| UNITED
KINGDOM |
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| Last update |
2008-04 |
2008-04 |
2008-04 |
2008-04 |
2008-11 |
2008-11 |
2010-02 |
2010-02 |
2010-02 |
2008-04 |
2008-04 |
2010-02 |
2009-11 |
2008-04 |
|
| Company |
Baxter |
Baxter |
Baxter |
Biotest Pharma
GmbH |
Bio Products Laboratory |
Bio Products Laboratory |
CSL-Behring |
CSL-Behring |
CSL-Behring |
Grifols |
Octapharma |
Octapharma |
Octapharma |
Talecris |
|
| Name of
product |
KIOVIG |
SUBCUVIA |
Gammagard
S/D |
Intratect® |
Vigam® |
Subgam® |
Sandoglobulin
(lyo) |
Privigen |
Vivaglobin |
Flebogamma |
Gammanorm |
Octagam
5% |
Octagam
10% |
Gamunex
10% |
|
| Available
for Hospital therapy |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Registered |
Registered |
Registered |
Yes |
Yes |
Yes |
Yes |
The products
are distributed on a named patient basis. |
|
| Available
for Home therapy |
May vary in
different countries due to different licensing situations. |
Yes |
May vary in
different countries due to different licensing situations. |
No |
Yes |
Yes |
- |
No |
Yes |
|
Yes |
Depends on
legal situation, may be used at home
in general |
Depends on
legal situation, may be used at home
in general |
|
|
| IVIG,
SCIG or IMIG |
IVIG |
SCIG |
IVIG |
IVIG |
IVIG |
SCIG |
IVIG |
IVIG |
SCIG |
IVIG |
SCIG |
IVIG |
IVIG |
|
|
| Patient´s
age |
All ages |
Adults and
juveniles at the age of ≥ 12 years |
All ages |
unlimited |
Adults and paediatrics |
Adults and paediatrics |
Adults and
children |
Adults and
children |
Adults and
children |
|
Children and
adults |
Children and
adults |
Children and
adults |
|
|
| Présentation |
Liquid |
Liquid |
Lyophilised
Powder |
ready-to-use
solution |
Liquid |
Liquid |
Lyophilisat |
Liquid |
Liquid |
Liquid |
Liquid |
Liquid |
Liquid |
|
|
| Concentration
% |
10% |
16% |
5% or 10% |
5% solution |
5% |
16% |
3%, 6%, 9%, 12% |
10% |
16% |
5% |
16.5 % |
5% |
0.1 |
|
|
| Content
of IgG |
≥ 98% |
≥ 90% |
≥ 90% |
≥ 95% |
95% |
95% |
≥ 96% |
≥ 98% |
IgG
monomers & dimers 97-97% • IgG polymers 3-5% |
≥ 99% |
≥ 95% |
≥ 95% |
≥ 95% |
|
|
| IgG1 |
56.9% |
45-75% |
63% |
57% |
64 |
64 |
60.7% |
67.8% |
61% |
70.3% |
59% |
62,2% ± 2,2 |
ca. 60% |
|
|
| IgG2 |
26.6% |
20-45% |
21.80% |
37% |
29 |
29 |
31.9% |
28.7% |
28% |
24.7% |
36% |
31,1% ± 2,3 |
ca. 32% |
|
|
| IgG3 |
3.4% |
3-10% |
5.40% |
3% |
6 |
6 |
3.8% |
2.3% |
5% |
3.1% |
4.5% |
6,1% ± 1,6 |
ca. 7% |
|
|
| IgG4 |
1.7% |
2-8% |
0.20% |
3% |
1 |
1 |
3.6% |
1.2% |
6% |
2% |
0.5% |
1,2 % ± 0,2 |
ca. 1% |
|
|
| Content
of IgA |
≤ 0.14
mg/ml |
≤ 4.8
mg/ml |
≤ 3 µg/ml |
max. 2 mg/ml |
< 0.02% w/w |
< 0.02% w/w |
1.2g/L (typical
value) |
≤ 0,025
mg/ml |
0.39-1.17 g/l |
<0,05 mg/ml |
max. 0,0825
mg/ml |
≤ 0.2
mg/mL |
≤ 0.4mg/mL |
|
|
| Glucose,
Maltose,… |
Glycine |
Glycine |
Glucose |
glycine 300
mmol/l |
Sucrose |
Glycine |
Sucrose |
L-proline (natural amino acid) - Contains no
sugar |
Glycine |
|
Glycine |
Maltose 10% |
Maltose 10% |
|
|
| Average
dosage for PID |
The dosage
regimen should achieve a trough level of 4-6 g/l. The dose and dosage regimen
may need to be individualised depending on pharmacokinetic and clinical
response (Also see European core SPC). |
The dosage should be adjusted to maintain an
approximate level of at least 4-6 g/l of circulating IgG. • The dose and dosage regimen may need to
be individualised depending on pharmacokinetic and clinical response |
The
dosage regimen should achieve a trough level of 4-6 g/l. The dose and dosage regimen may need to be
individualised depending on pharmacokinetic and clinical response (Also see
European core SPC). |
initial 0.4 -
0.8 g/kg, followed by 0.2 -0.8 g/kg |
0.2-0.8g/kg bodyweight |
0.2-0.8g/kg bodyweight |
0.2-0.8g/kg
bodyweight |
0.2-0.8g/kg
bodyweight |
0.2-0.8g/kg
bodyweight |
|
0.1 g/kg |
0.4 g/kg b.w. |
0.4 - 0.8 g/kg b.w. |
|
|
| Max.
Speed of infusion |
Human normal
immunoglobulin should be infused at an initial rate of 0.5 ml/kg BW/hr for 30
minutes. If well tolerated, the rate of administration may be gradually
increased to a maximum of 6 ml/kg BW/hr. Clinical data obtained from a
limited number of patients also indicate that adult PID patients may tolerate
an infusion rate of up to 8 ml/kg BW/hr. |
It is
recommended to use an initial administration speed of 10 ml/h/pump. The
infusion speed can be enhanced for 1 ml/h/pump every subsequent infusion. The
recommended maximum speed is 20 ml/h/pump. More than 1 pump can be used
simultaneously. |
Gammagard
S/D should be infused at an initial rate of 0.5 ml/kg BW/hour. If well
tolerated, the rate of administration may gradually be increased to a maximum
of 4 ml/kg BW/hour. Patients who tolerate Gammagard S/D 5% solutions at 4
ml/kg BW/hour can be infused with the 10% concentration starting at 0.5 ml/kg
BW/hour. If no adverse events occur, the rate can be increased gradually up
to a maximum rate of 8 ml/kg BW/hour. |
1.9 ml/kg per
hour |
3 mL/minute |
20 mL/hour |
About
2.5ml/min |
4.8
ml/kg bw/hr - If well tolerated Up to 7.2 ml/kg bw/hr. |
About 22ml/hour |
|
40 ml/hour
using two pumps simultaneously |
5 ml/kg/hour |
7.2 mL/kg/hour |
|
|
| Intervals
of infusion for PID |
See European
core SPC |
After
the loading dose, maintenance doses at repeated intervals to reach a
cumulative monthly dose of 0.4-0.8 g/kg |
See European
core SPC |
dependent on
the individual serum IgG level between 2 and 4 weeks |
Every 2-4 weeks to obtain IgG
trough level of at least 4-6 g/L |
Maintenance doses are
administered at repeated interval (usually weekly) to reach monthly
cumulative dose of the order of 0.4 – 0.8 g/kg |
Usually every
2-4 weeks |
Usually
every 2-4 weeks |
usually weekly |
|
weekly
(flexible) |
every 3 to 4
weeks |
every 3 to 4
weeks |
|
|
| Preserving |
• Store in a
refrigerator (2°C - 8°C) • KIOVIG may be stored at room temperature
(not more than 25°C) for up to 9 months.
Once stored at room temperature KIOVIG must not be returned to the
refrigerator and must be discarded, if not used by the end of the 9-month
period. • Do not store above 25°C • Do
not freeze • Keep the container in the outer carton in
order to protect from light |
• Store in a
refrigerator (2°C - 8°C) • The packaged product may be kept at room
temperature (up to 25°C) for up to 6 weeks. In this case, the product expires
at the end of the 6 weeks period.
• Do not freeze •
Keep the vial in the carton to protect from light. |
•
Do not store above 25°C. • Do not freeze, the solvent vial might
break. • Keep vial in the outer carton to protect
from light. |
storage at room
temperature (max. 25 0C) shelf-life: 2 years |
2 years in the dark in its
carton, between 2° and 8°C. DO NOT
FREEZE. A short period up to 3 months
at 25°C is possible within the shelf-life period. |
2 years in the dark in its
carton, between 2°C and 8°C. DO NOT
FREEZE. Storage for up to one week
(within the overall shelf-life) at ambient temperatures (25°C) is possible
within the shelf-life period. |
3 years
≤25°C |
•
2 years • Do not store above 25 °C. • Do not freeze. • Keep the vial in
the outer carton in order to protect from light. |
3 years |
Between +2ºC
and +25ºC. Do not freeze. Discard after expiration date. |
2
years between 2 and 8 °C - 1 month under 25°C |
Between 2- 25°C |
2
years between 2 and 8 °C - 3 months under 25°C |
|
|
| Time for
reconstitution |
N/A |
N/A |
General information not
available. |
|
N/A |
N/A |
A few minutes |
none |
none |
none |
none |
none |
none |
|
|
| Packaging* |
Pack
sizes of 1 vial of 1 g/10 ml, 2.5 g/25 ml, 5 g/50 ml, 10 g/100 ml and 20
g/200 ml |
Pack
sizes of 1 x 5 ml, 20 x 5 ml, 1 x 10 ml, and 20 x 10 ml. |
Pack sizes of
0.5g, 2.5g, 5g, and 10g of lyophilized Gammagard S/D per vial, with
appropriate volume of water for injections. Each pack also contains devices
for reconstitution and administration. |
containers with
20, 50, 100 or 200 ml |
2.5g, 5g, 10g |
250mg, 750mg, 1500mg |
1g, 3g, 6g, 12g |
2g, 5g, 10g,
20g |
3g, 10g, 20g |
|
10 ml (packs of 1, 10 or 20) |
1g, 2.5g, 5g,
10g |
20,50,100,200 ml |
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| * May be different from country to country |
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