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Trial · NCT00396006

Efficacy and Safety Study of Augmentation Therapy With ARALAST Fraction IV-1 (Human Alpha 1 - Proteinase Inhibitor)

NCT00396006, Phase 4, Completed, Baxalta now part of Shire; results first posted 2011-01-04

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy and Safety Study of Augmentation Therapy With ARALAST Fraction IV-1 (Human Alpha 1 - Proteinase Inhibitor). Trials, record NCT00396006. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00396006

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Efficacy and Safety Study of Augmentation Therapy With ARALAST Fraction IV-1 (Human Alpha 1 - Proteinase Inhibitor)
NCT number
NCT00396006
Status
Completed
Phases
Phase 4
Enrollment
21 participants, actual
Lead sponsor
Baxalta now part of Shire
Conditions
Alpha 1-Antitrypsin Deficiency
Interventions
Alpha1-Proteinase Inhibitor
First posted
2006-11-06
Last updated
2021-05-13
Results first posted
2011-01-04
Limitations and caveats
Isoelectric focusing (IEF) analyses that were intended to compare the profile of plasma α1-PI \& ELF α1-PI were not carried out due to fact that ELF samples were either missing, insufficient or too dilute for such assays.

Source ClinicalTrials.gov

Registered outcomes12

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange in Bronchoalveolar Lavage (BAL) Epithelial Lining Fluid (ELF) Alpha1-Proteinase Inhibitor (α1-PI) LevelBAL procedures were performed at baseline and after 8 consecutive weeks of treatment (minimum of 12 weeks)Median change BAL ELF antigenic α1-PI level the from baseline to post-treatment
PrimaryThe Number of Adverse Events (AEs) Related to the Infusion of ARALAST Fr. IV 1 Administered at a Rate of 0.2 mL/kg/MinDuring 8 consecutive weeks of treatment
PrimaryNumber of Changes in the Rate of InfusionDuring 8 consecutive weeks of treatmentNumber of decreases in the rate or discontinuations of infusion at 0.2 mL/kg/min
SecondaryRatio of Post- to Pre-treatment BAL ELF Antineutrophil Elastase Capacity (ANEC) LevelsBAL procedures were performed at baseline and after 8 consecutive weeks of treatment (minimum of 12 weeks)Median ratio of post- to pre-treatment BAL ELF ANEC levels
SecondaryChange in in the Ratio of BAL ELF α1-PI to Human Neutrophil Elastase (HNE) Complex ConcentrationBAL procedures were performed at baseline and after 8 consecutive weeks of treatment (minimum of 12 weeks)Median change in the ratio of BAL ELF α1-PI to HNE complex concentration from baseline to post-treatment
SecondaryChange in the α1-PI Plasma LevelBlood samples were collected at baseline and after 8 consecutive weeks of treatmentMean change in the plasma level of α1-PI from baseline to post-treatment
SecondaryChange in the Plasma Antineutrophil Elastase Capacity (ANEC) LevelBlood samples were collected at baseline and after 8 consecutive weeks of treatmentMean change in the plasma ANEC level from baseline to post-treatment
SecondaryClinically Significant Changes in Vital Signs From Pre- to Post-InfusionDuring 8 consecutive weeks of infusion
Clinically significant changes in vital signs from pre- to post-infusion are: • Heart rate: 25% increase above pre-infusion value • Blood pressure: ≥ 30 mm Hg change from pre-infusion blood pressure (systolic or diastolic) • Temperature: an increase in body temperature to \>38°C (\>100.4°F). If the pre-infusion body temperature was already \>38°C (\>100.4°F), then any further increase in body temperature by 1.1°C (1.98°F) or more was considered clinically significant. • Respiratory rate: 25% increase above pre-infusion value
OtherChange in the BAL ELF Free Neutrophil Elastase LevelBAL procedures were performed at baseline and after 8 consecutive weeks of treatment (minimum of 12 weeks)Median change in the BAL ELF Free Neutrophil Elastase Level from baseline to post-treatment
OtherRatio of Post- to Pre-treatment BAL ELF Total Neutrophil Elastase LevelBAL procedures were performed at baseline and after 8 consecutive weeks of treatment (minimum of 12 weeks)Median ratio of post- to pre-treatment BAL ELF Total Neutrophil Elastase Level

Outcomes12

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange in Bronchoalveolar Lavage (BAL) Epithelial Lining Fluid (ELF) Alpha1-Proteinase Inhibitor (α1-PI) LevelBAL procedures were performed at baseline and after 8 consecutive weeks of treatment (minimum of 12 weeks)Per protocolμMMEDIAN
PRIMARYThe Number of Adverse Events (AEs) Related to the Infusion of ARALAST Fr. IV 1 Administered at a Rate of 0.2 mL/kg/MinDuring 8 consecutive weeks of treatmentIntent to treatadverse eventsNUMBER
SECONDARYRatio of Post- to Pre-treatment BAL ELF Antineutrophil Elastase Capacity (ANEC) LevelsBAL procedures were performed at baseline and after 8 consecutive weeks of treatment (minimum of 12 weeks)Per protocolμMMEDIAN
SECONDARYChange in in the Ratio of BAL ELF α1-PI to Human Neutrophil Elastase (HNE) Complex ConcentrationBAL procedures were performed at baseline and after 8 consecutive weeks of treatment (minimum of 12 weeks)No per protocol subject had both pre- and post-treatment analytes available, therefore no analysis could be performed on this outcome measure
SECONDARYChange in the α1-PI Plasma LevelBlood samples were collected at baseline and after 8 consecutive weeks of treatmentPer protocolμMMEAN
SECONDARYChange in the Plasma Antineutrophil Elastase Capacity (ANEC) LevelBlood samples were collected at baseline and after 8 consecutive weeks of treatmentPer protocolμMMEAN
OTHER_PRE_SPECIFIEDChange in the BAL ELF Free Neutrophil Elastase LevelBAL procedures were performed at baseline and after 8 consecutive weeks of treatment (minimum of 12 weeks)Per protocol population with both pre- and post-treatment analytes available from BAL proceduresnMMEDIAN
OTHER_PRE_SPECIFIEDRatio of Post- to Pre-treatment BAL ELF Total Neutrophil Elastase LevelBAL procedures were performed at baseline and after 8 consecutive weeks of treatment (minimum of 12 weeks)Per protocolnMMEDIAN
OTHER_PRE_SPECIFIEDRatio of Post- to Pre-treatment BAL ELF Interleukin 8 (IL-8) LevelBAL procedures were performed at baseline and after 8 consecutive weeks of treatment (minimum of 12 weeks)Per protocolpg/mLMEDIAN
OTHER_PRE_SPECIFIEDChange in the BAL ELF Tumor Necrosis Factor-alpha (TNF-α) From Baseline to Post-treatmentBAL procedures were performed at baseline and after 8 consecutive weeks of treatment (minimum of 12 weeks)Per protocol population with both pre- and post-treatment analytes available from BAL procedures

Results by group10

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change in Bronchoalveolar Lavage (BAL) Epithelial Lining Fluid (ELF) Alpha1-Proteinase Inhibitor (α1-PI) LevelPer Protocol0.28Full Range -0.24 to 4.90μM
The Number of Adverse Events (AEs) Related to the Infusion of ARALAST Fr. IV 1 Administered at a Rate of 0.2 mL/kg/MinIntent to Treat0adverse events
Ratio of Post- to Pre-treatment BAL ELF Antineutrophil Elastase Capacity (ANEC) LevelsPer Protocol1.22Full Range 0.63 to 1.81μM
Change in the α1-PI Plasma LevelPer Protocol10.34Standard Deviation 2.50μM
Change in the Plasma Antineutrophil Elastase Capacity (ANEC) LevelPer Protocol9.46Standard Deviation 2.31μM
Change in the BAL ELF Free Neutrophil Elastase LevelPer Protocol41.17Full Range 3.91 to 41.61nM
Ratio of Post- to Pre-treatment BAL ELF Total Neutrophil Elastase LevelPer Protocol1.24Full Range 0.47 to 30.97nM
Ratio of Post- to Pre-treatment BAL ELF Interleukin 8 (IL-8) LevelPer Protocol1.46Full Range 0.48 to 10.38pg/mL
Number of Changes in the Rate of InfusionIntent to Treat0infusions
Clinically Significant Changes in Vital Signs From Pre- to Post-InfusionIntent to Treat2# Clinically significant events

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDParticipants Treated With ARALAST Fraction IV-1 (Fr. IV-1)13
Overall StudyCOMPLETEDParticipants Treated With ARALAST Fraction IV-1 (Fr. IV-1)13
Overall StudyNOT COMPLETEDParticipants Treated With ARALAST Fraction IV-1 (Fr. IV-1)0

Adverse events14

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherInflammationGeneral disordersIntent to Treat1131
otherSluggishnessGeneral disordersIntent to Treat2132
otherVessel puncture site haematomaGeneral disordersIntent to Treat1131
otherBronchitisInfections and infestationsIntent to Treat1131
otherSinusitisInfections and infestationsIntent to Treat1131
otherContusionInjury, poisoning and procedural complicationsIntent to Treat1131
otherPost procedural complicationInjury, poisoning and procedural complicationsIntent to Treat2133
otherBlood pressure systolic abnormalInvestigationsIntent to Treat1131
otherRespiratory rate increasedInvestigationsIntent to Treat1131
otherBack painMusculoskeletal and connective tissue disordersIntent to Treat1131

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityIntent to Treat
Total, other adverse eventsIntent to Treat713
Total, serious adverse eventsIntent to Treat113

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
36001294DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00396006

GET https://conductscience.org/api/trials/v1/NCT00396006/registered