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Table 7 Reasons for discontinuation of LTP

From: A multicenter chart review of patient characteristics, treatment, and outcomes in hereditary angioedema: unmet need for more effective long-term prophylaxis

 

Overall (N = 225)

US (n = 56)

Canada (n = 51)

Germany (n = 45)

Australia (n = 35)

UK (n = 24)

Italy (n = 14)

Patients who discontinued LTP

n = 76

n = 26

n = 25

n = 4

n = 15

n = 6

n = 0

 Intolerable adverse drug reaction(s)

22 (28.9)

4 (15.4)

7 (28.0)

0

7 (46.7)

4 (66.7)

–

 Medication not effective

17 (22.4)

3 (11.5)

8 (32.0)

1 (25.0)

5 (33.3)

0

–

 Discontinued access to medication

10 (13.2)

6 (23.1)

1 (4.0)

0

3 (20.0)

0

–

 Inconvenient route of administration

9 (11.8)

6 (23.1)

3 (12.0)

0

0

0

–

 Fear of potential adverse drug reaction(s)

8 (10.5)

1 (3.8)

7 (28.0)

0

0

0

–

 Patient noncompliance

3 (3.9)

0

2 (8.0)

0

1 (6.7)

0

–

 Drug–drug interactions

2 (2.6)

0

0

2 (50.0)

0

0

–

 Drug–concomitant disease interactions

2 (2.6)

0

0

0

2 (13.3)

0

–

 Othera

17 (22.4)

4 (15.4)

10 (40.0)

1 (25.0)

1 (6.7)

1 (16.7)

–

 Unknown

7 (9.2)

4 (15.4)

1 (4.0)

1 (25.0)

0

1 (16.7)

–

Berinert®

n = 9

n = 2

n = 6

n = 1

n = 0

n = 0

–

 Inconvenient route of administration

2 (22.2)

0

2 (33.3)

0

–

–

–

 Medication not effective

1 (11.1)

1 (50.0)

0

0

–

–

–

 Patient noncompliance

1 (11.1)

0

1 (16.7)

0

–

–

–

 Othera

5 (55.6)

1 (50.0)

3 (50.0)

1 (100)

–

–

–

Cinryze®

n = 17

n = 15

n = 1

n = 1

n = 0

n = 0

–

 Discontinued access to medication

6 (35.3)

6 (40.0)

0

0

–

–

–

 Inconvenient route of administration

6 (35.3)

6 (40.0)

0

0

–

–

–

 Medication not effective

3 (17.6)

2 (13.3)

1 (100)

0

–

–

–

 Othera

1 (5.9)

1 (6.7)

0

0

–

–

–

 Unknown

3 (17.6)

2 (13.3)

0

1 (100)

–

–

–

Danazol

n = 32

n = 6

n = 12

n = 2

n = 8

n = 4

–

 Intolerable adverse drug reaction(s)

17 (53.1)

3 (50.0)

6 (50.0)

0

5 (62.5)

3 (75.0)

–

 Fear of potential adverse drug reaction(s)

7 (21.9)

1 (16.7)

6 (50.0)

0

0

0

–

 Medication not effective

5 (15.6)

0

3 (25.0)

1 (50.0)

1 (12.5)

0

–

 Drug–drug interaction(s)

2 (6.3)

0

0

2 (100)

0

0

–

 Discontinued access to medication

2 (6.3)

0

0

0

2 (25.0)

0

–

 Inconvenient route of administration

1 (3.1)

0

1 (8.3)

0

0

0

–

 Drug–concomitant disease interaction(s)

1 (3.1)

0

0

0

1 (12.5)

0

–

 Othera

9 (28.1)

1 (16.7)

7 (58.3)

0

1 (12.5)

0

–

 Unknown

3 (9.4)

1 (16.7)

1 (8.3)

0

0

1 (25.0)

–

Stanozolol

n = 6

n = 2

n = 1

n = 0

n = 3

n = 0

–

 Intolerable adverse drug reaction(s)

2 (33.3)

1 (50.0)

0

–

1 (33.3)

–

–

 Discontinued access to medication

2 (33.3)

0

1 (100)

–

1 (33.3)

–

–

 Medication not effective

1 (16.7)

0

0

–

1 (33.3)

–

–

 Drug–concomitant disease interaction(s)

1 (16.7)

0

0

–

1 (33.3)

–

–

 Unknown

1 (16.7)

1 (50.0)

0

–

0

–

–

Oxandrolone

n = 1

n = 0

n = 0

n = 0

n = 1

n = 0

–

 Medication not effective

1 (100)

–

–

–

1 (100)

–

–

Tranexamic acid

n = 10

n = 0

n = 5

n = 0

n = 3

n = 2

–

 Medication not effective

6 (60.0)

–

4 (80.0)

–

2 (66.7)

0

–

 Intolerable adverse drug reaction(s)

3 (30.0)

–

1 (20.0)

–

1 (33.3)

1 (50.0)

–

 Patient noncompliance

2 (20.0)

–

1 (20.0)

–

1 (33.3)

0

–

 Fear of potential adverse drug reaction(s)

1 (10.0)

–

1 (20.0)

–

0

0

–

 Othera

1 (10.0)

–

0

–

0

1 (50.0)

–

Ruconest®

n = 1

n = 1

n = 0

n = 0

n = 0

n = 0

–

 Othera

1 (100)

1 (100)

–

–

–

–

–

  1. The prescribed LTP treatment was available for 121 patients accounting for 192 treatment periods. A gap of 30 days between treatment prescriptions or a treatment interruption of > 30 days was considered a new treatment period
  2. The abstractor was asked to provide reasons for discontinuation of treatment, choosing from a list of common factors, free text entry, or “unknown”. ≥ 1 response may have been selected
  3. LTP long-term prophylaxis
  4. a“Other” includes factors such as cancer, patient preference, self-administration of Berinert®, patient having fewer attacks, patient went onto study, and pregnancy