Cited by 77Immunodeficiency and Autoimmune DisordersProteoglycans and glycosaminoglycans researchMonoclonal and Polyclonal Antibodies Research

Recombinant Human Hyaluronidase-Facilitated Subcutaneous Immunoglobulin Infusion in Primary Immunodeficiency Diseases

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Wasserman, Richard L·2017·Immunotherapy

Abstract

Most primary immunodeficiency diseases (PIDDs) resulting in antibody deficiency require intravenous or subcutaneous immunoglobulin G (SCIG) replacement therapy. The flow and distribution of SCIG to the vasculature is impeded by the glycosaminoglycan hyaluronan in the extracellular matrix, which limits the infusion rate and volume per site, necessitating frequent infusions and multiple infusion sites. Hyaluronidase depolymerizes hyaluronan and is a spreading factor for injectable biologics. Recombinant human hyaluronidase (rHuPH20) increases SCIG absorption and dispersion. In patients with PIDD, SCIG facilitated with rHuPH20 (IGHy) has been shown to prevent infections, be well-tolerated and reduce infusion frequency and number of infusion sites as compared with conventional SCIG. This article reviews IGHy clinical studies and real-world practice data in patients with PIDD.

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Authors
Wasserman, R. L.
Affiliations
Medical City Children's Hospital (US)
Corresponding author
Wasserman, Richard L
Venue
Immunotherapy
Published
2017-09
Volume
9
Issue
12
Pages
1035-1050
ISSN
  • 1750-743X (ISSN-L)
  • 1750-7448
OpenAlex
W2753160699
Cited by
77
References
44
Citations by year
2026: 6 · 2025: 8 · 2024: 18 · 2023: 9 · 2022: 12 · 2021: 10 · 2020: 4 · 2019: 5 · 2018: 3 · 2017: 1
FWCI
0.37
Type
journal article
Language
en
Open access
Locations
  • Immunotherapy (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Funders
Shire, MA, USA
Topics
  • Life Sciences › Immunology and Microbiology › Immunology › Immunodeficiency and Autoimmune Disorders
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Proteoglycans and glycosaminoglycans research
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Monoclonal and Polyclonal Antibodies Research
Keywords
recombinant human hyaluronidase, rHuPH20, subcutaneous immunoglobulin, primary immunodeficiency, antibody deficiency, hyaluronic acid, extracellular matrix, hyaluronidase, real-world data
MeSH terms
Animals, Humans, Hyaluronoglucosaminidase, Immunoglobulins, Immunologic Deficiency Syndromes, Immunotherapy, Recombinant Proteins, Practice Guidelines as Topic, Infusions, Subcutaneous

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