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.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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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 -