Plasma-derived C1-INH for managing hereditary angioedema in pediatric patients: A systematic review

Pediatr Allergy Immunol. 2015 Sep;26(6):537-44. doi: 10.1111/pai.12425.

Abstract

Presently, medications approved for children with Hereditary Angioedema (HAE) are extremely limited. This is especially the case for children under 12 years of age. For this reason we reviewed and summarized the data on treatment of children with HAE. Available data indicate that plasma derived C1-inhibitor is a safe, effective treatment option for HAE in pediatric patients, including those below 12 years of age. Other therapies are also appear safe for the under 12 year of age, but less data are available. Importantly, home-based treatment of HAE in this age group appears to be safe and effective and can improve quality of life. These findings support current HAE consensus guidelines which strongly recommend the use of plasma derived C1-inhibitor as a first-line treatment in children and encourage home and self-treatment.

Keywords: Berinert; Cinryze; children; efficacy; hereditary angioedema; pediatric; plasma-derived C1-inhibitor; safety.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Adolescent
  • Age Factors
  • Angioedemas, Hereditary / diagnosis
  • Angioedemas, Hereditary / drug therapy*
  • Angioedemas, Hereditary / immunology
  • Child
  • Child, Preschool
  • Complement C1 Inhibitor Protein / adverse effects
  • Complement C1 Inhibitor Protein / isolation & purification
  • Complement C1 Inhibitor Protein / therapeutic use*
  • Home Care Services
  • Humans
  • Immunologic Factors / adverse effects
  • Immunologic Factors / isolation & purification
  • Immunologic Factors / therapeutic use*
  • Plasma / chemistry*
  • Practice Guidelines as Topic
  • Self Care
  • Treatment Outcome

Substances

  • Complement C1 Inhibitor Protein
  • Immunologic Factors