Evidence map›Paper›PMID 27342758›Full record

Trial reportJournal of clinical immunology2016

Pharmacokinetics, Safety, and Tolerability of Subcutaneous Immune Globulin Injection (Human), 10 % Caprylate/Chromatography Purified (GAMUNEX®-C) in Pediatric Patients with Primary Immunodeficiency Disease.

Jennifer Heimall, Junliang Chen, Joseph A Church, Rhonda Griffin, Isaac Melamed, Gary I Kleiner

Registry-linked trialAbstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Journal of clinical immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01465958 (An Open-label, Single-sequence, Crossover Study to Evaluate the Pharmacokinetics, Safety and Tolerability of Subcutaneous GAMUNEX®-C in Pediatric Subjects With Primary Immunodeficiency), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-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.

NCT01465958 phase4completednot on this map

An Open-label, Single-sequence, Crossover Study to Evaluate the Pharmacokinetics, Safety and Tolerability of Subcutaneous GAMUNEX®-C in Pediatric Subjects With Primary Immunodeficiency

TypeinterventionalSponsorGrifols Therapeutics LLCRan2011 to 2013Enrolled12ConditionsPrimary ImmunodeficiencyArmsGAMUNEX-C
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. 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

6 authors at 4 institutions in 1 country.

Jennifer HeimallDivision of Allergy and Immunology, Department of Pediatrics, The Children's Hospital of Philadelphia, 3550 Market Street, Philadelphia, PA, 19104, USA. heimallj@email.chop.edu.
Junliang ChenGrifols, Bioscience Industrial Group, Research Triangle Park, NC, 27709, USA.
Joseph A ChurchDepartment of Pediatrics, Clinical Immunology and Allergy, Children's Hospital Los Angeles, Los Angeles, CA, 90027, USA.
Rhonda GriffinGrifols, Bioscience Industrial Group, Research Triangle Park, NC, 27709, USA.
Isaac MelamedIMMUNOe Research Centers, Centennial, CO, 80112, USA.
Gary I KleinerPediatric Allergy and Immunology, Joe DiMaggio Children's Hospital, Hollywood, FL, 33021, USA.
Children's Hospital of Los Angeles · USChildren's Hospital of Philadelphia · USIMMUNOe Research Center · USJoe DiMaggio Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis phase 4, multicenter, open-labeled, single-sequence, crossover study in pediatric patients (ages 2 to 16) with primary immunodeficiency disease (PID) evaluated the pharmacokinetics, safety, and tolerability for subcutaneously (SC) administered 10 % caprylate/chromatography purified human immune globulin injection (IGIV-C, GAMUNEX®) compared with intravenously (IV) administered IGIV-C.

methodsThis study included a screening phase, run-in phase (where required), IV treatment phase, SC treatment phase, and end of study/early termination visit. Eligible patients receiving a stable dose of IGIV-C entered into the IV phase to receive two IV infusions of IGIV-C (200-600 mg/kg per infusion) every 3-4 weeks. The weekly SC dose of IGIV-C was calculated using a conversion factor of 1.37 times the prior IV dose.

resultsTwelve subjects between the ages of 2 and 16 years participated in the clinical study with the median age being 11 years old. The adjusted weekly mean AUC0-τ,IV was 216,873.7 h*mg/dL for the IV phase versus a mean AUC0-τ,SC of 230,830.0 h*mg/dL for the SC phase. The mean (range) C trough was 997.2 (784-1320) mg/dL in the IV phase and 1325.0 (1077-1690) mg/dL in the SC phase. During the SC phase, 100.0 % of the patients (n = 11) experienced treatment-emergent adverse events (TEAEs) that were local infusion reactions and 9 patients (81.8 %) had TEAEs that were non-infusion site reactions. The majority of TEAEs were mild or moderate in severity.

conclusionIn pediatric patients with PID, SC-administered IGIV-C provides comparable overall serum exposure to total IgG to that produced by IV-administered IGIV-C. We have concluded that weekly SC administration of 10 % IGIV-C based on a dose conversion factor of 1.37 is safe and well-tolerated in pediatric patients with PID.

trial registrationClinicalTrials.gov identifier: NCT01465958. https://clinicaltrials.gov/ct2/show/NCT01465958?term=NCT01465958.&rank=1.

Indexed as

AdolescentAntibodies, NeutralizingArea Under CurveBacterial InfectionsChildChild, PreschoolDrug MonitoringFemaleHumansImmunoglobulins, IntravenousImmunologic Deficiency SyndromesInjection Site ReactionMaleTreatment OutcomeAntibodies, NeutralizingImmunoglobulins, IntravenousGAMUNEX®-CIGIV-Cintravenous immune globulinpharmacokineticsPrimary immunodeficiencysubcutaneous immune globulin

Identifiers

PMID27342758
OpenAlexW2469284755

What OpenQuestion holds

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Registered trials

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.