Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions
IV Immune Globulin and Thromboembolic Events
Am J Hematol; 2016 Jun; Ammann, Haskins, et al
People treated with intravenous immune globulin (IVIg) products do not appear to be at increased risk for thromboembolic events, according to a meta-analysis of 31 randomized trials involving more than 4,100 individuals.
Investigators looked at the risk of serious thromboembolic events—including acute myocardial infarction, ischemic stroke, and venous thromboembolism—in trials over a 10-year period ending in 2015. Among the findings:
• There was no increase in risk of thromboembolic events in people treated with IVIg products compared with controls.
• There was no significant increase in risk when analyzing arterial and venous thromboembolic events as separate endpoints.
• Little information was available about how adverse events were evaluated.
The authors advised taking care in applying the results to those with higher risk of thromboembolic events.
Citation: Ammann E, Haskins C, Fillma K, et al. Intravenous immune globulin and thromboembolic adverse events: A systematic review and meta-analysis of RCTs. Am J Hematol. 2016;91(6):594-605. doi:10.1002/ajh.24358.