SUBCUTANEOUS IMMUNOGLOBULIN FORMAINTENANCE TREATMENT IN CHRONICINFLAMMATORY DEMYELINATING POLYNEUROPATHY– A MULTICENTER, RANDOMIZED, DOUBLE-BLIND,PLACEBO-CONTROLLED TRIAL: THE PATH STUDY

I. N. van Schaik, V. Bril, N. van Geloven, H. P. Hartung, R. A. Lewis, G. Sobue, J. P. Lawo, O. Mielke, B. L. Durn, D. R. Cornblath, I. S. J. Merkies, M. M. Dimachkie

Research output: Contribution to journalMeeting AbstractAcademic

Abstract

Patients with chronic inflammatory demyelinating polyneuropathy (CIDP) often require long-term intravenous immunoglobulin (IVIG) maintenance therapy. Subcutaneous immunoglobulin (SCIG) offers an alternative administration option with anticipated improvements in patient quality of life, convenience, and flexibility. To evaluate IgPro20 (SCIG) as a maintenance treatment in CIDP. A randomized, double-blind trial in CIDP patients (n=172) investigated 0.2 and 0.4 g/kg weekly doses of IgPro20 versus placebo. The primary outcome was percentage of patients with CIDP relapse/withdrawal during 24-weeks of treatment determined by Inflammatory Neuropathy Cause and Treatment score. Secondary endpoints included grip strength and patient satisfaction. Both IgPro20 doses significantly reduced rate of CIDP relapse/withdrawal versus placebo. Grip strength remained stable with Hizentra®, but deteriorated with placebo. Most subjects preferred SCIG over IVIG. Local reactions, reported in 33% of IgPro20-treated patients, were mild or moderate in intensity. IgPro20 is efficacious and well-tolerated as maintenance treatment in CIDP. This article is protected by copyright. All rights reserved
Original languageEnglish
Pages (from-to)S1
JournalMuscle & Nerve
Volume56
Issue numberS1
DOIs
Publication statusPublished - 2017

Cite this