90%(1) - Suplasyn
Transcription
90%(1) - Suplasyn
Easy and safe Easy and safe SUPLASYN® IMPROVES joint function with an EASY & SAFE INJECTION a fast* and long lasting** effect (up to 6 months), Proven by clinical studies (1,2,3,4,5) • Fast* improvement of pain (4) • Fast* and long lasting** improvement of functionality easy FOR DOCTORS TO INJECT (1,4) Proven docum and ented Patient and Do c high sa tisfactiotor n >90% safe for the patient (1) COMPLETE RANGE SUITABLE FOR ALL TYPES OF JOINTS Watch injection tecniques video Comparison of avian and nonavian hyaluronic acid in osteoarthritis of the knee Suplasyn® 20mg/2ml The Regular choice Watch injection tecniques video Suplasyn® 1-Shot 60 mg/6 ml The comfort choice Watch injection tecniques video Suplasyn® m.d. 7 mg/0.7 ml The specific choice Petrella R, Cogliano A, Decaria J. Orthopedic Research and Reviews 2010:2 5–9 1- Gydek A et al. ¨Efficacy and safety of intra-articular use of Hyaluronic acid (Suplasyn®) in the treatment of knee osteoarthritis¨ Przegl Lek. 2011;68(6) 307-10. 2- Blanch J et al. ASKOT STUDY: Effectiveness and safety of a 1-shot injection of sodium Hyaluronate for knee osteoarthritis treatment. Springer Experience & Drug Evidence. 3- Montfort J et al. Data on file. 4- Petrella R J: Hyaluronic acid for the treatment of knee osteoarthritis: Long-term outcomes from a naturalistic primary care experience. Am J Phys Med Rehabil 2OO5;84:287- 283 5- Mazières B et al. Medicoeconomic evaluation of hyaluronic acid for knee osteoarthritis in everyday practice: The MESSAGE study. Joint Bone Spine 74 (2007) 453e460. SUP 201312-3 *The significant improvement in walking VAS pain was seen at visit 2, 1 week after the first injection (22.7%, p< 0.04)(4) **6 months (4) www.suplasyn.com AAFFptsptAvian_2SPSN.indd 1 31/03/14 19:27 OBJECTIVE • To compare the efficacy and safety of avian and nonavian origin Hyaluronic acid (HA) in the treatment of knee osteoarthritis (OA) during a long-term follow-up (around 5 years). Methods • Patients with knee OA were allocated to receive avian or non avian HA as per their preference . • Both avian and nonavian HA products were delivered at 2 mL once weekly over three weeks (one series). Series of treatment were separated by at least 26 weeks (up to 10 series). • The primary outcome measure was the restingVAS for pain. Also weightbearing pain, patient satisfaction with treatment using a 5-point categorical scale (1 = no satisfaction, 5 = extremely satisfied), numbers of HA series, number of medication taken for pain and adverse events were recorded in each visit. Analyses were conducted using a ITT approach*. Results • A total of 4,412 patients evaluated for inclusion: 1,726 received avian versus 1,971 patients nonavian HA injections over 10 consecutive series. • VAS resting pain after the 10th consecutive series revealed no significant difference in VAS change compared to baseline (Table). • Weight-bearing VAS pain reduction was significantly higher in nonavian HA than in avian HA (p<0,01). • The number of concomitant pain therapies and adverse events were significantly greater in the avian vs nonavian group (p<0,01). Adverse events included pain (>80% of the events), effusion, erythema. Percent improvement in resting VAS pain with first and 10th HA series First series 10th series Avian Non avian Avian Non avian Resting pain (reduction form baseline) -4,8±2.0 -5.1±2.0 -5.2±2.2 -5.5±2.1 Weight-bearing (reduction from baseline) -6.1±1.4 -6.1±1.9 -7.2±2.6 -8.8±1.8* VAS resting and weight-bearing pain scores (improvement from baseline) Note: *P<0.001. AAFFptsptAvian_2SPSN.indd 2 31/03/14 19:27 Conclusions Avian and non avian HA therapies both improve resting pain of OA patients. Significant differences in weight bearing pain and in adverse events tend to say that non avian HA therapies should be favored as a treatment of OA from early stage of the illness. *Intention-to-treat (ITT) approach provides unbiased comparisons among the treatment groups. Intention to treat analyses are done to avoid the effects of crossover and dropout, which may break the random assignment to the treatment groups in a study. AAFFptsptAvian_2SPSN.indd 3 31/03/14 19:27