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Hoffmann, F; Grimbacher, B; Thiel, J; Peter, HH; Belohradsky, BH, , Vivaglobin, Study, Group.
Home-based subcutaneous immunoglobulin G replacement therapy under real-life conditions in children and adults with antibody deficiency.
EUR J MED RES. 2010; 15(6): 238-45. Doi: 10.1186/2047-783x-15-6-238 [OPEN ACCESS]
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Thiel Jens
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Abstract:
BACKGROUND: Subcutaneous immunoglobulin (SCIG) therapy is an alternative to intravenous immunoglobulin (IVIG) therapy. METHODS: We evaluated the efficacy and safety of the SCIG Vivaglobin(formerly known as Beriglobin SC) under real-life conditions in a post-marketing observational study in 82 patients with primary or secondary antibody deficiencies. Health-related quality of life (HRQoL) was evaluated in a subset of 30 patients previously treated with IVIG (including 11 children <14 years) using the Short Form 36 (SF-36) for patients > or = 14 years of age (adults) and the Child Health Questionnaire - Parental Form 50 (CHQ-PF50) for children <14 years of age. Treatment preferences were assessed in adults. RESULTS: The mean serum immunoglobulin G (IgG) trough level during SCIG treatment (7.5 g/L) was higher than during previous IVIG treatment (6.6 g/L; p<0.01). The investigators assessed the efficacy of SCIG therapy as "excellent" in 89% of patients. No systemic adverse drug reactions were observed. Improvements by > or = 5 points were observed in 5 of 8 SF-36 subscales and in 6 of 12 CHQ-PF50 subscales. Statistically significant improvements (p< or =0.05) were observed for the SF-36 subscales of bodily pain, general health perceptions, and vitality (adults), and for the CHQ-PF50 subscales of general health perceptions, parental impact - time, parental impact - emotional, and family activities (children). Patients preferred SCIG over IVIG therapy (92%) and home therapy over therapy at the clinic/physician (83%). CONCLUSION: This study confirms that therapy with Vivaglobin at home is effective, safe, well tolerated, and improves quality of life in patients with antibody deficiency.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent - administration & dosage
Adult - administration & dosage
Aged - administration & dosage
Child - administration & dosage
Child, Preschool - administration & dosage
Female - administration & dosage
Health Status - administration & dosage
Humans - administration & dosage
Immunoglobulins - administration & dosage, blood
Immunologic Deficiency Syndromes - immunology, physiopathology, therapy
Immunotherapy - methods
Infant - administration & dosage
Injections, Subcutaneous - administration & dosage
Male - administration & dosage
Middle Aged - administration & dosage
Product Surveillance, Postmarketing - administration & dosage
Prospective Studies - administration & dosage
Quality of Life - administration & dosage
Severity of Illness Index - administration & dosage
Young Adult - administration & dosage

Find related publications in this database (Keywords)
antibody deficiency
subcutaneous immunoglobulin therapy
quality of life
children
adults
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