Open AccessSubcutaneous immunoglobulin use in immunoglobulin-naive patients with primary immunodeficiency: a systematic review
Author(s) -
Colin AndersonSmits,
Michelle Park,
Judith Bell,
Sarah Mitchell,
Louise Hartley,
Emma Hawe
Publication year - 2022
Publication title -
immunotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.127
H-Index - 48
eISSN - 1750-7448
pISSN - 1750-743X
DOI - 10.2217/imt-2021-0265
Subject(s) - medicine , primary immunodeficiency , dosing , adverse effect , cochrane library , antibody , immunodeficiency , tolerability , medline , immunology , intensive care medicine , pediatrics , meta analysis , disease , immune system , political science , law
Aim: Identify and describe published literature on the use of subcutaneous immunoglobulin (SCIG) as initial immunoglobulin (IG)-replacement therapy for patients with primary immunodeficiency diseases (PID). Methods: We systematically identified and summarized literature in MEDLINE, Embase, BioSciences Information Service and Cochrane Library assessing efficacy/effectiveness, safety/tolerability, health-related quality-of-life (HRQoL) and dosing regimens of SCIG for IG-naive patients with PID. Results: Sixteen studies were included. In IG-naive patients, SCIG managed/reduced infections and demonstrated similar pharmacokinetic parameters to IG-experienced patients; adverse events were mostly minor injection-site pain or discomfort. Three studies reported improvements in HRQoL. Quality of studies was difficult to assess due to limited reporting. Conclusion: Although studies were lacking, available data suggest IG-naive and IG-experienced patients initiating SCIG likely have similar outcomes.