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Active not recruitingPHASE3INTERVENTIONAL

Efficacy and Safety of Alpha1-Proteinase Inhibitor (Human), Modified Process (Alpha-1 MP) in Subjects With Pulmonary Emphysema Due to Alpha1 Antitrypsin Deficiency (AATD)

This research study is investigating a new treatment, Alpha-1 MP, for people who have lung damage (pulmonary emphysema) due to a genetic condition called Alpha-1 Antitrypsin Deficiency (AATD). The study wants to find out if this medicine is both effective and safe. Participants will be given either one of two doses of Alpha-1 MP or a placebo (a dummy treatment) through an IV drip once a week for three years. Researchers will use special lung scans (CT scans) to check how well the treatment is working. This is a "blinded" study, meaning neither you nor your doctor will know if you are receiving the active medicine or the placebo, to ensure fair and accurate results.

At a glance

Status
Active not recruiting
Phase
PHASE3
Sponsor
Grifols Therapeutics LLC
Enrolment target
345
Start
01 Nov 2013
Estimated completion
01 Jan 2027

What is this study about?

This study is for people who have a condition called Alpha-1 Antitrypsin Deficiency (AATD), which is an inherited problem that can lead to serious lung damage, specifically a type called emphysema. When you have AATD, your body doesn't make enough of a special protein called alpha-1 antitrypsin. This protein usually protects your lungs from harm, so without enough of it, your lungs can get damaged over time.

The main goal of this study is to test a new version of this protective protein, called Alpha-1 MP, to see if it can help slow down or prevent further lung damage in people with AATD-related emphysema. They are comparing two different strengths of Alpha-1 MP against a placebo, which looks like the active medicine but doesn't contain any active ingredients. This helps researchers understand if the active medicine is truly making a difference.

Researchers will be looking very closely at your lungs using special scans called CT scans to see if the treatment helps keep your lung health stable over three years. Understanding how well this treatment works could offer a new and better way to manage this challenging lung condition for many people.

Key takeaways

  • Tests a new medicine for lung damage in Alpha-1 Antitrypsin Deficiency (AATD).
  • Compares two doses of Alpha-1 MP to a placebo (dummy treatment).
  • Study lasts for three years, with weekly IV infusions.
  • Uses CT scans to monitor lung changes and treatment effectiveness.
  • Aimed at people aged 18-70 with diagnosed AATD and emphysema.
  • You won't know if you're receiving the active drug or placebo.

Who may be eligible?

To be considered for this study, you would generally need to be between 18 and 70 years old and have been diagnosed with Alpha-1 Antitrypsin Deficiency (AATD). Doctors would need to confirm that your levels of the special blood protein (alpha-1 PI) are lower than normal. You also need to have been diagnosed with emphysema, a type of lung damage, and your breathing tests should show a certain level of reduced lung function.

There are also some important reasons why you might not be able to join. For example, if you've recently been on other treatments for Alpha-1 Antitrypsin Deficiency, had recent flare-ups of your lung condition, or if you've had certain lung surgeries or transplants, you might not be suitable. You also can't be currently smoking or have smoked within the last year, and you need to be able to have regular CT scans of your lungs.

Basically, the study is looking for people with a confirmed diagnosis of AATD and emphysema, who meet specific criteria for their lung function, and who haven't had other recent treatments or conditions that might affect the study results.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you between 18 and 70 years old?
  2. Do you have a confirmed diagnosis of Alpha-1 Antitrypsin Deficiency (AATD)?
  3. Have you been diagnosed with lung emphysema related to AATD?
  4. Can you have regular CT scans of your lungs?
  5. Have you avoided smoking for at least the past 12 months?
  6. Have you avoided certain other AATD treatments or lung surgeries recently?
Answer every question to see your result.

What does participation involve?

If you decide to take part in this study, it will last for a total of three years (156 weeks) for the main treatment period, plus a final check-up four weeks later. There will also be an initial screening phase to see if you're a good fit for the study.

During the study, you would receive the study medication (either Alpha-1 MP or the placebo) through an intravenous (IV) drip into your arm once a week. You would also have regular appointments at the study clinic for various health checks and assessments. The main way researchers will check if the treatment is working is by taking special scans of your lungs called CT scans at different points during the three years.

Potential risks and benefits

By joining this study, you might benefit from a new treatment that could help slow down your lung damage. However, because it's a research study, there's no guarantee that you will receive the active treatment, as some participants will get a placebo. There's also no guarantee the treatment will work for you, and there could be side effects from the medication or the procedures involved. You have the right to withdraw from the study at any time, for any reason, without it affecting your medical care.

Locations (52)

  • Grifols Investigative Site
    Verified postcode
    Phoenix, United States
  • Grifols Investigative Site
    Verified postcode
    Gainesville, United States
  • Grifols Investigative Site
    Verified postcode
    Leesburg, United States
  • Grifols Investigative Site
    Verified postcode
    Miami, United States
  • Grifols Investigative Site
    Verified postcode
    St Louis, United States
  • Grifols Investigative Site
    Verified postcode
    Wilmington, United States
  • Grifols Investigative Site
    Verified postcode
    Portland, United States
  • Grifols Investigative Site
    Verified postcode
    Hershey, United States
  • Grifols Investigative Site
    Verified postcode
    Charleston, United States
  • Grifols Investigative Site
    Verified postcode
    Tyler, United States
  • Grifols Investigative Site
    Verified postcode
    Vicente López, Argentina
  • Grifols Investigative Site
    Verified postcode
    Córdoba, Argentina

Common questions

What is Alpha-1 Antitrypsin Deficiency (AATD)?

It's a genetic condition where your body doesn't make enough of a special protein that protects your lungs from damage.

What is emphysema?

Emphysema is a type of lung damage that makes it harder to breathe, often caused by AATD or smoking.

Will I know if I'm getting the real medicine or the dummy treatment?

No, this is a "double-blind" study, meaning neither you nor your doctors will know, to keep the results fair.

How long will I take part in the study?

The main treatment part of the study lasts for three years, with a final check-up shortly after.

What are CT scans, and why do I need them?

CT scans are special X-rays that create detailed pictures of your lungs, helping doctors see how your lungs are responding to the treatment.

How to find out more

Always speak to your GP or specialist before deciding to take part in a study.

Discussion

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