Home treatment with intravenous enzyme replacement therapy with idursulfase for mucopolysaccharidosis type II - data from the Hunter Outcome Survey

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Home treatment with intravenous enzyme replacement therapy with idursulfase for mucopolysaccharidosis type II - data from the Hunter Outcome Survey. / Burton, Barbara K; Guffon, Nathalie; Roberts, Jane; van der Ploeg, Ans T; Jones, Simon A; HOS Investigators ; Muschol, Nicole Maria.

in: MOL GENET METAB, Jahrgang 101, Nr. 2-3, 20.07.2010, S. 123-9.

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@article{37c1843c67674a78a6a55e73f8d9337e,
title = "Home treatment with intravenous enzyme replacement therapy with idursulfase for mucopolysaccharidosis type II - data from the Hunter Outcome Survey",
abstract = "OBJECTIVE: To use our experience with patients in the observational database HOS - the Hunter Outcome Survey - to evaluate the feasibility of home infusions of idursulfase for patients with mucopolysaccharidosis type II (MPS II).STUDY DESIGN: Data were collected on or before 16 October 2009. Of 421 patients receiving idursulfase, 92 (21.9%) had received infusions at home or in an alternative, approved non-hospital environment. Information in HOS relating to the transition to home therapy was analyzed.RESULTS: Patients started home therapy after a median of 9.0months of idursulfase. Most were aged 5-11years at transfer (45.7%; median age, 8.0years), but many (19.6%) were <5years of age. Patients had disease manifestations typical of the wider population; over one-third had cognitive impairment, in some cases severe. Illness was the most frequent cause of missed home infusions. Six patients stopped home therapy; four subsequently resumed home infusions. Five infusion-related reactions occurred in 2 of the 59 patients who had received home therapy for at least 12months. Reactions were classified as mild-to-moderate. All reactions that occurred at home were readily managed at home.CONCLUSIONS: Providing appropriate factors are considered, it should be feasible for patients with MPS II, including those who are severely affected, to receive infusions at home.",
keywords = "Adolescent, Child, Child, Preschool, Enzyme Replacement Therapy, Home Care Services, Home Nursing, Humans, Iduronate Sulfatase, Infusion Pumps, Implantable, Infusions, Intravenous, Mucopolysaccharidosis II, Treatment Outcome",
author = "Burton, {Barbara K} and Nathalie Guffon and Jane Roberts and {van der Ploeg}, {Ans T} and Jones, {Simon A} and {HOS Investigators} and Muschol, {Nicole Maria}",
note = "Copyright {\textcopyright} 2010 Elsevier Inc. All rights reserved.",
year = "2010",
month = jul,
day = "20",
doi = "10.1016/j.ymgme.2010.06.011",
language = "English",
volume = "101",
pages = "123--9",
journal = "MOL GENET METAB",
issn = "1096-7192",
publisher = "Academic Press Inc.",
number = "2-3",

}

RIS

TY - JOUR

T1 - Home treatment with intravenous enzyme replacement therapy with idursulfase for mucopolysaccharidosis type II - data from the Hunter Outcome Survey

AU - Burton, Barbara K

AU - Guffon, Nathalie

AU - Roberts, Jane

AU - van der Ploeg, Ans T

AU - Jones, Simon A

AU - HOS Investigators

AU - Muschol, Nicole Maria

N1 - Copyright © 2010 Elsevier Inc. All rights reserved.

PY - 2010/7/20

Y1 - 2010/7/20

N2 - OBJECTIVE: To use our experience with patients in the observational database HOS - the Hunter Outcome Survey - to evaluate the feasibility of home infusions of idursulfase for patients with mucopolysaccharidosis type II (MPS II).STUDY DESIGN: Data were collected on or before 16 October 2009. Of 421 patients receiving idursulfase, 92 (21.9%) had received infusions at home or in an alternative, approved non-hospital environment. Information in HOS relating to the transition to home therapy was analyzed.RESULTS: Patients started home therapy after a median of 9.0months of idursulfase. Most were aged 5-11years at transfer (45.7%; median age, 8.0years), but many (19.6%) were <5years of age. Patients had disease manifestations typical of the wider population; over one-third had cognitive impairment, in some cases severe. Illness was the most frequent cause of missed home infusions. Six patients stopped home therapy; four subsequently resumed home infusions. Five infusion-related reactions occurred in 2 of the 59 patients who had received home therapy for at least 12months. Reactions were classified as mild-to-moderate. All reactions that occurred at home were readily managed at home.CONCLUSIONS: Providing appropriate factors are considered, it should be feasible for patients with MPS II, including those who are severely affected, to receive infusions at home.

AB - OBJECTIVE: To use our experience with patients in the observational database HOS - the Hunter Outcome Survey - to evaluate the feasibility of home infusions of idursulfase for patients with mucopolysaccharidosis type II (MPS II).STUDY DESIGN: Data were collected on or before 16 October 2009. Of 421 patients receiving idursulfase, 92 (21.9%) had received infusions at home or in an alternative, approved non-hospital environment. Information in HOS relating to the transition to home therapy was analyzed.RESULTS: Patients started home therapy after a median of 9.0months of idursulfase. Most were aged 5-11years at transfer (45.7%; median age, 8.0years), but many (19.6%) were <5years of age. Patients had disease manifestations typical of the wider population; over one-third had cognitive impairment, in some cases severe. Illness was the most frequent cause of missed home infusions. Six patients stopped home therapy; four subsequently resumed home infusions. Five infusion-related reactions occurred in 2 of the 59 patients who had received home therapy for at least 12months. Reactions were classified as mild-to-moderate. All reactions that occurred at home were readily managed at home.CONCLUSIONS: Providing appropriate factors are considered, it should be feasible for patients with MPS II, including those who are severely affected, to receive infusions at home.

KW - Adolescent

KW - Child

KW - Child, Preschool

KW - Enzyme Replacement Therapy

KW - Home Care Services

KW - Home Nursing

KW - Humans

KW - Iduronate Sulfatase

KW - Infusion Pumps, Implantable

KW - Infusions, Intravenous

KW - Mucopolysaccharidosis II

KW - Treatment Outcome

U2 - 10.1016/j.ymgme.2010.06.011

DO - 10.1016/j.ymgme.2010.06.011

M3 - SCORING: Journal article

C2 - 20638311

VL - 101

SP - 123

EP - 129

JO - MOL GENET METAB

JF - MOL GENET METAB

SN - 1096-7192

IS - 2-3

ER -