Evidence map›Paper›PMID 41394859›Full record

Observational studyFrontiers in immunology2025

Do CVID patients on SCIG have more autoimmune (thrombo)cytopenic events than CVID patients on IVIG?

Nadezhda Camacho-Ordonez, Aleksandra Hirsch, Luiza Campos, Sigune Goldacker, Siobhan O Burns, Fernando Moreira, Klaus Warnatz, Bodo Grimbacher

Abstract readObservational Study
In one paragraph

Observational study in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

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

8 authors.

Nadezhda Camacho-OrdonezInstitute for Immunodeficiency, Center for Chronic Immunodeficiency, University Medical Center Freiburg, Freiburg, Germany.
Aleksandra HirschDepartment of Rheumatology and Clinical Immunology, University Medical Center Freiburg, Freiburg, Germany.
Luiza CamposDepartment of Immunology, Royal Free London NHS Foundation Trust, London, United Kingdom.
Sigune GoldackerDepartment of Rheumatology and Clinical Immunology, University Medical Center Freiburg, Freiburg, Germany.
Siobhan O BurnsDepartment of Immunology, Royal Free London NHS Foundation Trust, London, United Kingdom.
Fernando MoreiraDepartment of Immunology, Royal Free London NHS Foundation Trust, London, United Kingdom.
Klaus WarnatzInstitute for Immunodeficiency, Center for Chronic Immunodeficiency, University Medical Center Freiburg, Freiburg, Germany.
Bodo GrimbacherInstitute for Immunodeficiency, Center for Chronic Immunodeficiency, University Medical Center Freiburg, Freiburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autoimmune thrombocytopenia (AITP) is frequent in patients diagnosed with common variable immunodeficiency (CVID). High dose intravenous immunoglobulin treatment (IVIG) has conventionally been a cornerstone of the initial therapy for AITP. This study aimed to assess the safety and effectiveness of subcutaneous immunoglobulin (SCIG) compared to IVIG in preventing AITP in CVID patients. This prospective observational study enrolled 47 adult CVID patients concurrently diagnosed with AITP. Of the participants, 27 (57%) were treated with SCIG, while 20 (43%) received IVIG. AITP episodes were defined as platelet counts <50,000/µl with bleeding or <20,000/µl with or without bleeding, followed over a 64-month period. Among the 47 patients included, 12 (25.5%) experienced AITP episodes, with seven using SCIG and five using IVIG. No significant difference was observed in AITP occurrence between the two treatment groups (p-value=0.99). Neither splenomegaly nor the use of immunosuppressive therapies showed a correlation to the AITP bouts. Maintaining IgG trough levels above 7g/l arose as a key factor for preventing AITP in both treatment modalities. In conclusion, both SCIG and IVIG demonstrated comparable efficacy in the prevention of AITP in CVID patients. This study highlights the importance of monitoring IgG levels in the management of CVID patients with AITP.

Indexed as

Common Variable ImmunodeficiencyImmunoglobulins, IntravenousPurpura, Thrombocytopenic, IdiopathicAdultAgedFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeYoung AdultImmunoglobulins, Intravenousautoimmune thrombocytopeniaautoimmunitycommon variable immunodeficiencycytopeniaintravenous or subcutaneous immunoglobulin

Identifiers

PMID41394859
PMCPMC12695766

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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.