PMID- 27524889 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160815 LR - 20240325 IS - 1177-889X (Print) IS - 1177-889X (Electronic) IS - 1177-889X (Linking) VI - 10 DP - 2016 TI - Evaluating preferences for profiles of glucagon-like peptide-1 receptor agonists among injection-naive type 2 diabetes patients in Japan. PG - 1337-48 LID - 10.2147/PPA.S109289 [doi] AB - OBJECTIVE: The objective of this study was to use a discrete choice experiment (DCE) to estimate patients' preferences for the treatment features, safety, and efficacy of two specific glucagon-like peptide-1 receptor agonists, dulaglutide and liraglutide, among patients with type 2 diabetes mellitus (T2DM) in Japan. METHODS: In Japan, patients with self-reported T2DM and naive to treatment with self-injectable medications were administered a DCE through an in-person interview. The DCE examined the following six attributes of T2DM treatment, each described by two levels: "dosing frequency", "hemoglobin A1c change", "weight change", "type of delivery system", "frequency of nausea", and "frequency of hypoglycemia". Part-worth utilities were estimated using logit models and were used to calculate the relative importance (RI) of each attribute. A chi-square test was used to determine the differences in preferences for the dulaglutide versus liraglutide profiles. RESULTS: The final evaluable sample consisted of 182 participants (mean age: 58.9 [standard deviation =10.0] years; 64.3% male; mean body mass index: 26.1 [standard deviation =5.0] kg/m(2)). The RI values for the attributes in rank order were dosing frequency (44.1%), type of delivery system (26.3%), frequency of nausea (15.1%), frequency of hypoglycemia (7.4%), weight change (6.2%), and hemoglobin A1c change (1.0%). Significantly more participants preferred the dulaglutide profile (94.5%) compared to the liraglutide profile (5.5%; P<0.0001). CONCLUSION: This study elicited the preferences of Japanese T2DM patients for attributes and levels representing the actual characteristics of two existing glucagon-like peptide-1 receptor agonists. In this comparison, dosing frequency and type of delivery system were the two most important characteristics, accounting for >70% of the RI. These findings are similar to those of a previous UK study, providing information about patients' preferences that may be informative for patient-clinician treatment discussions. FAU - Gelhorn, Heather L AU - Gelhorn HL AD - Outcomes Research, Evidera, Bethesda, MD. FAU - Bacci, Elizabeth D AU - Bacci ED AD - Evidera, Seattle, WA. FAU - Poon, Jiat Ling AU - Poon JL AD - Outcomes Research, Evidera, Bethesda, MD. FAU - Boye, Kristina S AU - Boye KS AD - Global Patient Outcomes and Real World Evidence, Eli Lilly and Company, Indianapolis, IN, USA. FAU - Suzuki, Shuichi AU - Suzuki S AD - Medicines Development Unit Japan, Eli Lilly Japan, Kobe, Japan. FAU - Babineaux, Steven M AU - Babineaux SM AD - Global Patient Outcomes and Real World Evidence, Eli Lilly and Company, Indianapolis, IN, USA. LA - eng PT - Journal Article DEP - 20160725 PL - New Zealand TA - Patient Prefer Adherence JT - Patient preference and adherence JID - 101475748 PMC - PMC4966566 OTO - NOTNLM OT - GLP-1 receptor agonists OT - discrete choice experiment OT - patient's preference OT - type 2 diabetes OT - willingness to inject EDAT- 2016/08/16 06:00 MHDA- 2016/08/16 06:01 PMCR- 2016/07/25 CRDT- 2016/08/16 06:00 PHST- 2016/08/16 06:00 [entrez] PHST- 2016/08/16 06:00 [pubmed] PHST- 2016/08/16 06:01 [medline] PHST- 2016/07/25 00:00 [pmc-release] AID - ppa-10-1337 [pii] AID - 10.2147/PPA.S109289 [doi] PST - epublish SO - Patient Prefer Adherence. 2016 Jul 25;10:1337-48. doi: 10.2147/PPA.S109289. eCollection 2016.