Patient Preference and Adherence (Apr 2020)
The Patient Experience of Gene Therapy for Hemophilia: Qualitative Interviews with Trial Patients
Abstract
Wolfgang Miesbach,1 Robert Klamroth2 1Medical Clinic 2, Institute of Transfusion Medicine, University Hospital, Frankfurt, Germany; 2Department for Internal Medicine, Vascular Medicine and Coagulation Disorders, Vivantes Klinikum im Friedrichshain, Berlin D - 10249, GermanyCorrespondence: Wolfgang MiesbachMedical Clinic 2, Institute of Transfusion Medicine, University Hospital, Frankfurt, GermanyTel +49 69 6301-5051Email [email protected]: The phase ½ hemophilia B clinical trial (AMT-060) demonstrated stable endogenous FIX levels after 3.5 years (mean FIX activity between 5.1% and 7.5%) with continued reductions in annualized bleeds to near zero with the higher dose, and a 78– 96% reduction by year in exogenous FIX use.Objective: The views of all the three participants from Germany participating in the AMT-060 study have been investigated about their experiences with conventional and gene therapy and the effects of the forms of therapy on everyday life.Patients/Methods: The patients (aged 33– 35 years) performed regular prophylactic replacement with factor IX concentrate prior to the gene therapy, reported 0– 7 bleeds in the year prior to the treatment, with Hemophilia Joint Health Scores of 0– 8. Following topics have been investigated “dealing with illness”, “participation in studies”, “perception of conventional therapy”, “perception of gene therapy”, “significance of participation in gene therapy studies”, “therapy of haemophilia after the end of the study”.Results: All three participants have started to become more active and do more sports. However, they expressed anxiety about not knowing how long the effect would last and they felt that psychological support would be needed if the factor IX level fell back in the future. No patient expressed concern about any long-term potential negative consequences of gene therapy.Conclusion: Gene therapy has the potential to change the life of patients with haemophilia not only by the reduction of bleeding events but also by the increase of active and sportive activities.Keywords: gene therapy, haemophilia, patient experience, patient interview
