID/PAGID criteria or related disorders which fulfill the diagnostic criteria for CVID and interstitial lung disease or granuloma diagnosed by chest CT positive for nodules, lines or ground-glass signs MedDRA version: 18.1 Level: PT Classification code 10022611 Term: Interstitial lung disease System Organ Class: 10038738 - Respiratory, thoracic and mediastinal disorders MedDRA version: 18.1 Level: PT Classification code 10021449 Term: Immunodeficiency comm
Conditions
Interventions
Trade Name: ORENCIA® 125 mg solution for injection in pre-filled syringe
Product Name: Abatacept
Product Code: BMS-188667
Pharmaceutical Form: Solution for injection in pre-filled syringe
Sponsors
Universitätsklinikum Freiburg, vertreten durch den Leitenden Ärztlichen Direktor
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Diagnosis of CVID according to ESID/PAGID criteria or diagnosis of related disorders which fulfill the diagnostic criteria for CVID 2. Interstitial lung disease or granuloma diagnosed by chest CT positive for nodules, lines or ground-glass signs 3. Age 18 years and above 4. Signed written informed consent 5. Not responsive to steroid monotherapy for a minimum of three months or intolerance of steroid therapy 6. Need for intervention measured by either reduced oxygen saturation, drop of oxygen saturation under exercise or reduced DLCOcSB OR progress of interstitial lung disease measured by progressive changes in the CT scan of the lung Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 7 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 3
Exclusion criteria
Exclusion criteria: 1. Patient without legal capacity who is unable to understand the nature, significance and consequences of the study 2. Other immunosuppressive therapy including biologicals beyond steroid at screening phase 3. Previous treatment with Abatacept 4. Active Hepatitis B infection or tuberculosis infection 5. Other Uncontrolled infection 6. Lymphoma within the past 5 years 7. Pregnancy indicated by positive urine pregnancy test at screening 8. Breast feeding patients 9. Fertile patients refusing to use safe contraceptive methods during the study 10. Simultaneous participation in other interventional clinical trials
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess the safety of Abatacept for interstitial lung disease in patients with CVID and related disorders ;Secondary Objective: To assess the efficacy of Abatacept on interstitial lung disease in patients with CVID and related disorders;Primary end point(s): (1) Number and type of severe infections (intravenous treatment, hospitalization, ICU, opportunistic infection, death) under treatment (2) Number, type and severity of all other (serious) adverse events ((S)AE) in relation to study drug ;Timepoint(s) of evaluation of this end point: (1) 12 months retrospective documentation before BaselineVisit (Day 0), BaselineVisit (Day 0), 3 months (Visit 1), 6 months (Visit 2), 12 months (Final Visit) (2) during screening up to 3 months before BaselineVisit (Day 0), BaselineVisit (Day 0), 3 months (Visit 1), 6 months (Visit 2), 12 months (Final Visit), 13 months (Follow-up via phone call) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): (1) Lung function parameters (DLCOcSB, FVC, DLCOc/VA, TLC SB, Predicted forced expiratory volume in one second FEV1 [L]) (2) pO2 at rest and under exercise (six minute walking test) (3) Laboratory parameters: sIL-2-receptor, Neopterin (4) CT scan lung: Global and specific score for nodules, lines, consolidation and ground glass (5) Cumulative steroid dose (6) Quality of life measured by SF36, CRDQ and SGRQ (7) Overall Survival (8) Immune phenotype of B- and T-cells ;Timepoint(s) of evaluation of this end point: (1), (2, pO2 at rest), (3): 12 months retrospective documentation before BaselineVisit (Day 0), BaselineVisit (Day 0), 3 months (Visit 1), 6 months (Visit 2), 12 months (Final Visit) (2) pO2 under exercise: 12 months retrospective documentation before BaselineVisit (Day 0), BaselineVisit (Day 0), 12 months (Final Visit) (4) 12 months retrospective documentation before BaselineVisit (Day 0), BaselineVisit (Day 0), 12 months (Final Visit) (5) BaselineVisit (Day 0), 3 months (Visit 1), 6 months (Visit 2), 12 months (Final Visit) (6) SF36: BaselineVisit (Day 0), 12 months (Final Visit); CRDQ and SGRQ: BaselineVisit (Day 0), 6 months (Visit 2), 12 months (Final Visit) (7) All visits (8) BaselineVisit (Day 0), 12 months (Final Visit) | — |
Countries
Germany
Contacts
Public ContactClinical Trials unit
University Medical Center Freiburg
Outcome results
None listed