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Published in: Journal of Clinical Immunology 2/2007

01-03-2007

Efficacy and Tolerability of an Argentine Intravenous Immunoglobulin in Pediatric Patients with Primary Immunodeficiency Diseases

Authors: S. Krasovec, A. Ornani, M. Oleastro, S. Rosenzweig, A. Roy, L. Perez, G. Campos, N. MarÍn, A. Martinez, C. Mahieu, M. J. Manfredi, A. Sisti, M. Zelazko

Published in: Journal of Clinical Immunology | Issue 2/2007

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Abstract

Inmunoglobulina G Endovenosa UNC® is a 5% liquid Argentine intravenous immunoglobulin obtained from South American donors. This prospective trial was designed to evaluate if the product meets the minimal efficacy requirement of the US Food and Drug Administration of <1serious infection/subject/year as well as its safety in pediatric patients with Primary Immunodeficiency Diseases. Thirty patients under the age of 18, with well-defined Primary Immunodeficiency Diseases received Inmunoglobulina G Endovenosa UNC® (330–700 mg/kg every 3–4 weeks) for 6 months. Vital signs, laboratory abnormalities, adverse events and viral tests were assessed to evaluate safety.
Two serious infections occurred (pneumonia and bacteriemia). The estimated infection rate was 0.114 serious infection/subject/year (95% CI, 0.003–0.2277). Minor adverse events occurred in 5.5% of infusions; fever and headache were the most common. Neither severe adverse events, nor abnormal laboratory values were observed. All viral assessments were negative.
Inmunoglobulina G Endovenosa UNC® meets the minimal efficacy requirement of the US Food and Drug Administration for pediatric Primary Immunodeficiency Diseases patients and showed efficacy and safety data comparable with other data published.
Literature
1.
go back to reference Ochs HD, Stiehm ER, Wilkenstein JA: Antibodies deficiencies. In Immunologic Disorders in Infants and Children, In: ER Stiehm, HD Ochs, JA Wilkenstein (eds). Philadelphia, Elsevier, 2004, pp 356–426 Ochs HD, Stiehm ER, Wilkenstein JA: Antibodies deficiencies. In Immunologic Disorders in Infants and Children, In: ER Stiehm, HD Ochs, JA Wilkenstein (eds). Philadelphia, Elsevier, 2004, pp 356–426
2.
go back to reference Conley ME, Notarangelo LD, Etzioni A: Diagnostic criteria for Primary Immunodeficiencies. Clin Immunol 93:190–197, 1999PubMedCrossRef Conley ME, Notarangelo LD, Etzioni A: Diagnostic criteria for Primary Immunodeficiencies. Clin Immunol 93:190–197, 1999PubMedCrossRef
3.
go back to reference Stiehm ER: Conventional therapy of primary immunodeficiency diseases. In Primary Immunodeficiency Diseases, HD Ochs, CIE Smith, JM Puck (eds). New York, Oxford University Press, 1999, pp 448–458 Stiehm ER: Conventional therapy of primary immunodeficiency diseases. In Primary Immunodeficiency Diseases, HD Ochs, CIE Smith, JM Puck (eds). New York, Oxford University Press, 1999, pp 448–458
4.
go back to reference Lever AM, Webster AD, Brown D, Thomas HC: Non A non B Hepatitis occurring in agammaglobulinemic patients after intravenous immunoglobulin. Lancet 2:1062–1274, 1990 Lever AM, Webster AD, Brown D, Thomas HC: Non A non B Hepatitis occurring in agammaglobulinemic patients after intravenous immunoglobulin. Lancet 2:1062–1274, 1990
5.
6.
go back to reference Centers for Disease Control: Outbreak of hepatitis C associated with intravenous immunoglobulin administration – United States, October 1993– 1994. Morb Mortal Wkly Rep 43:505–509, 1994 Centers for Disease Control: Outbreak of hepatitis C associated with intravenous immunoglobulin administration – United States, October 1993– 1994. Morb Mortal Wkly Rep 43:505–509, 1994
7.
go back to reference Yap PL: The viral safety of intravenous immune globulin. Clin Exp Immunol 104(Suppl 1):35–42, 1996PubMed Yap PL: The viral safety of intravenous immune globulin. Clin Exp Immunol 104(Suppl 1):35–42, 1996PubMed
8.
go back to reference Camargos P, Fischer GB, Mocelin H, Dias C, Ruvinsky R: Penicillin resistance and serotyping of Streptococcus pneumoniae in Latin America. Paediatr Respir Rev 7(3):209–14, 2006PubMedCrossRef Camargos P, Fischer GB, Mocelin H, Dias C, Ruvinsky R: Penicillin resistance and serotyping of Streptococcus pneumoniae in Latin America. Paediatr Respir Rev 7(3):209–14, 2006PubMedCrossRef
9.
go back to reference Di Fabio JL, Castaneda E, Agudelo CI, De la Hoz F, Hortal M, Camou T, Echaniz-Aviles G, Noemi M, Barajas C, Heitmann I, Hormazabal JC, Brandileone MC, Dias Vieira VS, Regueira M, Ruvinski R, Corso A, Lovgren M, Talbot JA, De Quadros C: Evolution of Streptococcus pneumoniae serotypes and penicillin susceptibility in Latin America, Sireva-Vigia Group, 1993 to 1999. PAHO Sireva-Vigia Study Group. Pan American Health Organization. Pediatr Infect Dis J 20(10):959–67, 2001PubMedCrossRef Di Fabio JL, Castaneda E, Agudelo CI, De la Hoz F, Hortal M, Camou T, Echaniz-Aviles G, Noemi M, Barajas C, Heitmann I, Hormazabal JC, Brandileone MC, Dias Vieira VS, Regueira M, Ruvinski R, Corso A, Lovgren M, Talbot JA, De Quadros C: Evolution of Streptococcus pneumoniae serotypes and penicillin susceptibility in Latin America, Sireva-Vigia Group, 1993 to 1999. PAHO Sireva-Vigia Study Group. Pan American Health Organization. Pediatr Infect Dis J 20(10):959–67, 2001PubMedCrossRef
10.
go back to reference Sisti AM, Vitali MS, Manfredi MJ, Zarzur JA. Preparation of lyophilized and liquid intravenous immunoglobulin G: development and scale up. Vox Sang 80:216–224, 2001PubMedCrossRef Sisti AM, Vitali MS, Manfredi MJ, Zarzur JA. Preparation of lyophilized and liquid intravenous immunoglobulin G: development and scale up. Vox Sang 80:216–224, 2001PubMedCrossRef
11.
go back to reference Department of Health and Human Services, Food and Drug Administration Center for Biologics Evaluation and Research: www.fda.gov/cber/guidelines.htm Department of Health and Human Services, Food and Drug Administration Center for Biologics Evaluation and Research: www.fda.gov/cber/guidelines.htm
12.
go back to reference Appropriate uses of human immunoglobulin in clinical practice: memorandum from an IUIS/WHO meeting. Bull World Health Organ 60:43–47, 1982 Appropriate uses of human immunoglobulin in clinical practice: memorandum from an IUIS/WHO meeting. Bull World Health Organ 60:43–47, 1982
13.
go back to reference Notarangelo L, Casanova JL, Fischer A, Puck J, Rosen F, Seger R, Geha R: Primary immunodeficiency diseases: An update. J Allergy Clin Immunol 114:677–87, 2004PubMedCrossRef Notarangelo L, Casanova JL, Fischer A, Puck J, Rosen F, Seger R, Geha R: Primary immunodeficiency diseases: An update. J Allergy Clin Immunol 114:677–87, 2004PubMedCrossRef
14.
go back to reference Ochs HD, Pinciaro PJ and the Octagam Study Group: Octagam® 5%, an Intravenous IgG product, is efficacious and well tolerated in subjects with primary immunodeficiency diseases. J Clin Immunol 24:309–314, 2004PubMedCrossRef Ochs HD, Pinciaro PJ and the Octagam Study Group: Octagam® 5%, an Intravenous IgG product, is efficacious and well tolerated in subjects with primary immunodeficiency diseases. J Clin Immunol 24:309–314, 2004PubMedCrossRef
15.
go back to reference Berger M, Pinciaro PJ, Flebogamma® 5% Investigators: Safety, efficacy and pharmacokinetics of Flebogamma® 5% Immune Globulin Intravenous (Human). for replacement therapy in primary immunodeficiency diseases. J Clin Immunol 24:389–396, 2004PubMedCrossRef Berger M, Pinciaro PJ, Flebogamma® 5% Investigators: Safety, efficacy and pharmacokinetics of Flebogamma® 5% Immune Globulin Intravenous (Human). for replacement therapy in primary immunodeficiency diseases. J Clin Immunol 24:389–396, 2004PubMedCrossRef
16.
go back to reference Schiff R: Intravenous gammaglobulin, 2: pharmacology, clinical uses and mechanisms of action. Ped Allergy Immunol 5:127–156, 1994 Schiff R: Intravenous gammaglobulin, 2: pharmacology, clinical uses and mechanisms of action. Ped Allergy Immunol 5:127–156, 1994
17.
go back to reference Nowak-Wegrzyn A, Lederman H: Supply, use and abuse of intravenous immunoglobulin. Curr Opin Pediatr 11:533–545, 1999PubMedCrossRef Nowak-Wegrzyn A, Lederman H: Supply, use and abuse of intravenous immunoglobulin. Curr Opin Pediatr 11:533–545, 1999PubMedCrossRef
18.
go back to reference Eijkhout HW, Van Der Meer JWM, Kallenberg CGM, Weening RS, van Dissel JT, Sanders LAM, Strengers PFW, Nienhuis H, Schellekens PTA: The effect of two different dosages of intravenous immunoglobulin on the incidence of recurrent infections in patients with primary hypogammaglobulinemia. Ann Intern Med 135:165–174, 2001PubMed Eijkhout HW, Van Der Meer JWM, Kallenberg CGM, Weening RS, van Dissel JT, Sanders LAM, Strengers PFW, Nienhuis H, Schellekens PTA: The effect of two different dosages of intravenous immunoglobulin on the incidence of recurrent infections in patients with primary hypogammaglobulinemia. Ann Intern Med 135:165–174, 2001PubMed
19.
go back to reference Schiff RI, Williams LW, Nelson RP, Buckley RH, Burks W, Good R: Multicenter crossover comparison of the safety and efficacy of Intraglobin-F with Gamimune-N, Sandoglobulin, and Gammagard in patients with primary immunodeficiency diseases. J Clin Immunol 17(1):21–28, 1997PubMedCrossRef Schiff RI, Williams LW, Nelson RP, Buckley RH, Burks W, Good R: Multicenter crossover comparison of the safety and efficacy of Intraglobin-F with Gamimune-N, Sandoglobulin, and Gammagard in patients with primary immunodeficiency diseases. J Clin Immunol 17(1):21–28, 1997PubMedCrossRef
Metadata
Title
Efficacy and Tolerability of an Argentine Intravenous Immunoglobulin in Pediatric Patients with Primary Immunodeficiency Diseases
Authors
S. Krasovec
A. Ornani
M. Oleastro
S. Rosenzweig
A. Roy
L. Perez
G. Campos
N. MarÍn
A. Martinez
C. Mahieu
M. J. Manfredi
A. Sisti
M. Zelazko
Publication date
01-03-2007
Published in
Journal of Clinical Immunology / Issue 2/2007
Print ISSN: 0271-9142
Electronic ISSN: 1573-2592
DOI
https://doi.org/10.1007/s10875-006-9055-x

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