Evidence map›Paper›PMID 37160610›Full record

ArticleJournal of clinical immunology2023

Subcutaneous Immunoglobulin 16.5% (Cutaquig®) in Primary Immunodeficiency Disease: Safety, Tolerability, Efficacy, and Patient Experience with Enhanced Infusion Regimens.

Sudhir Gupta, James DeAngelo, Isaac Melamed, Jolan E Walter, Ai-Lan Kobayashi, Tracy Bridges, J Wesley Sublett, Jonathan A Bernstein, Alan Koterba, Michael Manning and 5 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of clinical immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Observational
  4. Review
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

15 authors.

Sudhir GuptaUniversity of California, Irvine, CA, USA. sgupta@uci.edu.ORCID 0000-0001-7422-1453
James DeAngeloUniversity of Pittsburgh, Pittsburgh, PA, USA.
Isaac MelamedIMMUNOe Research Center, Centennial, CO, USA.
Jolan E WalterUniversity of South Florida, St. Petersburg, FL, USA.
Ai-Lan KobayashiMidland Pediatrics, Papillion, NE, USA.
Tracy BridgesAllergy and Asthma Clinics of Georgia, Albany, GA, USA.
J Wesley SublettFamily Allergy & Asthma, Louisville, KY, USA.
Jonathan A BernsteinUniversity of Cincinnati, Cincinnati, OH, USA.
Alan KoterbaAllergy Associates, North Palm Beach, FL, USA.
Michael ManningMedical Research of Arizona, Scottsdale, AZ, USA.
Joanna MalteseOctapharma USA, Inc, Paramus, NJ, USA.
Sonja HoellerOctapharma AG, Vienna, Austria.
Eva Turpel-KantorOctapharma AG, Vienna, Austria.
Huub KreuwelOctapharma USA, Inc, Paramus, NJ, USA.
Roger H KobayashiUniversity of California, Los Angeles, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo achieve reductions in infusion time, infusion sites, and frequency, a prospective, open-label, multicenter, Phase 3 study evaluated the safety, efficacy, and tolerability of subcutaneous immunoglobulin (SCIG) 16.5% (Cutaquig®, Octapharma) at enhanced infusion regimens.

methodsThree separate cohorts received SCIG 16.5% evaluating volume, rate, and frequency: Cohort 1) volume assessment/site: up to a maximum 100 mL/site; Cohort 2) infusion flow rate/site: up to a maximum of 100 mL/hr/site or the maximum flow rate achievable by the tubing; Cohort 3) infusion frequency: every other week at twice the patient's weekly dose.

resultsFor Cohort 1 (n = 15), the maximum realized volume per site was 108 mL/site, exceeding the currently labeled (US) maximum (up to 40 mL/site for adults). In Cohort 2 (n = 15), the maximum realized infusion flow rate was 67.5 mL/hr/site which is also higher than the labeled (US) maximum (up to 52 mL/hr/site). In Cohort 3 (n = 34), the mean total trough levels for every other week dosing demonstrated equivalency to weekly dosing (p value = 0.0017). All regimens were well tolerated. There were no serious bacterial infections (SBIs). Most patients had mild (23.4%) or moderate (56.3%) adverse events. The majority of patients found the new infusion regimens to be better or somewhat better than their previous regimens and reported that switching to SCIG 16.5% was easy.

conclusionsSCIG 16.5% (Cutaquig®), infusions are efficacious, safe, and well tolerated with reduced infusion time, fewer infusion sites, and reduced frequency. Further, the majority of patients found the new infusion regimens to be better or somewhat better than their previous regimens.

Indexed as

Immunologic Deficiency SyndromesPrimary Immunodeficiency DiseasesAdultHumansImmunoglobulin GImmunoglobulins, IntravenousInfusions, SubcutaneousPatient Outcome AssessmentProspective StudiesImmunoglobulin GImmunoglobulins, IntravenousBiweekly dosingCutaquigEvery other week dosingHigh infusion rateHigh infusion volumePrimary immunodeficiency diseaseSubcutaneous immunoglobulin (SCIG)

Identifiers

PMID37160610
PMCPMC10169187

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.