Evidence map›Paper›PMID 22774992›Full record

SynthesisClinical and experimental immunology2012

Evaluation of correlation between dose and clinical outcomes in subcutaneous immunoglobulin replacement therapy.

J S Orange, B H Belohradsky, M Berger, M Borte, J Hagan, S Jolles, R L Wasserman, J S Baggish, R Saunders, B Grimbacher

Abstract readMeta-Analysis
In one paragraph

Synthesis in Clinical and experimental immunology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
6.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 133 citations in OpenAlex.

  1. Trial
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  5. Article
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  8. Review
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  10. Review
  11. Use of Immunoglobulin Replacement Therapy in Clinical Practice: A Review.Journal of immunotherapy and precision oncology · 2025
    Review
  12. Observational
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. A clinician's guide for administration of high-concentration and facilitated subcutaneous immunoglobulin replacement therapy in patients with primary immunodeficiency diseases.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2022
    Review
  19. Transitioning subcutaneous immunoglobulin 20% therapies in patients with primary and secondary immunodeficiencies: Canadian real-world study.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2022
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 5 countries.

J S OrangeDivision of Immunology, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. orange@mail.med.upenn.edu
B H Belohradsky
M Berger
M Borte
J Hagan
S Jolles
R L Wasserman
J S Baggish
R Saunders
B Grimbacher
CSL (United States) · USChildren's Clinical University Hospital · LVChildren's Hospital of Philadelphia · USKlinikum St. Georg · DEMayo Clinic in Arizona · USMedical City Children's Hospital · USUniversity Hospital of Wales · GBUniversity Medical Center Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The importance of serum immunoglobulin (Ig)G concentration in IgG replacement therapy for primary immunodeficiency diseases is established in certain settings. Generally, IgG is infused via the intravenous (IVIG) or subcutaneous (SCIG) route. For IVIG infusion, published data demonstrate that higher IgG doses and trough levels provide patients with improved protection from infection. The same conclusions are not yet accepted for SCIG; data from two recent Phase III studies and a recent post-hoc analysis, however, suggest the same correlation between higher SCIG dose and serum IgG concentration and decreased incidence of infection seen with IVIG. Other measures of clinical efficacy have not been considered similarly. Thus, combined analyses of these and other published SCIG studies were performed; a full comparison of the 13 studies was, however, limited by non-standardized definitions and reporting. Despite these limitations, our analyses indicate that certain clinical outcomes improve at higher SCIG doses and associated higher serum IgG concentrations, and suggest that there might be opportunity to improve patient outcomes via SCIG dose adjustment.

Indexed as

Immunization, PassiveBacterial InfectionsHumansImmunoglobulin GImmunologic Deficiency SyndromesInfusions, SubcutaneousTreatment OutcomeImmunoglobulin G

Identifiers

PMID22774992
PMCPMC3406377
OpenAlexW1908021215

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.