H. Chapel et al., IMMUNOGLOBULIN REPLACEMENT IN PATIENTS WITH CHRONIC LYMPHOCYTIC-LEUKEMIA - A COMPARISON OF 2 DOSE REGIMES, British Journal of Haematology, 88(1), 1994, pp. 209-212
Previous studies have shown that intravenous immunoglobulin (IVIg) the
rapy is useful prophylaxis against infection in patients with secondar
y hypogammaglobulinaemia due to a low-grade lymphoproliferative diseas
e. This randomized double-blind study was undertaken to determine pros
pectively the dose regime required. 34 such patients received IVIg at
either 500 or 250 mg/kg every 4 weeks for 1 year. There was no signifi
cant difference in the rates of serious infections between the two gro
ups of patients, which were well matched for disease and laboratory pa
rameters. The rates of infection seen were similar to those in IVIg gr
oups of previous studies and strikingly different from those in the pl
acebo group in the previously randomized placebo-controlled study.