Mechanism Comparison: IVIG (Broad) vs. FcRn Blockers (Targeted)

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The introduction of novel Fc receptor antagonists (FcRn blockers) has provided a new, highly specific therapeutic option in the CIDP Market, creating a distinct mechanism of action compared to the traditional workhorse, IVIG.

Feature Intravenous Immunoglobulin (IVIG) FcRn Antagonists (e.g., Efgartigimod)
Mechanism (Primary) Broad Immunomodulation: Neutralization of pathogenic antibodies, blockage of Fc receptors, inhibition of complement activation, and anti-inflammatory effects. Targeted IgG Clearance: Blocks the neonatal Fc receptor (FcRn) which normally recycles IgG. Blocking this receptor accelerates the lysosomal degradation of both therapeutic and pathogenic IgG autoantibodies.
Effect on Total IgG Causes a temporary increase (supra-physiological levels) then gradual decline. Causes a targeted, sustained reduction in total IgG levels.
Specificity Non-specific, broad effect on the entire immune cascade. Highly specific to the IgG pathway, thus avoiding impacts on other immune components like antibody production or albumin levels.
Therapeutic Rationale Overwhelming the immune system with beneficial IgG. Physically clearing the pathogenic IgG antibodies driving the disease.

This shift from a broad immunomodulatory effect to a targeted antibody clearance mechanism represents the vanguard of therapeutic innovation in the CIDP Market.

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