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Published on: September 8, 2023
Future trends in patient-reported outcomes assessment for patients with advanced-stage lung cancer receiving targeted
David T Eton1, Kathleen J Yost, David Cella
1Center on Outcomes, Research and Education, Evanston Northwestern Healthcare, IL 60201, USA. d-eton@northwestern.edu
Abstract:
Recent advances in cancer cell biology have led to the development of therapeutic agents that target pathways critical to the development and progression of disease. These so-called "targeted therapies" might offer patients a more tolerable alternative to traditional systemic chemotherapy that often achieves therapeutic benefit at the cost of debilitating side effects. Several targeted agents have been recently tested in clinical trials of advanced-stage lung cancer. As interest in these therapies grows, an understanding of their impact on the patient's well-being will be important. Patient-reported outcome measures such as formal assessments of health-related quality of life and disease symptoms provide a useful means for addressing the impact of therapy from the perspective of the patient. We summarize the most commonly used measures of health-related quality of life in clinical trials of advanced-stage lung cancer. Although existing measurement systems do provide adequate coverage of many important patient-related outcome issues, the advent of targeted therapies in advanced-stage lung cancer does expose several measurement gaps. We highlight some of these gaps by reviewing a representative sample of recently conducted clinical trials of targeted lung cancer therapy and offer insight as to how these gaps can be filled. We also briefly discuss a set of issues unique to patients receiving targeted therapy (eg, perceptions of treatment efficacy, treatment compliance, patient satisfaction, and treatment convenience) and consider a few methodologic concerns unique to patients with advanced cancer.
Insights
Targeted therapies offer a tolerable alternative for advanced lung cancer patients. However, current quality of life assessments reveal gaps in measuring patient well-being with these novel treatments.
Area of Science:
- Oncology
- Pharmacology
- Patient-Reported Outcomes
Background:
- Targeted therapies represent a significant advancement in cancer treatment, offering a more tolerable alternative to traditional chemotherapy.
- These novel agents target specific pathways crucial for cancer development and progression.
- Clinical trials for advanced-stage lung cancer increasingly incorporate targeted therapies.
Purpose of the Study:
- To review health-related quality of life (HRQoL) measures used in advanced-stage lung cancer clinical trials.
- To identify measurement gaps in assessing patient well-being with emerging targeted therapies.
- To suggest methods for addressing these identified gaps.
Main Methods:
- Systematic review of commonly used HRQoL measures in advanced lung cancer trials.
- Analysis of recently conducted clinical trials involving targeted lung cancer therapies.
- Discussion of unique issues and methodological concerns for patients on targeted therapy.
Main Results:
- Existing HRQoL measures adequately cover many patient-related outcomes.
- The introduction of targeted therapies has exposed specific gaps in current measurement systems.
- Key areas for improvement include assessing treatment efficacy perception, compliance, satisfaction, and convenience.
Conclusions:
- While established HRQoL measures are valuable, they require refinement to fully capture the patient experience with targeted lung cancer therapies.
- Addressing identified measurement gaps is crucial for a comprehensive understanding of targeted therapy's impact on patient well-being.
- Further research should focus on developing and validating measures tailored to the unique aspects of targeted cancer treatment.
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