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用于每周一次肌肉注射干扰素β-1a的一次性自动注射器。

Single-use autoinjector for once-weekly intramuscular injection of IFNβ-1a.

作者信息

Limmroth Volker, Gerbershagen Kathrin

机构信息

Klinikum Köln-Merheim, Klinik für Neurologie und Palliativmedizin , Ostmerheimer Str. 200 D-51109 Köln , Germany

出版信息

Expert Opin Drug Deliv. 2014 Dec;11(12):1969-78. doi: 10.1517/17425247.2014.943181. Epub 2014 Sep 26.

Abstract

INTRODUCTION

IFNβ products and glatiramer acetate are established treatment first-line options in long-term disease-modifying therapy of multiple sclerosis (MS). These self-injectable medications are used once weekly to once daily. Injection-related issues are common patient-cited reasons for nonadherence. Autoinjectors have been shown to support long-term adherence to injectable medications. The ability to self-inject in MS patients has been associated with a reduced risk of missed injections and drug discontinuation, and a beneficial effect on patient independence.

AREAS COVERED

The recently introduced easy-to-use prefilled once-weekly pen is a safe and effective device for intramuscular (IM) IFNβ-1a application and provides a convenient method for self-injection. We reviewed the available published evidence on the characteristics of this device. The once-weekly pen facilitates self-injection and was preferred over prefilled syringes by patients in a prospective open-label, multicenter Phase IIIb trial in MS patients who had been using IM IFNβ-1a in prefilled syringes.

EXPERT OPINION

The simple and safe handling, shielded short needle, single-use disposable design and virtually painless injection by the device may contribute to adherence, quality of life and independence in patients using IM IFNβ-1a.

摘要

引言

干扰素β产品和醋酸格拉替雷是多发性硬化症(MS)长期疾病修饰治疗中既定的一线治疗选择。这些可自我注射的药物每周使用一次至每日使用一次。注射相关问题是患者提及的不坚持治疗的常见原因。自动注射器已被证明有助于长期坚持使用注射药物。MS患者自我注射的能力与错过注射和停药风险降低相关,并且对患者的独立性有有益影响。

涵盖领域

最近推出的易于使用的预填充每周一次的笔是一种用于肌肉注射(IM)干扰素β-1a的安全有效装置,并提供了一种方便的自我注射方法。我们回顾了关于该装置特性的现有已发表证据。在一项针对曾使用预填充注射器进行IM干扰素β-1a注射的MS患者的前瞻性开放标签多中心IIIb期试验中,每周一次的笔便于自我注射,且患者更喜欢它而不是预填充注射器。

专家意见

该装置操作简单安全、针短有护罩、一次性使用设计且注射几乎无痛,这可能有助于使用IM干扰素β-1a的患者坚持治疗、提高生活质量并增强独立性。

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