Hepatitis B Immune Globulin (Human)
BayHep B® (hepatitis b immune globulin human) treated with solvent/detergent is a sterile
solution of hepatitis B hyperimmune immune globulin for intramuscular
administration; it contains no preservative. BayHep B (hepatitis b immune globulin human) is prepared by cold
ethanol fractionation from the plasma of donors with high titers of antibody to
the hepatitis B surface antigen (anti-HBs). The immune globulin is isolated
from solubilized Cohn Fraction II. The Fraction II solution is adjusted to a
final concentration of 0.3% tri-n-butyl phosphate (TNBP) and 0.2% sodium
cholate. After the addition of solvent (TNBP) and detergent (sodium cholate), the
solution is heated to 30°C and maintained at that temperature for not less than
6 hours. After the viral inactivation step, the reactants are removed by
precipitation, filtration and finally ultrafiltration and diafiltration. BayHep
B is formulated as a 15–18% protein solution at a pH of 6.4–7.2 in 0.21–0.32 M glycine.
BayHep B (hepatitis b immune globulin human) is then incubated in the final container for 21–28 days at 20–27°C.
Each vial contains anti-HBs antibody equivalent to or exceeding the potency of
anti-HBs in a U.S. reference hepatitis B immune globulin (Center for Biologics
Evaluation and Research, FDA). The U.S. reference has been tested against the
World Health Organization standard Hepatitis B Immune Globulin and found to be equal
to 217 international units (IU) per mL.
The removal and inactivation of spiked model enveloped and
non-enveloped viruses during the manufacturing process for BayHep B (hepatitis b immune globulin human) has been
validated in laboratory studies. Human Immunodeficiency Virus, Type 1 (HIV-1),
was chosen as the relevant virus for blood products; Bovine Viral Diarrhea
Virus (BVDV) was chosen to model Hepatitis C virus; Pseudorabies virus (PRV)
was chosen to model Hepatitis B virus and the Herpes viruses; and Reo virus
type 3 (Reo) was chosen to model non-enveloped viruses and for its resistance
to physical and chemical inactivation. Significant removal of model enveloped
and non-enveloped viruses is achieved at two steps in the Cohn fractionation
process leading to the collection of Cohn Fraction II: the precipitation and
removal of Fraction III in the processing of Fraction II + IIIW suspension to
Effluent III and the filtration step in the processing of Effluent III to
Filtrate III. Significant inactivation of enveloped viruses is achieved at the
time of treatment of solubilized Cohn Fraction II with TNBP/sodium cholate.
Last reviewed on RxList: 10/29/2009
This monograph has been modified to include the generic and brand name in many instances.