PMID- 25073663 OWN - NLM STAT- MEDLINE DCOM- 20150219 LR - 20181202 IS - 1744-7593 (Electronic) IS - 1742-5247 (Linking) VI - 11 IP - 11 DP - 2014 Nov TI - Single-use autoinjector for peginterferon-beta1a treatment of relapsing-remitting multiple sclerosis: safety, tolerability and patient evaluation data from the Phase IIIb ATTAIN study. PG - 1713-20 LID - 10.1517/17425247.2014.944159 [doi] AB - OBJECTIVES: A sub-study to evaluate safety, tolerability, ease-of-use and patient satisfaction with a single-use autoinjector administering subcutaneous peginterferon-beta1a (a pegylated interferon-beta1a in clinical development) in a subset of relapsing-remitting multiple sclerosis (MS) patients participating in ATTAIN, a long-term dose-frequency blinded extension of the Phase III randomized ADVANCE study. METHODS: Over 8 weeks, patients self-administered peginterferon-beta1a 125 microg or placebo every 2 weeks (two injections via manual pre-filled syringe [PFS]; two injections via single-use autoinjector). Primary end points were incidence of adverse events (AEs), patient assessment of injection pain score (10-point Visual Analog Scale), and clinician assessment of injection site reactions (ISRs). Secondary objectives included patient assessment of ease-of-use and satisfaction with the autoinjector and evaluation of autoinjector training materials. RESULTS: In 39 patients, the safety profile of peginterferon-beta1a was similar when delivered via autoinjector or PFS; AEs were mostly mild or moderate in severity. Clinicians and patients reported a similar tolerability profile using both PFS and autoinjector, and pain scores were low (< 1), with no reports of clinician-assessed ISRs after administration with the autoinjector. Patients perceived the single-use autoinjector to be easy to use and convenient; overall patient satisfaction with the autoinjector and accompanying training materials was high. CONCLUSION: The safety and tolerability profile of peginterferon-beta1a delivered via autoinjector was similar to delivery via PFS. Patients found the autoinjector easy to use and convenient; this device may simplify the injection process for MS patients who require long-term therapy, thereby potentially improving patient's quality of life and adherence. FAU - Seddighzadeh, Ali AU - Seddighzadeh A AD - Biogen Idec, Inc. , 14 Cambridge Center, Cambridge, MA 02142 , USA +1 617 679 2383 ; ali.seddighzadeh@biogenidec.com. FAU - Hung, Serena AU - Hung S FAU - Selmaj, Krzysztof AU - Selmaj K FAU - Cui, Yue AU - Cui Y FAU - Liu, Shifang AU - Liu S FAU - Sperling, Bjoern AU - Sperling B FAU - Calabresi, Peter A AU - Calabresi PA LA - eng SI - ClinicalTrials.gov/NCT01332019 PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20140729 PL - England TA - Expert Opin Drug Deliv JT - Expert opinion on drug delivery JID - 101228421 RN - 0 (Adjuvants, Immunologic) RN - 3WJQ0SDW1A (Polyethylene Glycols) RN - 77238-31-4 (Interferon-beta) RN - XRO4566Q4R (Interferon beta-1a) SB - IM MH - Adjuvants, Immunologic/*administration & dosage/adverse effects MH - Adolescent MH - Adult MH - Aged MH - Double-Blind Method MH - Drug Delivery Systems/*instrumentation MH - Female MH - Humans MH - Injections/instrumentation MH - Injections, Subcutaneous MH - Interferon beta-1a MH - Interferon-beta/*administration & dosage/adverse effects MH - Male MH - Middle Aged MH - Multiple Sclerosis, Relapsing-Remitting/*drug therapy/psychology MH - Pain Measurement MH - Patient Satisfaction MH - Polyethylene Glycols/*administration & dosage/adverse effects MH - Quality of Life MH - Self Administration MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - IFN-beta1a OT - dosing frequency OT - drug delivery system OT - multiple sclerosis OT - patient outcomes assessments OT - peginterferon OT - pegylation EDAT- 2014/07/31 06:00 MHDA- 2015/02/20 06:00 CRDT- 2014/07/31 06:00 PHST- 2014/07/31 06:00 [entrez] PHST- 2014/07/31 06:00 [pubmed] PHST- 2015/02/20 06:00 [medline] AID - 10.1517/17425247.2014.944159 [doi] PST - ppublish SO - Expert Opin Drug Deliv. 2014 Nov;11(11):1713-20. doi: 10.1517/17425247.2014.944159. Epub 2014 Jul 29.