The primary aim of this study is to assess which method of lanreotide Autogel administration patients with neuroendocrine tumours prefer - self/partner administrations or healthcare provided administrations. The study will also assess if self/partner administration can be performed without loss of efficacy and with a preserved safety profile. The impact of self/partner administration on resource utilisation and costs will be studied. In addition, we will also assess the healthcare provider's experience of the two administration practices.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
26
90 mg or 120 mg once every 28th day
Aarhus University Hospital / Medisinsk afd. V
Aarhus, Denmark
Odense Univeristy Hospital / S-AMB
Odense, Denmark
Haukeland University Hospital / Kreftafd
Bergen, Norway
Subject Preference for Self or Partner Administration
A global question was asked: 'If you could choose, which administration method would you like to use on a regular basis?' A) Healthcare professional provided injection B) Self/ partner administered injection
Time frame: Between week 30 to 34
Number of Patients Stating at Least One Injection Interfered With Daily Activities
The subject was asked: 'Does the treatment administration used today interfere with your daily activities?'
Time frame: Between baseline to week 32, after each injection (8-9 injections)
Number of Patients Stating at Least One Injection Negatively Interfered With Psychological Wellbeing
The subject was asked: 'Does the treatment administration used today negatively interfere with your psychological wellbeing?'
Time frame: Between baseline to week 32, after each injection (8-9 injections)
Days Sick Leave
Health care and patient costs associated with the treatment of carcinoid symptoms in subjects treated with lanreotide Autogel were assessed through recording loss of production for subject through total number of days sick leave of the employed patients (n=6).
Time frame: Group 1 - between week 8 to 20 (self or partner administration), between week 20 to 32 (HCP administration). Group 2 - between week 20 to 32 (self or partner administration), between week 0 to week 12 (HCP administration)
Total Number of Visits to HCP Due to Carcinoid Symptoms
Health care and patient costs associated with the treatment of carcinoid symptoms in subjects treated with lanreotide Autogel were assessed by recording the total number of visits made by participants (n=12) to HCP due to carcinoid symptoms.
Time frame: Group 1 - between week 8 to 20 (self or partner administration), between week 20 to 32 (HCP administration). Group 2 - between week 20 to 32 (self or partner administration), between week 0 to week 12 (HCP administration)
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University Hospital North-Norway / GastroLab
Tromsø, Norway
S:t Olavs Hospital / Medisinsk Afd
Trondheim, Norway
Sahlgrenska University Hospital / Kirurgkliniken
Gothenburg, Sweden
Linköping University Hospital / Onkologen
Linköping, Sweden
Karolinska University Hospital, Huddinge / GastroCentrum Medicin
Stockholm, Sweden
Karolinska University Hospital, Solna / Kirurgmottagningen
Stockholm, Sweden
Akademiska Hospital/ Kliniken f onkologisk endokrinologi
Uppsala, Sweden
Perceived Symptom Control Evaluation in Respect to Episodes of Flushing
Participants were asked how they perceived the symptoms in respect to episodes of flushing since the last injection. Participants included in the study were previously treated with lanreotide Autogel and therefore the assessment at baseline was made in comparison to their previous injection outside of the study protocol.
Time frame: Group 1 - baseline, week 16 to 20 (self or partner administration) and week 30 to 34 (HCP administration). Group 2 - baseline, week 12 (HCP administration) and week 30 (self or partner administration).
Perceived Symptom Control Evaluation in Respect to Episodes of Diarrhoea
Participants were asked how they perceived the symptoms in respect to episodes of diarrhoea since the last injection. Participants included in the study were previously treated with lanreotide autogel and therefore the assessment at baseline was made in comparison to previous injection outside of the study protocol.
Time frame: Group 1 - baseline, week 16 to 20 (self or partner administration) and week 30 to 34 (HCP administration). Group 2 - baseline, week 12 to 16 (HCP administration) and week 30 to 34 (self or partner administration).
Chromogranin A Levels
Biochemical control was assessed by analysing chromogranin A levels at each site visit, which was mandatory for all subjects. 'Before self or partner administration' was assessed at baseline for group 1 and at week 12 for group 2. 'After self or partner administration' was assessed at week 16 to 20 for group 1 and at week 12 for group 2. 'Before HCP administration' was assessed at week 16 to 20 for group 1 and at baseline for group 2. 'After HCP administration' was assessed at week 30 to 34 for group 1 and week 12 for group 2.
Time frame: Group 1 - Baseline, week 16 to 20 and 30 to 34. Group 2 - Baseline, week 12 and 30 to 34.
5-hydroxyindoleacetic Acid (5-HIAA) Levels
Biochemical control was assessed by analysing 5-HIAA levels at each site visit, which was judged as necessary by the investigator at each site. 'Before self or partner administration' was assessed at baseline for group 1 and at week 12 for group 2. 'After self or partner administration' was assessed at week 16 to 20 for group 1 and at week 12 for group 2. 'Before HCP administration' was assessed at week 16 to 20 for group 1 and at baseline for group 2. 'After HCP administration' was assessed at week 30 to 34 for group 1 and week 12 for group 2.
Time frame: Group 1 - Baseline, week 16 to 20 and 30 to 34. Group 2 - Baseline, week 12 and 30 to 34.
Healthcare Professionals With Positive Response to Specified Questions on Self or Partner Administration Method
Assessed by the number of HCP with a positive response 'yes' to two questions: 1. Based on your experience during this trial, did you feel confident in the safety of your patients? 2. Based on your experience during this trial, would you recommend suitable patients to try self or partner administration?
Time frame: Between week 30 to 34