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 language | English |
|---|---|
| Pages (from-to) | 1295-1310 |
| Number of pages | 16 |
| Journal | Future Oncology |
| Volume | 17 |
| Issue number | 11 |
| DOIs | |
| State | Published - 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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