Source:http://linkedlifedata.com/resource/pubmed/id/17109385
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2007-2-19
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pubmed:abstractText |
Intravenous immunoglobulin (IGIV) therapy is generally considered to be a safe and effective treatment for idiopathic thrombocytopenic purpura (ITP). The usual initial treatment dose is 1-2 g/kg body weight, which results in an extended infusion time, significantly impacting patients' day-to-day activities. Two crossover studies assessed the safety and tolerability of a novel IGIV preparation (IGIV-C; Gamunex, 10%) when infused at rates ranging from 0.08 mL/kg/min (the standard maximum licensed rate) to 0.14 mL/kg/min in patients with ITP. The first study included 28 patients and 3 infusion rates; 0.08, 0.11, and 0.14 mL/kg/min. The second study included 8 patients and 2 infusion rates; 0.08 and 0.14 mL/kg/min were evaluated. The incidence of infusion-related adverse events was similar for all infusion rates. Headache was the most commonly reported infusion-related adverse event. The incidence, combined for Studies 1 and 2, was 14.7% (n=34), 18.2% (n=22), and 19.4% (n=31) of patients, for each infusion rate of 0.08, 0.11, and 0.14 mL/kg/min, respectively. The majority were mild in severity. None of the other drug-related, treatment-emergent events were serious; most were mild, in spite of the higher rate of fluid loading over a shorter period of time for patients infused at 0.14 mL/kg/min. There were no clinically important changes in parameters that distinguished between infusion rates; there were no signs of hemolysis. The results suggest that IGIV-C infused at rates up to 0.14 mL/kg/min in patients with ITP is well tolerated.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0361-8609
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pubmed:author | |
pubmed:copyrightInfo |
Copyright (c) 2006 Wiley-Liss, Inc.
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pubmed:issnType |
Print
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pubmed:volume |
82
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
192-8
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pubmed:meshHeading |
pubmed-meshheading:17109385-Caprylates,
pubmed-meshheading:17109385-Dose-Response Relationship, Drug,
pubmed-meshheading:17109385-Drug Administration Schedule,
pubmed-meshheading:17109385-Female,
pubmed-meshheading:17109385-Humans,
pubmed-meshheading:17109385-Immunoglobulins, Intravenous,
pubmed-meshheading:17109385-Immunologic Factors,
pubmed-meshheading:17109385-Infusions, Intravenous,
pubmed-meshheading:17109385-Male,
pubmed-meshheading:17109385-Middle Aged,
pubmed-meshheading:17109385-Purpura, Thrombocytopenic, Idiopathic
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pubmed:year |
2007
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pubmed:articleTitle |
Safety and tolerability of a novel chromatography-based intravenous immunoglobulin when administered at a high infusion rate in patients with immune thrombocytopenic purpura.
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pubmed:affiliation |
Weill Medical College of Cornell University, New York Presbyterian Hospital, New York, New York 10021-4885, USA. jbussel@med.cornell.edu
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pubmed:publicationType |
Journal Article,
Randomized Controlled Trial,
Multicenter Study
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