Abstract |
Subcutaneous human IgG (SCIG) therapy in primary immunodeficiency (PID) offers sustained IgG levels throughout the dosing cycle and fewer adverse events (AEs) compared to intravenous immunoglobulin ( IVIG). A phase I study showed good local tolerability of IgPro20, a new 20% liquid SCIG stabilized with L-proline. A prospective, open-label, multicenter, single-arm, phase III study evaluated the efficacy and safety of IgPro20 in patients with PID over 15 months. Forty-nine patients (5-72 years) previously treated with IVIG received weekly subcutaneous infusions of IgPro20. The mean serum IgG level was 12.5 g/L. No serious bacterial infections were reported. There were 96 nonserious infections (rate 2.76/patient per year). The rate of days missed from work/school was 2.06/patient per year, and the rate of hospitalization was 0.2/patient per year. Ninety-nine percent of AEs were mild or moderate. No serious, IgPro20-related AEs were reported. IgPro20 effectively protected patients with PID against infections and maintained serum IgG levels without causing unexpected AEs.
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Authors | John B Hagan, Mary B Fasano, Sheldon Spector, Richard L Wasserman, Isaac Melamed, Mikhail A Rojavin, Othmar Zenker, Jordan S Orange |
Journal | Journal of clinical immunology
(J Clin Immunol)
Vol. 30
Issue 5
Pg. 734-45
(Sep 2010)
ISSN: 1573-2592 [Electronic] Netherlands |
PMID | 20454851
(Publication Type: Clinical Trial, Phase I, Clinical Trial, Phase III, Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Immunoglobulin G
- Immunoglobulins, Intravenous
- Immunologic Factors
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Topics |
- Adolescent
- Adult
- Agammaglobulinemia
(blood, drug therapy, immunology, physiopathology)
- Aged
- Bacterial Infections
(prevention & control)
- Child
- Common Variable Immunodeficiency
(blood, drug therapy, immunology, physiopathology)
- Female
- Genetic Diseases, X-Linked
(blood, drug therapy, immunology, physiopathology)
- Humans
- Immunoglobulin G
(blood)
- Immunoglobulins, Intravenous
(therapeutic use)
- Immunologic Factors
(administration & dosage, adverse effects, therapeutic use)
- Injections, Subcutaneous
- Male
- Middle Aged
- Prospective Studies
- Protein Stability
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