PMID- 20454851 OWN - NLM STAT- MEDLINE DCOM- 20110315 LR - 20220409 IS - 1573-2592 (Electronic) IS - 0271-9142 (Print) IS - 0271-9142 (Linking) VI - 30 IP - 5 DP - 2010 Sep TI - Efficacy and safety of a new 20% immunoglobulin preparation for subcutaneous administration, IgPro20, in patients with primary immunodeficiency. PG - 734-45 LID - 10.1007/s10875-010-9423-4 [doi] AB - Subcutaneous human IgG (SCIG) therapy in primary immunodeficiency (PID) offers sustained IgG levels throughout the dosing cycle and fewer adverse events (AEs) compared to intravenous immunoglobulin (IVIG). A phase I study showed good local tolerability of IgPro20, a new 20% liquid SCIG stabilized with L-proline. A prospective, open-label, multicenter, single-arm, phase III study evaluated the efficacy and safety of IgPro20 in patients with PID over 15 months. Forty-nine patients (5-72 years) previously treated with IVIG received weekly subcutaneous infusions of IgPro20. The mean serum IgG level was 12.5 g/L. No serious bacterial infections were reported. There were 96 nonserious infections (rate 2.76/patient per year). The rate of days missed from work/school was 2.06/patient per year, and the rate of hospitalization was 0.2/patient per year. Ninety-nine percent of AEs were mild or moderate. No serious, IgPro20-related AEs were reported. IgPro20 effectively protected patients with PID against infections and maintained serum IgG levels without causing unexpected AEs. FAU - Hagan, John B AU - Hagan JB AD - Division of Allergic Diseases, Mayo Clinic, 200 First St. S.W., Rochester, MN 55905, USA. hagan.john@mayo.edu FAU - Fasano, Mary B AU - Fasano MB FAU - Spector, Sheldon AU - Spector S FAU - Wasserman, Richard L AU - Wasserman RL FAU - Melamed, Isaac AU - Melamed I FAU - Rojavin, Mikhail A AU - Rojavin MA FAU - Zenker, Othmar AU - Zenker O FAU - Orange, Jordan S AU - Orange JS LA - eng PT - Clinical Trial, Phase I PT - Clinical Trial, Phase III PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20100508 PL - Netherlands TA - J Clin Immunol JT - Journal of clinical immunology JID - 8102137 RN - 0 (Immunoglobulin G) RN - 0 (Immunoglobulins, Intravenous) RN - 0 (Immunologic Factors) RN - Bruton type agammaglobulinemia SB - IM CIN - J Clin Immunol. 2011 Oct;31(5):924-6. PMID: 21643892 MH - Adolescent MH - Adult MH - Agammaglobulinemia/blood/drug therapy/immunology/physiopathology MH - Aged MH - Bacterial Infections/prevention & control MH - Child MH - Common Variable Immunodeficiency/blood/*drug therapy/immunology/physiopathology MH - Female MH - Genetic Diseases, X-Linked/blood/drug therapy/immunology/physiopathology MH - Humans MH - Immunoglobulin G/blood MH - Immunoglobulins, Intravenous/therapeutic use MH - Immunologic Factors/*administration & dosage/adverse effects/therapeutic use MH - Injections, Subcutaneous MH - Male MH - Middle Aged MH - Prospective Studies MH - Protein Stability PMC - PMC2935975 EDAT- 2010/05/11 06:00 MHDA- 2011/03/16 06:00 PMCR- 2010/05/08 CRDT- 2010/05/11 06:00 PHST- 2010/02/15 00:00 [received] PHST- 2010/04/13 00:00 [accepted] PHST- 2010/05/11 06:00 [entrez] PHST- 2010/05/11 06:00 [pubmed] PHST- 2011/03/16 06:00 [medline] PHST- 2010/05/08 00:00 [pmc-release] AID - 9423 [pii] AID - 10.1007/s10875-010-9423-4 [doi] PST - ppublish SO - J Clin Immunol. 2010 Sep;30(5):734-45. doi: 10.1007/s10875-010-9423-4. Epub 2010 May 8.