TABLE 3.
SCIg and IVIg Features
| Feature | SCIg | IVIg |
|---|---|---|
| Pharmacokinetics | Stable serum trough IgG level | Variability in serum IgG level between peak and trough |
| Efficacy | Clinical efficacy demonstrated in PIDD (noninferior when compared to IVIg) | Clinical efficacy demonstrated in PIDD and other autoimmune disorders |
| Systemic side effects | Infrequent | Frequent |
| Local site reactions | Common | Infrequent |
| Administration | Self administration; patient autonomy | Infusion center/home setting with nursing support for venous access |
| Average length of infusion | 1–2 hours | 2–4 hours |
| Dosing interval | Weekly | Variable – every 2 to 4 weeks |
| Most common adverse events | Local reactions, headache, vomiting, and pain | Headache, chills, fever, myalgias, fatigue, nausea |
| Premedication | N/A | Acetaminophen, steroids, antihistamines (oral or IV) as needed |
| Patient satisfaction | Flexibility of infusion frequency, site, patient autonomy, increased flexibility and independence | Need for venous access, desire for administration in an out-patient setting, need for nursing support staff |
| Associated costs | Cost of immunoglobulin, self-administration supply costs | Cost of immunoglobulin, nursing and facility costs, equipment costs, related infusion costs (i.e., premedication, hydration) |
Sources: Adapted from Blaese 2007, Hizentra™ Prescribing Information 2010, Skoda-Smith 2010.