IgPro20, the Polyneuropathy and Treatment with Hizentra ® study (PATH), and the treatment of chronic inflammatory demyelinating polyradiculoneuropathy with subcutaneous IgG.
| Autor: | Berger M; CSL Behring, LLC. King of Prussia, PA 19406, USA., Harbo T; Department of Neurology, Aarhus University Hospital, Aarhus, Denmark., Cornblath DR; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA., Mielke O; CSL Behring, GmbH. Marburg, Germany. |
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| Jazyk: | angličtina |
| Zdroj: | Immunotherapy [Immunotherapy] 2018 Aug; Vol. 10 (11), pp. 919-933. Date of Electronic Publication: 2018 May 16. |
| DOI: | 10.2217/imt-2018-0036 |
| Abstrakt: | Subcutaneous IgG (SCIG) administration may be preferred over the intravenous route (IVIG) in chronic inflammatory demyelinating polyneuropathy (CIDP) because it minimizes 'end of cycle' treatment-related fluctuations, reduces systemic adverse effects, improves convenience/quality of life and potentially lowers overall costs. Early reports of the use of highly concentrated SCIG preparations suggested they were effective and well-tolerated in chronic inflammatory demyelinating polyneuropathy. This was confirmed in the Polyneuropathy and Treatment with Hizentra ® study of 172 subjects randomized to receive maintenance therapy with placebo or one of two doses of IgPro20 (20% IgG stabilized with L-Proline) for 6 months. Risk of relapse was reduced by SCIG in a dose-related manner as compared with placebo. A total of 88% of polyneuropathy and treatment with hizentra subjects felt the subcutaneous method was 'easy to learn'. Local adverse events were mostly mild or moderate, and systemic adverse events were infrequent. Some patients may prefer maintenance therapy with SCIG over IVIG. |
| Databáze: | MEDLINE |
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