Skip to main content
. 2021 Nov 29;92(Suppl 7):e2021520. doi: 10.23750/abm.v92iS7.12406

Table 3. Clinical implication of route for immunoglobulin administration.

IVIG SCIG fSCIG
Efficacy Proven in PID Proven in PID Proven in PID
Dosage Every 3 to 4 weeks Daily to biweekly Every 3 to 4 weeks
Pharmacokinetics High peak right after the end of infusion, rapid fall in the subsequent 48 h, and slower decline over the next 3-4 weeks Stable IgG serum concentrations between consecutive infusions Similar to IVIG but more delayed peak and slow decline over the next 3-4 weeks
Adverse systemic events (rate per-infusion — prescribing information) Frequent (17-42%*) Infrequent (2,5-5%**) Less frequent than IVIG (20%***)
Local site reaction Rare Frequent Frequent
IV access Yes No No
Administration By trained healthcare professionals only Self-infusion (by trained patient /caregiver) Self-infusion (by trained patient /caregiver)
Setting Hospital (most common), hospital outpatient, or home-based setting Home (most common) Home (most common)
Need to travel Yes No No
Time off from school/work Yes, day(s) of IVIG administration No No
Person managing immunoglobulin and materials supplying Healthcare professionals Patient /caregiver Patient /caregiver
IVIG, intravenous immunoglobulin; SCIG, subcutaneous immunoglobulin;fSCIG, facilitated subcutaneous immunoglobulin. *Gammagard, Privigen, Gammunex, IgVena; ** Hizentra, Cuvitru; ***Hyqvia