han with conventional
subcutaneous administration. Summary of infusions of intravenous administration compared
to HYQVIA administration is presented in Table 9.
Table 9 Summary of Infusions Parameter
Intravenous
HYQVIA
Median monthly number of infusion
sites
1.34
(1.2 to 1.7)
1.09
(1.0 to 3.5)
Mean volume per site (mL)
339
(75 to 800)
292
(91 to 648)
Dose per site (g)
33.9
(7.5 to 80.0)
29.2
(9.1 to 64.8)
Median duration of individual
infusions (hr)
2.33
(0.92 to 6.33)
2.08
(0.83 to 4.68)
Monthly median infusion time
(hr/month)
3.2
2.64
Median maximum infusion rate
(mL/hr)
246
(60 to 668)
300
(10 to 300)
Percent (%) of infusion completed
Without change in rate, interruption
and discontinuation
95.9
97.7
Sixteen of 83 subjects (19.3%) were infused every 3 weeks and 67 (80.7%) were infused
every 4 weeks. Seventy-eight of 83 (94%) of subjects attained the same 3- or 4-week dosing
as their previous IV treatment. One decreased from 4 to 3 weeks, one from 4 to 2 weeks and
one from 3 to 2 weeks. The primary reason for decreasing the interval was discomfort due to
swelling.
In a separate study eva luating subcutaneous treatment with Immune Globulin Infusion 10%
(Human), a median of 21.43 sites were required each month with a median monthly infusion
time of 5.35 hours.
15 REFERENCES
1.
Orange JS, Hossny EM, Weiler CR, Ballow M, Berger M, Bonilla FA, Buckley R, Chinen J, El-Gamal Y, Mazer BD, Nelson Jr. RP, Patel DD, Secord E, Sorenson RU, Wasserman RL, Cunningham-Rundles C, Use of Intravenous Immunoglobulin in Human Disease: A Review of Evidence by Members of the Primary Immunodeficiency Committee of the American Academy of Allergy, Asthma, and Immunology. J Allergy Clin Immunol 2006; 117:S525-53.
2.
Bonilla FA, Bernstein IL, Khan DA, Ballas ZK, Chinen J, Frank MM, et al. Practice parameter for the diagnosis and management of primary immunodeficiency. Ann Allergy Asthma Immunol. 2005; 94(suppl 1):S1-63.
3.
Eijkhout HW, Der Meer JW, Kallenberg CG, et al. The effect of two different dosages of intravenous immunoglobulin on the incidence of recurrent infections in patients with primary hypogammaglobulinemia. A randomized, double-blind, multicenter crossover trial. Ann Intern Med. 2001;135:165-174.
4.
Pierce LR, Jain N. Risks associated with the use of intravenous immunoglobulin. Transfusion Med Rev. 2003;17:241-251.
5.
Katz U, Sheonfeld Y. Review: intravenous immunoglobulin therapy and thromboembolic complications. Lupus 2005;14:802-8
6.
Daw Z, Padmore R, Neurath D, Cober N, Tokessy M, Desjardins D, et al. Hemolytic transfusion reactions after administration of intravenous intravenous immune (gamma) globulin: a case series analysis. Transfusion 2008; 48:1598-601
7.
Kreil TR, Berting A, Kistner O, Kindermann J. West Nile virus and the safety of plasma derivatives: verification of high safety margins, and the validity of predictions based on model virus data. Transfusion 2003;43:1023-1028.
8.
Bookbinder LH, Hofer A, Haller MF, Zepeda ML, Keller G-A, Lim JE, Edginton TS, Shepard HM, Patton JS, Frost GI. A