PMID- 30903535 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2193-8253 (Print) IS - 2193-6536 (Electronic) IS - 2193-6536 (Linking) VI - 8 IP - 1 DP - 2019 Jun TI - Efficacy and Safety of Octagam(R) in Patients With Chronic Inflammatory Demyelinating Polyneuropathy. PG - 69-78 LID - 10.1007/s40120-019-0132-5 [doi] AB - INTRODUCTION: Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is a debilitating autoimmune neuropathy that is treated with intravenous immunoglobulin (IVIG). The aim of this retrospective study was to investigate the efficacy and safety of the sucrose-free IVIG Octagam(R) (Octapharma AG, Lachen, Switzerland) in patients with CIDP. METHODS: Data from 47 patients who received at least one dose of Octagam were collected from the records of 11 centres in France. Efficacy was assessed using Overall Neuropathy Limitation Scale (ONLS). Safety was evaluated using adverse event rates. RESULTS: Data from 24 patients who were IVIG naive (n = 11) or had stopped IVIG >/= 12 weeks before initiation of Octagam therapy (washout group; n = 13) were included in the efficacy analysis. At 4 months post-initiation of Octagam treatment, 41.7% of patients had improved their functional status (decrease of >/= 1 ONLS score) with a significant change in the ONLS score from baseline (- 0.42; p = 0.04; signed test). Functional status was reduced in only two patients: one patient in the IVIG-naive group and one patient in the IVIG-washout group. All 47 patients were included in the safety analysis, which showed that Octagam was well tolerated, with a frequency of 0.04 adverse events per Octagam course. The most common adverse drug reaction was headache. CONCLUSIONS: These real-life results are consistent with the efficacy and safety of IVIG reported in randomised controlled studies. A long-term prospective study of Octagam in patients with CIDP is warranted. FUNDING: Octapharma, France SAS. FAU - Belmokhtar, Chafke AU - Belmokhtar C AD - Octapharma SAS, 62 bis Avenue Andre Morizet, Boulogne-Billancourt, 92100, Paris, France. chafke.belmokhtar@octapharma.com. FAU - Lozeron, Pierre AU - Lozeron P AD - Lariboisiere University Hospital, 2 Rue Ambroise Pare, 75010, Paris, France. FAU - Adams, David AU - Adams D AD - INSERM UMR115 and Kremlin Bicetre University Hospital, Assistance Publique-Hopitaux de Paris (APHP), 78 Rue du General Leclerc, 94270, Le Kremlin-Bicetre, France. FAU - Franques, Jerome AU - Franques J AD - La Timone University Hospital,, Assistance Publique-Hopitaux de Marseilles (APHM), 264 rue Saint Pierre, 13005, Marseille, France. FAU - Lacour, Arnaud AU - Lacour A AD - Lille University Hospital, Avenue Oscar Lambret, 59000, Lille, France. FAU - Godet, Etienne AU - Godet E AD - Bon-Secours Hospital, 1 Place Philippe de Vigneulles, 57000, Metz, France. FAU - Bataille, Mathieu AU - Bataille M AD - Caen University Hospital, Avenue de La Cote de Nacre, 14003, Caen, France. FAU - Dubourg, Odile AU - Dubourg O AD - Pitie-Salpetriere University Hospital, 47-83 Boulevard de l'Hopital, 75013, Paris, France. FAU - Angibaud, Gilles AU - Angibaud G AD - Pont de Chaume Clinic, 330 Avenue Marcel Unal, 82000, Montauban, France. FAU - Delmont, Emilien AU - Delmont E AD - Nice University Hospital, 4 Avenue Reine Victoria, 06003, Nice Cedex 1, France. FAU - Bouhour, Francoise AU - Bouhour F AD - Pierre Wertheimer Hospital, 59 Boulevard Pinel, 69677, Lyon-Bron, France. FAU - Corcia, Philippe AU - Corcia P AD - Tours University Hospital, 2 Boulevard Tonnelle, 37000, Tours, France. FAU - Pouget, Jean AU - Pouget J AD - La Timone University Hospital,, Assistance Publique-Hopitaux de Marseilles (APHM), 264 rue Saint Pierre, 13005, Marseille, France. LA - eng PT - Journal Article DEP - 20190322 PL - New Zealand TA - Neurol Ther JT - Neurology and therapy JID - 101637818 PMC - PMC6534624 OTO - NOTNLM OT - Chronic inflammatory demyelinating polyneuropathy OT - Immunoglobulins OT - Immunotherapy OT - Octagam(R) OT - Peripheral nervous system disease EDAT- 2019/03/25 06:00 MHDA- 2019/03/25 06:01 PMCR- 2019/03/22 CRDT- 2019/03/24 06:00 PHST- 2019/01/10 00:00 [received] PHST- 2019/03/25 06:00 [pubmed] PHST- 2019/03/25 06:01 [medline] PHST- 2019/03/24 06:00 [entrez] PHST- 2019/03/22 00:00 [pmc-release] AID - 10.1007/s40120-019-0132-5 [pii] AID - 132 [pii] AID - 10.1007/s40120-019-0132-5 [doi] PST - ppublish SO - Neurol Ther. 2019 Jun;8(1):69-78. doi: 10.1007/s40120-019-0132-5. Epub 2019 Mar 22.