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Assessment of Self-Administration of Romiplostim in Patients with Immune Thrombocytopenic Purpura after Receipt of Home Administration Training Materials: a Cross-Sectional Study

Author

Listed:
  • Martin Schipperus

    (Haga Teaching Hospital)

  • Georgia Kaiafa

    (AHEPA University Hospital)

  • Louise Taylor

    (Royal London Hospital)

  • Sally Wetten

    (Amgen Limited)

  • Georg Kreuzbauer

    (Amgen (Europe) GmbH)

  • Andy Boshier

    (Amgen Limited)

  • Anouchka Seesaghur

    (Amgen Limited)

Abstract

Introduction Romiplostim is a subcutaneously administered thrombopoietin-receptor agonist approved in the European Union for self-administration (or administration by a caregiver) in selected adult patients with chronic primary immune thrombocytopenia refractory to other treatments. To mitigate the risk of medication errors due to self-administration, the manufacturer has implemented additional risk minimisation measures (RMM) in the form of a Home Administration Training (HAT) pack to support the training of both healthcare professionals (HCPs) (guide and checklist for patient selection and training) and patients (a preparation mat, quick guide booklet, step-by-step guide, self-administration diary and DVD/video). Objective The primary objective was to estimate the proportion of patients/caregivers who administered romiplostim correctly after HAT pack training. Methods A multicentre observational study was conducted to evaluate the effectiveness of the HAT pack by recording data on a standardised collection form during direct observation of patients/caregivers in the act of administering romiplostim at the first standard-of-care visit 4 weeks after training with the HAT pack. Results Among the 40 patients/caregivers enrolled across 12 study centres in eight European countries, 35 [87.5%; 95% confidence interval (CI) 73.9–94.5] administered romiplostim correctly, and five (12.5%; 95% CI 5.5–26.1) did not. Conclusion The correct administration of romiplostim by most patients/caregivers supports the effectiveness of the HAT pack as an additional risk minimisation tool in the population and setting of this study.

Suggested Citation

  • Martin Schipperus & Georgia Kaiafa & Louise Taylor & Sally Wetten & Georg Kreuzbauer & Andy Boshier & Anouchka Seesaghur, 2019. "Assessment of Self-Administration of Romiplostim in Patients with Immune Thrombocytopenic Purpura after Receipt of Home Administration Training Materials: a Cross-Sectional Study," Drug Safety, Springer, vol. 42(1), pages 77-83, January.
  • Handle: RePEc:spr:drugsa:v:42:y:2019:i:1:d:10.1007_s40264-018-0723-6
    DOI: 10.1007/s40264-018-0723-6
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    References listed on IDEAS

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    1. Thomas Goedecke & Kathryn Ord & Victoria Newbould & Sabine Brosch & Peter Arlett, 2016. "Medication Errors: New EU Good Practice Guide on Risk Minimisation and Error Prevention," Drug Safety, Springer, vol. 39(6), pages 491-500, June.
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