PMID- 31765922 OWN - NLM STAT- MEDLINE DCOM- 20210319 LR - 20210319 IS - 1878-5883 (Electronic) IS - 0022-510X (Linking) VI - 408 DP - 2020 Jan 15 TI - Immunoglobulin administration for the treatment of CIDP: IVIG or SCIG? PG - 116497 LID - S0022-510X(19)30429-0 [pii] LID - 10.1016/j.jns.2019.116497 [doi] AB - Chronic inflammatory demyelinating polyneuropathy (CIDP) is an acquired neurological disorder characterized clinically by weakness and impaired sensory function evolving over 2 months or more, loss or significant decrease in deep tendon reflexes, and by electrophysiological evidence of peripheral nerve demyelination. Expeditious diagnosis and treatment of CIDP early in the disease course is critical such that irreversible disability can be avoided. Intravenous immunoglobulin (IVIG) is one first-line and maintenance therapy option for CIDP. The US Food & Drug Administration's (FDA's) approval of subcutaneous immunoglobulin (SCIG) in 2018 provides patients with CIDP more treatment options for maintenance therapy. The different options for administration of IG treatment create the need for information to assist clinicians and patients in choosing the optimal therapeutic approach. Considerations for pharmacokinetics, administration procedures, adverse events, patient variables, and cost will all be discussed in this article. CI - Copyright (c) 2019 The Authors. Published by Elsevier B.V. All rights reserved. FAU - Allen, Jeffrey A AU - Allen JA AD - Department of Neurology, Division of Neuromuscular Medicine, University of Minnesota, 516 Delaware Street SE, 12-150 PWB, Minneapolis, MN 55455, United States of America. Electronic address: jaallen@umn.edu. FAU - Gelinas, Deborah F AU - Gelinas DF AD - Department of Medical Affairs, Grifols Shared Services of North America, Inc., 79 TW Alexander Drive, Research Triangle Park, NC 27709, United States of America. FAU - Freimer, Miriam AU - Freimer M AD - Department of Neurology, College of Medicine, Center for Neuromuscular Disorders, Ohio State University, 395 W 12th Avenue, 7th Floor, Columbus, OH 43210, United States of America. FAU - Runken, M Chris AU - Runken MC AD - Global HEOR, Grifols Shared Services of North America, Inc., 79 TW Alexander Drive, Research Triangle Park, NC 27709, United States of America. FAU - Wolfe, Gil I AU - Wolfe GI AD - Department of Neurology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, SUNY, 1010 Main Street, 2nd Floor, Buffalo, NY 14202, United States of America. LA - eng PT - Journal Article PT - Review DEP - 20191109 PL - Netherlands TA - J Neurol Sci JT - Journal of the neurological sciences JID - 0375403 RN - 0 (Immunoglobulins, Intravenous) SB - IM MH - Humans MH - Immunoglobulins, Intravenous/*administration & dosage/pharmacokinetics MH - Infusions, Subcutaneous/*methods MH - Injections, Subcutaneous MH - Polyradiculoneuropathy, Chronic Inflammatory Demyelinating/diagnosis/*drug therapy/metabolism MH - Randomized Controlled Trials as Topic/*methods OTO - NOTNLM OT - Chronic inflammatory demyelinating polyneuropathy OT - Intravenous immunoglobulin OT - Maintenance therapy OT - Route of administration comparison OT - Subcutaneous immunoglobulin EDAT- 2019/11/26 06:00 MHDA- 2021/03/20 06:00 CRDT- 2019/11/26 06:00 PHST- 2019/05/30 00:00 [received] PHST- 2019/08/20 00:00 [revised] PHST- 2019/09/17 00:00 [accepted] PHST- 2019/11/26 06:00 [pubmed] PHST- 2021/03/20 06:00 [medline] PHST- 2019/11/26 06:00 [entrez] AID - S0022-510X(19)30429-0 [pii] AID - 10.1016/j.jns.2019.116497 [doi] PST - ppublish SO - J Neurol Sci. 2020 Jan 15;408:116497. doi: 10.1016/j.jns.2019.116497. Epub 2019 Nov 9.