2022
Long-term efficacy, safety, and tolerability of a subcutaneous immunoglobulin 16.5% (cutaquig (R)) in the treatment of patients with primary immunodeficiencies
KOBAYASHI, Roger H., Jiří LITZMAN, Isaac MELAMED, J Fernando MANDUJANO, Ai Lan KOBAYASHI et. al.Základní údaje
Originální název
Long-term efficacy, safety, and tolerability of a subcutaneous immunoglobulin 16.5% (cutaquig (R)) in the treatment of patients with primary immunodeficiencies
Autoři
KOBAYASHI, Roger H. (garant), Jiří LITZMAN (203 Česká republika, domácí), Isaac MELAMED, J Fernando MANDUJANO, Ai Lan KOBAYASHI, Bruce RITCHIE, Bob GENG, T Prescott ATKINSON, Syed REHMAN, Sonja HOELLER, Eva TURPEL-KANTOR, Huub KREUWEL, J. C. SPEER a Sudhir GUPTA
Vydání
Clinical and Experimental Immunology, Hoboken, Wiley, 2022, 0009-9104
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30102 Immunology
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 4.600
Kód RIV
RIV/00216224:14110/22:00127499
Organizační jednotka
Lékařská fakulta
UT WoS
000871580400001
Klíčová slova anglicky
long-term safety; prospective data; primary immunodeficiencies; subcutaneous immunoglobulin; tolerability
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 14. 3. 2023 08:45, Mgr. Tereza Miškechová
Anotace
V originále
A prospective study and its long-term extension examined whether weekly treatment of patients with primary immunodeficiencies (PIDs) with a 16.5% subcutaneous immunoglobulin (SCIg; cutaquig (R)) confers acceptable efficacy, safety, and tolerability over a follow-up of up to 238 weeks (>4 years). Seventy-five patients received 4462 infusions during up to 70 weeks of follow-up in the main study and 27 patients received 2777 infusions during up to 168 weeks of follow-up in the extension. In the main study, there were no serious bacterial infections (SBIs), and the annual rate of other infections was 3.3 (95% CI 2.4, 4.5). One SBI was recorded in the extension, for an SBI rate of 0.02 (upper 99% CI 0.19). The annual rate of all infections over the duration of the extension study was 2.2 (95% CI 1.2, 3.9). Only 15.0% (1085) of 7239 infusions were associated with infusion site reactions (ISRs), leaving 85.0% (6153) of infusions without reactions.The majority of ISRs were mild and transient. ISR incidence decreased over time, from 36.9% to 16% during the main study and from 9% to 2.3% during the extension. The incidence of related systemic adverse events was 14.7% in the main study and 74% in the extension. In conclusion, this prospective, long-term study with cutaquig showed maintained efficacy and low rates of local and systemic adverse reactions in PID patients over up to 238 weeks of follow-up.