UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000000568
Receipt number R000000680
Scientific Title Evaluation of Clinical Effectiveness of High-dose Intravenous Immunoglobulin(HD-IVIg) Therapy in Pneumonia with Avian Influenza and Other Influenza
Date of disclosure of the study information 2006/12/29
Last modified on 2007/07/18 09:52:06

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Basic information

Public title

Evaluation of Clinical Effectiveness of High-dose Intravenous Immunoglobulin(HD-IVIg) Therapy in Pneumonia with Avian Influenza and Other Influenza

Acronym

High-dose intravenous immunoglobulin(HD-IVIg) therapy in Pneumonia with severe Avian Influenza and other severe Influenza

Scientific Title

Evaluation of Clinical Effectiveness of High-dose Intravenous Immunoglobulin(HD-IVIg) Therapy in Pneumonia with Avian Influenza and Other Influenza

Scientific Title:Acronym

High-dose intravenous immunoglobulin(HD-IVIg) therapy in Pneumonia with severe Avian Influenza and other severe Influenza

Region

Japan Asia(except Japan)


Condition

Condition

Severe avian influenza and other severe influenza pneumonia

Classification by specialty

Pneumology Infectious disease

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To examine the effectiveness of the treatment with the High-dose Intravenous immunoglobulin(HD-IVIg) for patients with avian influenza and other influenza pneumonia of moderate and severe cases in Vietnam and Japan.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Survival at day 5, day 10 and day 30 after start of the treatment.
If possible, the usefulness of this method for treatment will be compeared with historical cases.

Key secondary outcomes

Feaver,X-ray,and Chest CT findings, laboratory data, blood chemistry, blood gas analysys MPO and Cytokines levels in serum.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

High dose immunoglobulin 2g/kg/BW/day in addition to the basic therapy

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Criteria of moderate and severe pneumonia
-Necessity of hospitalization (decided by a clinical doctor)
-And some symptoms, such as fever, cough, breathlessness.
-And one of the four following clinical findings.
1)New infilitration lesion detected on the first CXR or newly occurred among the film series.
2)Dyspnea, which manifests by:
Rapid breath rate defined by
30/min for adults and children more than 12 y.o.
40/min for children from 7 - 12y.o.
45/min for children from 4 - 6 y.o.
50/min for children from 1 - 3 y.o.
3)Respiratory muscle retraction.
4)SpO2 < 92% or Pa02 < 80 Torr

2. Criteria for definitive avian influenza pneumonia: The definitive diagnosis is made when the patient:
a) is diagnosed as moderate or severe pneumonia following the above-mentioned criteria.
b) and H5N1 positive

3. Criteria for definitive other influenza pneumonia: The definitive diagnosis is made when the patient:
a) is diagnosed as moderate or severe pneumonia following the above-mentioned criteria.
b) and test of other influenza viruses reveals positive

4. Criteria for suspected avian influenza pneumonia: when the patient:
a) is diagnosed as moderate or severe pneumonia following the above-mentioned criteria.
b) has a contact history with sick or died poultry

5. Criteria for suspected other influenza pneumonia; when the patient
a) is diagnosed as moderate or severe pneumonia following the above-mentioned criteria.
b) has a contact history with other influenza cases.

Key exclusion criteria

1) Individuals who do not meet the above mentioned criteria for cases.
2) Individuals who do not agree to sign the informed consents
3) Individuals who suffer from side effect(s) of H-IVIg and have to stop the transfusion.
4) Individuals who are transferred to other hospitals/departments which make the observation impossible.
5) Individuals who suffer from underlying diseases, which become severe when they get this disease(avian or other human influenza pneumonia)
6) Individual with Severe congestive heart failure
7) Individual with IgA deficiency
8)Individual with risk of thrombo-embolism
9)Individual with hemolytic anemia
10) Individual with Immune deficiency

Target sample size

15


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Koichiro Kudo/Nguen Duc Hien

Organization

International Medical Center of Japan (IMCJ)<Japan>
National Institute for Infectious and Tropical Disease(NIITD)<Vietnam>

Division name

Disease Control and Prevention Center (DCC) / National Institute for Infectious and Tropical Disease(NIITD)

Zip code


Address

1-21-1 Toyama, Shinjyuku-ku, Tokyo, Japan(DCC) / 78 Giai Phong Str-Hanoi, Vietnam(NIITD)

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name Koichiro Kudo

Organization

International Medical Center of Japan (IMCJ)

Division name

Disease Control and Prevention Center (DCC)

Zip code


Address


TEL


Homepage URL


Email

kkudo@imcj.hosp.go.jp


Sponsor or person

Institute

Japan:
International Medical Center of Japan
Vietnam:
National Institute for Infectious and Tropical Diseases, Bach Mai hospital, National Hospital of Pediatrics and other hospitals in Vietnam.

Institute

Department

Personal name



Funding Source

Organization

RIKEN Center of Research Network for Infectious Diseases (CRNID),Japanese Ministry of Education Culture, Sports, Service and Technology.

Organization

Division

Category of Funding Organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2006 Year 12 Month 29 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

The suspected case was entried as the first one in the trial study at NIITD Hanoi, Vietnam, June 2007.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Date of protocol fixation

2006 Year 05 Month 16 Day

Date of IRB


Anticipated trial start date

2006 Year 08 Month 01 Day

Last follow-up date

2008 Year 05 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2006 Year 12 Month 28 Day

Last modified on

2007 Year 07 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000680


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name