Health-related quality of life in patients with newly diagnosed multiple myeloma ineligible for stem cell transplantation: results from the randomized phase III ALCYONE trial
Jazyk angličtina Země Anglie, Velká Británie Médium electronic
Typ dokumentu klinické zkoušky, fáze III, časopisecké články, multicentrická studie, randomizované kontrolované studie
PubMed
34078314
PubMed Central
PMC8170980
DOI
10.1186/s12885-021-08325-2
PII: 10.1186/s12885-021-08325-2
Knihovny.cz E-zdroje
- MeSH
- bortezomib aplikace a dávkování škodlivé účinky MeSH
- hodnocení výsledků péče pacientem * MeSH
- kvalita života * MeSH
- lidé středního věku MeSH
- lidé MeSH
- melfalan aplikace a dávkování škodlivé účinky MeSH
- mnohočetný myelom komplikace diagnóza farmakoterapie psychologie MeSH
- monoklonální protilátky aplikace a dávkování škodlivé účinky MeSH
- prednison aplikace a dávkování škodlivé účinky MeSH
- progrese nemoci MeSH
- protokoly antitumorózní kombinované chemoterapie aplikace a dávkování škodlivé účinky MeSH
- rozvrh dávkování léků MeSH
- senioři MeSH
- výsledek terapie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- klinické zkoušky, fáze III MeSH
- multicentrická studie MeSH
- randomizované kontrolované studie MeSH
- Názvy látek
- bortezomib MeSH
- daratumumab MeSH Prohlížeč
- melfalan MeSH
- monoklonální protilátky MeSH
- prednison MeSH
BACKGROUND: In the phase III ALCYONE trial, daratumumab plus bortezomib/melphalan/prednisone (D-VMP) significantly improved overall response rate and progression-free status compared with VMP alone in transplant-ineligible patients with newly diagnosed multiple myeloma (NDMM). Here, we present patient-reported outcomes (PROs) from ALCYONE. METHODS: The European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30-item (EORTC QLQ-C30) and EuroQol 5-dimensional descriptive system (EQ-5D-5L) questionnaire were administered at baseline, every 3 months (year 1) and every 6 months (until progression). Treatment effects were assessed using a repeated-measures, mixed-effects model. RESULTS: Compliance with PRO assessments was comparable at baseline (> 90%) and throughout study (> 76%) for both treatment groups. Improvements from baseline were observed in both groups for EORTC QLQ-C30 Global Health Status (GHS), most functional scales, symptom scales and EQ-5D-5L visual analog scale (VAS). Between-group differences were significant for GHS (p = 0.0240) and VAS (p = 0.0160) at month 3. Improvements in pain were clinically meaningful in both groups at all assessment time points. Cognitive function declined in both groups, but the magnitude of the decline was not clinically meaningful. CONCLUSIONS: Patients with transplant-ineligible NDMM demonstrated early and continuous improvements in health-related quality of life, including improvements in functioning and symptoms, following treatment with D-VMP or VMP. TRIAL REGISTRATION: ClinicalTrials.gov identifier NCT02195479 , registered September 21, 2014.
Andrew Love Cancer Centre Geelong Australia
Azienda Ospedaliera Santa Maria Terni Italy
Champalimaud Centre for the Unknown Lisbon Portugal
Clinic of Professional Pathology Saratov Russia
Clinica de Tratamento E Cuiaba Brazil
Dnipropetrovsk City Multidisciplinary Clinical Hospital No 4 Dnipropetrovsk Ukraine
Janssen Research and Development LLC Spring House PA USA
Janssen Research and Development Raritan NJ USA
Japanese Red Cross Medical Center Tokyo Japan
Leicester Royal Infirmary Leicester UK
LTD Medinvent Institute of Health Tbilisi Georgia
Matsuyama Red Cross Hospital Matsuyama Japan
National and Kapodistrian University of Athens Athens Greece
Semmelweis University Budapest Hungary
Silesian Medical University Katowice Poland
Université Catholique of Louvain CHU UCL Namur Yvoir Belgium
University Hospital Brno Brno Czech Republic
University Hospital of Salamanca Instituto de Investigación Biomédica de Salamanca Salamanca Spain
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ClinicalTrials.gov
NCT02195479