PMID- 20550545 OWN - NLM STAT- MEDLINE DCOM- 20110202 LR - 20211020 IS - 1365-2249 (Electronic) IS - 0009-9104 (Print) IS - 0009-9104 (Linking) VI - 161 IP - 3 DP - 2010 Sep TI - A multi-centre study of efficacy and safety of Intratect(R), a novel intravenous immunoglobulin preparation. PG - 512-7 LID - 10.1111/j.1365-2249.2010.04187.x [doi] AB - We studied the efficacy, safety and pharmacokinetic profiles of Intratect(R), a recently developed polyvalent intravenous immunoglobulin (IVIG) preparation. Fifty-one patients (aged 6-48 years) with primary immunodeficiencies (PID) and established replacement therapy using a licensed IVIG were enrolled and treated for 12 months with Intratect(R). Retrospective patient data served as prestudy controls. The primary efficacy variable was the annual rate of acute serious bacterial infection (ASBI) per patient. Secondary parameters were annual rate of acute relevant infection (ARI), days with antibiotic use, fever, absence from school/work and hospitalization. The average IVIG dose was 0.49 g/kg, with an average infusion rate of 2.4 ml/kg/h. The annual ASBI rate/patient was 0.02 and ARIs were detected 128 times during the 630 adverse events in 40 patients, specified mainly as bronchitis, sinusitis, respiratory tract infection, rhinitis and pharyngitis. The annual rate of respiratory ARIs/patient was 2.0 and the rates/patient for days with fever >38 degrees C, school/work absence and hospitalization were 1.81, 3.99 and 0.36, respectively. A total of 630 adverse events (AEs) were observed in 50 of 51 (98.0%) of patients. In 46 of 51 patients the AEs were not related to infusion. Pharmacokinetic studies after the first infusion revealed a mean elimination half-life of 50.8 +/- 30.3 days. During this study, 19 of 649 (2.9%) IgG trough levels were below 6 g/l, better than that of reference IVIGs during the 6 months before study start (10 of 201). These data suggest that Intratect(R) is a well tolerated, safe and effective IgG concentrate for the treatment of patients with PID. CI - (c) 2010 British Society for Immunology. FAU - Kreuz, W AU - Kreuz W AD - Department of Pediatrics, Johann Wolfgang Goethe University, Frankfurt, Germany. FAU - Erdos, M AU - Erdos M FAU - Rossi, P AU - Rossi P FAU - Bernatowska, E AU - Bernatowska E FAU - Espanol, T AU - Espanol T FAU - Marodi, L AU - Marodi L LA - eng PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Exp Immunol JT - Clinical and experimental immunology JID - 0057202 RN - 0 (Immunoglobulins, Intravenous) RN - 0 (Immunologic Factors) SB - IM MH - Adolescent MH - Adult MH - Area Under Curve MH - Bronchitis/chemically induced MH - Child MH - Drug Administration Schedule MH - Female MH - Humans MH - Immunoglobulins, Intravenous/adverse effects/*pharmacokinetics/*therapeutic use MH - Immunologic Deficiency Syndromes/*drug therapy/metabolism/pathology MH - Immunologic Factors/administration & dosage/pharmacokinetics/therapeutic use MH - Infections/chemically induced MH - Infusions, Intravenous MH - Male MH - Metabolic Clearance Rate MH - Middle Aged MH - Prospective Studies MH - Sinusitis/chemically induced MH - Treatment Outcome MH - Young Adult PMC - PMC2962969 EDAT- 2010/06/17 06:00 MHDA- 2011/02/03 06:00 PMCR- 2011/09/01 CRDT- 2010/06/17 06:00 PHST- 2010/06/17 06:00 [entrez] PHST- 2010/06/17 06:00 [pubmed] PHST- 2011/02/03 06:00 [medline] PHST- 2011/09/01 00:00 [pmc-release] AID - CEI4187 [pii] AID - 10.1111/j.1365-2249.2010.04187.x [doi] PST - ppublish SO - Clin Exp Immunol. 2010 Sep;161(3):512-7. doi: 10.1111/j.1365-2249.2010.04187.x.