Panzyga® for patients with Primary immuno­deficiency syndrome (PID)

The efficacy and tolerability of Panzyga® in patients with primary immunodeficiency (PID) were evaluated in the pivotal study NGAM-01 (NCT01012323), a 12-month Phase III study and its 3-month extension study NGAM-05 (NCT01313507).

PID refers to a large heterogeneous group of disorders that result from mostly inherited defects in the development and/or function of the immune system.1 Almost 500 different PIDs have been described so far, with more than 6 million people affected around the world.2 Around 60% of all PID cases are associated with hypogammaglobulinemia due to impaired antibody production.3 Whilst it is estimated that most of PIDs could be easily diagnosed with simple and inexpensive blood tests, many PIDs remain underdiagnosed on a global scale, leaving people affected at high risk of infections, severe autoinflammation, autoimmunity, allergy, and malignancy.4,5
IVIg replacement therapy can help address the key needs of patients with PIDs, such as:
↓ number of severe infections6,7
↓ days of antibiotic use6
↓ rate and duration of hospitalisation6,7
↑ quality of life7,8

Trial overview9

*Defined as bacteremia/sepsis, bacterial meningitis, steomyelitis/septic arthritis, bacterial pneumonia, and visceral abscess. AE, adverse event; CVID, common variable immunodeficiency disorder; XLA, X-linked gammaglobulinemia.

Efficacy

Proven efficacy that satisfies the requirements of regulatory authorities for IVIg replacement therapy9–11

Panzyga® effectively ...

prevents occurrence of serious bacterial infections (SBIs)9

improves quality of life9

restores immunoglobulin G levels to normal range9

Tolerability

A well demonstrated safety and tolerability profile across all age groups and treatment intervals9

The most common AEs were (N=51):

No haemolysis observed9

No thrombotic events observed9

No serious treatment-emergent adverse events (TEAEs)9

Uncompromised tolerability even at higher infusion speed9

Patients who tolerated an infusion rate of 0.08 ml/kg/min in the main study, continued in the extension study NGAM-05 (N=21). Over 90% of those patients were infused at 0.14 ml/kg/min.

The average duration of each infusion was 2.2 hours (132 minutes) in the main study compared to the extension study, 1.5 hours (90 minutes) demonstrating a significant infusion duration time saving for patients (42 minutes on average).

9. Borte M, et al. J Clin Immunol 2017;37:603–612.

Proportion of patients with TEAEs9

Uncompromised tolerability and no serious TEAEs observed in the extension study with higher rates of infusion9

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IVIg, immunoglobulin solution for intravenous infusion.

References

  1. McCusker C, et al. Allergy Asthma Clin Immunol 2018;14:61;

  2. Tangye SG, et al. J Clin Immunol 2022;42:1473–1507;

  3. Krivan G, et al. Am J Clin Exp Immunol 2017;6:76–83;

  4. IPOPI. What are Primary Immunodeficiencies (PIDs)? Available at: https://ipopi.org/pids/what-are-pids/; accessed July 2023;

  5. Bousfiha A, et al. J Clin Immunol 2020;40:66–81;

  6. Modell V, et al. Immunol Res 2011;51:61–70;

  7. Wood P. Ther Clin Risk Manag 2012;

  8. Espanol T, et al. Patient Prefer Adherence 2014;

  9. Borte M, et al. J Clin Immunol 2017;37:603–612;

  10. FDA. Guidance for Industry. Safety, Efficacy, and Pharmacokinetic Studies to Support Marketing of Immune Globulin Intravenous (Human) as Replacement Therapy for Primary Humoral Immunodeficiency. June 2008. Available at: https://www.fda.gov/media/124333/download; accessed July 2023;

  11. EMA. Guideline on the clinical investigation of human normal immunoglobulin for intravenous administration (IVIg). December 2021. Available at: https://www.ema.europa.eu/en/documents/scientific-guideline/guideline-clinical-investigation-human-normal-immunoglobulin-intravenous-administration-ivig-rev-4_en.pdf; accessed July 2023.

This is an international website for Panzyga® and is intended for healthcare professionals outside the US. The information on this site is not country-specific and may contain information that is outside the approved indications in the country in which you are located.
IMPORTANT: The information on this website is based on the European Summary of Product Characteristics (EU SmPC).
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