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The closing session of #IPPC2024 moderated by Tomasz Kluszczynski emphasised the need for a consistent approach to immunoglobulin (IgG) use in Europe. Normal Polyvalent Immunoglobulins are a preferred or the only therapeutic option for many severe and/or potentially fatal diseases and conditions. But the increasing medical need for IgGs driven, among others, by better diagnostics and new indications, underscores the urgency to ensure optimal use. As Marek Migdal stated, "medical knowledge is changing. We must look for new indications and uses for the benefit of patients." Immunoglobulin use varies between countries. Although clear criteria for its use are important, the high need for immunoglobulins is not met by plasma collection. Johan Prevot highlighted that “patients will benefit from more regionally balanced plasma collection.” The Green Paper proposed a framework with three dimensions: level of unmet medical need, added therapeutic value, and quality of evidence. Daniela Philadelphy pointed out an important challenge: "In rare diseases, it's always good to get robust data, but it's sometimes not feasible. " A big thanks to Tomasz Kluszczynski, Johan Prevot, Silvia Sánchez-Ramón, Isabelle Durand-Zaleski, Marek Migdal and Daniela Philadelphy for this important discussion. #PlasmaProteins #PatientCare #DonorHealth #EUNeedsMorePlasma #SoHORegulation

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