Pharmacokinetics of anti-lymphocyte serum in the prevention of GvHD in children and adults receiving allogeneic hematopoietic stem cell transplantation - PHASAL-GA Study

2022-501594-39-00 Protocol 69HCL21_1186 Therapeutic use (Phase IV) Ended

Start 17 Jul 2023 · End 26 Nov 2025 · Status Ended · 1 EU/EEA countries · 2 sites · Protocol 69HCL21_1186

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ended
Participants planned 35
Countries 1
Sites 2

pediatric and adult patients undergoing HSC allograft procedures with Thymoglobulin® packaging

characterize the pharmacokinetics (PK) of anti-lymphocyte serum (SAL), Thymoglobulin® in patients involved in a HSC transplantation procedure

Key facts

Sponsor
Hospices Civils De Lyon
Participant type
Pediatric, Patients
Age range
0-17 years, 18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Hemic and Lymphatic Diseases [C15]
Trial duration
17 Jul 2023 → 26 Nov 2025
Decision date (initial)
2023-04-13
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Hospices Civils de Lyon

External identifiers

EU CT number
2022-501594-39-00
ClinicalTrials.gov
NCT05743400

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic

characterize the pharmacokinetics (PK) of anti-lymphocyte serum (SAL), Thymoglobulin® in patients involved in a HSC transplantation procedure

Secondary objectives 2

  1. evaluate the impact of covariates on the PK variability of SAL
  2. Assessing the inter-individual PK variability of SAL

Conditions and MedDRA coding

pediatric and adult patients undergoing HSC allograft procedures with Thymoglobulin® packaging

VersionLevelCodeTermSystem organ class
21.1 PT 10063581 Stem cell transplant 100000004865

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Thymoglobulin
prospective, non-comparative, single-center, multi-site study conducted in two hospitals in France
Not Applicable None thymoglobulin: 5 to 20 mg/kg depending on the indication, the type of transplant, according to the established protocols of each center. The treatment lasts from 2 to 5 days.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Patient receiving Thymoglobulin therapy as part of a first HSC allograft
  2. Age ≥ 2 years
  3. Lansky or Karnosky score ≥ 50%.
  4. Enrolled in a social security plan
  5. Patient 18 years of age or older informed and consenting to participate in the study or minor patient whose parents/guardians have been informed and have given consent for the minor patient's participation in the study
  6. Patients of childbearing potential must have an effective method of contraception throughout the study (a pregnancy test will also be performed at inclusion). Examples of contraceptive methods with a failure rate of <1% per year include bilateral tubal ligation, male sterilisation, hormonal contraceptives that inhibit ovulation, hormone-releasing intrauterine devices and copper intrauterine devices.

Exclusion criteria 7

  1. Patient having received serotherapy (Thymoglobulin® or other) within 3 months before this HSC allograft
  2. Patient receiving another serotherapy during conditioning (Campath®)
  3. Patients with uncontrolled acute or chronic infections for which any form of immunosuppression would be contraindicated
  4. Known hypersensitivity to Thymoglobulin®
  5. Pregnant or lactating women
  6. Patient participating simultaneously in another study of an investigational drug (no exclusion period)
  7. Patient under legal protection or deprived of liberty

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Measurement of plasma SAL exposure (mean AUC and standard deviation in the study population), calculated using population PK methodology

Secondary endpoints 2

  1. objective function value (OFV)
  2. Coefficient of variation of the AUC

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

THYMOGLOBULINE 5 mg/ml, poudre pour solution pour perfusion

PRD440932 · Product

Active substance
Rabbit Anti-Human Thymocyte Immunoglobulin
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INFUSION
Max daily dose
5 mg/kg milligram(s)/kilogram
Max total dose
20 mg/kg milligram(s)/kilogram
Max treatment duration
5 Day(s)
Authorisation status
Authorised
ATC code
L04AA04 — ANTITHYMOCYTE IMMUNOGLOBULIN (RABBIT)
Marketing authorisation
34009 570 281 8 3
MA holder
GENZYME EUROPE B.V.
MA country
France
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Hospices Civils De Lyon

Sponsor organisation
Hospices Civils De Lyon
Address
3 Quai Des Celestins, Bp 2251 Bp 2251
City
Lyon Cedex 02
Postcode
69229
Country
France

Scientific contact point

Organisation
Hospices Civils De Lyon
Contact name
Dr Michael PHILIPPE

Public contact point

Organisation
Hospices Civils De Lyon
Contact name
Dr Michael PHILIPPE

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ended 35 2
Rest of world 0

Investigational sites

France

2 sites · Ended
Hospices Civils De Lyon
Hématologie clinique, 165 Chemin Du Grand Revoyet, 69310, Pierre-Benite
Hospices Civils De Lyon
PEDIATRIC HEMATOLOGY, 1 Place Professeur Joseph Renaut, 69008, Lyon

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2023-07-17 2025-11-26 2023-09-25

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 11 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Protocol 2022-501594-39-00 3
Recruitment arrangements (for publication) Recruitment arrangements 1
Subject information and informed consent form (for publication) SIS and ICF 13-17 yr 2
Subject information and informed consent form (for publication) SIS and ICF 2-8 yr 1
Subject information and informed consent form (for publication) SIS and ICF 6-8 yr 2
Subject information and informed consent form (for publication) SIS and ICF 9-12 yr 2
Subject information and informed consent form (for publication) SIS and ICF Participant 2
Subject information and informed consent form (for publication) SIS and ICF Patient mineur devenant majeur 2
Subject information and informed consent form (for publication) SIS and ICF Titulaires autorite parentale 2
Summary of Product Characteristics (SmPC) (for publication) SmPC Thymoglobulin 1
Synopsis of the protocol (for publication) Protocol synopsis_FR 2022-501594-39-00 3

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-01-25 France Acceptable
2023-04-12
2023-04-13
2 NON SUBSTANTIAL MODIFICATION NSM-1 2025-02-25 France Acceptable
2023-04-12
2025-02-25
3 NON SUBSTANTIAL MODIFICATION NSM-2 2025-09-05 France Acceptable
2023-04-12
2025-09-05