Evidence map›Paper›PMID 26336818›Full record

ArticleJournal of clinical immunology2015

Subcutaneous Immunoglobulin Replacement Therapy with Hizentra® is Safe and Effective in Children Less Than 5 Years of Age.

Niraj C Patel, Joel L Gallagher, Hans D Ochs, Thomas Prescott Atkinson, Justin Wahlstrom, Morna Dorsey, Francisco A Bonilla, Jennifer Heimall, Lisa Kobrynski, David Morris and 1 more

Open access · hybridAbstract readEvaluation Study
In one paragraph

Article in Journal of clinical immunology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Infusion parameters, safety, and practical guidance for the manual administration of subcutaneous immunoglobulin 20% (Ig20Gly).Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2024
    Review
  4. Article
  5. Review
  6. Article
  7. Article
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

11 authors at 8 institutions in 2 countries.

Niraj C PatelDepartment of Pediatrics, Section of Infectious Disease and Immunology, Levine Children's Hospital at Carolinas Medical Center, PO Box 32861, Charlotte, NC, 28203, USA. Niraj.Patel@carolinashealthcare.org.
Joel L GallagherDepartment of Pediatrics, Section of Infectious Disease and Immunology, Levine Children's Hospital at Carolinas Medical Center, PO Box 32861, Charlotte, NC, 28203, USA.
Hans D OchsDepartment of Pediatrics, Seattle Children's Research Institute and University of Washington, Seattle, WA, USA.
Thomas Prescott AtkinsonDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA.
Justin WahlstromDepartment of Pediatrics, University of California, San Francisco, CA, USA.
Morna DorseyDepartment of Pediatrics, University of California, San Francisco, CA, USA.
Francisco A BonillaDepartment of Pediatrics, Boston Children's Hospital, Boston, MA, USA.
Jennifer HeimallDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Lisa KobrynskiDepartment of Pediatrics, Emory University, Atlanta, GA, USA.
David MorrisWebbWrites, Durham, NC, USA.
Elie HaddadDepartment of Pediatrics, Department of Microbiology, Infectiology, and Immunology, University of Montreal, Québec, Canada.
University of California, San Francisco · USBoston Children's Hospital · USChildren's Hospital of Philadelphia · USEmory University · USLevine Children's Hospital · USSeattle Children's Hospital · USUniversité de Montréal · CAUniversity of Alabama at Birmingham · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHizentra® (IGSC 20%) is a 20% liquid IgG product approved for subcutaneous administration in adults and children 2 years of age and older who have primary immunodeficiency disease (PIDD). There is limited information about the use of IGSC 20 % in very young children including those less than 5 years of age.

methodsA retrospective chart review involved 88 PIDD infants and children less than 5 years of age who received Hizentra®.

resultsThe mean age at the start of Hizentra® was 34 months (range 2 to 59 months). IGSC 20 % was administered weekly to 86 infants (two additional infants received twice weekly and three times weekly infusions, respectively) and included an average of 63 infusions (range 6-182) for an observation period up to 45.5 months. Infusion by manual delivery occurred in 15 patients. The mean dose was 674 mg/kg/4 weeks. The mean IgG level was 942 mg/dL while on IGSC 20 %, compared to a mean trough IgG level of 794 mg/dL (p < 0.0001) during intravenous or subcutaneous IgG administration prior to IGSC 20 %. Average infusion time was 47 (range 5-120) minutes, and the median number of infusion sites was 2 (range 1-4). Local reactions were mostly mild and observed in 36/88 (41%) children. No serious adverse events were reported. A significant increase in weight percentile (7 % ± 19.2, p = 0.0012) among subjects was observed during IGSC 20% administration. The rate of serious bacterial infections was 0.067 per patient-year while receiving IGSC 20%, similar to previously reported efficacy studies.

conclusionsHizentra® is effective in preventing infections, and is well tolerated in children less than age 5 years.

Indexed as

AdultChildChild, PreschoolFemaleHumansImmunoglobulin GImmunologic Deficiency SyndromesInfantInjections, SubcutaneousMaleRetrospective StudiesWeight GainHizentraImmunoglobulin GChildrenEfficacyImmunodeficiencyImmunoglobulinSafetySubcutaneous

Identifiers

PMID26336818
PMCPMC4572047
OpenAlexW2113876935

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.