Evidence map›Paper›PMID 27582171›Full record

Trial reportJournal of clinical immunology2016

Efficacy, Safety, and Pharmacokinetics of a Novel Human Immune Globulin Subcutaneous, 20 % in Patients with Primary Immunodeficiency Diseases in North America.

Daniel Suez, Mark Stein, Sudhir Gupta, Iftikhar Hussain, Isaac Melamed, Kenneth Paris, Amy Darter, Christelle Bourgeois, Sandor Fritsch, Heinz Leibl and 3 more

Abstract readClinical TrialMulticenter Study
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. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Review
  11. 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
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  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. 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

13 authors.

Daniel SuezAllergy, Asthma and Immunology Clinic PA, Irving, TX, USA.
Mark SteinAllergy Associates of the Palm Beaches, North Palm Beach, FL, USA.
Sudhir GuptaDivision of Basic and Clinical Immunology, University of California at Irvine, Irvine, CA, USA.
Iftikhar HussainVital Prospects Clinical Research Institute, Tulsa, OK, USA.
Isaac MelamedIMMUNOe International Research Centers, Centennial, CO, USA.
Kenneth ParisLSU Health Sciences Center, Children's Hospital, New Orleans, LA, USA.
Amy DarterOklahoma Institute of Allergy and Asthma Clinical Research, LLC, Oklahoma City, OK, USA.
Christelle BourgeoisBaxalta Innovations GmbH, now part of Shire, Vienna, Austria.
Sandor FritschBaxalta Innovations GmbH, now part of Shire, Vienna, Austria.
Heinz LeiblBaxalta Innovations GmbH, now part of Shire, Vienna, Austria.
Barbara McCoyBaxalta US Inc., now part of Shire, 650 East Kendall Street, Cambridge, MA, USA.
David GelmontBaxalta US Inc., now part of Shire, Westlake Village, CA, USA.
Leman YelDivision of Basic and Clinical Immunology, University of California at Irvine, Irvine, CA, USA. Leman.Yel@shire.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with primary immunodeficiency disease (PIDD) typically require life-long intravenous (IV) or subcutaneous (SC) immunoglobulin (Ig) replacement therapy to prevent recurrent infections. The efficacy, safety, and pharmacokinetics of a highly concentrated (20 %) Ig preparation for SC administration (IGSC 20 %) were evaluated in a prospective trial in patients with PIDD. A total of 74 patients (aged 3-83 years) received 4327 IGSC 20 % infusions over a median of 380.5 days. The rate of validated serious bacterial infections was 0.012 event/patient-year (p < 0.0001 compared with the historical control), and the annualized rate of infection was 2.41 events/patient. Median IgG trough levels were >14.5 g/l. The median maximum infusion rate was 60 ml/h/site (range 4.4-180), resulting in a median infusion duration of 0.95 h. A volume ≥30 ml was infused per site in 74.8 % of IGSC 20 % infusions. Most (84.9 %) infusions were administered using ≤2 infusion sites; for 99.8 % of infusions, there was no need to interrupt/stop administration or reduce the infusion rate. No related serious adverse event (AE) occurred during IGSC 20 % treatment; related non-serious AEs occurred at a rate of 0.036 event/infusion. The incidence of related local AEs was 0.015 event/infusion and of related systemic AEs was 0.021 event/infusion; most were mild in severity, none severe. Increased infusion rates or volumes were not associated with higher AE rates. The investigated IGSC 20 % treatment was shown to be effective and safe, enabling higher infusion rates and volumes per site compared to conventional SC treatments, resulting in fewer infusion sites and shorter infusion durations.

Indexed as

AdolescentAdultAgedAged, 80 and overBacterial InfectionsChildChild, PreschoolFemaleHumansImmunoglobulins, IntravenousImmunologic Deficiency SyndromesInfusions, SubcutaneousMaleMiddle AgedQuality of LifeTreatment OutcomeImmunoglobulins, Intravenous20 % immunoglobulinImmunoglobulin replacement therapyPharmacokineticsPrimary immunodeficiency diseasesSubcutaneous administration

Identifiers

PMID27582171
PMCPMC5018260

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.