
The First Dose Is Everything: How Noble’s SureStartRx™ Program Improves Adherence and Persistence
Key Takeaways
- Initial self-injection experiences strongly influence adherence trajectories, with anxiety and uncertainty at treatment start functioning as major contributors to early drop-off.
- Remote demonstration kits delivered through specialty pharmacies allow patients to practice technique pre-dose, improving perceived self-efficacy and readiness to initiate.
The first dose of a self-injectable therapy is a critical moment that often determines whether patients move forward with treatment or abandon it due to uncertainty. Noble’s SureStartRx™ program addresses this challenge by sending remote demonstration kits through specialty pharmacies, allowing patients to practice injections and build confidence before their first dose. Research shows that when demonstration kits are added to standard support, patients initiate therapy sooner, adhere better in the short term, and stay on treatment longer. In this discussion, Noble’s Director of Patient Engagement Services,
Key Objectives
- Understand why the first dose is a critical driver of patient adherence and persistence in self-injectable therapies.
- Explore the impact early therapy abandonment has on patient outcomes and brand performance.
- Learn how demonstration-based onboarding programs like SureStartRx™ can improv the overall patient experience.




