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Table 4 Subcutaneous and IV Ig products carried by Canadian Blood Services [33]

From: Primary immunodeficiency

Brand name

GAMUNEX®

IGIVnex®

Hizentraâ„¢

Cuvitruâ„¢

Subcutaneous Ig

 Indications

PID, SID

PID, SID

PID, SID

 Concentration

10%

20% solution (200 mg/mL)

20%

 IgA content

Average 0.046 g/L

No more than 50 mg/L (avg 8 mg/L)

Average < 80 mcg/mL; no more than 280 mcg/mL

 Storage temperature

May be stored for 36 months at + 2 to  + 8 °C, and product may be stored at temperatures not to exceed 25 °C (77°F) for up to 6 months anytime during the 36 month shelf life

+ 2 to  + 25 °C can be stored either in the refrigerator or at room temperature

+ 2 to + 8 °C

 Recommeneded infusion rate

20 mL/hr per infusion site

15 mL/h per site Subsequent infusions, maximum of 34 mL per hour per site as tolerated

≤ 60 mL/hr/site up to 4 sites

 Availabe sizes distributed by CBS

2.5 g/25 mL, 5 g/50 mL, 10 g/100 mL, 20 g/200 mL

20g/200 mL

5, 10, 20, 50 mL

1 g/5 mL, 2 g/10 mL, 4 g/20 mL, 8 g/40 mL

 Manufacturer website

http://www.grifols.com

http://www.cslbehring.ca

https://www.shirecanada.com

Brand name

Gammagard S/D

GAMUNEX®

IGIVnex®

Gammagard Liquid

Privigen®

Octagam® 10%

IV Ig

 Indications

PID

CLL

ITP

PID, ITP, SID, CIDP in adults ≥ 18 years of age

PID, SID, ITP, MMN

PID, SID, ITP, CIDP

ITP patients at high risk of bleeding or prior to surgery to correct platelet count

 Concentration

5 or 10% upon reconstitution

10%

10%

10%

10%

 IgA content

≤ 2.2 μg/mL in 5% solution

Average 0.046 g/L

≤  0.14 mg per mL

No more than 25 mcg/mL

< 0.4 mg/mL

 Storage temparature

Not to exceed +25 °C (77F)

May be stored for 36 months at +2 to +8 °C, AND product may be stored at temperatures not to exceed +25 °C (77°F) for up to 6 months anytime during the 36 month shelf life

Store in refrigerator (+ 2 to + 8 °C) for up to 36 months.

Within the first 24 months of the date of manufacture, product may be stored for a single period of up to 12 months at room temperature (below + 25 °C). After this period, unused product must be discarded.

Can be stored either in the refrigerator or at room temperature + 2 to  + 25 °C

Store at + 2 to + 8 °C for 23 months from the date of manufacture. Within this shelf-life, product may be stored up to 3 months at ≤ 25 °C. After the storage at ≤ 25 °C the product must be used or discarded

 Initial recommended infusion rate

5 or 10% solution: 0.5 mL/kg/h

0.01 to 0 02 mL/kg per min (1 to 2 mg/kg per min) for the first 30 min

0.5 mL/kg BW/hr for 30 min

For MMN: 0.5 mL/kg BW/hr

0.5 mg/kg/min (0.3 mL/kg/hr)

1 mg/kg/min (0.01 mL/kg/min) for the first 30 min

 Availabe sizes distributed by CBS

5 g/vial

2.5 g/25 mL, 5 g/50 mL, 10 g/100 mL, 20 g, 200 mL

20 g/200 mL

2.5 g/25 mL, 5 g/50 mL, 10 g/100 mL, 20 g/200 mL, 30 g/300 mL

2.5 g/25 mL, 5 g/50 mL, 10 g/100 mL, 20 g/200 mL, 40 g/400 mL

5 g/50 mL, 10 g/100 mL, 20 g/200 mL

 Manufacturer website

http://www.baxter.ca

http://www.grifols.com

http://www.baxter.ca

http://www.cslbehring.ca

www.octapharma.ca

  1. Adapted from Canadian Blood Services 2016. Complete tables available at: https://professionaleducation.blood.ca/en/transfusion/clinical-guide/immune-globulin-products
  2. These products may not be available in all cities/provinces across Canada, and other Ig products not listed here may be available
  3. PID primary immunodeficiency, SID secondary immunodeficiency, ITP idiopathic thrombocytopenic purpura, CIDP chronic inflammatory demyelinating polyneuropathy, CLL B-cell chronic lymphocytic leukemia, MMN multifocal motor neuropathy, BW body weight