QIVIGY LogoQIVIGY

Starting QIVIGY®

Dosing and product information

Recommended dosage1

For intravenous use only.

DOSE300-800 mg/kg (3-8 mL/kg) every 3-4 weeks
FIRST INFUSION1 mg/kg/min (0.01 mL/kg/min) for 30 minutes; increase every 30 minutes to a maximum of 8 mg/kg/min (0.08 mL/kg/min) as tolerated
MAXIMUM INFUSION RATE8 mg/kg/min (4.8 mL/kg/h)
SUBSEQUENT INFUSIONS2 mg/kg/min (0.02 mL/kg/min) for 15 minutes; increase every 15 minutes to a maximum of 8 mg/kg/min (0.08 mL/kg/min) as tolerated

Quality characteristics

QIVIGY is:

  • Characteristics 1Glycine-stabilized and does not contain any sugars or preservatives1
  • Characteristics 3Supplied in 5- and 10-gram single-dose vials1
  • Characteristics 2A high-purity (≥96% IgG) IVIG that contains trace amounts of IgA (≤50 mg/L)1
  • Characteristics 4Manufactured with 4 steps of viral removal/inactivation1

National Drug Codes (NDC) for QIVIGY1

PresentationsNDC Number of CartonNDC Number of Label
50 mL vial containing 5 grams of protein76179-010-0176179-010-02
100 mL vial containing 10 grams of protein76179-010-0376179-010-04

Dosing calculator

  • In the pivotal trial, QIVIGY was studied using a 30-minute infusion rate escalation protocol for the first infusion and a 15-minute infusion rate escalation protocol for subsequent infusions.1
  • Infusion rates should be increased only if the infusion is well tolerated.1

Rate Escalation Protocol: First Infusion

Elapsed Time (min)QIVIGY Infusion Rate
mL/kg/minmg/kg/min
0-290.011.0
30-590.022.0
60-890.044.0
90-1190.066.0
120+ (maximum infusion rate)0.088.0

Rate Escalation Protocol: Subsequent Infusions

Elapsed Time (min)QIVIGY Infusion Rate
mL/kg/minmg/kg/min
0-140.022.0
15-290.044.0
30-440.066.0
45+ (maximum infusion rate)0.088.0

Infusion Considerations1

  • Hydrate the patient adequately prior to the initiation of infusion.
  • Monitor patient vital signs throughout the infusion.
  • The rate of infusion can be related to certain severe adverse drug reactions. Slow or stop infusion if adverse reactions occur.
  • If symptoms subside promptly, resume infusion at a lower rate as tolerated by the patient.
  • The observation time of patients after QIVIGY administration may vary. If the patient (a) has not received QIVIGY or another IgG product, (b) is switched from an alternative IGIV product or (c) has had a long interval since the previous infusion, prolong the observation time for adverse reactions after QIVIGY infusion.
  • Ensure that patients with pre-existing renal insufficiency are not volume depleted. For patients at risk of renal dysfunction or thrombosis, administer QIVIGY at the minimum dose and infusion rate practicable and discontinue QIVIGY if renal function deteriorates.

Ordering QIVIGY

QIVIGY is available through a limited network of distributors, group purchasing organizations, specialty pharmacies, and ambulatory infusion centers. For more information, please contact the Kedrion customer service team.

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Reference: 1. QIVIGY [prescribing information]. Kedrion Biopharma Inc.; 2025.

Important Safety Information
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INDICATIONS AND USAGE

QIVIGY® (immune globulin intravenous, human-kthm) is a 10% immune globulin (Ig) liquid indicated for the treatment of adults with primary humoral immunodeficiency.

Important safety information

WARNING: THROMBOSIS, RENAL DYSFUNCTION, and ACUTE RENAL FAILURE

See full prescribing information for complete boxed warning.

  • Thrombosis may occur with immune globulin products, including QIVIGY.
  • Renal dysfunction, acute renal failure, osmotic nephrosis may occur with immune globulin intravenous (IGIV) products in predisposed patients. Such events require immediate medical intervention, if not recognized or managed appropriately, may result in persistent or significant disability or incapacity or lead to fatal outcome.
  • For patients at risk of thrombosis, renal dysfunction or failure, administer QIVIGY at the minimum dose available and the minimum infusion rate practicable. Ensure adequate hydration in patients before administration. Monitor for signs and symptoms of thrombosis and assess blood viscosity in patients at risk for hyperviscosity.

CONTRAINDICATIONS

QIVIGY is contraindicated in patients who have had an anaphylactic or severe systemic reaction to the administration of human immune globulin and in IgA deficient patients with antibodies against IgA and history of hypersensitivity.

WARNINGS AND PRECAUTIONS

Severe hypersensitivity reactions, including anaphylaxis, may occur. In case of hypersensitivity, discontinue QIVIGY infusion and manage as appropriate.

Hyperproteinemia, hyperviscosity, and hyponatremia may occur in patients receiving IGIV treatment, including QIVIGY.

Aseptic meningitis syndrome may occur in patients receiving IGIV treatment, especially with high doses or rapid infusion.

Hemolysis can develop subsequent to IGIV treatment. Monitor patients for hemolysis.

Transfusion-related acute lung injury: Monitor patients for pulmonary adverse reactions.

Transmissible infectious agents: QIVIGY is made from human plasma and may carry a risk of transmitting infectious agents, eg, viruses, the variant Creutzfeldt-Jakob disease (vCJD) agent, and, theoretically, the Creutzfeldt-Jakob disease (CJD) agent.

Interference with laboratory tests: After infusion of Ig, transitory rise of passively transferred antibodies may yield positive serological results, with potential for misleading interpretation.

ADVERSE REACTIONS

The most common adverse reactions occurring in ≥5% of patients treated were headache, fatigue, infusion-related reaction, Coombs direct test positive, nausea, sinusitis, dizziness, and diarrhea.

To report SUSPECTED ADVERSE REACTIONS, contact Kedrion Biopharma Inc. at 1-855-3KDRION (1-855-353-7466) or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Please see full Prescribing Information for complete prescribing details, including Boxed Warning.