In a kidney‑transplant recipient with biopsy‑proven BK virus nephropathy and persistent high BK viremia despite reduction of immunosuppression, can intravenous immunoglobulin (IVIG) be used, and what is the recommended dosing protocol?

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Last updated: February 15, 2026View editorial policy

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IVIG in BK Nephropathy

IVIG can be considered as a second-line adjunctive therapy for biopsy-proven BK virus nephropathy that persists despite maximal immunosuppression reduction, though it is not a first-line treatment and lacks strong guideline support. 1, 2

Primary Management: Immunosuppression Reduction First

Reduction of immunosuppressive medications remains the only intervention with established efficacy and must be the initial approach. 1, 2 The American Society of Transplantation recommends reducing immunosuppression when plasma BK viral load persistently exceeds 10,000 copies/mL. 3, 1 This typically involves:

  • Reducing or discontinuing antimetabolites (mycophenolate mofetil or azathioprine) first 1
  • Gradual reduction with close monitoring to avoid precipitous acute rejection 1
  • Continuing reduction until viral load decreases 3, 1

When to Consider IVIG

IVIG should only be considered after 8 weeks of inadequate response to immunosuppression reduction and leflunomide therapy in patients with:

  • Persistent BK viremia (>10,000 copies/mL) despite maximal immunosuppression reduction 4, 5
  • Biopsy-proven BK virus nephropathy with progressive allograft dysfunction 1, 2
  • Rising or persistently elevated viral loads despite first-line management 4, 6

IVIG Dosing Protocol

The recommended dose is 2 g/kg administered intravenously as a single infusion. 6, 5 Based on available evidence:

  • Administer 2 g/kg as a single dose initially 6, 5
  • May repeat dosing if viremia persists or recurs (typically at intervals of several months based on viral load response) 6
  • Monitor BK viral load weekly initially, then monthly after treatment 4, 7

Evidence Supporting IVIG Use

The evidence for IVIG in BK nephropathy consists primarily of case series and reports, not randomized trials. 6 Key findings include:

  • In a series of 30 patients with persistent BK viremia despite standard therapy, 90% cleared viremia after IVIG with 96.7% graft survival at 12 months 4
  • Pediatric case series showed successful viral clearance and histological resolution of nephropathy with 2 g/kg dosing 5
  • Retrospective analysis of 86 patients showed IVIG significantly lowered viral load in responders (median 1,369 copies/mL at 6 months vs 12,789 copies/mL in non-responders) 7

However, baseline viral load predicts response: patients with very high viral loads at diagnosis (>200,000 copies/mL) respond less favorably than those with lower loads (<30,000 copies/mL). 7

Critical Pitfalls and Contraindications

Do not use IVIG as first-line therapy or before adequate immunosuppression reduction. 1, 2 One case report documented exponential increase in BK viremia and progression to overt nephropathy following IVIG administration for acute cellular rejection without immunosuppression reduction. 8 This highlights that:

  • IVIG may worsen BK infection if given without concurrent immunosuppression reduction 8
  • Coexistent acute rejection complicates management and requires careful biopsy interpretation 8
  • Acute rejection occurs in 59-79% of patients after immunosuppression reduction and must be differentiated from BKVN progression 2

Monitor closely for volume overload, headache, chills, rigors, fever, and myalgia during IVIG infusion. 3 Ensure adequate renal function assessment before dosing given the high protein load. 3

Monitoring After IVIG

  • Measure plasma BK viral load weekly for the first month, then monthly 4, 7
  • Monitor serum creatinine and allograft function closely 2, 6
  • Consider repeat biopsy if renal function deteriorates despite viral load reduction 2
  • Continue surveillance for at least 12 months as viral rebound can occur 4, 6

Alternative Adjunctive Therapies

If IVIG is ineffective or contraindicated, consider:

  • Low-dose cidofovir (1 mg/kg IV weekly without probenecid) for biopsy-proven, progressive BKVN 1
  • Foscarnet as an alternative if cidofovir is contraindicated, with close monitoring for electrolyte abnormalities 1

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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