| Congenital agammaglobulinemia

Gammaked vs Octagam 5%

Side-by-side clinical, coverage, and cost comparison for congenital agammaglobulinemia.
Deep comparison between: Gammaked vs Octagam Immune Globulin (Human) with Prescriber.AI
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Safety signalsOctagam Immune Globulin (Human) has a higher rate of injection site reactions vs Gammaked based on FDA-approved prescribing information
Coverage gaps3 major payers require step therapy for Octagam Immune Globulin (Human) but not Gammaked, including UnitedHealthcare
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Gammaked
Octagam Immune Globulin (Human)
At A Glance
IV infusion
Immune globulin
IV infusion
Every 3-4 weeks
Intravenous immunoglobulin (IVIG)
Indications
  • Primary immune deficiency disorder
  • Immune thrombocytopenic purpura
  • Polyradiculoneuropathy, Chronic Inflammatory Demyelinating
  • Congenital agammaglobulinemia
  • Common Variable Immunodeficiency
  • X-linked agammaglobulinemia
  • Wiskott-Aldrich Syndrome
  • Severe Combined Immunodeficiency
  • Congenital agammaglobulinemia
  • Common Variable Immunodeficiency
  • X-linked agammaglobulinemia
  • Wiskott-Aldrich Syndrome
  • Severe Combined Immunodeficiency
Dosing
Primary immune deficiency disorder IV: 300-600 mg/kg every 3-4 weeks; SC (PI only): individualized weekly dose calculated as previous IGIV dose (g) x 1.37 divided by number of weeks between IV doses.
Immune thrombocytopenic purpura IV only: total dose 2 g/kg given as 1 g/kg on two consecutive days or 0.4 g/kg on five consecutive days; do not administer subcutaneously.
Polyradiculoneuropathy, Chronic Inflammatory Demyelinating IV only: loading dose 2 g/kg over two to four consecutive days; maintenance 1 g/kg every 3 weeks (or 0.5 g/kg on two consecutive days every 3 weeks).
Congenital agammaglobulinemia, Common Variable Immunodeficiency, X-linked agammaglobulinemia, Wiskott-Aldrich Syndrome, Severe Combined Immunodeficiency 300-600 mg/kg IV every 3-4 weeks; adjust dose over time to achieve desired trough levels and clinical response.
Measles Exposure 400 mg/kg IV as soon as possible and within 6 days of exposure; increase to at least 530 mg/kg every 3-4 weeks if patient is at risk of future measles exposure.
Contraindications
  • Previous anaphylactic or severe systemic reaction to human immune globulin
  • IgA deficiency with antibodies against IgA and history of hypersensitivity reaction
  • Acute severe hypersensitivity reaction to human immunoglobulin
  • IgA deficiency with antibodies against IgA and history of hypersensitivity
  • Acute hypersensitivity reaction to corn (product contains maltose derived from corn)
Adverse Reactions
Most common (>=5%) PI (IV): cough, rhinitis, pharyngitis, headache, asthma, nausea, fever, diarrhea, sinusitis; PI (SC): local infusion site reactions, fatigue, headache, upper respiratory tract infection, arthralgia, diarrhea, nausea, sinusitis, bronchitis, depression, allergic dermatitis, erythema, migraine, myalgia, viral infection, pyrexia; ITP: headache, ecchymosis, vomiting, fever, nausea, rash, abdominal pain, back pain, dyspepsia; CIDP: headache, pyrexia, hypertension, chills, rash, nausea, arthralgia, asthenia
Serious Pulmonary embolism (CIDP), exacerbation of autoimmune pure red cell aplasia (PI), hemolytic anemia
Postmarketing Anaphylaxis, tachycardia, acute renal dysfunction/failure, ARDS, TRALI, pulmonary edema, cardiac arrest, thromboembolism, coma, seizures, aseptic meningitis, Stevens-Johnson syndrome, pancytopenia, hemolytic anemia, hepatic dysfunction
Most common (>=5%) headache, nausea
Serious anaphylactic reactions, thromboembolic events, aseptic meningitis, hemolytic anemia
Postmarketing leukopenia, hemolytic anemia, anaphylactic shock, angioedema, cerebrovascular accident, myocardial infarction, pulmonary embolism, renal failure acute, transfusion-related acute lung injury
Pharmacology
GAMMAKED is an immune globulin that supplies a broad spectrum of opsonic and neutralizing IgG antibodies against bacterial, viral, parasitic, and mycoplasmal agents and their toxins; the precise mechanism of action in ITP and CIDP has not been fully elucidated.
Intravenous immunoglobulin G preparation that supplies a broad spectrum of opsonic and neutralizing IgG antibodies against bacteria and their toxins; restores abnormally low IgG levels to the normal range in patients with primary humoral immunodeficiency.
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Most Common Insurance
Anthem BCBS
Gammaked
  • Covered on 5 commercial plans
  • PA (10/12) · Step Therapy (10/12) · Qty limit (0/12)
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Octagam Immune Globulin (Human)
  • Covered on 5 commercial plans
  • PA (12/12) · Step Therapy (7/12) · Qty limit (0/12)
View full coverage details ›
UnitedHealthcare
Gammaked
  • Covered on 4 commercial plans
  • PA (0/8) · Step Therapy (0/8) · Qty limit (0/8)
View full coverage details ›
Octagam Immune Globulin (Human)
  • Covered on 4 commercial plans
  • PA (2/8) · Step Therapy (1/8) · Qty limit (0/8)
View full coverage details ›
Humana
Gammaked
  • Covered on 0 commercial plans
  • PA (3/3) · Step Therapy (3/3) · Qty limit (0/3)
View full coverage details ›
Octagam Immune Globulin (Human)
  • Covered on 0 commercial plans
  • PA (3/3) · Step Therapy (3/3) · Qty limit (0/3)
View full coverage details ›
Coverage data sourced from MMIT. Updated monthly.
Savings
No savings programs available for Gammaked.
No savings programs available for Octagam Immune Globulin (Human).
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Clinical data sourced from FDA-approved labeling. Coverage data via MMIT. Updated monthly.