PMID- 21932110 OWN - NLM STAT- MEDLINE DCOM- 20120413 LR - 20220318 IS - 1573-2592 (Electronic) IS - 0271-9142 (Linking) VI - 31 IP - 6 DP - 2011 Dec TI - Efficacy and safety of subcutaneous vivaglobin(R) replacement therapy in previously untreated patients with primary immunodeficiency: a prospective, multicenter study. PG - 952-61 LID - 10.1007/s10875-011-9588-5 [doi] AB - Treatment of primary immunodeficiency (PI) is typically initiated with intravenous immunoglobulin (IVIG) loading and then continued with IVIG or subcutaneous IgG (SCIG). This prospective, open-label, multicenter, 6-month study evaluated a new regimen of initiating IgG therapy with SCIG in 18 previously untreated patients. In the loading phase, SCIG 100 mg/kg was administered for five consecutive days (total loading dose 500 mg/kg). During the maintenance phase, patients self-infused SCIG 100 mg/kg/week at home. The primary efficacy endpoint of IgG levels >/=5 g/L on day 12 was achieved in 17 patients (94.4%; 95% CI 0.727, 0.999). The rate of infections was 3.95 episodes/patient/year. Improvement was found in many subscales of the health-related quality of life questionnaires. SCIG treatment was well tolerated, with no related serious adverse events (AEs). Nine (50%) patients experienced related AEs, including local reactions (rate 0.105 events/infusion). The results suggest that therapy of newly diagnosed patients with PI can be initiated directly with SCIG. FAU - Borte, Michael AU - Borte M AD - Hospital St. Georg, GmbH Leipzig, Academic Teaching Hospital of the University of Leipzig, Delitzscher Strasse 141, 04129, Leipzig, Germany. Michael.Borte@sanktgeorg.de FAU - Quinti, Isabella AU - Quinti I FAU - Soresina, Annarosa AU - Soresina A FAU - Fernandez-Cruz, Eduardo AU - Fernandez-Cruz E FAU - Ritchie, Bruce AU - Ritchie B FAU - Schmidt, Dirk S AU - Schmidt DS FAU - McCusker, Christine AU - McCusker C LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20110920 PL - Netherlands TA - J Clin Immunol JT - Journal of clinical immunology JID - 8102137 RN - 0 (Anti-Infective Agents) RN - 0 (Immunoglobulin G) RN - 0 (Immunoglobulins) RN - 0 (Immunoglobulins, Intravenous) RN - 0 (Vivaglobin) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Anti-Infective Agents/*administration & dosage/adverse effects MH - Child MH - Child, Preschool MH - Female MH - Follow-Up Studies MH - Humans MH - Immunoglobulin G/blood MH - Immunoglobulins/*administration & dosage/adverse effects MH - Immunoglobulins, Intravenous/administration & dosage/adverse effects MH - Immunologic Deficiency Syndromes/blood/*drug therapy/immunology/physiopathology MH - Infant MH - Injections, Subcutaneous MH - Italy MH - Male MH - Middle Aged MH - Prospective Studies EDAT- 2011/09/21 06:00 MHDA- 2012/04/14 06:00 CRDT- 2011/09/21 06:00 PHST- 2011/06/21 00:00 [received] PHST- 2011/09/01 00:00 [accepted] PHST- 2011/09/21 06:00 [entrez] PHST- 2011/09/21 06:00 [pubmed] PHST- 2012/04/14 06:00 [medline] AID - 10.1007/s10875-011-9588-5 [doi] PST - ppublish SO - J Clin Immunol. 2011 Dec;31(6):952-61. doi: 10.1007/s10875-011-9588-5. Epub 2011 Sep 20.