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The clinical impact of immunoglobulin replacement therapy on severe bacterial infection for patients with hypogammaglobulinemia secondary to hematologic malignancies: A Japanese claims database study

The clinical impact of immunoglobulin replacement therapy on severe bacterial infection for patients with hypogammaglobulinemia secondary to hematologic malignancies: A Japanese claims database study - A database study on immunoglobulin replacement therapy in patients with secondary hypogammaglobulinemia

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
JPRN
Registry ID
JPRN-UMIN000047418
Enrollment
125
Registered
2022-05-31
Start date
2022-05-31
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

hypogammaglobulinemia

Interventions

None listed

Sponsors

CSL Behring K.K.
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: (1) Diagnosed with hematologic malignancies (ICD-10 codes: C81x-96x) during the study period (from May 2010 to March 2021). (2) Diagnosed with hypogammaglobulinemia (disease code: 2790006) during the study period. (3) Received immunoglobulins (IVIGs and SCIG [drug codes: J06C0 and J06E0, respectively]) after both the first diagnosis date of hematologic malignancy and that of hypogammaglobulinemia. The first prescription date after the first diagnosis date of hypogammaglobulinemia will be defined as the index date. (4) Have 2 or more medical records in the 12 months before the index date (baseline period). (5) Have 2 or more medical records in the subsequent 12 months after the index date (follow-up period). (6) Received 2 or more courses of immunoglobulins (drug codes: J06C0 and J06E0) during the follow-up period. One course will be defined as a continuous prescription period with an interval of less than 7 days. (7) Aged >= 16 years at the index date.

Exclusion criteria

Exclusion criteria: (1) Diagnosed with immunodeficiency (primary immunodeficiency [PID; disease code: 2793012] or human immunodeficiency virus [HIV; ICD-10 code: B20x-B24x]) during the study period. (2) Diagnosed with any other diseases* for which immunoglobulins can be used according to regulations in Japan (ICD-10 code: D693, G360, G610, G618, G700, H46x, L10x, L12x, L511, L512, M301, M303, M33x) during the study period. (3) Have a record of immunoglobulin treatment before the initial diagnosis of hypogammaglobulinemia.

Design outcomes

Primary

MeasureTime frame
The incidence rate of SBIs per person-year in the 12 months after the index date, which is defined as the date of initiation of IgRT, will be compared with that in the 12 months before the index date in patients on an adequate dosage of IgRT.

Secondary

MeasureTime frame
(1) The number of days of administration of intravenous antibiotics during hospitalization in the 12 months after the index date will be compared with that in the 12 months before the index date in patients on an adequate dosage of IgRT. (2) The incidence rate of SBIs per person-year in the 3 months after the index date will be compared with that in the 3 months before the index date in patients on an adequate dosage of IgRT. (3) The incidence rate of SBIs per person-year during the period from the initiation of anti-cancer drugs until the index date will be compared with that during the period of administration of IgRT in patients on an adequate dosage of IgRT, without any experience of HSCT. (4) Subgroup analysis of the primary endpoint by the type of hematologic malignancy (i.e., CLL, NHL, MM), the type of B-cell targeted agents received, and whether or not HSCT was performed before the index date in patients on an adequate dosage of IgRT.

Countries

Japan

Contacts

Public ContactAyako Shoji

Medilead Inc. Data Science Dept.

a_shoji@medi-l.com03-6859-2295

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026