Evidence map›Paper›PMID 41219556›Full record

Trial reportJournal of clinical immunology2025

A Multicentric Clinical Study to Evaluate Pharmacokinetics, Efficacy, and Safety of Immune Globulin Subcutaneous 20% Weekly/Biweekly Dosing in Treatment-Experienced Patients and Loading/Weekly Maintenance Dosing in Treatment-Naïve Patients with Primary Immunodeficiency.

William R Lumry, Michael Palumbo, Connie Hsu, Iftikhar Hussain, Donald McNeil, Tracy Bridges, H James Wedner, Mark Scarupa, Elsa Mondou, Nisha Nanaware-Kharade and 3 more

Erratum issuedAbstract readMulticenter StudyClinical Trial
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. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

William R LumryAllergy and Asthma Research Association Research Center, Dallas, 10100 N. Central Expressway, Suite 100, TX, 75231, USA. Lumrymd@aararesearch.com.
Michael PalumboAllergy & Clinical Immunology Associates, Pittsburgh, PA, USA.
Connie HsuAllergy & Immunology, Research Solutions of Arizona, Litchfield, AZ, USA.
Iftikhar HussainAllergy, Asthma & Immunology Center, Vital Prospects Clinical Research Institute, Tulsa, OK, USA.
Donald McNeilOptimed Research Ltd, Columbus, OH, USA.
Tracy BridgesAllergy & Asthma Clinics of Georgia, Georgia Pollens Clinical Research Centers, Albany, GA, USA.
H James WednerWashington University School of Medicine, Saint Louis, MO, USA.
Mark ScarupaInstitute for Asthma and Allergy, Chevy Chase, MD, USA.
Elsa MondouGrifols Scientific Innovation Office, Research Triangle Park, NC, USA.
Nisha Nanaware-KharadeGrifols Scientific Innovation Office, Research Triangle Park, NC, USA.
Kim HannaGrifols Scientific Innovation Office, Research Triangle Park, NC, USA.
Montse Querolt CollGrifols Scientific Innovation Office, Sant Cugat, Spain.
Juan OliverasGrifols Scientific Innovation Office, Sant Cugat, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intravenous immunoglobulin (IVIG) therapy is a well-documented and effective treatment for primary immunodeficiencies (PI). Subcutaneous immunoglobulins (SCIG) have emerged as an effective alternative for some patients that offers additional flexibility.Currently, caprylate/chromatography purified IGSC (human) 20% is approved to treat PI in North America and many countries worldwide. In this multi-center, open-label study, the pharmacokinetics (PK), efficacy, and safety of IGSC 20% were studied after biweekly (every two weeks) dosing for 16 weeks and compared to weekly IGSC 20% administration for 16 weeks in treatment-experienced PI patients. A loading/weekly maintenance SC regimen was also studied in PI patients naïve to IG treatment.In treatment-experienced patients, the least squares mean ratio of steady-state AUC0−7 days for biweekly dosing showed non-inferiority to weekly dosing (90% confidence interval 1.0030–1.0685). Other PK parameters (Cmax, Tmax, steady state trough) were similar between treatments. Efficacy and safety measures were qualitatively similar to previously published results. No serious bacterial infections were reported. Annual rates for any type of infection were similar between the treatment groups. All severe treatment-related adverse events (AEs) were unrelated to treatment. Only mild to moderate suspected adverse drug reactions were observed.PK analyses showed that biweekly dosing of IGSC 20% was non-inferior to weekly dosing in treatment-experienced PI patients. Biweekly dosing had similar patterns to weekly in prevention of serious bacterial infections, rates of all infections and hospitalizations for infections. The IGSC loading/maintenance dosing regimen in naïve patients was safe and effective during the observation period.

Indexed as

ImmunoglobulinsImmunoglobulins, IntravenousImmunologic Deficiency SyndromesPrimary Immunodeficiency DiseasesAdolescentAdultAgedChildChild, PreschoolDrug Administration ScheduleFemaleHumansInjections, SubcutaneousMaleMiddle AgedTreatment OutcomeImmunoglobulinsImmunoglobulins, IntravenousBacterial infection preventionHypogammaglobulinemiaImmunoglobulin replacement therapyPrimary immunodeficienciesSubcutaneous immunoglobulin

Identifiers

PMID41219556
PMCPMC12605441

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Registered trials

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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.