Skip to main content
Top
Published in: The Patient - Patient-Centered Outcomes Research 1/2018

Open Access 01-02-2018 | Original Research Article

Patient Evaluation of Satisfaction and Outcomes with an Autoinjector for Self-Administration of Subcutaneous Belimumab in Patients with Systemic Lupus Erythematosus

Authors: Ebony Dashiell-Aje, Gale Harding, Katie Pascoe, Jane DeVries, Pamela Berry, Sulabha Ramachandran

Published in: The Patient - Patient-Centered Outcomes Research | Issue 1/2018

Login to get access

Abstract

Objective

This study assessed patient experiences of using an autoinjector device to self-administer subcutaneous belimumab for the treatment of systemic lupus erythematosus (SLE). Satisfaction, ease and convenience of use, and confidence with the device were assessed, in addition to overall experience with belimumab.

Methods

This cross-sectional study was conducted among patients who completed a phase IIb open-label, multi-dose usability, tolerability, and safety study of subcutaneous belimumab (NCT02124798), in which patients receiving intravenous belimumab or subcutaneous belimumab using a prefilled syringe were switched to eight weekly self-administered doses of subcutaneous belimumab using the autoinjector. This follow-up study comprised an online/paper questionnaire and qualitative telephone interviews.

Results

In total, 43 patients receiving belimumab completed the questionnaire, 21 of whom also completed a follow-up telephone interview. Qualitative interviews indicated that 17 of 21 (81%) patients had a positive experience using the autoinjector; all patients considered the autoinjector to be convenient. Of the 42 patients who switched from intravenous belimumab to the autoinjector, 32 (76%) expressed a preference for the autoinjector over intravenous administration; reasons included convenience, time saved, cost, and reduced injection pain. The most commonly reported disadvantage of the autoinjector was injection discomfort (n = 5 [24%]; qualitative interview). Compared with intravenous administration, the autoinjector improved ability to work (17 of 29 [59%] of those employed) and carry out daily activities (40%).

Conclusion

Patients with SLE reported high levels of satisfaction with the belimumab autoinjector and preferred the autoinjector to intravenous administration, citing advantages such as time saved, cost, and improved ability to work and carry out daily activities.
Appendix
Available only for authorised users
Literature
2.
go back to reference Pascoe K, Lobosco S, Bell D, Hoskin B, Ramachandran S, Pobiner B, et al. Patient- and physician-reported satisfaction with systemic lupus erythematosus treatment in US clinical practice. Clin Ther. (Epub 10 August 2017). Pascoe K, Lobosco S, Bell D, Hoskin B, Ramachandran S, Pobiner B, et al. Patient- and physician-reported satisfaction with systemic lupus erythematosus treatment in US clinical practice. Clin Ther. (Epub 10 August 2017).
3.
go back to reference Ridyard CH, Dawoud DMM, Tuersley LV, Hughes DA. A systematic review of patients’ perspectives on the subcutaneous route of medication administration. Patient. 2016;9(4):281–92.CrossRefPubMed Ridyard CH, Dawoud DMM, Tuersley LV, Hughes DA. A systematic review of patients’ perspectives on the subcutaneous route of medication administration. Patient. 2016;9(4):281–92.CrossRefPubMed
4.
go back to reference Struemper H, Murtaugh T, Gilbert J, Barton ME, Fire J, Groark J, et al. The relative bioavailability of a single dose of belimumab administered subcutaneously by prefilled syringe or autoinjector in healthy subjects. Clin Pharmacol Drug Dev. 2016;5(3):208–15.CrossRefPubMed Struemper H, Murtaugh T, Gilbert J, Barton ME, Fire J, Groark J, et al. The relative bioavailability of a single dose of belimumab administered subcutaneously by prefilled syringe or autoinjector in healthy subjects. Clin Pharmacol Drug Dev. 2016;5(3):208–15.CrossRefPubMed
5.
go back to reference Sheikh SZ, Hammer AE, Fox NL, Groark J, Struemper H, Roth D, et al. Evaluation of a novel autoinjector for subcutaneous self-administration of belimumab in systemic lupus erythematosus. Int J Pharmacol Ther. 2016;54(11):914–22.CrossRef Sheikh SZ, Hammer AE, Fox NL, Groark J, Struemper H, Roth D, et al. Evaluation of a novel autoinjector for subcutaneous self-administration of belimumab in systemic lupus erythematosus. Int J Pharmacol Ther. 2016;54(11):914–22.CrossRef
6.
go back to reference Stohl W, Schwarting A, Okada M, Scheinberg M, Doria A, Hammer AE, et al. Efficacy and safety of subcutaneous belimumab in systemic lupus erythematosus: a fifty-two-week randomized, double-blind, placebo-controlled study. Arthritis Rheum. 2017;69(5):1016–27.CrossRef Stohl W, Schwarting A, Okada M, Scheinberg M, Doria A, Hammer AE, et al. Efficacy and safety of subcutaneous belimumab in systemic lupus erythematosus: a fifty-two-week randomized, double-blind, placebo-controlled study. Arthritis Rheum. 2017;69(5):1016–27.CrossRef
7.
go back to reference Furie R, Petri M, Zamani O, Cervera R, Wallace DJ, Tegzová D, et al. A phase III, randomized, placebo-controlled study of belimumab, a monoclonal antibody that inhibits B lymphocyte stimulator, in patients with systemic lupus erythematosus. Arthritis Rheum. 2011;63(12):3918–30.CrossRefPubMedPubMedCentral Furie R, Petri M, Zamani O, Cervera R, Wallace DJ, Tegzová D, et al. A phase III, randomized, placebo-controlled study of belimumab, a monoclonal antibody that inhibits B lymphocyte stimulator, in patients with systemic lupus erythematosus. Arthritis Rheum. 2011;63(12):3918–30.CrossRefPubMedPubMedCentral
8.
go back to reference Navarra SV, Guzmán RM, Gallacher AE, Hall S, Levy RA, Jimenez RE, et al. Efficacy and safety of belimumab in patients with active systemic lupus erythematosus: a randomised, placebo-controlled, phase 3 trial. Lancet. 2011;377(9767):721–31.CrossRefPubMed Navarra SV, Guzmán RM, Gallacher AE, Hall S, Levy RA, Jimenez RE, et al. Efficacy and safety of belimumab in patients with active systemic lupus erythematosus: a randomised, placebo-controlled, phase 3 trial. Lancet. 2011;377(9767):721–31.CrossRefPubMed
9.
go back to reference Mathias SD, Berry P, deVries J, Askanase A, Pascoe K, Colwell H, et al. Development of two novel patient reported outcome (PRO) measures: the systemic lupus erythematosus (SLE) symptom severity diary (SSD) and SLE Impact Questionnaire (SIQ). Ann Rheum Dis. 2015;74(Suppl 2):560. Mathias SD, Berry P, deVries J, Askanase A, Pascoe K, Colwell H, et al. Development of two novel patient reported outcome (PRO) measures: the systemic lupus erythematosus (SLE) symptom severity diary (SSD) and SLE Impact Questionnaire (SIQ). Ann Rheum Dis. 2015;74(Suppl 2):560.
10.
go back to reference Mathias SD, Berry P, De Vries J, Askanase A, Pascoe K, Colwell HH, et al. Development of the systemic lupus erythematosus Steroid Questionnaire (SSQ): a novel patient-reported outcome tool to assess the impact of oral steroid treatment. Health Qual Life Outcomes. 2017;15(1):43.CrossRefPubMedPubMedCentral Mathias SD, Berry P, De Vries J, Askanase A, Pascoe K, Colwell HH, et al. Development of the systemic lupus erythematosus Steroid Questionnaire (SSQ): a novel patient-reported outcome tool to assess the impact of oral steroid treatment. Health Qual Life Outcomes. 2017;15(1):43.CrossRefPubMedPubMedCentral
11.
go back to reference Pozzilli C, Schweikert B, Ecari U, Oentrich W. Supportive strategies to improve adherence to IFN beta-1b in multiple sclerosis—results of the BetaPlus observational cohort study. J Neurol Sci. 2011;307(1):120–6.CrossRefPubMed Pozzilli C, Schweikert B, Ecari U, Oentrich W. Supportive strategies to improve adherence to IFN beta-1b in multiple sclerosis—results of the BetaPlus observational cohort study. J Neurol Sci. 2011;307(1):120–6.CrossRefPubMed
12.
go back to reference Kivitz A, Cohen S, Dowd JE, Edwards W, Thakker S, Wellborne FR, et al. Clinical assessment of pain, tolerability, and preference of an autoinjection pen versus a prefilled syringe for patient self-administration of the fully human, monoclonal antibody adalimumab: The TOUCH trial. Clin Ther. 2006;28(10):1619–29.CrossRefPubMed Kivitz A, Cohen S, Dowd JE, Edwards W, Thakker S, Wellborne FR, et al. Clinical assessment of pain, tolerability, and preference of an autoinjection pen versus a prefilled syringe for patient self-administration of the fully human, monoclonal antibody adalimumab: The TOUCH trial. Clin Ther. 2006;28(10):1619–29.CrossRefPubMed
13.
go back to reference Schulze-Koops H, Giacomelli R, Samborski W, Rednic S, Herold M, Yao R, et al. Factors influencing the patient evaluation of injection experience with the SmartJect autoinjector in rheumatoid arthritis. Clin Exper Rheumatol. 2015;33(2):201–8. Schulze-Koops H, Giacomelli R, Samborski W, Rednic S, Herold M, Yao R, et al. Factors influencing the patient evaluation of injection experience with the SmartJect autoinjector in rheumatoid arthritis. Clin Exper Rheumatol. 2015;33(2):201–8.
14.
go back to reference Schwarzenbach F, Dao Trong M, Grange L, Laurent PE, Abry H, Cotten J, et al. Results of a human factors experiment of the usability and patient acceptance of a new autoinjector in patients with rheumatoid arthritis. Patient Prefer Adher. 2014;8:199–209.CrossRef Schwarzenbach F, Dao Trong M, Grange L, Laurent PE, Abry H, Cotten J, et al. Results of a human factors experiment of the usability and patient acceptance of a new autoinjector in patients with rheumatoid arthritis. Patient Prefer Adher. 2014;8:199–209.CrossRef
15.
go back to reference Strand V, Levy RA, Cervera R, Petri MA, Birch H, Freimuth WW, et al. Improvements in health-related quality of life with belimumab, a B-lymphocyte stimulator-specific inhibitor, in patients with autoantibody-positive systemic lupus erythematosus from the randomised controlled BLISS trials. Ann Rheum Dis. 2014;73(5):838–44.CrossRefPubMed Strand V, Levy RA, Cervera R, Petri MA, Birch H, Freimuth WW, et al. Improvements in health-related quality of life with belimumab, a B-lymphocyte stimulator-specific inhibitor, in patients with autoantibody-positive systemic lupus erythematosus from the randomised controlled BLISS trials. Ann Rheum Dis. 2014;73(5):838–44.CrossRefPubMed
Metadata
Title
Patient Evaluation of Satisfaction and Outcomes with an Autoinjector for Self-Administration of Subcutaneous Belimumab in Patients with Systemic Lupus Erythematosus
Authors
Ebony Dashiell-Aje
Gale Harding
Katie Pascoe
Jane DeVries
Pamela Berry
Sulabha Ramachandran
Publication date
01-02-2018
Publisher
Springer International Publishing
Published in
The Patient - Patient-Centered Outcomes Research / Issue 1/2018
Print ISSN: 1178-1653
Electronic ISSN: 1178-1661
DOI
https://doi.org/10.1007/s40271-017-0276-2

Other articles of this Issue 1/2018

The Patient - Patient-Centered Outcomes Research 1/2018 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine