Biotherapeutics Usage by Iowa Pharmacists A Survey Sierra Wooley, Masoud Yousif, Rhonda Beemer (Mentor), Pramod Mahajan (Mentor) Drake University College of Pharmacy and Health Sciences • A pre written survey was developed using Qualtrics, an online survey software and approved by Drake’s IRB. • Attendees at the Iowa Pharmacy Association Educational Expo were informed about and participated in the survey. • The survey was presented on iPads to the participants. • Participants spent 10-15 minutes confidentially inputting their answers into the survey. • Responses were recorded into password protected Qualtrics. • The data was transferred into Microsoft Excel for further analysis. Results were compared and calculated using Microsoft Excel 2010. Introduction Results • Many BTs have been developed and licensed to treat serious illnesses including cancer, heart disease, multiple sclerosis, anemia and rheumatoid arthritis. Number of Pharmacists who Have Worked with a Biotherapeutic • Many of these drugs are produced using the recombinant DNA technology. Insulin, used by diabetics to regulate blood sugar, was the first BT approved for in vivo use in the USA. 11% 30% 59% • BTs are more effective and safer than small molecule drugs due to their high target specificity and minimum risk for nonmechanism based toxicity within the human body. 14% 32% 40% Yes 20% No 0% 1961-1975 1976-1990 1991-2005 2006-Present Pharmacy School Graduation Year Would definitely attend No Figure 1. Majority of Iowa pharmacists surveyed have not worked with BTs Humira (Adalimumab) # of Pharmacists 40 35 30 25 20 15 10 5 0 0 1 to 5 5 to 10 Figure 6. This chart represents survey participants’ interest in attending continuing education about BTs. • Although survey participants named five different BTs they worked with during the last five years, Insulin is the most common BT used by Iowa pharmacists surveyed. Tysabri (Natalizumab) BCG Vaccine Not sure 2 4 6 8 10 Number of Pharmacists 12 Figure 4. Insulin is the most common BT used by survey participants. Perceived Knowledge About BTs Based on Graduation Year Number of BTs Iowa Pharmacists Worked With In Last 5 Years 100% • Over 85 % of the pharmacists surveyed expressed interest in attending an educational seminar/workshop on BTs. • Increasing knowledge of health care professionals about BTs may improve healthcare outcome. • Limitations of our study include, a small sample size, only Iowa pharmacists surveyed, and limited time to gather information from participants. 80% • We propose a follow up study with a larger, geographically diverse pharmacist population to validate our conclusions. 60% 40% 20% Acknowledgements 0% 1961-1975 1976-1990 1991-2005 2006-Present Pharmacy School Graduation Year # of Different BTs Somewhat Well Informed Not Well Informed We thank the Iowa Pharmacy Association for allowing us to conduct the survey during the 2013 IPA Educational Expo. Bibliography • Figure 2. This graph shows how many BTs Iowa Pharmacists reported working with in the past 5 years. Would not attend • Approximately 6% of the pharmacists surveyed are very well informed about BTs. In view of the increasing use of BTs, we identify a need to provide training to pharmacists in this area. Procrit (Epoetin alfa) I am not sure May attend Conclusions Flu Vaccine Very Informed • The goal of this project was to bring more attention to BTs, and to learn about their current usage in Iowa. 54% Specific BTs Iowa Pharmacists Work With Percent of Pharmacists • This study was conducted to learn how many pharmacists in Iowa work with BTs and how much knowledge they have when it comes to these medications. 60% 0 • BTs are applicable in multiple therapeutic areas and for a variety of targets. • BTs are produced in various forms, including vaccines, recombinant proteins with or without antibody fusion, and other engineered biomolecules. 80% Insulin Yes • Additionally, BTs improve production of body’s’ normal growth factors, hormones and enzymes, modulate proteins and protein interactions intractable to small molecules, and exhibit favorable attrition rate. Most Iowa Pharmacists Surveyed are Interested in Continuing Education of BTs Relationship Between Graduation Year and Working With BTs Figure 3. Comparison of number of Iowa pharmacists working with BTs and their year of graduation Biotherapeutic Medication Biotherapeutics (BTs) are drugs produced using biological means such as recombinant DNA technology. BTs are important in the treatment of a number of disorders such as cancer, immunological diseases and certain gastrointestinal diseases. Paucity of basic information regarding BTs is a significant challenge associated with the successful application of BTs. The objective of our study was to evaluate the knowledge pharmacists in Iowa have about the usage of BTs. A short survey was designed to gather demographic data as well as data on specific knowledge about BTs. In our study, 38% of the pharmacists have not worked with a BT in the last five years. It was also found that over 85% of pharmacists surveyed would be interested in more education about BTs. Percent of Pharmacists Who Work With Biotherapeutics Methods Abstract Figure 5. This graph represents pharmacists’ perception of their knowledge about BT drugs as a function of their graduation year • • • Kaur S, Vaishnavi C, Kochhar R, Prasad K K, Ray P. Effect of biotherapeutics on antitoxin IgG in experimentally induced Clostridium difficile infection. Indian J Med Microbiol 2012;30:431-6 Hurst S. Biotherapeutics drug development. Bioanalytical Chemistry. 2011 (Spring 2011). PhRMA 2008. Biotherapeutics. http://www.ifpma.org/innovation/biotherapeut ics.html. Updated 2012. Accessed December 10, 2012. Shi R, Derendorf H. Pediatric dosing and body size in biotherapeutics. Pharmaceutics. 2010;2(4):389-418.