Preventive IVIG Therapy for Congenital Heart Block
Condition: Congenital Heart Block; Neonatal Lupus; Autoantibody-associated Heart Block
MeSH terms: Heart Block
Study type: Interventional
Phase: Early Phase 1

Summary: 
      Neonatal lupus (NL) is the name given to a group of conditions that can affect the babies of
      mothers who have certain autoantibodies against components of the body's cells that are
      called SSA/Ro and SSB/La. NL can appear as a temporary rash that usually goes away by the
      time the baby is 6 months old, or very rarely an abnormal blood or liver condition that also
      improves with time - or it can cause permanent and often life-threatening damage to the fetal
      heart, known as congenital heart block (CHB). In women with anti-Ro/La antibodies who are
      pregnant for the first time, only about 2% of the babies will develop CHB. But for a woman
      who has already had a child with CHB or NL rash, the risk of CHB in her next pregnancy is
      nearly 20%. Unfortunately, once complete (third degree) heart block has been unequivocally
      identified in a fetus, it has never been reversed with any of the therapies that have been
      tried to date. Our previous studies strongly indicate that scarring of the conduction system
      (the heart's own natural "pacemaker"), a consequence of inflammation triggered by the
      mother's antibodies, damages or even destroys the cells that allow the heart to beat at a
      normal rhythm. Instead, the damaged heart beats extremely slowly, to an extent that is fatal
      to nearly 20% of affected babies (with most deaths occurring as fetal demises). Nearly all
      surviving children with CHB require permanent implantation of a pacemaker device. Because it
      is so difficult to treat or repair the damaged heart, a high-priority strategy is to try to
      prevent the inflammatory process before irreversible scarring can occur. The aim of this
      clinical-based proposal is to determine whether treating the pregnant mother with intravenous
      immune globulin (IVIG) will prevent the development of CHB.
    

Detailed description: 
      Perhaps the strongest clinical association with autoantibodies against SSA/Ro-SSB/La is the
      development of congenital heart block (CHB) in an offspring, an alarming prospect facing 2%
      of primigravid mothers with these antibodies. Recurrence rates approach 20%. Disease can
      progress rapidly, with advanced block and life-threatening cardiomyopathy observed less than
      2 weeks from normal sinus rhythm. Once 3rd degree (complete) block is identified, reversal
      has never been achieved, despite dexamethasone. This makes biologic sense since the signature
      lesion is fibrosis of the atrioventricular node. Thus, strategies aimed at preventing disease
      assume high priority. Although disease expression in the fetus requires additional factors to
      amplify the cascade to fibrosis, maternal anti-Ro/La antibodies are necessary. Accordingly,
      eliminating fetal exposure to these antibodies is a sound and important approach. Intravenous
      immune globulin (IVIG) is particularly exciting in its potential not only to lower maternal
      antibody levels (which is not accomplished with glucocorticoids or immunosuppression), but
      actually to influence effector mechanisms in the fetus itself. Aim 1 is a clinical trial to
      assess the efficacy of IVIG in preventing CHB. Proof of efficacy is challenging since CHB
      occurs in only 2% of first pregnancies of anti-Ro/La+ women. However, given the 10-fold
      higher risk of CHB in a pregnancy after the birth of child with neonatal lupus (NL), mothers
      with previous NL-affected children are the target population for study. Sample size
      calculations employ Simon's 2-stage optimal design. Based on a 2-sided significance level of
      0.05, a power of 90% to show reduction of risk to 5% given the prediction that 18% of
      untreated subjects will get some degree of CHB, Stage 1 will enroll 19 women who have had a
      previous child with CHB or NL rash, to receive IVIG (400 mg/kg IVIG every 3 weeks for a total
      of 5 treatments) from weeks 12 through 24 of gestation. If fewer than 3 mothers have children
      with 2nd or 3rd degree block, then an additional 35 mothers will be enrolled in Stage 2
      (total = 54 subjects). IVIG will be considered efficacious and worthy of further study if
      fewer than 6 of 54 subjects have a child with advanced CHB. Secondary outcomes include 1st
      degree block, myocardial injury absent conduction defects, and isolated endocardial
      fibroelastosis as assessed by serial fetal echocardiograms and EKG at birth.

      Aim 2 will address: a) the effect of IVIG on antibody titer and subclass; b) genetic
      polymorphisms in Fc gamma receptor (FcgR) and platelet-activating factor acetylhydrolase and
      their potential association with response to IVIG; c) whether a decrease in anti-La
      antibodies positively correlates with the level of anti-La antiidiotypic antibodies; d)
      whether IVIG blocks expression of activation markers on human macrophages after challenge
      with opsonized apoptotic cardiocytes and whether this positively correlates with increased
      expression of the inhibitory Fc receptor, FcgRIIb.

      In sum, IVIG is a promising agent that may have effects at several levels of the pathologic
      cascade to antibody-mediated CHB.
    

Intervention name(s): intravenous immune globulin (IVIG)
Intervention type(s): Drug
Intervention MeSH terms: Immunoglobulins; Antibodies; gamma-Globulins; Immunoglobulins, Intravenous; Rho(D) Immune Globulin
Intervention model: Single Group Assignment
Masking: None (Open Label)
Primary purpose: Prevention
Keywords: congenital heart block; neonatal lupus; systemic lupus erythematosus; Sjogren syndrome; autoantibodies; SSA/Ro; SSB/La; autoimmunity; pregnancy; intravenous immune globulin; IVIG; immunoglobulin