Tauber Maithé, Jaquet Delphine, Jesuran-Perelroizen Monique, Petrus Marc, Bertrand Anne Marie, Coutant Regis
Hôpital des Enfants, Toulouse.
Patient Prefer Adherence. 2013 May 24;7:455-62. doi: 10.2147/PPA.S43460. Print 2013.
BACKGROUNDAIM: In growth disorders, ensuring long-term growth hormone therapy (GHT) remains a challenge that might compromise the clinical outcome. Consequently, strategies aiming at alleviating the burden of daily injection might improve the treatment benefit. The study reported here was performed to assess the ease of use of Norditropin NordiFlex(®) (Novo Nordisk, Princeton, NJ, USA) compared with that of the devices previously used in children treated with GHT with recombinant somatropin.
This Phase IV prospective, multicenter, open-label study was conducted in France. All patients received Norditropin NordiFlex for 6 weeks. Oral questionnaires were administered by the physician to the patients and/or the parents at inclusion and at the final visit.
This study included 103 patients aged between 6 and 17 years. The patients assessed Norditropin NordiFlex as significantly easier to use than their previous device (median value = 7.5, P < 0.001). Almost three-quarters of patients (64.4%) preferred Norditropin NordiFlex to their previous device. Among physicians and nurses, 73% assessed Norditropin NordiFlex training as "very easy" and 26% as "easy." Norditropin NordiFlex improved patient autonomy, with 41% of patients able to self-inject the treatment.
This study has shown that Norditropin NordiFlex is reliable, safe, and easy to use and most study patients preferred it to their previous device. These characteristics may improve the adherence to GHT.
背景与目的:在生长障碍中,确保长期生长激素治疗(GHT)仍然是一项可能影响临床结果的挑战。因此,旨在减轻每日注射负担的策略可能会提高治疗效果。本研究旨在评估诺和诺德生长激素笔(Norditropin NordiFlex,®)(美国新泽西州普林斯顿市诺和诺德公司)与先前用于接受重组生长激素治疗的儿童的装置相比的易用性。
这项IV期前瞻性、多中心、开放标签研究在法国进行。所有患者接受诺和诺德生长激素笔治疗6周。在纳入研究时和末次随访时,医生向患者和/或家长发放口服问卷。
本研究纳入了103名年龄在6至17岁之间的患者。患者评估诺和诺德生长激素笔比他们之前使用的装置显著更容易使用(中位数=7.5,P<0.001)。近四分之三的患者(64.4%)更喜欢诺和诺德生长激素笔而不是他们之前使用的装置。在医生和护士中,73%认为诺和诺德生长激素笔的培训“非常容易”,26%认为“容易”。诺和诺德生长激素笔提高了患者的自主性,41%的患者能够自行注射治疗药物。
本研究表明,诺和诺德生长激素笔可靠、安全且易于使用,大多数研究患者更喜欢它而不是他们之前使用的装置。这些特性可能会提高对生长激素治疗的依从性。