Evidence map›Paper›PMID 40085358›Full record

Trial reportJournal of clinical immunology2025

Efficacy, Safety, Tolerability, and Serum IgG Trough Levels of Hyaluronidase-Facilitated Subcutaneous Immunoglobulin 10% in US Pediatric Patients with Primary Immunodeficiency Diseases.

Niraj C Patel, Jolan E Walter, Richard L Wasserman, Arye Rubinstein, Suthida Kankirawatana, Meagan W Shepherd, Erin Greco, Zhaoyang Li, Sharon Russo-Schwarzbaum, Shumyla Saeed-Khawaja and 2 more

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Journal of clinical immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03277313 (Efficacy, Safety, Tolerability, Immunogenicity and Pharmacokinetic Evaluation of HYQVIA in Pediatric Subjects With Primary Immunodeficiency Diseases), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT03277313 phase3completednot on this map

Efficacy, Safety, Tolerability, Immunogenicity and Pharmacokinetic Evaluation of HYQVIA in Pediatric Subjects With Primary Immunodeficiency Diseases

TypeinterventionalSponsorBaxalta now part of ShireRan2017 to 2022Enrolled44ConditionsPrimary Immunodeficiency Diseases (PID)ArmsHYQVIA
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. 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

12 authors.

Niraj C PatelDivision of Pediatric Allergy and Immunology, Duke University, Durham, NC, USA.ORCID http://orcid.org/0000-0002-3657-145X
Jolan E WalterUniversity of South Florida, St. Petersburg, FL, USA.ORCID http://orcid.org/0000-0002-6192-0703
Richard L WassermanAllergy Partners of North Texas Research, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-3447-4859
Arye RubinsteinPsychiatry Research Institute at Montefiore Einstein, Montefiore Medical Center, Bronx, NY, USA.
Suthida KankirawatanaDivision of Pediatric Allergy/Immunology, Children's of Alabama, University of Alabama at Birmingham, Birmingham, AL, USA.
Meagan W ShepherdMarshall University Medical Center, Huntington, WV, USA.
Erin GrecoTakeda Development Center Americas, Inc, Cambridge, MA, USA.
Zhaoyang LiTakeda Development Center Americas, Inc, Cambridge, MA, USA.ORCID http://orcid.org/0000-0003-4625-1107
Sharon Russo-SchwarzbaumBaxalta Innovations GmbH, a Takeda company, Vienna, Austria.
Shumyla Saeed-Khawaja *Takeda Development Center Americas, Inc, Cambridge, MA, USA.
Barbara McCoyBaxalta Innovations GmbH, a Takeda company, Vienna, Austria.
Leman Yel *Takeda Development Center Americas, Inc, Cambridge, MA, USA. lyel@uci.edu.ORCID http://orcid.org/0000-0001-8357-3186

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the efficacy, safety, tolerability, and serum IgG trough levels of hyaluronidase-facilitated subcutaneous immunoglobulin (fSCIG) 10% in US pediatric patients with primary immunodeficiency diseases (PIDDs).

methodsThis phase 3, open-label, prospective study (NCT03277313) was conducted at 17 US centers. Eligible patients aged 2 to < 16 years had PIDDs and had received immunoglobulin G (IgG) at a consistent dose for ≥ 3 months before screening. Participants received fSCIG 10% via dose ramp-up for up to 6 weeks (Epoch 1), then every 3-4 weeks for ≤ 3 years (Epoch 2). The primary endpoint was the rate of acute serious bacterial infections (ASBIs).

resultsData were provided by 44 participants for Epoch 1 (mean ± SD age: 9.0 ± 3.6 years) and 43 (97.7%) for Epoch 2; 34 (77.3%) completed the study. Two ASBIs (both bacterial pneumonia) were reported in one participant with specific antibody deficiency. The mean rate of ASBIs was 0.04 events/participant-year (99% upper confidence interval limit: 0.20), significantly lower than the regulatory-defined threshold of 1.0 (p < 0.001). The mean rate of all infections was 3.12 events/participant-year. Stable mean serum IgG trough levels were maintained during Epoch 2 (10.4, 9.2, and 9.2 g/L at Months 0, 6, and 12, respectively). Most related treatment-emergent adverse events were mild or moderate in severity. No participant developed anti-recombinant human hyaluronidase neutralizing antibodies; 1/44 participants (2.3%) developed binding antibodies.

conclusionfSCIG 10% effectively prevented ASBIs in pediatric patients with PIDDs, with a favorable safety profile consistent with previous clinical studies.

Indexed as

HyaluronoglucosaminidaseImmunization, PassiveImmunoglobulin GPrimary Immunodeficiency DiseasesAdolescentChildChild, PreschoolFemaleHumansInjections, SubcutaneousMaleProspective StudiesTreatment OutcomeUnited StatesHyaluronoglucosaminidaseImmunoglobulin GFacilitated subcutaneous immunoglobulinHyaluronidaseImmunoglobulin replacement therapyInborn errors of immunityPrimary immunodeficienciesrHuPH20

Identifiers

PMID40085358
PMCPMC11909037

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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.