Long-term IV immunoglobulins may reduce the incidence of cancer

According to an analysis of follow-up data from 436 patients with autoimmune myasthenia gravis (MG) and 102 with chronic inflammatory demyelinating polyradiculoneuritis (CIDP), receiving intravenous immunoglobulin (IVIg) as maintenance therapy:

  • is associated with a reduction in the incidence of cancers occurring at least one year after diagnosis.
  • this decrease correlates with the duration of IVIg treatment
  • it is significant for CIDP (10% vs 26%), as well as for myasthenia gravis once its moderate forms treated with pyridostigmine alone are excluded (16% vs 28.8%).

These results confirm those of previous preclinical studies (in mice) and case reports of patients with cancer receiving IVIg.

 

Malignancy in neuromuscular patients on chronic IVIG. Khateb M, Bahous E, Abu Zant M et al. Front Neurol. 2025 Jun 24;16:1571160.