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在波兰,作为肢端肥大症常规治疗一部分使用的120毫克注射用醋酸兰瑞肽(兰乐肽凝胶)的剂量和费用——来自兰乐肽研究的两年数据

Dosage and costs of lanreotide Autogel 120 mg administered as part of routine acromegaly care in Poland - two years of data from Lanro-Study.

作者信息

Orlewska Ewa, Kos-Kudla Beata, Sowinski Jerzy, Sworczak Krzysztof, Zgliczynski Wojciech

机构信息

Faculty of Health Sciences, the Jan Kochanowski University, Kielce, Poland.

出版信息

Endokrynol Pol. 2015;66(2):142-8. doi: 10.5603/EP.2015.0022.

Abstract

INTRODUCTION

To evaluate, over 24 months of prospective follow-up, the dosage and costs of lanreotide AUTOGEL 120 mg (ATG120) administered as part of routine acromegaly care in Poland.

MATERIAL AND METHODS

A multicentre, non-interventional, observational prospective study on resource utilisation in Polish acromegalic patients treated with ATG120 at 4-week or extended (> 4 weeks) dosing interval. The study population consisted of adult acromegalic patients treated for at least 3 injections of ATG120. The endpoints were: percentage of patients treated with ATG120 at an extended dosing interval (> 4 weeks), mean time between injections, and the cost of ATG120 during a 24-month prospective observation. Costs were calculated in PLN from the public health-care payer and patient perspective for the year 2014.

RESULTS

143 patients were enrolled in, and 132 completed (70% women, 81% macroadenoma, 75% previous surgery) the analysis. During two years, changes in the treatment pattern were reported in 41 patients: 17% of them had increased injection interval and 10% switched to octreotide LAR and then returned to ATG120. Sixty-three patients (48%) received ATG120 at an extended dosing interval. ATG120 was predominantly administered in an out-patient setting (84%) by a health care professional (97%).

CONCLUSIONS

The results demonstrated that extended dosing interval of ATG120 is used in a substantial proportion of patients in routine clinical practice in Poland. Such findings support the potential for ATG120 in reducing treatment burden in the real-world clinical environment.

摘要

引言

在波兰,对生长抑素类似物(善龙,120mg,ATG120)作为肢端肥大症常规治疗的一部分进行24个月的前瞻性随访,评估其剂量和成本。

材料与方法

一项多中心、非干预性、观察性前瞻性研究,对象为波兰接受ATG120治疗的肢端肥大症患者,给药间隔为4周或延长(>4周)。研究人群包括接受至少3次ATG120注射的成年肢端肥大症患者。观察终点为:接受延长给药间隔(>4周)的ATG120治疗的患者百分比、平均注射间隔时间,以及24个月前瞻性观察期间ATG120的成本。从2014年公共医疗保健支付方和患者角度以波兰兹罗提计算成本。

结果

143例患者纳入分析,132例完成分析(70%为女性,81%为大腺瘤,75%曾接受手术)。两年间,41例患者报告了治疗模式的变化:其中17%的患者注射间隔延长,10%的患者改用长效奥曲肽,然后又恢复使用ATG120。63例患者(48%)接受延长给药间隔的ATG120治疗。ATG120主要在门诊由医护人员给药(84%由医护人员给药,97%在门诊给药)。

结论

结果表明,在波兰的常规临床实践中,相当一部分患者使用了延长给药间隔的ATG120。这些发现支持了ATG120在现实临床环境中减轻治疗负担的潜力。

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