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New shot could help Immune-Compromised patients fight infections
NCT ID NCT04640142
First seen Jun 25, 2026 · Last updated Aug 07, 2026 · Updated 6 times
Summary
This phase 3 trial is testing a new medicine called Newnorm, a concentrated antibody solution given as a shot under the skin, in 50 people with primary immunodeficiency (a condition where the immune system doesn't work properly). The goal is to see if Newnorm can prevent serious bacterial infections and maintain protective antibody levels. Participants receive regular injections over the study period, and researchers track infection rates and side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Newnorm (a 20% human immunoglobulin solution injected under the skin)
- What this could lead to
- If successful, this could provide a new, convenient option for people with primary immunodeficiency to receive regular antibody replacement therapy at home, reducing infection risk.
- What could go wrong
- This is a single-arm, open-label study with only 50 participants, so results may not apply broadly. Side effects like local reactions or allergic responses are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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50 people
The number who actually took part.
- Started
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Aug 2021
- Expected to finish
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Sep 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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2 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age of ≥2 years and ≤75 years 2. Documented and confirmed diagnosis of PID as defined by European Society of Immunodeficiencies (ESID) and the Pan American Group for Immune Deficiency (PAGID) and requiring immunoglobulin replacement therapy due to hypogammaglobulinaemia or agammaglobulinaemia. The exact type of PID must be recorded. 3. At least 12 weeks of regular treatment before the screening visit (i.e., with a stable dosing interval) with any IVIG, SCIG, or fSCIG, with a stable IgG dose between 200 and 800 mg/kg/month. A stable dose is defined as one that deviates less than ±25% from the mean dose for all infusions within this 12-week period before screening. 4. Trough level of IgG ≥5 g/L at screening and documentation of an IgG trough level of ≥5 g/L at least once within the previous 12 weeks. 5. Freely given written informed consent from adult patients or freely given written informed consent from the patient's parent(s)/legal guardian(s) and written informed assent from paediatric or adolescent patients in accordance with the applicable regulatory requirements, before any study-specific procedure takes place. 6. Willingness to comply with all aspects of the protocol, including blood sampling, for the duration of the study. Exclusion Criteria: 1. Any acute infection requiring IV antibiotic treatment within 2 weeks before the screening visit or during the screening period, or any SBI within the 3 months prior to the screening visit or during the screening period. 2. The patient has isolated specific antibody deficiency disorder, isolated IgG subclass deficiency, or transient hypogammaglobulinaemia of infancy. 3. Current medical condition or history of condition known to cause secondary immune deficiency, for example, chronic lymphocytic leukaemia, lymphoma, multiple myeloma, or chronic or recurrent neutropenia (absolute neutrophil count \<1000/μL). 4. Known history of ADRs to IgA contained in other products. 5. Body mass index \>40 kg/m2. 6. Exposure to blood or any blood product or plasma derivative other than IgG for PID within 3 months before the first infusion of Newnorm. 7. History of or ongoing severe hypersensitivity, e.g., anaphylaxis or severe systemic response, or persistent reactions to blood or plasma-derived products, or to any component of Newnorm (such as glycine). 8. Severe liver dysfunction (alanine aminotransferase \[ALT\] \>3 times the upper limit of normal for the expected normal range for the testing laboratory) at screening. 9. Known protein-losing enteropathies or proteinuria (known urinary protein loss of \>1 g/24 h, or dipstick proteinuria of ≥3+). 10. Moderate to severe renal dysfunction (per investigator discretion based on estimated glomerular filtration rate \[eGFR\] ≤44 mL/min/1.73 m2, as defined by KDIGO Clinical Practice Guideline) or predisposition to acute renal failure (e.g., any degree of pre-existing renal dysfunction in presence of additional acute renal failure risk factors, e.g. routine treatment with known nephrotoxic drugs). 11. Uncontrolled diabetes mellitus (HbA1c \> 7% / \>53 mmol/mol). 12. Uncontrolled arterial hypertension (systolic blood pressure of ≥ 130 mmHg for the subject under 13 years of age, ≥ 140 mmHg for subject 13 to 17 years of age, and \> 160 mmHg for adults). 13. Dysrhythmia/Tachycardia (resting heart rate \> 100 bpm for adults/adolescents and \> 120 bpm for children) and symptomatic bradycardia (resting heart rate \< 60 bpm for adults, \< 50 bpm for adolescents, and \< 75 bpm for children in presence of symptoms e.g., low blood pressure, abnormal rhythm, chest discomfort, shortness of breath). Physiological sinus bradycardia in physically active adults/children/athletes is NOT an exclusion criterion). 14. The subject has a history of or current diagnosis of deep venous thrombosis or thromboembolism (e.g. myocardial infarction, cerebrovascular accident, or transient ischemic attack); history refers to an incident in the year prior to screening or 2 episodes over lifetime. 15. The subject is currently receiving anti-coagulation therapy which would make SC administration inadvisable (vitamin K antagonist, nonvitamin K antagonist oral anticoagulants \[e.g. dabigatran etexilate targeting Factor IIa, rivaroxaban, edoxaban, and apixaban targeting Factor Xa\], parenteral anticoagulants \[e.g. fondaparinux\]). 16. Treatment with oral or parenteral steroids either 1. at daily doses \>0.3 mg/kg of prednisone (or equivalent) within the last 12 weeks before screening or 2. bolus treatment of a daily dose greater than 1 mg/kg of prednisone (or equivalent) for longer than 10 days within the last 12 weeks before screening. Courses of corticosteroids (intermittent) of not more than 10 days would not exclude a patient. Inhaled or topical corticosteroids are allowed. 17. Treatment with systemic immunosuppressants including chemotherapeutic agents 1 year before screening or immunomodulatory drugs 12 weeks before the screening visit. 18. Live viral vaccination (such as measles, rubella, mumps, or varicella) within 1 month before the first infusion of Newnorm, during the study period, and within 3 months after last infusion of Newnorm. Note: Seasonal inactivated (killed) influenza vaccines (incl. H1N1) are allowed. COVID vaccines (mRNA vaccine and a non-replicating viral vector vaccine) are allowed. 19. Treatment with any investigational medicinal product (IMP) within 3 months before the screening visit. 20. Presence of any condition likely to interfere with the evaluation of Newnorm or with the compliant conduct of the study. 21. Known or suspected abuse of alcohol, drugs, and/or psychotropic agents within 12 months before screening. 22. Known human immunodeficiency virus (HIV)-1/2, hepatitis B virus (HBV), or hepatitis C virus (HCV) infection or positive for HIV-1/2, HBV, or HCV at screening. 23. Women who are breast feeding, pregnant, or planning to become pregnant, or are unwilling to use an effective birth control method (refer to protocol Section 7.4.10.b) while on study and for 30 days following the last dose of study drug. 24. Men who are unwilling to use birth control to prevent pregnancy for the duration of the study (unless the female partner
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Octapharma Research Site
Irvine, California, 92697, United States
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Octapharma Research Site
Centennial, Colorado, 80112, United States
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Octapharma Research Site
Port Saint Lucie, Florida, 34986, United States
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Octapharma Research Site
St. Petersburg, Florida, 33701, United States
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Octapharma Research Site
Chicago, Illinois, 60612, United States
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Octapharma Research Site
Overland Park, Kansas, 66211, United States
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Octapharma Research Site
Louisville, Kentucky, 40217, United States
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Octapharma Research Site
White Marsh, Maryland, 21162, United States
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Octapharma Research Site
Kansas City, Missouri, 64111, United States
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Octapharma Research Site
Omaha, Nebraska, 68046, United States
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Octapharma Research Site
Leipzig, 04129, Germany
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Octapharma Research Site
Munich, 80337, Germany
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Octapharma Research Site
Budapest, 1097, Hungary
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Octapharma Research Site
Debrecen, 4032, Hungary
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Octapharma Research Site
Naples, 80131, Italy
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Octapharma Research Site
Roma, 00161, Italy
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Octapharma Research Site
Roma, 133, Italy
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Octapharma Research Site
Treviso, 31100, Italy
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Octapharma Research Site
Krakow, 30-663, Poland
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Octapharma Research Site
Bratislava, 833 40, Slovakia
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Octapharma Research Site
Kyiv, 04209, Ukraine
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Octapharma Research Site
Lviv, 79010, Ukraine
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Octapharma Research Site
Lviv, 79035, Ukraine
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