At-Home Administration of CIN Prophylaxis

EP: 1.Facts About Chemotherapy-Induced Neutropenia

EP: 2.Chemotherapy-Induced Neutropenia: Impact on Cancer Care

EP: 3.Monitoring for Chemotherapy-Induced Neutropenia

EP: 4.Considerations for Chemotherapy-Induced Neutropenia Prophylaxis

EP: 5.Chemotherapy-Induced Neutropenia Prophylaxis: Standard of Care

EP: 6.CIN Prophylaxis: Treating With G-CSFs

EP: 7.Plinabulin With G-CSF Treatment for CIN Prophylaxis

EP: 8.CIN Prophylaxis: NCCN’s Reactions to COVID-19

EP: 9.Chemotherapy-Induced Neutropenia: Financial Burden

EP: 10.Health Plans React to Chemotherapy-Induced Neutropenia

EP: 11.Reducing the Risk of Chemotherapy-Induced Neutropenia

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EP: 12.At-Home Administration of CIN Prophylaxis

EP: 13.Coverage for Chemotherapy-Induced Neutropenia

John Fox, MD, MHA: Where and how CIN [chemotherapy-induced neutropenia] prophylaxis occurs is a decision for the provider and patient alike. In many circumstances, patients, because they must get this treatment 24 hours or more after their chemotherapy, choose to get this treatment at home, eitherthrough an on-body device that many people are familiar with, or through self-administration. There is also the potential, as we noted earlier, that patients could have a home health agency come in to do teaching with subsequent self-administration. In many circumstances, if patients need to come back to the office, that can be done in the office as well. But I think most administration with colony-stimulating factors for CIN prophylaxis is done in the home setting. Are there barriers to this? Increasingly, with the ability to do this in the home, there are fewer and fewer barriers. And in fact, doing so in the home has a lot of benefits to the patient. First of all, they don’t have to travel back to the physician’s office 24 hours after their administration, avoiding the cost and logistics of travel.

Another question that is commonly asked of health plans is, do we have any programs for improving access to CIN prophylaxis? This is a therapy that’s been around for well over a decade now, and most health plans are in a maintenance mode. They’re not working to develop any new programs. But as we noted earlier, with COVID-19 [coronavirus disease 2019] there is an increasing interest in trying to make sure that patients have access to home administration, either through home health, through an on-body device, or through teaching self-administration.