Skip to main content
Top
Published in: Journal of Clinical Immunology 1/2009

Open Access 01-01-2009

Safety and Efficacy of Privigen®, a Novel 10% Liquid Immunoglobulin Preparation for Intravenous Use, in Patients with Primary Immunodeficiencies

Authors: Mark R. Stein, Robert P. Nelson, Joseph A. Church, Richard L. Wasserman, Michael Borte, Christiane Vermylen, Johann Bichler, for the IgPro10 in PID study group

Published in: Journal of Clinical Immunology | Issue 1/2009

Login to get access

Abstract

Purpose

The present study was designed to evaluate the efficacy and safety of a novel, 10% liquid formulation of intravenous immunoglobulin, stabilized with 250 mmol/L l-proline (Privigen®), in patients with primary immunodeficiency disease.

Materials and Methods

Eighty adults and children diagnosed with common variable immunodeficiency or X-linked agammaglobulinemia received intravenous Privigen® infusions (200–888 mg/kg) at 3- or 4-week intervals over a 12-month period, according to their previously established maintenance dose. The primary endpoint was the annual rate of acute serious bacterial infections.

Results

There were six episodes of acute serious bacterial infections, corresponding to an annual rate of 0.08; the annual rate for all infections was 3.55. Mean serum IgG trough levels were between 8.84 and 10.27 g/L. A total of 1,038 infusions were administered, most of them at the maximum rate permitted (8.0 mg kg−1 min−1). Temporally associated adverse events, possibly or probably related to study drug, occurred in 9% of infusions, either during or within 72 h after infusion end.

Conclusion

Privigen® is well tolerated and effective for the treatment of primary immunodeficiency.
Literature
1.
2.
go back to reference Stiehm ER, Vaerman JP, Fudenberg HH. Plasma infusions in immunologic deficiency states: metabolic and therapeutic studies. Blood 1966;28(6):918–37.PubMed Stiehm ER, Vaerman JP, Fudenberg HH. Plasma infusions in immunologic deficiency states: metabolic and therapeutic studies. Blood 1966;28(6):918–37.PubMed
3.
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(1):60–7. doi:10.1016/0090-1229(82)90022-8.PubMedCrossRef 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(1):60–7. doi:10.​1016/​0090-1229(82)90022-8.PubMedCrossRef
4.
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(4):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(4):435–9.PubMed
5.
go back to reference Buckley RH, Schiff RI. The use of intravenous immune globulin in immunodeficiency diseases. N Engl J Med. 1991;325(2):110–7.PubMed Buckley RH, Schiff RI. The use of intravenous immune globulin in immunodeficiency diseases. N Engl J Med. 1991;325(2):110–7.PubMed
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. 1996;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. 1996;96(Suppl 1):96.
7.
go back to reference Kumar TK, Samuel D, Jayaraman G, Srimathi T, Yu C. The role of proline in the prevention of aggregation during protein folding in vitro. Biochem Mol Biol Int. 1998;46(3):509–17.PubMed Kumar TK, Samuel D, Jayaraman G, Srimathi T, Yu C. The role of proline in the prevention of aggregation during protein folding in vitro. Biochem Mol Biol Int. 1998;46(3):509–17.PubMed
8.
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.
10.
go back to reference Druml W, Heinzel G, Kleinberger G. Amino acid kinetics in patients with sepsis. Am J Clin Nutr. 2001;73(5):908–13.PubMed Druml W, Heinzel G, Kleinberger G. Amino acid kinetics in patients with sepsis. Am J Clin Nutr. 2001;73(5):908–13.PubMed
11.
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. 1996;96(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. 1996;96(Suppl 1):96.
14.
go back to reference Conley ME, Notarangelo LD, Etzioni A. Diagnostic criteria for primary immunodeficiencies. Representing PAGID (Pan-American Group for Immunodeficiency) and ESID (European Society for Immunodeficiencies). Clin Immunol. 1999;93(3):190–7. doi:10.1006/clim.1999.4799.PubMedCrossRef Conley ME, Notarangelo LD, Etzioni A. Diagnostic criteria for primary immunodeficiencies. Representing PAGID (Pan-American Group for Immunodeficiency) and ESID (European Society for Immunodeficiencies). Clin Immunol. 1999;93(3):190–7. doi:10.​1006/​clim.​1999.​4799.PubMedCrossRef
15.
go back to reference FDA. Safety, efficacy, and pharmacokinetic studies to support marketing of immune globulin intravenous (human) as replacement therapy for primary humoral immunodeficiency. Draft guidance for Industry. 2005. FDA. Safety, efficacy, and pharmacokinetic studies to support marketing of immune globulin intravenous (human) as replacement therapy for primary humoral immunodeficiency. Draft guidance for Industry. 2005.
16.
go back to reference Johnson NL, Kotz S. Discrete distributions. New York: Wiley; 1969. Johnson NL, Kotz S. Discrete distributions. New York: Wiley; 1969.
17.
go back to reference Treatment experiences and preferences of patients with primary immune deficiency diseases. Survey results presented at the Immune Deficiency Foundation Meeting, 20 June 2003. 2003. Treatment experiences and preferences of patients with primary immune deficiency diseases. Survey results presented at the Immune Deficiency Foundation Meeting, 20 June 2003. 2003.
18.
go back to reference Golding B. IGIV clinical endpoints. Committee Update. In Proceedings of the 65th Meeting; 16 March 2000; Silver Spring, MD. 2000. Golding B. IGIV clinical endpoints. Committee Update. In Proceedings of the 65th Meeting; 16 March 2000; Silver Spring, MD. 2000.
20.
go back to reference Church JA, Leibl H, Stein MR, Melamed IR, Rubinstein A, Schneider LC, et al. Efficacy, safety and tolerability of a new 10% liquid intravenous immune globulin [IGIV 10%] in patients with primary immunodeficiency. J Clin Immunol. 2006;26(4):388–95. doi:10.1007/s10875-006-9025-3.PubMedCrossRef Church JA, Leibl H, Stein MR, Melamed IR, Rubinstein A, Schneider LC, et al. Efficacy, safety and tolerability of a new 10% liquid intravenous immune globulin [IGIV 10%] in patients with primary immunodeficiency. J Clin Immunol. 2006;26(4):388–95. doi:10.​1007/​s10875-006-9025-3.PubMedCrossRef
22.
go back to reference Roifman CM, Schroeder H, Berger M, Sorensen R, Ballow M, Buckley RH, et al. Comparison of the efficacy of IGIV-C, 10% (caprylate/chromatography) and IGIV-SD, 10% as replacement therapy in primary immune deficiency. A randomized double-blind trial. Int Immunopharmacol. 2003;3(9):1325–33. doi:10.1016/S1567-5769(03)00134-6.PubMedCrossRef Roifman CM, Schroeder H, Berger M, Sorensen R, Ballow M, Buckley RH, et al. Comparison of the efficacy of IGIV-C, 10% (caprylate/chromatography) and IGIV-SD, 10% as replacement therapy in primary immune deficiency. A randomized double-blind trial. Int Immunopharmacol. 2003;3(9):1325–33. doi:10.​1016/​S1567-5769(03)00134-6.PubMedCrossRef
26.
go back to reference Ochs HD, Fischer SH, Wedgwood RJ, Wara DW, Cowan MJ, Ammann AJ, et al. Comparison of high-dose and low-dose intravenous immunoglobulin therapy in patients with primary immunodeficiency diseases. Am J Med. 1984;76(3A):78–82. doi:10.1016/0002-9343(84)90324-3.PubMedCrossRef Ochs HD, Fischer SH, Wedgwood RJ, Wara DW, Cowan MJ, Ammann AJ, et al. Comparison of high-dose and low-dose intravenous immunoglobulin therapy in patients with primary immunodeficiency diseases. Am J Med. 1984;76(3A):78–82. doi:10.​1016/​0002-9343(84)90324-3.PubMedCrossRef
27.
go back to reference Eijkhout HW, Der Meer JW, Kallenberg CG, Weening RS, van Dissel JT, Sanders LA, et al. The effect of two different dosages of intravenous immunoglobulin on the incidence of recurrent infections in patients with primary hypogammaglobulinemia. A randomized, double-blind, multicenter crossover trial. Ann Intern Med. 2001;135(3):165–74.PubMed Eijkhout HW, Der Meer JW, Kallenberg CG, Weening RS, van Dissel JT, Sanders LA, et al. The effect of two different dosages of intravenous immunoglobulin on the incidence of recurrent infections in patients with primary hypogammaglobulinemia. A randomized, double-blind, multicenter crossover trial. Ann Intern Med. 2001;135(3):165–74.PubMed
28.
go back to reference Baxter Healthcare. Gammagard liquid summary basis of approval. Baxter Healthcare; 2004. Baxter Healthcare. Gammagard liquid summary basis of approval. Baxter Healthcare; 2004.
29.
go back to reference Flebogamma 5%, Prescribing Information. Grifols, December 2003. Flebogamma 5%, Prescribing Information. Grifols, December 2003.
Metadata
Title
Safety and Efficacy of Privigen®, a Novel 10% Liquid Immunoglobulin Preparation for Intravenous Use, in Patients with Primary Immunodeficiencies
Authors
Mark R. Stein
Robert P. Nelson
Joseph A. Church
Richard L. Wasserman
Michael Borte
Christiane Vermylen
Johann Bichler
for the IgPro10 in PID study group
Publication date
01-01-2009
Publisher
Springer US
Published in
Journal of Clinical Immunology / Issue 1/2009
Print ISSN: 0271-9142
Electronic ISSN: 1573-2592
DOI
https://doi.org/10.1007/s10875-008-9231-2

Other articles of this Issue 1/2009

Journal of Clinical Immunology 1/2009 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

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.