Symptom and quality of life results of an international randomised phase III study of adjuvant vaccination with Bec2/BCG in responding patients with limited disease small-cell lung cancer
Identifieur interne : 008A06 ( Main/Exploration ); précédent : 008A05; suivant : 008A07Symptom and quality of life results of an international randomised phase III study of adjuvant vaccination with Bec2/BCG in responding patients with limited disease small-cell lung cancer
Auteurs : Andrew Bottomley [Belgique] ; Channa Debruyne [Belgique] ; Enriqueta Felip [Espagne] ; Michael Millward [Australie] ; Luc Thiberville [France] ; Giannicola D'Addario [Suisse] ; Lisa Rome [États-Unis] ; Petr Zatloukal [République tchèque] ; Corneel Coens [Belgique] ; Giuseppe Giaccone [États-Unis]Source :
- European journal of cancer : (1990) [ 0959-8049 ] ; 2008.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Vaccination, Homme.
English descriptors
- KwdEn :
Abstract
Aims: This study reports the symptom and HRQOL results in which standard treatment was compared to standard therapy plus Bec2, an anti-idiotypic antibody that mimics GD3, a ganglioside antigen. Methods: Five hundred and fifteen LD SCLC patients were randomised to receive five vaccinations of Bec2 (2.5 mg)/BCG vaccine arm (VA) or an observational arm (OA) administered over a 10-week period. Survival was the primary end-point; HRQOL was a secondary end-point, assessed using the EORTC QLQ-C30/LC 13. Results: There was no improvement in survival or progression-free survival in the vaccination arm. At baseline patients in both arms demonstrated significantly impaired scores on the global QOL scale, when compared to a normative population. However, HRQOL and symptom scores between the two treatment arms were not statistically different at any time point. Conclusion: We found no benefits to patient HRQOL by additional vaccination with Bec2/BCG to LD SCLC for patients who have been undergoing standard therapy.
Affiliations:
- Australie, Belgique, Espagne, France, République tchèque, Suisse, États-Unis
- Bohême centrale, Catalogne, Haute-Normandie, Région Normandie, Région de Bruxelles-Capitale
- Barcelone, Bruxelles, Prague, Rouen
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Le document en format XML
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<term>Bonchopulmonary small cell carcinoma</term>
<term>Cancerology</term>
<term>Human</term>
<term>International</term>
<term>Lung cancer</term>
<term>Phase III trial</term>
<term>Prevention</term>
<term>Quality of life</term>
<term>Randomization</term>
<term>Symptomatology</term>
<term>Treatment</term>
<term>Vaccination</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Essai clinique phase III</term>
<term>Symptomatologie</term>
<term>Qualité de vie</term>
<term>Carcinome à petites cellules bronchopulmonaire</term>
<term>International</term>
<term>Randomisation</term>
<term>Traitement</term>
<term>Vaccination</term>
<term>Prévention</term>
<term>BCG</term>
<term>Homme</term>
<term>Cancer du poumon</term>
<term>Cancérologie</term>
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<front><div type="abstract" xml:lang="en">Aims: This study reports the symptom and HRQOL results in which standard treatment was compared to standard therapy plus Bec2, an anti-idiotypic antibody that mimics GD3, a ganglioside antigen. Methods: Five hundred and fifteen LD SCLC patients were randomised to receive five vaccinations of Bec2 (2.5 mg)/BCG vaccine arm (VA) or an observational arm (OA) administered over a 10-week period. Survival was the primary end-point; HRQOL was a secondary end-point, assessed using the EORTC QLQ-C30/LC 13. Results: There was no improvement in survival or progression-free survival in the vaccination arm. At baseline patients in both arms demonstrated significantly impaired scores on the global QOL scale, when compared to a normative population. However, HRQOL and symptom scores between the two treatment arms were not statistically different at any time point. Conclusion: We found no benefits to patient HRQOL by additional vaccination with Bec2/BCG to LD SCLC for patients who have been undergoing standard therapy.</div>
</front>
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