TABLE 6.
Key Features of IVIg
| Features | Description |
|---|---|
| Pharmacokinetics | High “peak” IgG level immediately after infusion, followed by relatively low level at “trough” just before next dose is due |
| FDA-approved indications | Current indications include use as replacement therapy in patients with primary immunodeficiency syndromes, ITP, CLL, KD, pediatric HIV, and CIDP |
| Systemic side effects | Common |
| Local reactions | Infrequent |
| Administration | Typically administered in outpatient clinic or home setting with nursing support |
| Average length of infusion | 2 to 4 hours |
| Dosing interval | Usually once every 3 or 4 weeks |
| Most common adverse events | Headache, chills, low-grade fever, myalgia, nausea |
| Patient satisfaction | A better option than SCIg for patients who have difficulty with needles and/or self-injection. Preferable in patients who have difficulty with compliance. |
CIDP = chronic inflammatory demyelinating polyradiculoneuropathy; CLL = chronic lymphocytic leukemia; HIV = human immunodeficiency virus; IgG = immunoglobulin G; ITP = immune thrombocytopenic purpura; IVIg = intravenous immunoglobulin; KD = Kawasaki disease; SCIg = subcutaneous immunoglobulin.
Privigen® is FDA-approved for PIDD and chronic ITP.
Sources: Adapted from Blaese 2007, Skoda-Smith 2010, Cherin 2010.