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Venetoclax combinations delay the time to deterioration of HRQoL in unfit patients with acute myeloid leukemia

KW. Pratz, P. Panayiotidis, C. Recher, X. Wei, BA. Jonas, P. Montesinos, V. Ivanov, AC. Schuh, CD. DiNardo, J. Novak, V. Pejsa, D. Stevens, SP. Yeh, I. Kim, M. Turgut, N. Fracchiolla, K. Yamamoto, Y. Ofran, AH. Wei, CN. Bui, K. Benjamin, R....

. 2022 ; 12 (4) : 71. [pub] 20220420

Jazyk angličtina Země Spojené státy americké

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc22018742

Phase 3 trials Viale-A and Viale-C evaluated health-related quality of life (HRQoL) in patients with AML unfit for intensive chemotherapy who received venetoclax (VEN) + (AZA) (Viale-A) or low-dose cytarabine (LDAC) (Viale-C) or placebo (PBO) + AZA or LDAC. Patient-reported outcomes included: EORTC QLQ-C30 global health status (GHS/QoL) and physical functioning (PF), PROMIS Cancer Fatigue Short Form 7a (Fatigue), and EQ-5D-5L health status visual analog scale (HS-VAS). Time to deterioration (TTD), defined as worsening from baseline in meaningful change thresholds (MCT) of ≥10, 5, or 7 points for GHS/QoL or PF, fatigue, and HS-VAS, respectively, was assessed; differences between groups were analyzed using Kaplan-Meier and unadjusted log-rank analyses. VEN + AZA vs PBO + AZA patients had longer TTD in GHS/QoL (P = 0.066) and fatigue (P = 0.189), and significantly longer TTD in PF (P = 0.028) and HS-VAS (P < 0.001). VEN + LDAC vs PBO + LDAC patients had significantly longer TTD in GHS/QoL (P = 0.011), PF (P = 0.020), and fatigue (P = 0.004), and a trend in HS-VAS (P = 0.057). Approximately 43%, 35%, 32%, and 18% of patients treated with VEN + AZA, AZA + PBO, VEN + LDAC, or LDAC + PBO, respectively, saw improvements >MCT in GHS/QoL. Overall, VEN may positively impact HRQoL in patients with AML ineligible for intensive chemotherapy, leading to longer preservation of functioning and overall health status.

AbbVie Inc North Chicago IL USA

Abramson Cancer Center University of Pennsylvania Philadelphia PA USA

Almazov National Medical Research Center Saint Petersburg Russian Federation

Australian Center for Blood Diseases The Alfred Hospital and Monash University Melbourne Australia

Department of Hematology and Cell Therapy Aichi Cancer Center Nagoya Japan

Department of Hematology Shaare Zedek Medical Center Faculty of Medicine Hebrew University of Jerusalem Jerusalem Israel

Department of Hematology University Hospital Dubrava University of Zagreb School of Medicine Zagreb Croatia

Department of Internal Medicine and Hematology University Hospital Kralovske Vinohrady and 3rd Faculty of Medicine Charles University Prague Czech Republic

Department of Internal Medicine China Medical University Hospital Taichung Taiwan

Department of Internal Medicine Division of Hematology and Oncology University of California Davis School of Medicine Sacramento CA USA

Department of Internal Medicine Division of Hematology Ondokuz Mayıs University Faculty of Medicine Samsun Turkey

Department of Leukemia Division of Cancer Medicine The University of Texas MD Anderson Cancer Center Houston TX USA

Department of Oncology Hematology and Bone Marrow Transplantation With Section Pneumology Hubertus Wald University Cancer Center University Medical Center Hamburg Eppendorf Hamburg Germany

Genentech Inc South San Francisco CA USA

Hematology Unit Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan Italy

Hospital Universitario y Politécnico La Fe Valencia Spain

National and Kapodistrian University of Athens Medical School Laiko General Hospital Athens Greece

Norton Cancer Institute Louisville KY USA

Princess Margaret Cancer Centre and University of Toronto Toronto ON Canada

Seoul National University Hospital Seoul Republic of Korea

Service d'Hématologie Centre Hospitalier Universitaire de Toulouse Institut Universitaire du Cancer de Toulouse Oncopole Université de Toulouse 3 Paul Sabatier Toulouse France

The Affiliated Cancer Hospital of Zhengzhou University Henan Cancer Hospital Zhengzhou China

Citace poskytuje Crossref.org

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