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Table 2 Infusion reactions meeting criteria of anaphylaxis

From: Frequency, distribution and immunologic nature of infusion reactions in subjects receiving pegloticase for chronic refractory gout

Patient

Sex

Race

Weight (kg)

Tophi present

Regimen

Responder status

SUA at time of IR (mg/dL)

Dose of pegloticase when IR occurred

Time from infusion initiation to IR (min)

Severity of the adverse event

Signs and symptoms

Action taken

Disposition

1

Male

White

108.9

No

8 mg Q2w

Nonresponder

9.1

5

13

Moderate

Dyspnea, tongue edema

Stop infusion

Exit trial

2

Male

White

107.9

Yes

8 mg Q2w

Nonresponder

6.9

3

135

Mild

Urticaria, wheezing

Stop infusion

Continue

3

Male

Native Hawaiian or Pacific islander

98.0

Yes

8 mg Q2w

Nonresponder

9.2

1

18

Mild

Flushing, hypotension, tachycardia, urticaria

Stop infusion

Exit trial

4

Male

Black or African American

103.3

Yes

8 mg Q4w

Nonresponder

9.2

3

33

Moderate

Dyspnea, hypoxia, tachycardia, urticaria

Stop infusion; treatment with diphenhydramine and salbutamol

Exit trial

5

Male

White

111.1

No

8 mg Q4w

Nonresponder

9.8

2

15

Moderate

Cough, dyspnea, flushing

Stop infusion

Continue complete trial

6

Male

White

53.1

Yes

8 mg Q4w

Nonresponder

NA

2

5

Moderate

Dyspnea, erythema, pruritus

Interrupted infusion, but completed; treatment with diphenhydramine

Continue

  1. IR infusion reaction, NA not available, Q2w every 2 weeks, Q4w every 4 weeks, SUA serum uric acid