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Health-related quality of life and utility outcomes with selinexor in relapsed/refractory diffuse large B-cell lymphoma

  • Jatin Shah
  • , Sharon Shacham
  • , Michael Kauffman
  • , Patrick Daniele
  • , Dimitrios Tomaras
  • , Gabriel Tremblay
  • , Rene Olivier Casasnovas
  • , Marie Maerevoet
  • , Josee Zijlstra
  • , George Follows
  • , Joost S. P Vermaat
  • , Nagesh Kalakonda
  • , Andre Henri Goy
  • , Sylvain Choquet
  • , Eric Van Den Neste
  • , Brian T. Hill
  • , Catherine Thieblemont
  • , Federica Cavallo
  • , Fátima De La Cruz
  • , John Kuruvilla
  • Nada Hamad, Reda Bouabdallah, Ulrich Jäger, Paolo Caimi, Ronit Gurion, Krzysztof Warzocha, Sameer Bakhshi, Juan Manuel Sancho, Michael Schuster, Miklós Egyed, Fritz Offner, Theodoros P. Vasilakopoulos, Priyanka Samal, Agnes Nagy, Matthew Ku, Miguel Ángel Canales Albendea
  • Karyopharm Therapeutics Inc.
  • Health Economics
  • Université de Bourgogne
  • Université libre de Bruxelles
  • Amsterdam UMC
  • Cambridge University Hospitals NHS Foundation Trust
  • Leiden University
  • University of Liverpool
  • Hackensack Meridian Health-Hackensack University Medical Center
  • Sorbonne Université
  • Université catholique de Louvain
  • Cleveland Clinic Foundation
  • Université Paris Cité
  • University of Turin
  • Hospital Universitario Virgen del Rocio
  • Centre of Excellence on Aging and Chronic Diseases of McGill Integrated University Health Network
  • St. Vincent's Hospital Melbourne
  • Institut Paoli Calmettes
  • Medical University of Vienna
  • UH Cleveland Medical Center
  • Tel Aviv University
  • Institute of Hematology and Blood Transfusion
  • All India Institute of Medical Sciences, New Delhi
  • Generalitat de Catalunya
  • Somogy County Kaposi Mór Hospital
  • Ghent University
  • National and Kapodistrian University of Athens
  • Siksha ‘O’ Anusandhan University
  • Semmelweis University
  • Hospital Universitario La Paz

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations

Abstract

Aim: Evaluate health-related quality of life (HRQoL) and health utility impact of single-agent selinexor in heavily pretreated patients with relapsed/refractory diffuse large B-cell lymphoma. Patients & methods: Functional Assessment of Cancer Therapy (FACT)-Lymphoma and EuroQoL five-dimensions five-levels data collected in the single-arm Phase IIb trial SADAL (NCT02227251) were analyzed with mixed-effects models. Results: Treatment responders maintained higher FACT-Lymphoma (p ≤ 0.05), FACT-General (p < 0.05) and EuroQoL five-dimensions five-levels index scores (p < 0.001) beginning in cycle 3. The estimated difference in health state utilities for treatment response and progressive disease was both statistically significant and clinically meaningful (mean difference: 0.07; p = 0.001). Conclusion: In patients with relapsed/refractory diffuse large B-cell lymphoma, objective response to selinexor was associated with HRQoL maintenance, reduction in disease-related HRQoL decrements and higher health utilities.

Original languageEnglish
Pages (from-to)1295-1310
Number of pages16
JournalFuture Oncology
Volume17
Issue number11
DOIs
StatePublished - Apr 2021

Keywords

  • EQ-5D-5L
  • FACT-Lym
  • diffuse large B-cell lymphoma
  • disutility of adverse events
  • health state utility
  • health utility
  • health-related quality of life
  • patient-reported outcomes
  • selinexor

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