Intravenous immune globulin and thromboembolic adverse events in patients with hematologic malignancy

Author:

Ammann Eric M.1ORCID,Jones Michael P.2,Link Brian K.3,Carnahan Ryan M.1,Winiecki Scott K.4ORCID,Torner James C.1,McDowell Bradley D.5,Fireman Bruce H.6,Chrischilles Elizabeth A.15

Affiliation:

1. Department of Epidemiology and

2. Department of Biostatistics, College of Public Health, University of Iowa, Iowa City, IA;

3. Division of Hematology, Oncology and Blood & Marrow Transplantation, Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA;

4. Office of Biostatistics and Epidemiology, Center for Biologics Evaluation & Research, US Food and Drug Administration, Silver Spring, MD;

5. Population Research Core, Holden Comprehensive Cancer Center, University of Iowa Hospitals and Clinics, Iowa City, IA; and

6. Division of Research, Kaiser Permanente Northern California, Oakland, CA

Abstract

Key Points Acute myocardial infarction and ischemic stroke risk was 3 times higher during days 0 to 1 following IVIg treatment in patients with secondary hypogammaglobulinemia. In patients treated with IVIg for 1 year, the estimated increase in the absolute risk of a severe thromboembolic event was ∼1%.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

Reference50 articles.

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4. Use of intravenous immunoglobulin to prevent or treat infections in persons with immune deficiency.;Lee;Annu Rev Med,1997

5. FDA Medwatch Safety Alerts for Human Medical Products. Immune globulin intravenous (human) [IGIV]. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm154633.htm. Accessed September 19, 2011

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