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Efficacy and safety of Privigen, a novel liquid intravenous immunoglobulin formulation, in adolescent and adult patients with chronic immune thrombocytopenic purpura.

Abstract
Intravenous immunoglobulin (IVIG) has become a mainstay of treatment for acute and chronic immune thrombocytopenic purpura (ITP). The efficacy and safety of Privigen, a new, ready-to-use, 10% liquid human IgG formulation, was evaluated in this open-label, multicentre study. Privigen infusions (1 g/kg per day for 2 consecutive days, days 1 and 2) were given to 57 adolescent and adult patients with chronic ITP and platelet counts < or =20 x 10(9)/l. By day 7, 80.7% of patients (95% CI, 69.2, 89.3) achieved platelet counts of > or =50 x 10(9)/l. Correspondingly, haemorrhage number and severity were significantly reduced. Adverse events were generally mild or moderate and typical of underlying disease and IVIG treatment. Privigen was well tolerated - 104 of 114 infusions were performed at the maximum permitted infusion rate (4 mg/kg/min). Thus, in patients with chronic ITP, a two-day regimen of Privigen was effective in increasing platelet count, reducing bleeding events and was well tolerated.
AuthorsT Robak, A Salama, L Kovaleva, Y Vyhovska, S V Davies, M G Mazzucconi, O Zenker, P Kiessling, International Privigen in ITP Study Group
JournalHematology (Amsterdam, Netherlands) (Hematology) Vol. 14 Issue 4 Pg. 227-36 (Aug 2009) ISSN: 1607-8454 [Electronic] England
PMID19635187 (Publication Type: Clinical Trial, Phase III, Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't)
Chemical References
  • Immunoglobulins, Intravenous
  • Immunologic Factors
Topics
  • Adolescent
  • Adult
  • Aged
  • Blood Platelets (drug effects)
  • Child
  • Chronic Disease
  • Female
  • Humans
  • Immunoglobulins, Intravenous (administration & dosage, adverse effects)
  • Immunologic Factors (administration & dosage, adverse effects)
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Platelet Count
  • Prospective Studies
  • Purpura, Thrombocytopenic, Idiopathic (blood, drug therapy)
  • Young Adult

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