Evidence map›Paper›PMID 33661940›Full record

ArticlePloS one2021

Subcutaneous immunoglobulins replacement therapy in secondary antibody deficiencies: Real life evidence as compared to primary antibody deficiencies.

Francesco Cinetto, Raffaella Neri, Fabrizio Vianello, Andrea Visentin, Gregorio Barilà, Sabrina Gianese, Alison Lanciarotta, Cinzia Milito, Marcello Rattazzi, Francesco Piazza and 4 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

17 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. IgG replacement in multiple myeloma.Blood cancer journal · 2024
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Vaccination in PADs.Vaccines · 2021
    Review
  15. Article
  16. Review
  17. 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

14 authors at 2 institutions in 1 country.

Francesco CinettoDepartment of Medicine-DIMED, University of Padua, Padua, Italy.
Raffaella NeriDepartment of Medicine-DIMED, University of Padua, Padua, Italy.
Fabrizio VianelloDepartment of Medicine-DIMED, University of Padua, Padua, Italy.
Andrea VisentinDepartment of Medicine-DIMED, University of Padua, Padua, Italy.ORCID 0000-0003-0271-7200
Gregorio BarilàDepartment of Medicine-DIMED, University of Padua, Padua, Italy.
Sabrina GianeseDepartment of Medicine-DIMED, University of Padua, Padua, Italy.
Alison LanciarottaDepartment of Medicine-DIMED, University of Padua, Padua, Italy.
Cinzia MilitoDepartment of Molecular Medicine, Sapienza University of Rome, Rome, Italy.
Marcello RattazziDepartment of Medicine-DIMED, University of Padua, Padua, Italy.
Francesco PiazzaDepartment of Medicine-DIMED, University of Padua, Padua, Italy.
Livio TrentinDepartment of Medicine-DIMED, University of Padua, Padua, Italy.
Renato ZambelloDepartment of Medicine-DIMED, University of Padua, Padua, Italy.
Carlo AgostiniDepartment of Medicine-DIMED, University of Padua, Padua, Italy.
Riccardo ScarpaDepartment of Medicine-DIMED, University of Padua, Padua, Italy.ORCID 0000-0002-1085-2333
University of Padua · ITSapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Secondary antibody deficiencies (SAD) may require immunoglobulin replacement therapy (IgRT). While the intravenous route (IVIG) is broadly considered effective in SAD, the use of subcutaneous immunoglobulins (SCIG) is mainly adopted from the experience in primary antibody deficiencies (PAD), where SCIG have been shown to perform as effective as IVIG. However, evidence-based data on SCIG administration in SAD patients are still insufficient. Herein we retrospectively evaluated the efficacy and safety profile of SCIG treatment in 131 SAD patients as compared to a group of 102 PAD patients. We found SCIG being equally effective in reducing annual infectious rate both in SAD and PAD patients. However, SAD patients required lower SCIG dosage and lower IgG through level to achieve similar biological effect in terms of infection burden, at the steady state. SAD patients also showed better correlation between SCIG dose and serum IgG achieved value. Furthermore, within SAD, SCIG were found to work irrespective of the underlying disease. Especially in Non-Hodgkin Lymphoma patients, whose indication to IgRT is still not included in all guidelines and for whom evidence-based data are still lacking, SCIG were as effective as in Chronic Lymphocytic Leukemia or Multiple Myeloma patients, and SCIG discontinuation, without evidence of B cell recovery, led to IgG decline and relapsed infections. Finally, treatment tolerance in SAD patients was comparable to the PAD cohort. Globally, our data suggest that SCIG, as already appreciated in PAD, represent a valuable option in SAD patients, independent on the disease leading to antibody deficiency.

Indexed as

AdultAgedAged, 80 and overChillsFemaleHeadacheHumansImmunization, PassiveImmunoglobulinsImmunologic Deficiency SyndromesInfusions, SubcutaneousMaleMiddle AgedNauseaPrimary Immunodeficiency DiseasesRetrospective StudiesImmunoglobulins

Identifiers

PMID33661940
PMCPMC7932095
OpenAlexW3133492274

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.