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Reijneveld JC, Machingura A, Coens C, Taphoorn MJB, Taal W, Clement PM, Idbaih A, de Vos FYF, Klein M, Wick W, Mulholland PJ, Lewis J, Golfinopoulos V, Ghislain I, Bottomley A, van den Bent MJ. Health-related quality-of-life results from the randomised phase II TAVAREC trial on temozolomide with or without bevacizumab in 1p/19q intact first-recurrence World Health Organization grade 2 and 3 glioma (European Organization for Research and Treatment of Cancer 26091). Eur J Cancer 2023; 190:112946. [PMID: 37453240 DOI: 10.1016/j.ejca.2023.112946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 06/09/2023] [Accepted: 06/12/2023] [Indexed: 07/18/2023]
Abstract
BACKGROUND In an international randomised controlled phase II study of temozolomide (TMZ) versus TMZ in combination with bevacizumab (BEV) in locally diagnosed non-1p/19q co-deleted World Health Organization grade 2 or 3 gliomas with a first and contrast-enhancing recurrence after initial radiotherapy, and overall survival at 12 months was not significantly different (61% in the TMZ arm and 55% in the TMZ + BEV arm). OBJECTIVES Health-related quality of life (HRQoL) was a key secondary end-point in this trial, and the main objective of this study was to determine the impact of the addition of BEV to TMZ on HRQoL. METHODS HRQoL was assessed using the European Organization for Research and Treatment of Cancer QLQ-C30 (version 3) and QLQ-BN20 at baseline, and then every 12 weeks until disease progression. The pre-selected primary HRQoL end-point was the QLQ-C30 global health scale, with self-perceived cognitive functioning and pain selected as secondary HRQoL issues. Analysis was undertaken using linear mixed modelling and complemented with sensitivity analyses using summary statistics. A difference was considered clinically relevant with ≥10 points difference on a 100-point scale. RESULTS Baseline compliance was high at 94% and remained above 60% until 72 weeks, limiting the analysis to 60 weeks. Compliance was similar in both arms. We found no statistically significant or clinically significant differences between the primary HRQoL end-point in both treatment arms (p = 0.2642). The sensitivity analyses confirmed this finding. The overall test for post-baseline differences between the two treatment arms also showed no statistically or clinically significant differences regarding the selected secondary end-point scales. INTERPRETATION The addition of BEV to TMZ in this patient group neither improves nor negatively impacts HRQoL.
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Affiliation(s)
- Jaap C Reijneveld
- Department of Neurology, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, the Netherlands; SEIN, Heemstede, the Netherlands.
| | | | | | - Martin J B Taphoorn
- Leiden University Medical Center, Leiden and Haaglanden Medical Center, The Hague, the Netherlands
| | - Walter Taal
- Department of Neurology, Erasmus MC Cancer Institute, Dr. Molenwaterplein 40, PO Box 2040, 3015 GD, Rotterdam, the Netherlands
| | - Paul M Clement
- Department of Oncology, Leuven Cancer Institute, KU Leuven, Herestraat 49, 3000, Leuven, Belgium
| | - Ahmed Idbaih
- Sorbonne Université, AP-HP, Institut du Cerveau, Paris Brain Institute, ICM, Inserm, CNRS, Hôpitaux Universitaires La Pitié Salpêtrière, Charles Foix, DMU Neurosciences, Servicede Neurologie 2-Mazarin, F-75013, Paris, France
| | - Filip Y F de Vos
- Department of Medical Oncology, University Medical Center Utrecht, Utrecht, the Netherlands
| | - Martin Klein
- Amsterdam UMC Location Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081HV, Amsterdam, the Netherlands
| | - Wolfgang Wick
- Universitaets Klinikum Heidelberg, Head Hospital, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany
| | | | - Joanne Lewis
- Newcastle Hospitals NHS Trust, Freeman Hospital, Northern Centre for Cancer Care, Freeman Road, High Heaton, NE7 7DN, Newcastle upon Tyne, UK
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Bottomley A, Coens C, Musoro J, Martinelli F, Zikos E, Ghislain I, Hamel JF. A review of the quality of statistical methods employed for analyzing quality of life data in cancer RCTs. J Clin Oncol 2016. [DOI: 10.1200/jco.2016.34.15_suppl.10058] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
| | - Corneel Coens
- European Organisation for Research and Treatment of Cancer Headquarters, Brussels, Belgium
| | - Jammbe Musoro
- European Organisation for Research and Treatment of Cancer, Bruxels, Belgium
| | - Francesca Martinelli
- European Organisation for Research and Treatment of Cancer Headquarters, Brussels, Belgium
| | - Efstathios Zikos
- European Organisation for Research and Treatment of Cancer, Brussels, Belgium
| | - Irina Ghislain
- European Organisation for Research and Treatment of Cancer Headquarters, Brussels, Belgium
| | - Jean-Francois Hamel
- European Organisation for Research and Treatment of Cancer, Bruxels, Belgium
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Zikos E, Coens C, Quinten C, Ediebah DE, Martinelli F, Ghislain I, King MT, Gotay C, Ringash J, Velikova G, Reeve BB, Greimel E, Cleeland CS, Flechtner H, Taphoorn MJB, Weis J, Schmucker-von Koch J, Sprangers MAG, Bottomley A. The Added Value of Analyzing Pooled Health-Related Quality of Life Data: A Review of the EORTC PROBE Initiative. J Natl Cancer Inst 2015; 108:djv391. [DOI: 10.1093/jnci/djv391] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2015] [Accepted: 11/20/2015] [Indexed: 11/15/2022] Open
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Quinten C, Coens C, Ghislain I, Zikos E, Sprangers MA, Ringash J, Martinelli F, Ediebah DE, Maringwa J, Reeve BB, Greimel E, King MT, Bjordal K, Flechtner HH, Schmucker-Von Koch J, Taphoorn MJ, Weis J, Wildiers H, Velikova G, Bottomley A. The effects of age on health-related quality of life in cancer populations: A pooled analysis of randomized controlled trials using the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30 involving 6024 cancer patients. Eur J Cancer 2015; 51:2808-19. [DOI: 10.1016/j.ejca.2015.08.027] [Citation(s) in RCA: 87] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2015] [Accepted: 08/29/2015] [Indexed: 11/26/2022]
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Zikos E, Ghislain I, Coens C, Quinten C, Balta V, Tryfonidis K, Piccart M, Zardavas D, Velikova G, Nagele E, Bjelic-Radisic V, Cardoso F, Sprangers M, Bottomley A. 1835 Health-related quality of life in advanced breast cancer: A systematic review on reporting of methodological and clinical issues in randomized controlled trials. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)30786-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Zikos E, Coens C, Sprangers M, Greimel E, Ghislain I, Ediebah DE, Flechtner H, Bottomley A. Has health-related quality-of-life assessment in EORTC clinical trials helped to obtain regulatory approvals and change clinical practice? A review of the EORTC experience in cancer clinical trials. J Clin Oncol 2014. [DOI: 10.1200/jco.2014.32.15_suppl.9570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Efstathios Zikos
- European Organisation for Research and Treatment of Cancer Headquarters, Brussels, Belgium
| | - Corneel Coens
- European Organisation for Research and Treatment of Cancer Headquarters, Brussels, Belgium
| | - Miriam Sprangers
- Department of Medical Psychology, Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands
| | | | - Irina Ghislain
- European Organisation for Research and Treatment of Cancer Headquarters, Brussels, Belgium
| | - Divine Ewane Ediebah
- European Organisation for Research and Treatment of Cancer Headquarters, Brussels, Belgium
| | - Henning Flechtner
- University Magdeburg, Child and Adolescent Psychiatry, Magdeburg, Germany
| | - Andrew Bottomley
- European Organisation for Research and Treatment of Cancer Headquarters, Brussels, Belgium
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Zikos E, Ghislain I, Coens C, Ediebah DE, Sloan E, Quinten C, Koller M, van Meerbeeck JP, Flechtner HH, Stupp R, Pallis A, Czimbalmos A, Sprangers MAG, Bottomley A. Health-related quality of life in small-cell lung cancer: a systematic review on reporting of methods and clinical issues in randomised controlled trials. Lancet Oncol 2014; 15:e78-89. [PMID: 24480558 DOI: 10.1016/s1470-2045(13)70493-5] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Small-cell lung cancer represents about 15% of all lung cancers; increasingly, randomised controlled trials of this disease measure the health-related quality of life of patients. In this Systematic Review we assess the adequacy of reporting of health-related quality-of-life methods in randomised controlled trials of small-cell lung cancer, and the potential effect of this reporting on clinical decision making. Although overall reporting of health-related quality of life was acceptable, improvements are needed to optimise the use of health-related quality of life in randomised controlled trials.
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Affiliation(s)
- Efstathios Zikos
- Quality of Life Department, EORTC Headquarters, Brussels, Belgium.
| | - Irina Ghislain
- Quality of Life Department, EORTC Headquarters, Brussels, Belgium
| | - Corneel Coens
- Quality of Life Department, EORTC Headquarters, Brussels, Belgium
| | - Divine E Ediebah
- Quality of Life Department, EORTC Headquarters, Brussels, Belgium
| | - Elizabeth Sloan
- New England Center for Children, Southborough, Massachusetts, MA, USA
| | - Chantal Quinten
- European Centre for Disease Prevention and Control, Surveillance and Response Support Unit, Stockholm, Sweden
| | - Michael Koller
- University Hospital Regensburg, Center for Clinical Studies, Regensburg, Germany
| | - Jan P van Meerbeeck
- Multidisciplinary Oncology Centre Antwerp (MOCA)/Thoracic Oncology, Antwerp University Hospital, Edegem, Belgium
| | - Hans-Henning Flechtner
- University of Magdeburg, Child and Adolescent Psychiatry and Psychotherapy, Magdeburg, Germany
| | - Roger Stupp
- Department of Oncology and Cancer Center, University Hospital Zurich, Zurich, Switzerland
| | - Athanasios Pallis
- Clinical Research Physicians Unit, EORTC Headquarters, Brussels, Belgium
| | | | - Mirjam A G Sprangers
- Department of Medical Psychology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands
| | - Andrew Bottomley
- Quality of Life Department, EORTC Headquarters, Brussels, Belgium
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Claassens L, van Meerbeeck J, Coens C, Quinten C, Ghislain I, Sloan EK, Wang XS, Velikova G, Bottomley A. Health-related quality of life in non-small-cell lung cancer: an update of a systematic review on methodologic issues in randomized controlled trials. J Clin Oncol 2011; 29:2104-20. [PMID: 21464420 PMCID: PMC3138547 DOI: 10.1200/jco.2010.32.3683] [Citation(s) in RCA: 78] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2010] [Accepted: 01/19/2011] [Indexed: 01/05/2023] Open
Abstract
PURPOSE This study is an update of a systematic review of health-related quality-of-life (HRQOL) methodology reporting in non-small-cell lung cancer (NSCLC) randomized controlled trials (RCTs). The objective was to evaluate HRQOL methodology reporting over the last decade and its benefit for clinical decision making. METHODS A MEDLINE systematic literature review was performed. Eligible RCTs implemented patient-reported HRQOL assessments and regular oncology treatments for newly diagnosed adult patients with NSCLC. Included studies were published in English from August 2002 to July 2010. Two independent reviewers evaluated all included RCTs. RESULTS Fifty-three RCTs were assessed. Of the 53 RCTs, 81% reported that there was no significant difference in overall survival (OS). However, 50% of RCTs that were unable to find OS differences reported a significant difference in HRQOL scores. The quality of HRQOL reporting has improved; both reporting of clinically significant differences and statistical testing of HRQOL have improved. A European Organisation for Research and Treatment of Cancer HRQOL questionnaire was used in 57% of the studies. However, reporting of HRQOL hypotheses and rationales for choosing HRQOL instruments were significantly less than before 2002 (P < .05). CONCLUSION The number of NSCLC RCTs incorporating HRQOL assessments has considerably increased. HRQOL continues to demonstrate its importance in RCTs, especially in those studies in which no OS difference is found. Despite the improved quality of HRQOL methodology reporting, certain aspects remain underrepresented. Our findings suggest need for an international standardization of HRQOL reporting similar to the CONSORT guidelines for clinical findings.
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Affiliation(s)
- Lily Claassens
- From the Erasmus Medical Centre, Rotterdam, the Netherlands; University Hospital Gent, Gent; European Organisation for Research and Treatment of Cancer Headquarters, Brussels, Belgium; The University of Texas MD Anderson Cancer Center, Houston, TX; and St James's Institute of Oncology, University of Leeds, Cancer Research UK Clinical Centre, Leeds, United Kingdom
| | - Jan van Meerbeeck
- From the Erasmus Medical Centre, Rotterdam, the Netherlands; University Hospital Gent, Gent; European Organisation for Research and Treatment of Cancer Headquarters, Brussels, Belgium; The University of Texas MD Anderson Cancer Center, Houston, TX; and St James's Institute of Oncology, University of Leeds, Cancer Research UK Clinical Centre, Leeds, United Kingdom
| | - Corneel Coens
- From the Erasmus Medical Centre, Rotterdam, the Netherlands; University Hospital Gent, Gent; European Organisation for Research and Treatment of Cancer Headquarters, Brussels, Belgium; The University of Texas MD Anderson Cancer Center, Houston, TX; and St James's Institute of Oncology, University of Leeds, Cancer Research UK Clinical Centre, Leeds, United Kingdom
| | - Chantal Quinten
- From the Erasmus Medical Centre, Rotterdam, the Netherlands; University Hospital Gent, Gent; European Organisation for Research and Treatment of Cancer Headquarters, Brussels, Belgium; The University of Texas MD Anderson Cancer Center, Houston, TX; and St James's Institute of Oncology, University of Leeds, Cancer Research UK Clinical Centre, Leeds, United Kingdom
| | - Irina Ghislain
- From the Erasmus Medical Centre, Rotterdam, the Netherlands; University Hospital Gent, Gent; European Organisation for Research and Treatment of Cancer Headquarters, Brussels, Belgium; The University of Texas MD Anderson Cancer Center, Houston, TX; and St James's Institute of Oncology, University of Leeds, Cancer Research UK Clinical Centre, Leeds, United Kingdom
| | - Elizabeth K. Sloan
- From the Erasmus Medical Centre, Rotterdam, the Netherlands; University Hospital Gent, Gent; European Organisation for Research and Treatment of Cancer Headquarters, Brussels, Belgium; The University of Texas MD Anderson Cancer Center, Houston, TX; and St James's Institute of Oncology, University of Leeds, Cancer Research UK Clinical Centre, Leeds, United Kingdom
| | - Xin Shelly Wang
- From the Erasmus Medical Centre, Rotterdam, the Netherlands; University Hospital Gent, Gent; European Organisation for Research and Treatment of Cancer Headquarters, Brussels, Belgium; The University of Texas MD Anderson Cancer Center, Houston, TX; and St James's Institute of Oncology, University of Leeds, Cancer Research UK Clinical Centre, Leeds, United Kingdom
| | - Galina Velikova
- From the Erasmus Medical Centre, Rotterdam, the Netherlands; University Hospital Gent, Gent; European Organisation for Research and Treatment of Cancer Headquarters, Brussels, Belgium; The University of Texas MD Anderson Cancer Center, Houston, TX; and St James's Institute of Oncology, University of Leeds, Cancer Research UK Clinical Centre, Leeds, United Kingdom
| | - Andrew Bottomley
- From the Erasmus Medical Centre, Rotterdam, the Netherlands; University Hospital Gent, Gent; European Organisation for Research and Treatment of Cancer Headquarters, Brussels, Belgium; The University of Texas MD Anderson Cancer Center, Houston, TX; and St James's Institute of Oncology, University of Leeds, Cancer Research UK Clinical Centre, Leeds, United Kingdom
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