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Immunoglobulin replacement therapy (IgRT (also commonly IVIG for intravenous administration, or SCIG for subcutaneous administration))

Target
IgRT (also commonly IVIG for intravenous administration, or SCIG for subcutaneous administration)
Molecular classification
Other (Immunoglobulins/antibodies are proteins, not receptors, enzymes, or classical drug targets)
01

Overview

Immunoglobulin replacement therapy involves the administration of pooled human antibodies—primarily IgG—from healthy donors to patients with primary or secondary antibody deficiencies. It is not itself a drug target but rather serves as replacement for missing immune function in individuals who cannot produce sufficient antibodies on their own. The main goal is infection prevention; it does not stimulate the patient's own immune system but provides passive protection against pathogens. Therapy can be given intravenously (IVIG) or subcutaneously (SCIG), typically on an ongoing basis since the underlying deficiency persists throughout life. While generally safe and effective, there are potential risks associated with any blood-derived product.

Other names
Antibody replacement therapyImmunoglobulin therapyIVIG (Intravenous immunoglobulin)SCIG (Subcutaneous immunoglobulin)Immunoglobulin G replacement therapy
02

Mechanism of action

Not applicable as a molecular target. As a therapeutic product: - Provides passive immunity by supplying functional antibodies from pooled human plasma to patients with deficient antibody production. - In autoimmune disease settings, can modulate immune responses through various mechanisms including Fc receptor blockade and anti-inflammatory effects.

03

Biological functions

Immune responseInfection prevention and control
04

Disease associations

Primary immunodeficiency diseasesSecondary antibody deficiency due to cancer or its treatment (e.g., chronic lymphocytic leukemia, lymphoma)Autoimmune diseases (as an immunomodulator in some cases)Other immune system disorders
05

Safety considerations

Allergic reactions/anaphylaxisHeadache and infusion-related side effectsRare risk of kidney injury or thrombosisTransmission of infectious agents is extremely rare due to screening but theoretically possibleLimited supply and high cost
06

Biomarkers

Low serum immunoglobulin levels (IgG)Recurrent infections despite other treatmentsSerum IgG trough levelsFrequency of infections

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