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Patient perception of the benefit of a BRAF inhibitor in metastatic melanoma: quality-of-life analyses of the BREAK-3 study comparing dabrafenib with dacarbazine

Identifieur interne : 005B75 ( PascalFrancis/Curation ); précédent : 005B74; suivant : 005B76

Patient perception of the benefit of a BRAF inhibitor in metastatic melanoma: quality-of-life analyses of the BREAK-3 study comparing dabrafenib with dacarbazine

Auteurs : J.-J. Grob [France] ; M. M. Amonkar [États-Unis] ; S. Martin-Algarra [Espagne] ; L. V. Demidov [Russie] ; V. Goodman [États-Unis] ; K. Grotzinger [États-Unis] ; P. Haney [États-Unis] ; E. K Mpgen [Allemagne] ; B. Karaszewska [Pologne] ; C. Mauch [Allemagne] ; W. H. Jr Miller [Canada] ; M. Millward [Australie] ; B. Mirakhur [États-Unis] ; P. Rutkowski [Pologne] ; V. Chiarion-Sileni [Italie] ; S. Swann [États-Unis] ; A. Hauschild [Allemagne]

Source :

RBID : Pascal:14-0208382

Descripteurs français

English descriptors

Abstract

Background: In a randomized phase III study (BREAK-3), dabrafenib showed prolonged progression-free survival (PFS) (median 5.1 versus 2.7 months; hazard ratio = 0.30; 95% confidence interval 0.18-0.53; P<0.0001) compared with dacarbazine (DTIC) in patients with BRAF V600E metastatic melanoma. Assessing how these results are transformed into a real health benefit for patients is crucial. Methods: The EORTC QLQ-C30 questionnaire assessed quality of life (QoL) at baseline and follow-up visits. Results: For DTIC, all functional dimensions except role dimension worsened from baseline at follow-up. For dabrafenib, all functionality dimensions remained stable relative to baseline or improved at week 6; mean change in seven symptom dimensions improved from baseline, with appetite loss, insomnia, nausea and vomiting, and pain showing the greatest improvement. In the DTIC arm, symptom dimensions were unchanged or worsened from baseline for all symptoms except pain (week 6), with the greatest exacerbations observed for fatigue and nausea and vomiting. Mixed-model-repeated measures analyses showed significant (P < 0.05) and/or clinically meaningful improvements from baseline in favor of dabrafenib for emotional and social functioning, nausea and vomiting, appetite loss, diarrhea, fatigue, dyspnea, and insomnia at weeks 6 and/or 12. After crossing over to dabrafenib upon progression (n = 35), improvements in all QoL dimensions were evident after receiving dabrafenib for 6 (n = 31) to 12 (n = 25) weeks. Conclusions: This first reported QoL analysis for a BRAF inhibitor in metastatic melanoma demonstrates that the high tumor response rates and PFS superiority of dabrafenib over DTIC is not only a theoretical advantage, but also transforms in a rapid functional and symptomatic benefit for the patient.
pA  
A01 01  1    @0 0923-7534
A03   1    @0 Ann. oncol.
A05       @2 25
A06       @2 7
A08 01  1  ENG  @1 Patient perception of the benefit of a BRAF inhibitor in metastatic melanoma: quality-of-life analyses of the BREAK-3 study comparing dabrafenib with dacarbazine
A11 01  1    @1 GROB (J.-J.)
A11 02  1    @1 AMONKAR (M. M.)
A11 03  1    @1 MARTIN-ALGARRA (S.)
A11 04  1    @1 DEMIDOV (L. V.)
A11 05  1    @1 GOODMAN (V.)
A11 06  1    @1 GROTZINGER (K.)
A11 07  1    @1 HANEY (P.)
A11 08  1    @1 KÄMPGEN (E.)
A11 09  1    @1 KARASZEWSKA (B.)
A11 10  1    @1 MAUCH (C.)
A11 11  1    @1 MILLER (W. H. JR)
A11 12  1    @1 MILLWARD (M.)
A11 13  1    @1 MIRAKHUR (B.)
A11 14  1    @1 RUTKOWSKI (P.)
A11 15  1    @1 CHIARION-SILENI (V.)
A11 16  1    @1 SWANN (S.)
A11 17  1    @1 HAUSCHILD (A.)
A14 01      @1 Aix-Marseille University, APHM, Hôpital Timone @2 Marseille @3 FRA @Z 1 aut.
A14 02      @1 GlaxoSmithKline @2 Collegeville @3 USA @Z 2 aut. @Z 5 aut. @Z 6 aut. @Z 7 aut. @Z 13 aut. @Z 16 aut.
A14 03      @1 Department of Medical Oncology, Clínica Universidad de Navarra @2 Pamplona @3 ESP @Z 3 aut.
A14 04      @1 Department of Tumor Biotherapy, N.N. Blokhin Russian Cancer Research Center @2 Moscow @3 RUS @Z 4 aut.
A14 05      @1 Department of Dermatology, Skin Cancer Center, University Hospital Erlangen @2 Erlangen @3 DEU @Z 8 aut.
A14 06      @1 Przychodnia Lekarska KOMED @2 Konin @3 POL @Z 9 aut.
A14 07      @1 Department for Dermatology and Venereology and CIO KölnBonn, University Hospital Cologne @2 Cologne @3 DEU @Z 10 aut.
A14 08      @1 Departments of Oncology and Medicine, Lady Davis Institute and Segal Cancer Centre, Jewish General Hospital, McGill University @2 Montreal @3 CAN @Z 11 aut.
A14 09      @1 Department of Medical Oncology, Sir Charles Gairdner Hospital and School of Medicine and Physiology, University of Western Australia @2 Perth @3 AUS @Z 12 aut.
A14 10      @1 Department of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology @2 Warsaw @3 POL @Z 14 aut.
A14 11      @1 Melanoma Cancer Unit, Veneto Oncology Institute-IRCCS @2 Padova @3 ITA @Z 15 aut.
A14 12      @1 Department of Dermatology, University Hospital Schleswig-Holstein @2 Kiel @3 DEU @Z 17 aut.
A20       @1 1428-1436
A21       @1 2014
A23 01      @0 ENG
A43 01      @1 INIST @2 22429 @5 354000501840440250
A44       @0 0000 @1 © 2014 INIST-CNRS. All rights reserved.
A45       @0 26 ref.
A47 01  1    @0 14-0208382
A60       @1 P
A61       @0 A
A64 01  1    @0 Annals of oncology
A66 01      @0 GBR
C01 01    ENG  @0 Background: In a randomized phase III study (BREAK-3), dabrafenib showed prolonged progression-free survival (PFS) (median 5.1 versus 2.7 months; hazard ratio = 0.30; 95% confidence interval 0.18-0.53; P<0.0001) compared with dacarbazine (DTIC) in patients with BRAF V600E metastatic melanoma. Assessing how these results are transformed into a real health benefit for patients is crucial. Methods: The EORTC QLQ-C30 questionnaire assessed quality of life (QoL) at baseline and follow-up visits. Results: For DTIC, all functional dimensions except role dimension worsened from baseline at follow-up. For dabrafenib, all functionality dimensions remained stable relative to baseline or improved at week 6; mean change in seven symptom dimensions improved from baseline, with appetite loss, insomnia, nausea and vomiting, and pain showing the greatest improvement. In the DTIC arm, symptom dimensions were unchanged or worsened from baseline for all symptoms except pain (week 6), with the greatest exacerbations observed for fatigue and nausea and vomiting. Mixed-model-repeated measures analyses showed significant (P < 0.05) and/or clinically meaningful improvements from baseline in favor of dabrafenib for emotional and social functioning, nausea and vomiting, appetite loss, diarrhea, fatigue, dyspnea, and insomnia at weeks 6 and/or 12. After crossing over to dabrafenib upon progression (n = 35), improvements in all QoL dimensions were evident after receiving dabrafenib for 6 (n = 31) to 12 (n = 25) weeks. Conclusions: This first reported QoL analysis for a BRAF inhibitor in metastatic melanoma demonstrates that the high tumor response rates and PFS superiority of dabrafenib over DTIC is not only a theoretical advantage, but also transforms in a rapid functional and symptomatic benefit for the patient.
C02 01  X    @0 002B02R
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C03 01  X  FRE  @0 Homme @5 01
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C03 01  X  SPA  @0 Hombre @5 01
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C03 02  X  ENG  @0 Perception @5 02
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C03 03  X  SPA  @0 Protooncogen @5 03
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C03 04  X  ENG  @0 C-Onc gene @5 04
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C03 07  X  ENG  @0 Metastasis @5 07
C03 07  X  SPA  @0 Metástasis @5 07
C03 08  X  FRE  @0 Mélanome malin @5 08
C03 08  X  ENG  @0 Malignant melanoma @5 08
C03 08  X  SPA  @0 Melanoma maligno @5 08
C03 09  X  FRE  @0 Qualité de vie @5 09
C03 09  X  ENG  @0 Quality of life @5 09
C03 09  X  SPA  @0 Calidad vida @5 09
C03 10  X  FRE  @0 Etude comparative @5 10
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C03 10  X  SPA  @0 Estudio comparativo @5 10
C03 11  X  FRE  @0 Dacarbazine @2 NK @2 FR @5 11
C03 11  X  ENG  @0 Dacarbazine @2 NK @2 FR @5 11
C03 11  X  SPA  @0 Dacarbazina @2 NK @2 FR @5 11
C03 12  X  FRE  @0 Chimiothérapie @5 12
C03 12  X  ENG  @0 Chemotherapy @5 12
C03 12  X  SPA  @0 Quimioterapia @5 12
C03 13  X  FRE  @0 Anticancéreux @5 23
C03 13  X  ENG  @0 Antineoplastic agent @5 23
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C03 14  X  FRE  @0 Gène BRAF @4 CD @5 96
C03 14  X  ENG  @0 BRAF Gene @4 CD @5 96
C03 14  X  SPA  @0 Gen BRAF @4 CD @5 96
C03 15  X  FRE  @0 Dabrafénib @4 CD @5 97
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C03 15  X  SPA  @0 Dabrafenib @4 CD @5 97
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C07 04  X  ENG  @0 Alkylating agent @5 38
C07 04  X  SPA  @0 Agente alquilante @5 38
N21       @1 258
N44 01      @1 OTO
N82       @1 OTO

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Pascal:14-0208382

Le document en format XML

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<title xml:lang="en" level="a">Patient perception of the benefit of a BRAF inhibitor in metastatic melanoma: quality-of-life analyses of the BREAK-3 study comparing dabrafenib with dacarbazine</title>
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<name sortKey="Grob, J J" sort="Grob, J J" uniqKey="Grob J" first="J.-J." last="Grob">J.-J. Grob</name>
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<series>
<title level="j" type="main">Annals of oncology</title>
<title level="j" type="abbreviated">Ann. oncol.</title>
<idno type="ISSN">0923-7534</idno>
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<term>Advanced stage</term>
<term>Antineoplastic agent</term>
<term>BRAF Gene</term>
<term>C-Onc gene</term>
<term>Chemotherapy</term>
<term>Comparative study</term>
<term>Dabrafenib</term>
<term>Dacarbazine</term>
<term>Human</term>
<term>Inhibitor</term>
<term>Malignant melanoma</term>
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<term>Etude comparative</term>
<term>Dacarbazine</term>
<term>Chimiothérapie</term>
<term>Anticancéreux</term>
<term>Gène BRAF</term>
<term>Dabrafénib</term>
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<div type="abstract" xml:lang="en">Background: In a randomized phase III study (BREAK-3), dabrafenib showed prolonged progression-free survival (PFS) (median 5.1 versus 2.7 months; hazard ratio = 0.30; 95% confidence interval 0.18-0.53; P<0.0001) compared with dacarbazine (DTIC) in patients with BRAF V600E metastatic melanoma. Assessing how these results are transformed into a real health benefit for patients is crucial. Methods: The EORTC QLQ-C30 questionnaire assessed quality of life (QoL) at baseline and follow-up visits. Results: For DTIC, all functional dimensions except role dimension worsened from baseline at follow-up. For dabrafenib, all functionality dimensions remained stable relative to baseline or improved at week 6; mean change in seven symptom dimensions improved from baseline, with appetite loss, insomnia, nausea and vomiting, and pain showing the greatest improvement. In the DTIC arm, symptom dimensions were unchanged or worsened from baseline for all symptoms except pain (week 6), with the greatest exacerbations observed for fatigue and nausea and vomiting. Mixed-model-repeated measures analyses showed significant (P < 0.05) and/or clinically meaningful improvements from baseline in favor of dabrafenib for emotional and social functioning, nausea and vomiting, appetite loss, diarrhea, fatigue, dyspnea, and insomnia at weeks 6 and/or 12. After crossing over to dabrafenib upon progression (n = 35), improvements in all QoL dimensions were evident after receiving dabrafenib for 6 (n = 31) to 12 (n = 25) weeks. Conclusions: This first reported QoL analysis for a BRAF inhibitor in metastatic melanoma demonstrates that the high tumor response rates and PFS superiority of dabrafenib over DTIC is not only a theoretical advantage, but also transforms in a rapid functional and symptomatic benefit for the patient.</div>
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<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Dacarbazine</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Dacarbazina</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>11</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Chimiothérapie</s0>
<s5>12</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Chemotherapy</s0>
<s5>12</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Quimioterapia</s0>
<s5>12</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE">
<s0>Anticancéreux</s0>
<s5>23</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG">
<s0>Antineoplastic agent</s0>
<s5>23</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA">
<s0>Anticanceroso</s0>
<s5>23</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE">
<s0>Gène BRAF</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="14" i2="X" l="ENG">
<s0>BRAF Gene</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="14" i2="X" l="SPA">
<s0>Gen BRAF</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="15" i2="X" l="FRE">
<s0>Dabrafénib</s0>
<s4>CD</s4>
<s5>97</s5>
</fC03>
<fC03 i1="15" i2="X" l="ENG">
<s0>Dabrafenib</s0>
<s4>CD</s4>
<s5>97</s5>
</fC03>
<fC03 i1="15" i2="X" l="SPA">
<s0>Dabrafenib</s0>
<s4>CD</s4>
<s5>97</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Traitement</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Treatment</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Tratamiento</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Tumeur maligne</s0>
<s2>NM</s2>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Malignant tumor</s0>
<s2>NM</s2>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Tumor maligno</s0>
<s2>NM</s2>
<s5>37</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Cáncer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Agent alkylant</s0>
<s5>38</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Alkylating agent</s0>
<s5>38</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Agente alquilante</s0>
<s5>38</s5>
</fC07>
<fN21>
<s1>258</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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