Real-world quality-of-life of patients with HR+/HER2- advanced breast cancer treated with palbociclib plus endocrine therapy: EORTC QLQ-C30 results from POLARIS.

IF 3 3区 医学 Q2 ONCOLOGY Breast Cancer Research and Treatment Pub Date : 2025-02-01 Epub Date: 2024-11-25 DOI:10.1007/s10549-024-07524-2
Gabrielle B Rocque, Joanne L Blum, Yan Ji, Timothy Pluard, John Migas, Shailendra Lakhanpal, Erin Jepsen, Eric Gauthier, Yao Wang, Monica Z Montelongo, Joseph C Cappelleri, Meghan S Karuturi, Debu Tripathy
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Abstract

Purpose: To evaluate patient-reported health-related quality-of-life (QoL) in patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2-) advanced/metastatic breast cancer (ABC) treated with palbociclib in the longitudinal real-world study, POLARIS.

Methods: Data were prospectively collected from adult patients with HR+/HER2- ABC treated with palbociclib plus endocrine therapy (ET) in routine clinical practice. QoL was assessed with the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire-Core 30 (EORTC QLQ-C30) and reported at baseline and months 6, 12, and 18. Data were expressed as absolute scores at a given time and change from baseline for global QoL and functional/symptom scales. Global Heath Status (GHS)/QoL scores were also determined across 6 patient subgroup categories (e.g., age, visceral disease status). Additionally, the proportions of patients with scores below (functional scales) or above (symptom scales) EORTC-validated thresholds reflecting clinical importance of a health problem were determined.

Results: Among patients treated with palbociclib plus ET (N = 1250) who completed questionnaires at any of the study timepoints, mean GHS/QoL scores at months 6 (69.3), 12 (70.1), and 18 (69.9) were higher than baseline (64.0). Similar trends were observed for functional and symptom scales. Mean GHS/QoL scores over time were consistent across the evaluated subgroups. Decreases in the proportions of patients with clinically important functional impairment/symptoms were observed for most functional/symptom scales from baseline through month 18.

Conclusion: Findings from this real-world study indicate patients with HR+/HER2- ABC treated with palbociclib plus ET maintain their QoL for at least 18 months.

Clinical trial registration: NCT03280303; registered 12 September 2017.

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接受帕博西尼联合内分泌治疗的HR+/HER2-晚期乳腺癌患者的真实生活质量:来自 POLARIS 的 EORTC QLQ-C30 结果。
目的:评估在纵向真实世界研究POLARIS中接受帕博西尼治疗的激素受体阳性/人表皮生长因子受体2阴性(HR+/HER2-)晚期/转移性乳腺癌(ABC)患者的患者报告的健康相关生活质量(QoL):前瞻性地收集了在常规临床实践中接受帕博西尼(palbociclib)加内分泌治疗(ET)的HR+/HER2-ABC成年患者的数据。使用欧洲癌症研究和治疗组织生活质量问卷-核心 30(EORTC QLQ-C30)对患者的生活质量进行评估,并在基线和第 6、12 和 18 个月进行报告。数据以给定时间的绝对分数以及总体 QoL 和功能/症状量表与基线相比的变化表示。全球健康状况 (GHS)/QoL 分数还根据 6 个患者亚组类别(如年龄、内脏疾病状况)进行确定。此外,还确定了得分低于(功能量表)或高于(症状量表)经 EORTC 验证的反映健康问题临床重要性的阈值的患者比例:在接受帕博西尼加ET治疗的患者(N = 1250)中,在任何研究时间点完成问卷调查的患者在第6个月(69.3)、第12个月(70.1)和第18个月(69.9)的平均GHS/QoL评分均高于基线(64.0)。在功能和症状量表方面也观察到类似的趋势。在接受评估的亚组中,随时间变化的 GHS/QoL 平均得分保持一致。从基线到第18个月,大多数功能/症状量表中出现临床重要功能障碍/症状的患者比例均有所下降:这项真实世界研究的结果表明,接受palbociclib加ET治疗的HR+/HER2- ABC患者至少在18个月内保持了QoL:NCT03280303;2017年9月12日注册。
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来源期刊
CiteScore
6.80
自引率
2.60%
发文量
342
审稿时长
1 months
期刊介绍: Breast Cancer Research and Treatment provides the surgeon, radiotherapist, medical oncologist, endocrinologist, epidemiologist, immunologist or cell biologist investigating problems in breast cancer a single forum for communication. The journal creates a "market place" for breast cancer topics which cuts across all the usual lines of disciplines, providing a site for presenting pertinent investigations, and for discussing critical questions relevant to the entire field. It seeks to develop a new focus and new perspectives for all those concerned with breast cancer.
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