A novel patient-reported outcomes instrument assessing the side effects of peanut oral immunotherapy

Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved..

BACKGROUND: Patients treated with peanut oral immunotherapy (OIT) may experience adverse reactions, particularly during up-dosing.

OBJECTIVE: To develop the Side Effects of Peanut Oral Immunotherapy Diary (SEPOD), an electronic questionnaire assessing the daily side effects of peanut OIT in clinical trials.

METHODS: Content and design of the SEPOD were informed by empirical literature review and meetings with 3 allergy-immunology experts. Interviews to confirm content and inform revisions were conducted in 24 pediatric patients with peanut allergy (14 treated with peanut OIT) aged 6 to 17 years; children aged 6 to 11 years were interviewed with their caregiver.

RESULTS: The SEPOD was drafted after literature review and expert interviews; the initial measurement approach comprised 2 SEPOD versions, a patient-reported outcome (PRO) version for children aged 12 to 17 years, and a caregiver-administered PRO version for children aged 6 to 11 years with instructions for caregiver questionnaire administration. Pediatric patients were expected to respond independently on both versions. Patient interviews indicated that some younger children (ie, aged 6-8 years) had difficulty understanding questions, even when reading aloud; therefore, a caregiver-administered outcome version, identical in content to the caregiver-administered PRO version, was developed for this age group. The final electronic SEPOD covered 23 peanut OIT side effects within the following 7 domains: gastrointestinal, dermatologic, itching, nasal, and respiratory, swelling (eyelid or periorbital, lip, tongue, and throat), pain (tongue, mouth, and throat), and dizziness.

CONCLUSION: This study yielded the SEPOD, a new clinical outcome assessment instrument with various methods of administration that can be used to assess the side effects of peanut OIT experienced by pediatric patients in a clinical trial setting.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:126

Enthalten in:

Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology - 126(2021), 1 vom: 05. Jan., Seite 61-68

Sprache:

Englisch

Beteiligte Personen:

Turner-Bowker, Diane M [VerfasserIn]
Jalbert, Jessica J [VerfasserIn]
Krohe, Meaghan [VerfasserIn]
Yaworsky, Andrew [VerfasserIn]
Kelly, Masami T [VerfasserIn]
Padilla, Brad [VerfasserIn]
Chaston, Emily [VerfasserIn]
Radin, Allen [VerfasserIn]
Mastey, Vera [VerfasserIn]
Nadeau, Kari C [VerfasserIn]

Links:

Volltext

Themen:

Allergens
Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 01.02.2021

Date Revised 01.02.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.anai.2020.07.027

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM313209332