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Antimicrobial Agents and Chemotherapy, 07 1997, 1571-1574, Vol 41, No. 7
CV Fletcher, BK Goodroad, LM Cummins, K Henry, HH Balfour Jr and FS Rhame
Hyperimmune anti-human immunodeficiency virus immunoglobulin (HIVIG) is an
intravenous immunoglobulin prepared from HIV-infected asymptomatic donors
with a CD4 cell count greater than 400 cells/microl and a high titer of
antibody to HIV-1 p24 protein. Twelve persons with AIDS received four doses
of HMG (two at 50 mg/kg of body weight and then two at 200 mg/kg) every 28
days. Pharmacokinetics were evaluated by measurement of anti-p24 antibody.
HIVIG was well tolerated, and all participants completed the study. Three
subjects who were not receiving Pneumocystis carinii pneumonia (PCP)
prophylaxis developed PCP. The mean value for HIVIG clearance was 3.02
ml/kg/day at 50 mg/kg and 3.65 ml/kg/day at 200 mg/kg (P = 0.027); the mean
trough antibody titers (reciprocal units) were 1,442 and 4,428,
respectively. This study indicates that high titers of anti-p24 antibody
can be maintained with a monthly administration schedule of HIVIG and that
short-term safety is acceptable. Comparisons to evaluate the therapeutic
potential of HIVIG are justified.
Copyright © 1997 by the American Society for Microbiology. All rights reserved.
Pharmacokinetics of hyperimmune anti-human immunodeficiency virus immunoglobulin in persons with AIDS
College of Pharmacy, University of Minnesota Academic Health Center, Minneapolis 55455, USA.
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