2024
fSCIG 10% in pediatric primary immunodeficiency diseases: a European post-authorization safety study
CIZNAR, Peter, Marion RODERICK, Helena SCHNEIDEROVÁ, Milos JESENAK, Gergely KRIVAN et. al.Základní údaje
Originální název
fSCIG 10% in pediatric primary immunodeficiency diseases: a European post-authorization safety study
Autoři
CIZNAR, Peter, Marion RODERICK, Helena SCHNEIDEROVÁ (203 Česká republika, domácí), Milos JESENAK, Gergely KRIVAN, Nicholas BRODSZKI, Stephen JOLLES, Charles ATISSO, Katharina FIELHAUER, Shumyla SAEED-KHAWAJA, Barbara MCCOY a Leman YEL
Vydání
ALLERGY ASTHMA AND CLINICAL IMMUNOLOGY, London, BMC, 2024, 1710-1492
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: 2.700 v roce 2022
Organizační jednotka
Lékařská fakulta
UT WoS
001314942200001
Klíčová slova anglicky
Hyaluronidase; Immunoglobulins; Inborn errors of immunity (IEI); Primary immunodeficiency diseases; Patient safety; Pediatrics; Subcutaneous
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 25. 10. 2024 09:44, Mgr. Tereza Miškechová
Anotace
V originále
Background The safety, tolerability, and immunogenicity of hyaluronidase-facilitated subcutaneous immunoglobulin (fSCIG) 10% (dual-vial unit of human immunoglobulin 10% and recombinant human hyaluronidase [rHuPH20]) were assessed in children with primary immunodeficiency diseases (PIDs). Methods This phase 4, post-authorization, prospective, interventional, multicenter study (NCT03116347) conducted in the European Economic Area, enrolled patients aged 2 to < 18 years with a documented PID diagnosis who had received immunoglobulin therapy for >= 3 months before enrollment. New fSCIG 10% starters underwent fSCIG 10% dose ramp-up for <= 6 weeks (epoch 1) before receiving fSCIG 10% for <= 3 years (epoch 2); patients pretreated with fSCIG 10% entered epoch 2 directly. The primary outcome was the number and rate (per infusion) of all noninfectious treatment-related serious and severe adverse events (AEs). Results In total, 42 patients were enrolled and dosed (median [range] age: 11.5 [3-17] years; 81% male; 23 new starters; 19 pretreated). Overall, 49 related noninfectious, treatment-emergent AEs (TEAEs) were reported in 15 patients; most were mild in severity (87.8%). No treatment-related serious TEAEs were reported. Two TEAEs (infusion site pain and emotional distress) were reported as severe and treatment-related in a single new fSCIG 10% starter. The rate of local TEAEs was lower in pretreated patients (0.1 event/patient-year) versus new starters (1.3 events/patient-year). No patients tested positive for binding anti-rHuPH20 antibodies (titer of >= 1:160). Conclusions No safety signals were identified, and the incidence of local AEs declined over the duration of fSCIG 10% treatment. This study supports fSCIG 10% long-term safety in children with PIDs.