A randomized multicenter study: safety and efficacy of mini-pool intravenous immunoglobulin versus standard immunoglobulin in children aged 1-18 years with immune thrombocytopenia

Autor: Mohsen, Elalfy, Marwa, Reda, Islam, Elghamry, Omar, Elalfy, Mohamed, Meabed, Nada, El-Ekiaby, Mahmoud A, El-Hawy, Hadi, Goubran, Magdy, El-Ekiaby
Rok vydání: 2016
Předmět:
Zdroj: Transfusion. 57(12)
ISSN: 1537-2995
Popis: Because there is a global shortage of intravenous immunoglobulin, there is a need for new products to fill the gap.This was a multicenter, open-label study investigating the safety and efficacy of a newly developed mini-pool intravenous immunoglobulin G for children with immune thrombocytopenia. Seventy-two patients ages 1 to 18 years with newly diagnosed (1 month) immune thrombocytopenia who had platelet counts from 5 to 20 × 10Of the patients who received mini-pool intravenous immunoglobulin, 14 achieved a complete response (CR) (58.8%), and four had a response (16.6%). Of the patients who received intravenous immunoglobulin G, 16 achieved a complete response (66.6%), and four had a response (16.6%). In Group C, eight patients achieved a complete response (33.3%), and four had a response (16.6%). The median time to response was 8, 9, and 21 days in Group A, B, and C, respectively, which was significantly higher in Group C than Groups A and B (p 0.001). Patients in Groups A and B reported 16 adverse drug reactions.Mini-pool intravenous immunoglobulin G was well tolerated, presented no safety issues, and was effective in the treatment of immune thrombocytopenia, with efficacy comparable to that of the standard intravenous immunoglobulin G group, and it was significantly more effective than no treatment.
Databáze: OpenAIRE