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Last Updated: May 24, 2025

CLINICAL TRIALS PROFILE FOR HEPATITIS B IMMUNE GLOBULIN INTRAVENOUS (HUMAN)


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All Clinical Trials for hepatitis b immune globulin intravenous (human)

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00031291 ↗ Plasmapheresis of Anthrax-Vaccinated Subjects for Production of Anthrax Immune Globulin Completed National Institutes of Health Clinical Center (CC) 2002-02-01 This protocol is a joint project of the National Institutes of Health, the Centers for Disease Control and the United States Army Medical Research Institute for Infectious Diseases. It is designed to collect plasma from healthy employees of the Department of Defense who have been vaccinated against anthrax. The collected plasma will be pooled to make an anthrax-fighting antibody solution called anthrax immune globulin intravenous (AIGIV). This solution will be used for: - Animal experiments to test its effectiveness in preventing the development of anthrax after inhalation exposure; - Treating people severely ill with anthrax who are not improving with standard antibiotic therapy; and - Treating people exposed to spores of the bacteria that cause anthrax to try to prevent development of the disease. Healthy volunteers between 18 and 65 years of age who have received at least four doses of the anthrax vaccine and who meet the criteria for blood donors may be eligible to participate in this study. Volunteers will be recruited from Department of Defense civilian and military employees. Candidates will be screened with an interview and blood tests. Participants will undergo the following procedures: - Have a health history screen for donating plasma - Measurement of heart rate, blood pressure and temperature - Fingerstick to check hemoglobin level - Blood tests for HIV, hepatitis B and C, syphilis and other infectious diseases - Blood test for anthrax antibody levels - Plasmapheresis to collect blood plasma (the liquid part of the blood) In plasmapheresis, whole blood is drawn through a needle placed in an arm vein. The blood flows into a cell separator machine, where it is spun to separate the plasma from the blood cells. The plasma is collected in a plastic bag in the machine, while the rest of the blood is returned to the donor through the needle in the arm. During the procedure, the donor is given a blood thinner called citrate to prevent the blood from clotting while it is in the cell separator machine. The procedure lasts from 60 to 90 minutes. Only a small fraction of the body's total plasma is removed, and it is quickly replaced by the body with no long-term health effects. Participants may be requested to donate plasma as often as every 3 to 4 days or as infrequently as once a month for a maximum of six donations.
NCT00059267 ↗ Prevention of Recurrent Hepatitis B After Liver Transplantation Completed University of Michigan 2001-03-01 Hepatitis B accounts for approximately 5000 deaths per year in the United States. Liver transplantation offers the only hope for patients who develop end-stage liver disease. Early results of liver transplantation for hepatitis B were poor with recurrence rate of 80% and 1-year survival of only 50%. Recent studies found that preventive therapy using hepatitis B immune globulin (HBIG) or antiviral medications such as lamivudine can reduce the recurrence rate to roughly 30% with accompanying improvement in survival. However, HBIG when given as intravenous infusion in high doses is very expensive, while long-term use of lamivudine is associated with drug resistance. Some studies found that preventive therapy using both HBIG and lamivudine may decrease recurrence rate to less than 10% but the dose and duration of HBIG needed when used in combination with lamivudine is not clear. Adefovir, a new antiviral medication, is effective against lamivudine resistant hepatitis B but its role in liver transplantation is uncertain because of the risk of kidney damage. Many studies showed that the risk of recurrent hepatitis B is related to the viral load before transplant. Thus, it may be possible to tailor the preventive therapy according to the risk. The aim of this study is to establish the most cost-effective preventive therapy for recurrent hepatitis B after liver transplantation.
NCT00059267 ↗ Prevention of Recurrent Hepatitis B After Liver Transplantation Completed National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) 2001-03-01 Hepatitis B accounts for approximately 5000 deaths per year in the United States. Liver transplantation offers the only hope for patients who develop end-stage liver disease. Early results of liver transplantation for hepatitis B were poor with recurrence rate of 80% and 1-year survival of only 50%. Recent studies found that preventive therapy using hepatitis B immune globulin (HBIG) or antiviral medications such as lamivudine can reduce the recurrence rate to roughly 30% with accompanying improvement in survival. However, HBIG when given as intravenous infusion in high doses is very expensive, while long-term use of lamivudine is associated with drug resistance. Some studies found that preventive therapy using both HBIG and lamivudine may decrease recurrence rate to less than 10% but the dose and duration of HBIG needed when used in combination with lamivudine is not clear. Adefovir, a new antiviral medication, is effective against lamivudine resistant hepatitis B but its role in liver transplantation is uncertain because of the risk of kidney damage. Many studies showed that the risk of recurrent hepatitis B is related to the viral load before transplant. Thus, it may be possible to tailor the preventive therapy according to the risk. The aim of this study is to establish the most cost-effective preventive therapy for recurrent hepatitis B after liver transplantation.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for hepatitis b immune globulin intravenous (human)

Condition Name

Condition Name for hepatitis b immune globulin intravenous (human)
Intervention Trials
Hepatitis B 2
Liver Transplantation 1
Myocarditis 1
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Condition MeSH

Condition MeSH for hepatitis b immune globulin intravenous (human)
Intervention Trials
Hepatitis A 2
Hepatitis 2
Hepatitis B 2
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Clinical Trial Locations for hepatitis b immune globulin intravenous (human)

Trials by Country

Trials by Country for hepatitis b immune globulin intravenous (human)
Location Trials
Nepal 2
United States 2
China 1
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Trials by US State

Trials by US State for hepatitis b immune globulin intravenous (human)
Location Trials
Michigan 1
Maryland 1
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Clinical Trial Progress for hepatitis b immune globulin intravenous (human)

Clinical Trial Phase

Clinical Trial Phase for hepatitis b immune globulin intravenous (human)
Clinical Trial Phase Trials
Phase 4 1
Phase 2 2
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Clinical Trial Status

Clinical Trial Status for hepatitis b immune globulin intravenous (human)
Clinical Trial Phase Trials
Completed 3
Not yet recruiting 1
Unknown status 1
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Clinical Trial Sponsors for hepatitis b immune globulin intravenous (human)

Sponsor Name

Sponsor Name for hepatitis b immune globulin intravenous (human)
Sponsor Trials
University of Liverpool 1
Third Affiliated Hospital, Sun Yat-Sen University 1
Assistance Publique - Hôpitaux de Paris 1
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Sponsor Type

Sponsor Type for hepatitis b immune globulin intravenous (human)
Sponsor Trials
Other 6
NIH 2
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Hepatitis B Immune Globulin Intravenous (Human): Clinical Trials, Market Analysis, and Projections

Introduction

Hepatitis B Immune Globulin Intravenous (Human), such as HepaGam B, is a crucial therapeutic agent used for the prevention of hepatitis B virus (HBV) infection and recurrence, particularly in liver transplant patients and those exposed to the virus. Here, we will delve into the clinical trials, market analysis, and future projections for this drug.

Clinical Trials and Efficacy

Liver Transplant Patients

Clinical trials have been conducted to evaluate the efficacy of HepaGam B in preventing hepatitis B recurrence following liver transplantation. A multi-center, open-labeled study involved HBsAg-positive/HBeAg-negative liver transplant patients. The study compared an active treatment group receiving HepaGam B with a retrospective untreated control group. The results showed that patients receiving HepaGam B maintained anti-HBs trough levels > 500 IU per liter, significantly reducing the recurrence of hepatitis B[1].

Pharmacokinetics

Pharmacokinetic studies have been performed to understand the absorption, distribution, and elimination of HepaGam B. These studies, involving healthy subjects, demonstrated mean peak concentrations within 4-5 days of intramuscular administration and a mean elimination half-life of 22 to 25 days. The pharmacokinetic profile of HepaGam B is comparable to other licensed hepatitis B immune globulin products, indicating similar efficacy[1].

Market Analysis

Global Market Size and Growth

The global intravenous immunoglobulin (IVIG) market, which includes hepatitis B immune globulin, was estimated at USD 11.98 billion in 2022. This market is expected to grow at a compound annual growth rate (CAGR) of 7.3% from 2023 to 2030, reaching significant growth due to factors such as the increasing geriatric population, rising prevalence of immunodeficiency diseases, and growing adoption of IVIG treatments[2].

Key Drivers

  • Growing Geriatric Population: The elderly are more susceptible to immunodeficiency diseases, driving the demand for IVIG treatments.
  • Rising Prevalence of Immunodeficiency Diseases: Conditions like chronic inflammatory demyelinating polyneuropathy (CIDP) and hypogammaglobulinemia are increasing, boosting the market.
  • COVID-19 Pandemic: The pandemic has highlighted the importance of immunoglobulin therapies, especially for immunocompromised individuals, further driving market growth[2][5].

Distribution and Regional Outlook

The market is dominated by North America, with a significant revenue share attributed to rising awareness of IVIG treatments and increasing healthcare spending. Other regions, including Europe and Asia Pacific, are also expected to contribute to the market growth[2][5].

Market Projections

Future Growth

The intravenous immunoglobulin market, including hepatitis B immune globulin, is projected to grow substantially. By 2032, the market is expected to increase by USD 24.4 billion from its 2022 value of USD 12.6 billion, at a CAGR of 7%[5].

Opportunities and Challenges

  • Opportunities: The increasing incidence of immunodeficiency disorders and the development of better technologies for immunoglobulin production are expected to offer lucrative opportunities.
  • Challenges: High costs associated with diagnosing and treating demyelinating diseases, along with the increasing cost of IVIG treatment, may hinder market growth[5].

Competitive Landscape

The market for intravenous immunoglobulins, including hepatitis B immune globulin, is highly competitive. Key players such as CSL Behring, Shire (Takeda Pharmaceutical Company Limited), Grifols, S.A., and Kedrion S.p.A are major contributors to the market. These companies are investing heavily in research and development to improve the efficacy and safety profiles of their products[5].

Regulatory Considerations

Clinical trials and pharmacokinetic data are crucial for the marketing authorization of hepatitis B immunoglobulins. Regulatory guidelines emphasize the need for studies in healthy volunteers and patients undergoing liver transplantation to confirm efficacy and safety. Trough titers of anti-HBs and the proportion of patients who develop recurrence of hepatitis B are key endpoints in these studies[4].

Key Takeaways

  • Clinical Efficacy: Hepatitis B Immune Globulin Intravenous (Human) has shown significant efficacy in preventing hepatitis B recurrence in liver transplant patients.
  • Market Growth: The global IVIG market, including hepatitis B immune globulin, is expected to grow at a CAGR of 7.3% from 2023 to 2030.
  • Key Drivers: Growing geriatric population, rising prevalence of immunodeficiency diseases, and increasing adoption of IVIG treatments are driving market growth.
  • Regulatory Considerations: Pharmacokinetic data and clinical trials are essential for marketing authorization.
  • Competitive Landscape: The market is highly competitive with major players investing in research and development.

FAQs

What is the primary use of Hepatitis B Immune Globulin Intravenous (Human)?

Hepatitis B Immune Globulin Intravenous (Human) is primarily used for the prevention of hepatitis B recurrence following liver transplantation and for postexposure prophylaxis.

What are the key drivers of the intravenous immunoglobulin market?

The key drivers include the growing geriatric population, rising prevalence of immunodeficiency diseases, increasing adoption of IVIG treatments, and the rising use of off-label indications.

What is the projected growth of the intravenous immunoglobulin market?

The market is expected to grow by USD 24.4 billion from 2022 to 2032, at a CAGR of 7%.

Which regions dominate the intravenous immunoglobulin market?

North America dominates the market, followed by Europe and Asia Pacific.

What are the major challenges facing the intravenous immunoglobulin market?

High costs associated with diagnosing and treating demyelinating diseases and the increasing cost of IVIG treatment are significant challenges.

Sources

  1. FDA: Cangene HepaGam B FPI (LT+PEP) - FDA
  2. Grand View Research: Intravenous Immunoglobulin Market Size & Share Report
  3. BioSpace: Chronic Hepatitis B Market to Reach USD 3,379.3 Million by 2034
  4. TGA: Guideline on the clinical investigation of hepatitis B immunoglobulins
  5. GlobeNewswire: Intravenous Immunoglobulin Market size to grow by USD 24.4 Billion by 2032
Last updated: 2025-01-01

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