Orlewska Ewa, Bednarczuk Tomasz, Kaminski Grzegorz, Kos-Kudla Beata
Faculty of Health Sciences The Jan Kochanowski University Kielce, Poland.
Department of Internal Medicine and Endocrinology, Medical University of Warsaw, Poland.
Contemp Oncol (Pozn). 2014;18(6):442-7. doi: 10.5114/wo.2014.47908. Epub 2014 Dec 31.
To examine characteristics and treatment patterns of symptomatic neuroendocrine tumors (NETs) patients who received lanreotide Autogel 120 mg (ATG120) administered as part of routine clinical practice.
Lanro-NET is a national, multicenter, non-interventional, observational study in the population of adult patients with symptomatic NETs treated with ATG120 for at least three months before inclusion. Data on demographic and clinical characteristics of the population, dosing interval regimen and aspects of administration were collected prospectively during 12 months. Costs were calculated from the perspective of public payer for the year 2014.
Fifty-two patients were enrolled in the study. Primary tumors were located predominantly in gastrointestinal tract (51.2%), all tumors were metastatic. The most commonly reported disease symptoms were flushing and diarrhea (55.8% of patients). 86% of patients had undergone surgery, chemotherapy and radioisotope therapy were used in 11.6% and 46.5% of patients, respectively. During the 12-months observation 12 (28%) patients received ATG120 at an extended dosing interval (> 4 weeks), the mean number of days between injections was 31.75 (SD 6.74). The cost of ATG12 was estimated at 4273.17 PLN patient/month. In all patients ATG120 was administered by nurse, 51.6% of injections in out-patient setting, 48.4% - in hospital.
This study presents the current use of ATG120 in the population of Polish NETs patients in a realistic clinical settings. Finding that 28% of patients could be treated with extended dose intervals supports the potential for ATG120 of reducing treatment burden.
研究在常规临床实践中接受120mg长效奥曲肽(ATG120)治疗的有症状神经内分泌肿瘤(NETs)患者的特征及治疗模式。
Lanro-NET是一项全国性、多中心、非干预性观察性研究,研究对象为有症状的NETs成年患者,这些患者在入组前接受ATG120治疗至少三个月。前瞻性收集了12个月期间该人群的人口统计学和临床特征、给药间隔方案及给药方面的数据。从2014年公共支付方的角度计算成本。
52例患者入组本研究。原发肿瘤主要位于胃肠道(51.2%),所有肿瘤均已转移。最常报告的疾病症状为潮红和腹泻(55.8%的患者)。86%的患者接受过手术,11.6%和46.5%的患者分别使用过化疗和放射性同位素治疗。在12个月的观察期内,12例(28%)患者以延长给药间隔(>4周)接受ATG120治疗,注射间隔的平均天数为31.75天(标准差6.74)。ATG12的成本估计为4273.17波兰兹罗提/患者/月。所有患者的ATG120均由护士给药,51.6%的注射在门诊进行,48.4%在医院进行。
本研究展示了ATG120在波兰NETs患者实际临床环境中的当前使用情况。发现28%的患者可以采用延长剂量间隔治疗,这支持了ATG120减轻治疗负担的潜力。