Treatment of children with primary immunodeficiencies with a subcutaneous immunoglobulin 16.5% (cutaquig® [octanorm])

Roger H Kobayashi, Jose Fernando Mandujano, Syed M Rehman, Ai Lan Kobayashi, Bob Geng, Thomas Prescott Atkinson, Isaac Melamed, Eva Turpel-Kantor, Elisabeth Clodi, Sudhir Gupta, Roger H Kobayashi, Jose Fernando Mandujano, Syed M Rehman, Ai Lan Kobayashi, Bob Geng, Thomas Prescott Atkinson, Isaac Melamed, Eva Turpel-Kantor, Elisabeth Clodi, Sudhir Gupta

Abstract

Background: Subcutaneous human immunoglobulin (16.5%; octanorm/cutaquig®) was efficacious and well tolerated in patients with primary immunodeficiencies in a Phase III study. A subanalysis of pediatric data is presented here. Materials & methods: Children (2-16 years) previously treated with intravenous human immunoglobulin received weekly subcutaneous human immunoglobulin infusions over 64 weeks. The main objective was to assess the efficacy of cutaquig in preventing serious bacterial infections. Results: 38 children received 2213 infusions of cutaquig. No serious bacterial infections developed during the study. The rate of other infections was 3.1 per person-year and the rate of adverse drug reactions was 0.083 per infusion. Higher immunoglobulin G trough levels were achieved with cutaquig compared with previous intravenous therapy. Conclusion: Once-weekly infusions of cutaquig were efficacious and well tolerated in children with primary immunodeficiencies.

Trial registration: ClinicalTrials.gov NCT02320305.

Keywords: SCIG; antibodies; children; immunoglobulins; infusion-site reactions; primary immunodeficiencies.

Source: PubMed

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