Health-related quality of life analysis in metastatic colorectal cancer patients treated by seconde line chemotherapy, associated to either cetuximab or bevacizumab: The PRODIGE 18 randomized phase II study
Clinical Colorectal Cancer Oct 07, 2021
Bertaut A, Touchefeu Y, Blanc J, et al. - The study found no significant difference in patients' health-related quality of life (HRQoL) between the two treatment arms. As a result, the analysis of HRQoL with equal effectiveness does not allow one treatment to be preferred over another.
HRQoL was assessed in two arms bevacizumab or cetuximab – combined with chemotherapy (modified FOLFOX6 [mFOLFOX6] or FOLFIRI) utilizing the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 at baseline, first and third tumor evaluation and at the end of the study.
HRQoL QLQ-C30 questionnaire compliance was high at baseline (> 90%) and decreased over time (∼ 70% in tumor evaluation 1 and ∼ 60% in tumor evaluation 3), but remained comparable in both treatment arms.
The mean diarrhea QLQ-C30 score reported by patients in the bevacizumab treatment arm is significantly higher.
Mild diarrhea was more frequently reported by clinicians in the bevacizumab treatment arm.
Cox multivariate analyses revealed no statistically significant differences in time until definitive deterioration (TUDD) between treatments for all QLQ-C30 scales.
Age was found to be a significant predictor of TUDD of appetite loss.
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