Skip to main content
Top
Published in: Journal of Clinical Immunology 3/2010

01-05-2010

Tolerability of a New 10% Liquid Immunoglobulin for Intravenous Use, Privigen®, at Different Infusion Rates

Authors: John W. Sleasman, Carla M. Duff, Theresa Dunaway, Mikhail A. Rojavin, Mark R. Stein

Published in: Journal of Clinical Immunology | Issue 3/2010

Login to get access

Abstract

Purpose

The tolerability of L-proline-stabilized Privigen®, a new 10% liquid immunoglobulin for intravenous administration, was assessed at high infusion rates in a Phase III, open-label, single-arm, multicenter study in 45 patients with primary immune deficiencies.

Patients and Methods

Maximum infusion rates were not assigned prospectively. For analysis, patients were grouped according to maximum infusion rate in a low infusion rate group (8 mg/kg/min) and high infusion rate group (12 mg/kg/min).

Results

Twenty-three patients, selected at the investigators’ discretion for the high infusion rate group based on their good tolerability, tolerated Privigen® at 12 mg/kg/min with no increase in temporally associated adverse events (AEs) above the level they had experienced at 8 mg/kg/min. The proportion of infusions with temporally associated AEs in these patients was 0.079 [97.5% confidence interval (CI) 0.114] compared to 0.211 (97.5% CI 0.267) in the low infusion rate group. The most frequent AE was headache. Thus, selected patients tolerate Privigen® at high infusion rates.
Literature
1.
go back to reference Ammann AJ, Ashman RF, Buckley RH, Hardie WR, Krantmann HJ, Nelson J, et al. Use of intravenous gamma-globulin in antibody immunodeficiency: results of a multicenter controlled trial. Clin Immunol Immunopathol. 1982;22:60–7.CrossRefPubMed Ammann AJ, Ashman RF, Buckley RH, Hardie WR, Krantmann HJ, Nelson J, et al. Use of intravenous gamma-globulin in antibody immunodeficiency: results of a multicenter controlled trial. Clin Immunol Immunopathol. 1982;22:60–7.CrossRefPubMed
2.
go back to reference Buckley RH, Schiff RI. The use of intravenous immune globulin in immunodeficiency diseases. N Engl J Med. 1991;325:110–7.PubMedCrossRef Buckley RH, Schiff RI. The use of intravenous immune globulin in immunodeficiency diseases. N Engl J Med. 1991;325:110–7.PubMedCrossRef
3.
go back to reference Cunningham-Rundles C, Siegal FP, Smithwick EM, Lion-Boule A, Cunningham-Rundles S, O'Malley J, et al. Efficacy of intravenous immunoglobulin in primary humoral immunodeficiency disease. Ann Intern Med. 1984;101:435–9.PubMed Cunningham-Rundles C, Siegal FP, Smithwick EM, Lion-Boule A, Cunningham-Rundles S, O'Malley J, et al. Efficacy of intravenous immunoglobulin in primary humoral immunodeficiency disease. Ann Intern Med. 1984;101:435–9.PubMed
4.
go back to reference Cramer M, Frey R, Sebald A, Mazzoletti P, Meader W. Stability over 36 months of a new liquid 10% polyclonal immunoglobulin product (IgPro10, Privigen™) stabilized with L-proline. Vox Sang. 2009;96:219–25. Cramer M, Frey R, Sebald A, Mazzoletti P, Meader W. Stability over 36 months of a new liquid 10% polyclonal immunoglobulin product (IgPro10, Privigen™) stabilized with L-proline. Vox Sang. 2009;96:219–25.
6.
go back to reference Bolli R, Spycher MO, Brügger R, Wüst B, Gennari K. IgG-dimer formation in liquid immunoglobulin preparations is inhibited by nicotinamide and other amphiphilic compounds. J Autoimmun. 1999;96 Suppl 1:96. Bolli R, Spycher MO, Brügger R, Wüst B, Gennari K. IgG-dimer formation in liquid immunoglobulin preparations is inhibited by nicotinamide and other amphiphilic compounds. J Autoimmun. 1999;96 Suppl 1:96.
7.
go back to reference Schnorf J, Arnet B, Burek-Kozlowska A, Gennari K, Rohner R, Späth PJ, et al. Laboratory parameters measured during infusion of immunoglobulin preparations for intravenous use and related to tolerability. In: Kazatchkine MD, Morell A, editors. Intravenous immunoglobulin research and therapy. New York: Parthenon; 1996. p. 312–3. Schnorf J, Arnet B, Burek-Kozlowska A, Gennari K, Rohner R, Späth PJ, et al. Laboratory parameters measured during infusion of immunoglobulin preparations for intravenous use and related to tolerability. In: Kazatchkine MD, Morell A, editors. Intravenous immunoglobulin research and therapy. New York: Parthenon; 1996. p. 312–3.
8.
go back to reference Spycher MO, Bolli R, Hodler G, Gennari K, Hubsch A, Späth P, et al. Well-tolerated liquid intravenous immunoglobulin G preparations (IVIG) have a low immunoglobulin G dimer (IgG-dimer) content. J Autoimmun. 1999;Suppl 1:96. Spycher MO, Bolli R, Hodler G, Gennari K, Hubsch A, Späth P, et al. Well-tolerated liquid intravenous immunoglobulin G preparations (IVIG) have a low immunoglobulin G dimer (IgG-dimer) content. J Autoimmun. 1999;Suppl 1:96.
9.
go back to reference Stein MR, Nelson RP, Church JA, Wasserman RL, Borte M, Vermylen C, et al. Safety and efficacy of Privigen®, a novel 10% liquid immunoglobulin preparation for intravenous use, in patients with primary immunodeficiencies. J Clin Immunol. 2009;29:137–44.CrossRefPubMed Stein MR, Nelson RP, Church JA, Wasserman RL, Borte M, Vermylen C, et al. Safety and efficacy of Privigen®, a novel 10% liquid immunoglobulin preparation for intravenous use, in patients with primary immunodeficiencies. J Clin Immunol. 2009;29:137–44.CrossRefPubMed
10.
go back to reference Bussel JB, Hanna K. Safety and tolerability of a novel chromatography-based intravenous immunoglobulin when administered at a high infusion rate in patients with immune thrombocytopenic purpura. Am J Hematol. 2007;82:192–8.CrossRefPubMed Bussel JB, Hanna K. Safety and tolerability of a novel chromatography-based intravenous immunoglobulin when administered at a high infusion rate in patients with immune thrombocytopenic purpura. Am J Hematol. 2007;82:192–8.CrossRefPubMed
11.
go back to reference Gelfand EW, Hanna K. Safety and tolerability of increased rate of infusion of intravenous immunoglobulin G, 10% in antibody-deficient patients. J Clin Immunol. 2006;26:284–90.CrossRefPubMed Gelfand EW, Hanna K. Safety and tolerability of increased rate of infusion of intravenous immunoglobulin G, 10% in antibody-deficient patients. J Clin Immunol. 2006;26:284–90.CrossRefPubMed
12.
go back to reference Orange JS, Hossny EM, Weiler CR, Ballow M, Berger M, Bonilla FA, et al. Use of intravenous immunoglobulin in human disease: a review of evidence by members of the Primary Immunodeficiency Committee of the American Academy of Allergy, Asthma and Immunology. J Allergy Clin Immunol. 2006;117:S525–53.CrossRefPubMed Orange JS, Hossny EM, Weiler CR, Ballow M, Berger M, Bonilla FA, et al. Use of intravenous immunoglobulin in human disease: a review of evidence by members of the Primary Immunodeficiency Committee of the American Academy of Allergy, Asthma and Immunology. J Allergy Clin Immunol. 2006;117:S525–53.CrossRefPubMed
13.
go back to reference Duff K. You can make a difference in the administration of intravenous immunoglobulin therapy. J Infus Nurs. 2006;29:S5–14.CrossRefPubMed Duff K. You can make a difference in the administration of intravenous immunoglobulin therapy. J Infus Nurs. 2006;29:S5–14.CrossRefPubMed
14.
go back to reference Murphy E, Martin S, Patterson JV. Developing practice guidelines for the administration of intravenous immunoglobulin. J Infus Nurs. 2005;28:265–72.CrossRefPubMed Murphy E, Martin S, Patterson JV. Developing practice guidelines for the administration of intravenous immunoglobulin. J Infus Nurs. 2005;28:265–72.CrossRefPubMed
15.
go back to reference Pierce LR, Jain N. Risks associated with the use of intravenous immunoglobulin. Transfus Med Rev. 2003;17:241–51.CrossRefPubMed Pierce LR, Jain N. Risks associated with the use of intravenous immunoglobulin. Transfus Med Rev. 2003;17:241–51.CrossRefPubMed
16.
go back to reference Berger M, Cunningham-Rundles C, Bonilla FA, Melamed I, Bichler J, Zenker O, et al. Carimune NF liquid is a safe and effective immunoglobulin replacement therapy in patients with primary immunodeficiency diseases. J Clin Immunol. 2007;27:503–9.CrossRefPubMed Berger M, Cunningham-Rundles C, Bonilla FA, Melamed I, Bichler J, Zenker O, et al. Carimune NF liquid is a safe and effective immunoglobulin replacement therapy in patients with primary immunodeficiency diseases. J Clin Immunol. 2007;27:503–9.CrossRefPubMed
17.
go back to reference Immune Globulin Intravenous (Human) Flebogamma 5%, Prescribing Information. Grifols S.A.; 2003. Immune Globulin Intravenous (Human) Flebogamma 5%, Prescribing Information. Grifols S.A.; 2003.
18.
go back to reference Immune Globulin Intravenous (Human) 10% Gammagard Liquid Prescribing Information. Baxter Healthcare Corporation; 2005. Immune Globulin Intravenous (Human) 10% Gammagard Liquid Prescribing Information. Baxter Healthcare Corporation; 2005.
19.
go back to reference Immune Globulin Intravenous [Human] 10% Gamunex, Prescribing Information. Talecris Biotherapeutics, Inc.; 2005. Immune Globulin Intravenous [Human] 10% Gamunex, Prescribing Information. Talecris Biotherapeutics, Inc.; 2005.
20.
go back to reference Immune Globulin Intravenous (Human) 5% Octagam, Prescribing Information. Octapharma AG; 2008. Immune Globulin Intravenous (Human) 5% Octagam, Prescribing Information. Octapharma AG; 2008.
21.
go back to reference Lindegren ML, Kobrynski L, Rasmussen SA, Moore CA, Grosse SD, Vanderford ML, et al. Applying public health strategies to primary immunodeficiency diseases: a potential approach to genetic disorders. MMWR Recomm Rep. 2004;53:1–29.PubMed Lindegren ML, Kobrynski L, Rasmussen SA, Moore CA, Grosse SD, Vanderford ML, et al. Applying public health strategies to primary immunodeficiency diseases: a potential approach to genetic disorders. MMWR Recomm Rep. 2004;53:1–29.PubMed
Metadata
Title
Tolerability of a New 10% Liquid Immunoglobulin for Intravenous Use, Privigen®, at Different Infusion Rates
Authors
John W. Sleasman
Carla M. Duff
Theresa Dunaway
Mikhail A. Rojavin
Mark R. Stein
Publication date
01-05-2010
Publisher
Springer US
Published in
Journal of Clinical Immunology / Issue 3/2010
Print ISSN: 0271-9142
Electronic ISSN: 1573-2592
DOI
https://doi.org/10.1007/s10875-010-9373-x

Other articles of this Issue 3/2010

Journal of Clinical Immunology 3/2010 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine