Carter John, Beilin Jonathan, Morton Adam, De Luise Mario
Concord and Hornsby Hospitals, New South Wales, Australia.
J Diabetes Sci Technol. 2009 Nov 1;3(6):1425-38. doi: 10.1177/193229680900300624.
SoloSTAR (SOL; sanofi-aventis, Paris, France) is a prefilled insulin pen device for the injection of insulin glargine and insulin glulisine. This is the first Australian survey to determine its usability, participant acceptance, and safety in clinical practice.
A 3-month, nonrandomized, noncomparative, observational survey in Australia was conducted in individuals with diabetes. Participants were given SOL pens containing glargine, the instruction leaflet, and a toll-free helpline number. Training was offered to all participants. Safety data, including product technical complaints (PTCs), were gathered from ongoing feedback given by the participant or health care professional (HCP) and by independent interviews conducted 6-10 weeks after study start.
Some 2674 people consented to take part across 93 sites (150 HCPs), and 2029 participated in interviews. Of these, 52.6% had type 1 diabetes, 16.3% had manual dexterity problems, and 15.5% had poor eyesight not corrected by glasses. At the time of interview, 96.8% of participants were still using SOL. None of the eight PTCs reported were due to technical defects; most were related to handling errors. Some 62 participants reported 77 adverse events; none were related to a PTC. The vast majority of participants (95.4%) were "very satisfied" or "satisfied" with using SOL, and 89.7% of the participants had no questions or concerns using SOL on a daily basis. Similar positive findings were reported by participants with manual or dexterity impairments.
In this survey of everyday clinical practice, SOL had a good safety profile and was very well accepted by participants.
SoloSTAR(SOL;赛诺菲-安万特公司,法国巴黎)是一种预填充胰岛素笔装置,用于注射甘精胰岛素和赖脯胰岛素。这是澳大利亚首次确定其在临床实践中的可用性、患者接受度及安全性的调查。
在澳大利亚对糖尿病患者进行了一项为期3个月的非随机、非对照观察性调查。为参与者提供了装有甘精胰岛素的SOL笔、说明书及免费帮助热线号码。对所有参与者进行了培训。通过参与者或医护人员(HCP)持续提供的反馈以及在研究开始6至10周后进行的独立访谈收集安全数据,包括产品技术投诉(PTC)。
约2674人同意在93个地点(150名医护人员)参与调查,2029人参与了访谈。其中,52.6%患有1型糖尿病,16.3%有手部灵活性问题,15.5%视力不佳且未通过眼镜矫正。在访谈时,96.8%的参与者仍在使用SOL。报告的8起PTC均非技术缺陷所致;大多数与操作失误有关。约62名参与者报告了77起不良事件;均与PTC无关。绝大多数参与者(95.4%)对使用SOL “非常满意” 或 “满意”,89.7%的参与者在日常使用SOL时没有问题或担忧。有手部或灵活性障碍的参与者也报告了类似的积极结果。
在这项日常临床实践调查中,SOL具有良好的安全性,且被参与者广泛接受。