Efficacy, Pharmacokinetics, Safety, and Tolerability of FlebogammaA® 10% DIF, a High-Purity Human Intravenous Immunoglobulin, in Primary Immunodeficiency

被引:24
作者
Berger, Melvin [2 ]
Pinciaro, Paul J. [3 ]
Althaus, Arthur [4 ]
Ballow, Mark [1 ]
Chouksey, Akhilesh [5 ]
Moy, James [6 ]
Ochs, Hans [7 ]
Stein, Mark [8 ]
机构
[1] SUNY Buffalo, Dept Pediat, Women & Childrens Hosp Buffalo, Div Allergy & Immunol, Buffalo, NY 14222 USA
[2] Case Western Reserve Univ, Cleveland, OH 44106 USA
[3] Grifols Biol Inc, Millersville, MD USA
[4] Kentuckiana Asthma & Allergy Ctr, Louisville, KY USA
[5] Rainbow Babies & Childrens Hosp, Cleveland, OH 44106 USA
[6] Rush Presbyterian St Lukes Med Ctr, Chicago, IL 60612 USA
[7] Univ Washington, Seattle, WA 98195 USA
[8] Allergy Associates Palm Beaches, N Palm Beach, FL USA
关键词
Intravenous immune globulin; Flebogamma (R) 10% DIF; IGIV; clinical trial; primary immunodeficiency disease; nanofiltration; REPLACEMENT THERAPY; 5-PERCENT DIF; INACTIVATION; NANOFILTRATION; GLOBULIN; VIRUS; REMOVAL; LIQUID;
D O I
10.1007/s10875-009-9348-y
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
FlebogammaA (R) 10% DIF represents an evolution of intravenous immune globulin from the previous 5% product to be administered at higher rates and with smaller infusion volumes. Pathogen safety is enhanced by the combination of multiple methods with different mechanisms of action. The objective of this study as to evaluate the efficacy, pharmacokinetics, and safety of FlebogammaA (R) 10% DIF for immunoglobulin replacement therapy in primary immunodeficiency diseases (PIDD). FlebogammaA (R) 10% DIF was administered to 46 subjects with well-defined PIDD at a dose of 300-600 mg/kg every 21-28 days for 12 months. Serious bacterial infection rate was 0.025/subject/year. Half-life in serum of the administered IgG was approximately 35 days. No serious treatment-related adverse event (AE) occurred in any patient. Most of the potentially treatment-related AEs occurred during the infusion, accounting for 20% of the 601 infusions administered. FlebogammaA (R) 10% DIF is efficacious and safe, has adequate pharmacokinetic properties, and is well-tolerated for the treatment of PIDD.
引用
收藏
页码:321 / 329
页数:9
相关论文
共 27 条
[1]  
[Anonymous], Official Disability Guidelines
[2]  
[Anonymous], 2015, Faststats
[3]  
Belda FJ, 2008, CLIN EXP IMMUNOL, V154, P180
[4]   Safety, efficacy, and pharmacokinetics of Flebogamma® 5% [immune globulin intravenous (human)] for replacement therapy in primary immunodeficiency diseases [J].
Berger, M ;
Pinciaro, PJ .
JOURNAL OF CLINICAL IMMUNOLOGY, 2004, 24 (04) :389-396
[5]   Principles of and advances in immunoglobulin replacement therapy for primary immunodeficiency [J].
Berger, Melvin .
IMMUNOLOGY AND ALLERGY CLINICS OF NORTH AMERICA, 2008, 28 (02) :413-+
[6]   A multicenter, prospective, open label, historically controlled clinical trial to evaluate efficacy and safety in primary immunodeficiency diseases (PID) patients of Flebogamma® 5% DIF, the next generation of Flebogamma® [J].
Berger, Melvin .
JOURNAL OF CLINICAL IMMUNOLOGY, 2007, 27 (06) :628-633
[7]   A history of immune globulin therapy, from the harvard crash program to monoclonal antibodies [J].
Berger M. .
Current Allergy and Asthma Reports, 2002, 2 (5) :368-378
[8]   Biologic IgG level in primary immunodeficiency disease: The IgG level that protects against recurrent infection [J].
Bonagura, Vincent R. ;
Marchlewski, Robert ;
Cox, Amanda ;
Rosenthal, David W. .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2008, 122 (01) :210-212
[9]   Nanofiltration of plasma-derived biopharmaceutical products [J].
Burnouf, T ;
Radosevich, M .
HAEMOPHILIA, 2003, 9 (01) :24-37
[10]   Hemolytic transfusion reactions after administration of intravenous immune (gamma) globulin: a case series analysis [J].
Daw, Zohra ;
Padmore, Ruth ;
Neurath, Doris ;
Cober, Nancy ;
Tokessy, Melanie ;
Desjardins, Diane ;
Olberg, Bernhard ;
Tinmouth, Alan ;
Giulivi, Antonio .
TRANSFUSION, 2008, 48 (08) :1598-1601