Geba Daniela, Mohd Sani Johan, Gascon Michaela, Hahn Rebecca, Aggarwal Kavita, Rosselli Jinky
KJT Group, Inc, Honeoye Falls, NY, USA.
BioCryst Pharmaceuticals, Inc, Durham, NC, USA.
J Drug Assess. 2021 Jan 6;10(1):51-56. doi: 10.1080/21556660.2020.1863699.
To explore treatment preferences of patients with Hereditary Angioedema (HAE), a debilitating disorder characterized by potentially life-threatening, recurrent episodes of swelling, resulting in significant physical, emotional, and economic burden. With newer oral prophylactic treatments on the horizon, it is important to understand patients' preferences.
An online survey was conducted in 2018 among United States (US) adult patients diagnosed with Type I or II HAE. Respondents were recruited anonymously from online panels and social media.
Online surveys were completed by 75 patients diagnosed with HAE by a healthcare provider, with a mean of 16.7 years since diagnosis. Most patients (64%) report taking at least one medication for prophylaxis of HAE attacks. While almost all patients surveyed agree it is important to take preventative medication as prescribed, over half (52%) of patients report HAE prophylactic treatment to be burdensome. Despite stating that they like their current medications, 98% of the prophylactic HAE medication users would prefer an oral treatment if available; almost all (96%) prophylaxis users agree that oral preventative medication would fit their life better than an injectable medication, with 67% of users citing convenience as the primary reason to try an oral preventative HAE medication. If a more convenient option were available, nearly all (96%) patients currently not treating their HAE prophylactically would feel encouraged to do so.
Most patients with HAE would prefer a newer generation oral prophylactic medication that would decrease treatment burden and allow them to live fuller lives.
探讨遗传性血管性水肿(HAE)患者的治疗偏好。HAE是一种使人衰弱的疾病,其特征是肿胀反复发作,可能危及生命,会造成重大的身体、情感和经济负担。随着新型口服预防性治疗方法即将出现,了解患者的偏好很重要。
2018年对美国诊断为I型或II型HAE的成年患者进行了一项在线调查。通过在线小组和社交媒体匿名招募受访者。
75名经医疗保健提供者诊断为HAE的患者完成了在线调查,自诊断以来平均病程为16.7年。大多数患者(64%)报告至少服用一种药物来预防HAE发作。虽然几乎所有接受调查的患者都认为按规定服用预防性药物很重要,但超过一半(52%)的患者报告HAE预防性治疗很麻烦。尽管表示喜欢目前的药物,但98%的HAE预防性药物使用者如果有口服治疗方法会更倾向于选择;几乎所有(96%)预防性药物使用者都认为口服预防性药物比注射药物更适合他们的生活,67%的使用者将便利性作为尝试口服预防性HAE药物的主要原因。如果有更方便的选择,几乎所有(96%)目前未进行HAE预防性治疗的患者都会受到鼓励去这样做。
大多数HAE患者会更喜欢新一代口服预防性药物,这种药物将减轻治疗负担,让他们能更充分地生活。