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原发性免疫缺陷病孕妇皮下免疫球蛋白辅助治疗的长期安全性:来自注册研究的结果。

Long-term safety of facilitated subcutaneous immunoglobulin treatment in pregnant women with primary immunodeficiency diseases: results from a registry study.

机构信息

Klinik für Kinder- und Jugendmedizin, Klinikum St Georg GmbH, Leipzig, Germany.

Clinic of Clinical Immunology and Allergology, RAFMED s.r.o, Košice, Slovak Republic.

出版信息

Immunotherapy. 2022 Jun;14(8):609-616. doi: 10.2217/imt-2021-0336. Epub 2022 Apr 20.

Abstract

Clinical outcomes of women who become pregnant during/after facilitated subcutaneous immunoglobulin (fSCIG) treatment are not well characterized. This noninterventional, prospective, open-label, post authorization, pregnancy registry study assessed safety outcomes in mothers with primary immunodeficiency diseases who had ever received fSCIG before/during pregnancy and their infants (n = 7). Enrolled women received alternative treatment (arm 1: n = 2) or continued fSCIG (arm 2: n = 7) during pregnancy. No treatment-related adverse events (AEs)/serious AEs (SAEs) were reported. 13 AEs occurred in mothers, including two SAEs (thrombocytopenia, pre-eclampsia; arm 2). A total of 17 AEs occurred in infants, including two SAEs (cleft lip, talipes calcaneovalgus; arm 2) with normal growth/development. Findings provide limited but useful safety data regarding women who received fSCIG before/during pregnancy and the growth/development of their infants. Clinical Trial registration: NCT02556775 (ClinicalTrials.gov); EUPAS5798.

摘要

在接受皮下免疫球蛋白(fSCIG)治疗期间/之后怀孕的女性的临床结局尚未得到很好的描述。这项非干预性、前瞻性、开放性标签、上市后、妊娠登记研究评估了曾接受过 fSCIG 治疗的原发性免疫缺陷疾病母亲及其婴儿(n=7)的安全性结局。入组的女性在怀孕期间接受了替代治疗(手臂 1:n=2)或继续接受 fSCIG(手臂 2:n=7)治疗。未报告与治疗相关的不良事件(AE)/严重不良事件(SAE)。母亲发生了 13 例 AE,包括 2 例 SAE(血小板减少症、子痫前期;手臂 2)。婴儿共发生 17 例 AE,包括 2 例 SAE(唇裂、马蹄内翻足;手臂 2),生长/发育正常。这些发现提供了有限但有用的关于在怀孕前/期间接受 fSCIG 治疗的女性及其婴儿的生长/发育的安全性数据。临床试验注册:NCT02556775(ClinicalTrials.gov);EUPAS5798。

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