Overview of subjects, FcγR polymorphism, clinical data, and results
Subject no. and dose of anti-RhD immune globulin, (administration route) . | FcγRIIA . | FcγRIIIA . | FcγRIIIB . | Rescue, d . | RhD+ RBC t1/2, h . | Anti-D after 3 mo . | Anti-D after 6 mo . |
---|---|---|---|---|---|---|---|
Rhophylac, 1500 IU/300 μg (IV) | |||||||
101 | RR | FF | NA1NA2 | - | 1.59 | Weak | Neg |
102 | ND | ND | ND | - | 1.39 | Aggl* | Neg |
103 | HH | VF | NA2NA2 | - | 2.26 | Aggl* | Neg |
104 | HH | FF | NA1NA2 | - | 0.90 | Neg | Neg |
105 | RR | FF | NA1NA2 | - | 3.47 | Neg | Neg |
106 | RR | VF | NA1NA2 | - | 0.72 | Neg | Neg |
107 | HH | VF | NA1NA2 | - | 0.91 | Pos | Neg |
108 | ND | ND | ND | - | 0.93 | Neg | Neg |
109 | HR | VF | NA2NA2 | - | 0.98 | Pos | Neg |
MonoRho, 300 μg (IV) | |||||||
201 | HR | FF | NA1NA1 | - | 7.45 | Neg | Neg |
202 | HR | FF | NA1NA1 | 7 | 17.33 | Pos | Neg |
211 | RR | FF | NA2NA2 | - | 15.25 | Neg | Neg |
212 | HR | FF | NA1NA2 | - | 6.31 | Neg | Neg |
MonoRho, 600 μg (IV) | |||||||
301 | RR | FF | NA2NA2 | 7 | 55.64 | Pos | Neg |
302 | RR | VF | NA1NA2 | 7 | 37.46 | Pos | Neg |
303 | HR | VF | NA2NA2 | - | 5.23 | Neg | Neg |
311 | RR | FF | NA2NA2 | - | 78.52 | Neg | Neg |
312 | HR | VF | NA2NA2 | - | 2.95 | Neg | Neg |
313 | HR | FF | NA1NA1 | - | 31.22 | Neg | Neg |
MonoRho, 900 μg (IV) | |||||||
401 | ND | ND | ND | - | 4.25 | Neg | Neg |
402 | RR | VF | NA1NA2 | - | 5.82 | Neg | Neg |
403 | HR | VF | NA2NA2 | - | 6.13 | Neg | Neg |
404 | HH | VV | NA2NA2 | - | 2.01 | Neg | Neg |
405 | ND | ND | ND | - | 2.87 | Neg | Neg |
406 | HH | VV | NA1NA2 | - | 4.83 | Neg | Neg |
MonoRho, 1200 μg (IV) | |||||||
501 | HR | FF | NA2NA2 | 7 | 16.33 | Pos | Neg |
502 | HR | VF | NA1NA2 | 7 | 14.33 | Pos | Neg |
503 | RR | FF | NA1NA2 | 7 | 21.64 | Aggl* | Neg |
MonoRho, 1800 μg (IV) | |||||||
1101 | RR | FF | NA1NA2 | 11 | 203.35 | Pos | Neg |
1102 | RR | VF | NA1NA2 | - | 9.00 | Pos | Neg |
1103 | HH | VF | NA1NA2 | - | 2.26 | Neg | Neg |
1104 | HH | VF | NA1NA2 | - | 4.38 | Neg | Neg |
1105 | HR | VF | NA2NA2 | - | 44.55 | Neg | Neg |
1106 | HH | FF | NA1NA2 | - | 29.12 | Aggl* | Neg |
Rhophylac, 1500 IU (IM) | |||||||
601 | HH | VV | NA1NA2 | - | 4.91 | Aggl* | Neg |
602 | HR | FF | NA1NA2 | - | 30.15 | Pos | Neg |
603 | HH | VV | NA2NA2 | - | 5.98 | Weak | Neg |
604 | HR | VF | NA2NA2 | - | 7.88 | Pos | Neg |
605 | RR | FF | NA2NA2 | - | 15.24 | Neg | Neg |
606 | HR | FF | NA1NA1 | - | 9.55 | Neg | Neg |
MonoRho, 1200 μg (IM) | |||||||
1001 | HH | VF | NA1NA2 | - | 8.65 | Pos | Neg |
1002 | HR | FF | NA1NA2 | - | 23.61 | Aggl* | Neg |
1003 | HH | VF | NA1NA2 | - | 25.33 | Neg | Neg |
1004 | HH | FF | NA1NA1 | - | 36.13 | Pos | Neg |
1005 | RR | FF | NA1NA2 | - | 50.28 | Neg | Neg |
1006 | RR | FF | NA1NA2 | - | 131.43 | Neg | Neg |
Subject no. and dose of anti-RhD immune globulin, (administration route) . | FcγRIIA . | FcγRIIIA . | FcγRIIIB . | Rescue, d . | RhD+ RBC t1/2, h . | Anti-D after 3 mo . | Anti-D after 6 mo . |
---|---|---|---|---|---|---|---|
Rhophylac, 1500 IU/300 μg (IV) | |||||||
101 | RR | FF | NA1NA2 | - | 1.59 | Weak | Neg |
102 | ND | ND | ND | - | 1.39 | Aggl* | Neg |
103 | HH | VF | NA2NA2 | - | 2.26 | Aggl* | Neg |
104 | HH | FF | NA1NA2 | - | 0.90 | Neg | Neg |
105 | RR | FF | NA1NA2 | - | 3.47 | Neg | Neg |
106 | RR | VF | NA1NA2 | - | 0.72 | Neg | Neg |
107 | HH | VF | NA1NA2 | - | 0.91 | Pos | Neg |
108 | ND | ND | ND | - | 0.93 | Neg | Neg |
109 | HR | VF | NA2NA2 | - | 0.98 | Pos | Neg |
MonoRho, 300 μg (IV) | |||||||
201 | HR | FF | NA1NA1 | - | 7.45 | Neg | Neg |
202 | HR | FF | NA1NA1 | 7 | 17.33 | Pos | Neg |
211 | RR | FF | NA2NA2 | - | 15.25 | Neg | Neg |
212 | HR | FF | NA1NA2 | - | 6.31 | Neg | Neg |
MonoRho, 600 μg (IV) | |||||||
301 | RR | FF | NA2NA2 | 7 | 55.64 | Pos | Neg |
302 | RR | VF | NA1NA2 | 7 | 37.46 | Pos | Neg |
303 | HR | VF | NA2NA2 | - | 5.23 | Neg | Neg |
311 | RR | FF | NA2NA2 | - | 78.52 | Neg | Neg |
312 | HR | VF | NA2NA2 | - | 2.95 | Neg | Neg |
313 | HR | FF | NA1NA1 | - | 31.22 | Neg | Neg |
MonoRho, 900 μg (IV) | |||||||
401 | ND | ND | ND | - | 4.25 | Neg | Neg |
402 | RR | VF | NA1NA2 | - | 5.82 | Neg | Neg |
403 | HR | VF | NA2NA2 | - | 6.13 | Neg | Neg |
404 | HH | VV | NA2NA2 | - | 2.01 | Neg | Neg |
405 | ND | ND | ND | - | 2.87 | Neg | Neg |
406 | HH | VV | NA1NA2 | - | 4.83 | Neg | Neg |
MonoRho, 1200 μg (IV) | |||||||
501 | HR | FF | NA2NA2 | 7 | 16.33 | Pos | Neg |
502 | HR | VF | NA1NA2 | 7 | 14.33 | Pos | Neg |
503 | RR | FF | NA1NA2 | 7 | 21.64 | Aggl* | Neg |
MonoRho, 1800 μg (IV) | |||||||
1101 | RR | FF | NA1NA2 | 11 | 203.35 | Pos | Neg |
1102 | RR | VF | NA1NA2 | - | 9.00 | Pos | Neg |
1103 | HH | VF | NA1NA2 | - | 2.26 | Neg | Neg |
1104 | HH | VF | NA1NA2 | - | 4.38 | Neg | Neg |
1105 | HR | VF | NA2NA2 | - | 44.55 | Neg | Neg |
1106 | HH | FF | NA1NA2 | - | 29.12 | Aggl* | Neg |
Rhophylac, 1500 IU (IM) | |||||||
601 | HH | VV | NA1NA2 | - | 4.91 | Aggl* | Neg |
602 | HR | FF | NA1NA2 | - | 30.15 | Pos | Neg |
603 | HH | VV | NA2NA2 | - | 5.98 | Weak | Neg |
604 | HR | VF | NA2NA2 | - | 7.88 | Pos | Neg |
605 | RR | FF | NA2NA2 | - | 15.24 | Neg | Neg |
606 | HR | FF | NA1NA1 | - | 9.55 | Neg | Neg |
MonoRho, 1200 μg (IM) | |||||||
1001 | HH | VF | NA1NA2 | - | 8.65 | Pos | Neg |
1002 | HR | FF | NA1NA2 | - | 23.61 | Aggl* | Neg |
1003 | HH | VF | NA1NA2 | - | 25.33 | Neg | Neg |
1004 | HH | FF | NA1NA1 | - | 36.13 | Pos | Neg |
1005 | RR | FF | NA1NA2 | - | 50.28 | Neg | Neg |
1006 | RR | FF | NA1NA2 | - | 131.43 | Neg | Neg |
IV indicates intravenously; -, not required; Neg, negative; ND, not done; Aggl, agglutination; Pos, positive; and IM, intramuscularly.
Blood was tested with a panel of 11 test RBC types. Some of them showed a very weak agglutination, but a specific antibody could not be identified. Agglutination was scored by visual assessment from ++++ (strong agglutination) descending to - (no agglutination) as defined by the DiaMed ID gel scale. The positive agglutination was rated as a 1+ reaction on the ID gel scale