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Immunomodulator

IV Gammaglobulin for Sickle Cell Pain Crises

Phase 1 & 2
Recruiting
Led By Deepa G Manwani, M.D
Research Sponsored by Deepa Manwani
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Documented diagnosis of sickle cell disease (SS or S-β thalassemia genotype)
Uncomplicated acute pain episode requiring hospital admission and parenteral narcotics
Must not have
Prior thromboses or current estrogen use
Concomitant acute process, including fever > 38.5° C with clinical suspicion of infection
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from admission to discharge, average 4 days and maximum 30 days

Summary

This trial will test if a drug called immune globulin is safe and effective for treating pain in people with sickle cell disease.

Who is the study for?
This trial is for individuals aged 12-65 with sickle cell disease experiencing a pain crisis needing hospital care. It's open to those not on chronic transfusion or at high stroke risk, without recent live vaccines, illicit drug abuse history, certain blood levels (Hb >10 g/dL or <5 g/dL), pregnancy, thrombosis risks like estrogen use, suspected infections, kidney issues, other drug trials participation, IgA deficiency or gamma globulin allergies.
What is being tested?
The study tests if intravenous immune globulin can safely and effectively treat acute pain crises in sickle cell disease compared to normal saline. Participants are hospitalized and receive either the immune therapy or a saline solution as part of the treatment process.
What are the potential side effects?
Possible side effects include allergic reactions to the infusion ingredients such as headache, nausea, vomiting; potential organ inflammation; increased infection risk; and possible impact on liver enzymes which will be closely monitored.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have been diagnosed with sickle cell disease.
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I was hospitalized for severe pain that needed strong painkillers given through an IV.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have had blood clots before or am currently using estrogen.
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I currently have a fever over 101.3°F possibly due to an infection.
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I have kidney issues indicated by high creatinine or protein in my urine.
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I am currently receiving regular blood transfusions.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from admission to discharge, average 4 days and maximum 30 days
This trial's timeline: 3 weeks for screening, Varies for treatment, and from admission to discharge, average 4 days and maximum 30 days for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Length of vaso-occlusive crisis (VOC)
Secondary study objectives
Change in Hemoglobin (Hb) levels
Change in High-sensitivity C-reactive protein (hsCRP) levels
Change in Lactate Dehydrogenase (LDH) levels
+7 more

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: Intravenous Immune Globulin (IVIG)Experimental Treatment1 Intervention
IVIG used in the trial is the GAMUNEX brand, at doses up through 800 mg/kg in Phase 1 and at 400mg/kg in Phase 2.
Group II: Normal salinePlacebo Group1 Intervention
An equivalent volume (weight-based) of normal saline

Find a Location

Who is running the clinical trial?

Deepa ManwaniLead Sponsor
Food and Drug Administration (FDA)FED
181 Previous Clinical Trials
1,548,478 Total Patients Enrolled
Case Western Reserve UniversityOTHER
309 Previous Clinical Trials
250,863 Total Patients Enrolled

Media Library

Immune Globulin Intravenous (Immunomodulator) Clinical Trial Eligibility Overview. Trial Name: NCT01757418 — Phase 1 & 2
Sickle Cell Disease Research Study Groups: Intravenous Immune Globulin (IVIG), Normal saline
Sickle Cell Disease Clinical Trial 2023: Immune Globulin Intravenous Highlights & Side Effects. Trial Name: NCT01757418 — Phase 1 & 2
Immune Globulin Intravenous (Immunomodulator) 2023 Treatment Timeline for Medical Study. Trial Name: NCT01757418 — Phase 1 & 2
~33 spots leftby Dec 2026