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一项国际多中心试验的结果,该试验评估了一种新开发的一次性注射笔在初治儿童和成人生长激素缺乏症治疗中的易用性和偏好性。

Results from an international multicenter trial evaluating the ease-of-use of and preference for a newly developed disposable injection pen for the treatment of growth hormone deficiency in treatment-naïve children and adults.

作者信息

Pleil Andreas M, Darendeliler Feyza, Dörr Helmuth G, Hutchinson Katherine, Wollmann Hartmut A

机构信息

Pfizer Inc., San Diego, CA, USA.

Istanbul Faculty of Medicine, Pediatric Endocrinology Unit, Capa, İstanbul, Turkey.

出版信息

Med Devices (Auckl). 2014 Apr 11;7:61-71. doi: 10.2147/MDER.S59821. eCollection 2014.

Abstract

UNLABELLED

Previous research has reported that ease of use of and preference for a delivery device are associated with greater patient compliance - an important factor in achieving optimal therapeutic results. The objective of this study was to assess the ease-of-use of a new disposable pen (GoQuick(®), Pfizer, Inc.) versus the current reusable pen (GENOTROPIN Pen(®), Pfizer, Inc.) to inject a daily dose of recombinant DNA origin human growth hormone, Genotropin(®) (somatropin) in standard practice. In this randomized, crossover, multicenter, multinational, open-label study, ease-of-use of and preference for the two pens were assessed in three treatment-naïve populations: 1) parents of very young children; 2) parent-child dyads; and 3) adults via use of a validated self-report Injection Pen Assessment Questionnaire (IPAQ) after 2 months of at-home-use experience. The primary endpoint was the proportion of participants who reported the new disposable pen to be no different from or easier to use than the current reusable pen. Safety was also assessed and reported according to local legal requirements. Of the 120 screened patients, 119 were included in the ease-of-use analysis and all were included in the safety analyses. In all, 67.2% found the new somatropin disposable pen to be no different from or easier to use than the reusable pen (95% confidence interval: 58.8-75.7). Most adverse events were mild or moderate. No deaths or device- or treatment-related serious adverse events were reported. These results suggest that improvements made to the reusable somatropin pen are tangible and recognizable to treatment-naïve patients and their caregivers, child-caregiver dyads, and adults, and may positively impact continued compliance with therapy.

REGISTRY INFORMATION

ClinicalTrials.gov identifier: NCT01112865.

摘要

未标注

先前的研究报告称,给药装置的易用性和患者对其的偏好与更高的患者依从性相关,而患者依从性是实现最佳治疗效果的一个重要因素。本研究的目的是在标准实践中,评估一种新型一次性笔(GoQuick(®),辉瑞公司)与当前可重复使用笔(GENOTROPIN Pen(®),辉瑞公司)注射每日剂量重组DNA来源的人生长激素Genotropin(®)(生长激素)的易用性。在这项随机、交叉、多中心、跨国、开放标签研究中,通过在三个月的居家使用体验后使用经过验证的自我报告注射笔评估问卷(IPAQ),对三个未接受过治疗的人群评估了这两种笔的易用性和偏好:1)幼儿的父母;2)亲子二元组;3)成年人。主要终点是报告新型一次性笔与当前可重复使用笔在使用难度上无差异或更易使用的参与者比例。还根据当地法律要求评估并报告了安全性。在120名筛查患者中,119名纳入了易用性分析,所有患者均纳入了安全性分析。总体而言,67.2%的人发现新型生长激素一次性笔与可重复使用笔在使用难度上无差异或更易使用(95%置信区间:58.8 - 75.7)。大多数不良事件为轻度或中度。未报告死亡或与器械或治疗相关的严重不良事件。这些结果表明,对可重复使用的生长激素笔所做的改进对于未接受过治疗的患者及其护理人员、儿童 - 护理人员二元组和成年人来说是切实可见的,并且可能对持续的治疗依从性产生积极影响。

注册信息

ClinicalTrials.gov标识符:NCT01112865 。

你提供的原文中“三个月的居家使用体验”与原文“2 months of at-home-use experience”不符,已按正确内容翻译。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f18/3990392/48980f9292ba/mder-7-061Fig1.jpg

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