Evidence map›Paper›PMID 28755067›Full record

Trial reportJournal of clinical immunology2017

Efficacy and Safety of Human Intravenous Immunoglobulin 10% (Panzyga®) in Patients with Primary Immunodeficiency Diseases: a Two-Stage, Multicenter, Prospective, Open-Label Study.

Michael Borte, Isaac R Melamed, Grazyna Pulka, Barbara Pyringer, Alan P Knutsen, Hans D Ochs, Roger H Kobayashi, Ai Lan Kobayashi, Sudhir Gupta, Magdalena Strach and 3 more

Open access · hybridAbstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Journal of clinical immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 35% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
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  9. Article
  10. Efficacy evaluation of intravenous immunoglobulin in non-severe patients with COVID-19: A retrospective cohort study based on propensity score matching.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
    Article
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  12. Observational
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 at 10 institutions in 4 countries.

Michael BorteKlinik für Kinder- und Jugendmedizin, Klinikum St. Georg gGmbH, Leipzig, Germany. Michael.Borte@sanktgeorg.de.
Isaac R MelamedIMMUNOe Research Center Centennial, Centennial, CO, USA.
Grazyna PulkaKlinika Alergologii Collegium Medicum, Uniwersytetu Jagiellońskiego, Kraków, Poland.
Barbara PyringerClinical Research and Development Department, Octapharma Pharmazeutika Produktionsges.m.b.H, Vienna, Austria.
Alan P KnutsenSaint Louis University, St. Louis, MO, USA.
Hans D OchsDepartment of Pediatrics, University of Washington and Seattle Children's Research Institute, Seattle, WA, USA.
Roger H KobayashiUCLA School of Medicine, Los Angeles, CA, USA.
Ai Lan Kobayashi, Papillion, NE, USA.
Sudhir GuptaUniversity of California, Irvine, CA, USA.
Magdalena StrachJagiellonian University Medical College, Kraków, Poland.
William SmitsThe Allergy and Asthma Center, Fort Wayne, IN, USA.
Anna Pituch-NoworolskaUniversity Children Hospital, Kraków, Poland.
James N MoyDivision of Pediatric Allergy/Immunology, Stroger Hospital of Cook County, Chicago, IL, USA.
Jagiellonian University · PLIMMUNOe Research Center · USJohn H. Stroger, Jr. Hospital of Cook County · USKlinikum St. Georg · DEOctapharma (Austria) · ATSaint Louis University · USSeattle Children's Hospital · USUniversity of California, Irvine · USUniversity of California, Los Angeles · USUniwersytecki Szpital Dziecięcy · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the efficacy and safety of panzyga® (intravenous immunoglobulin 10%) in preventing serious bacterial infections (SBIs) in patients with primary immunodeficiency diseases (PIDs), a prospective, open-label, multicenter, phase 3 study and an open-label extension study were undertaken.

methodsInitially, the study drug (infusion rate ≤0.08 mL/kg/min) was administered at intervals of 3 or 4 weeks for 12 months, followed by 3 months of panzyga® at infusion rates increasing from 0.08 to 0.14 mL/kg/min. The primary endpoint in the main study was the rate of SBIs per patient-year on treatment. Secondary outcomes included non-serious infections, work/school absence, episodes of fever, quality of life, and adverse events (AEs).

resultsThe main study enrolled 51 patients (35% female, mean age 26.8 years), with 21 participating in the extension study. The rate of SBIs per patient-year was 0.08 in the total population; there were four SBIs in the 4-weekly treatment group (2/30 patients) and none in the 3-weekly group (n = 21). Compared with 4-weekly treatment, 3-weekly treatment was associated with a higher rate of upper respiratory tract infections (RTIs), ear infections, and work/school absences, but a lower rate of lower RTIs and fever. Treatment was generally well tolerated; no AE led to treatment withdrawal or death.

conclusionsOverall, the use of panzyga® in patients with antibody-deficient PID was associated with a low rate of AEs and was effective in preventing SBIs, exceeding US FDA and European Medicines Agency recommendations for efficacy.

Indexed as

AdolescentAdultBacterial InfectionsChildChild, PreschoolFemaleHumansImmunoglobulin GImmunoglobulinsImmunologic Deficiency SyndromesImmunologic FactorsImmunotherapyMaleMiddle AgedProspective StudiesQuality of LifeImmunoglobulin GImmunoglobulinsImmunologic FactorsPanzygaintravenous immunoglobulinpanzyga®Primary immunodeficiency diseasesserious bacterial infections

Identifiers

PMID28755067
PMCPMC5554470
OpenAlexW2740879602

What OpenQuestion holds

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LicenceCC BY
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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.