患者对三级暴露复发性或耐火性多发性骨髓瘤治疗的偏好:一个离散选择研究
Sikander Ailawadhi1, Timothy J Inocencio2, Carol Mansfield3
1Division of Hematology/Oncology, Mayo Clinic, Jacksonville, FL, USA.
Future oncology (London, England)
|February 27, 2025
概括
患有复发性/耐药性多发性骨髓瘤的患者更喜欢优先考虑整体生存的治疗方法,并尽量减少严重感染和住院治疗. 这些因素对于三级暴露患者的治疗决策至关重要.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
背景情况:
- 多发性骨髓瘤 (MM) 是一种血液性恶性瘤.
- 复发性和/或耐火性多发性骨髓瘤 (RRMM) 存在重大治疗挑战.
- 三级暴露 (TCE) 患者的治疗选择有限.
研究的目的:
- 量化患者对TCE RRMM新型治疗方法的关键属性的偏好.
- 了解患者对疗效,安全和治疗物流的优先考虑.
主要方法:
- 一个离散选择实验被用来引起患者的偏好.
- 评估了七个治疗属性:ORR,OS,CRS风险,ICANS风险,严重感染风险,管理和初次住院.
主要成果:
- 总生存率 (OS) 是最关键的属性,其次是严重感染风险,初次住院和客观反应率 (ORR).
- 患者更喜欢减少住院日数和现成的治疗方案,而不是类似于CAR T细胞的疗法.
结论:
- 对TCE RRMM的治疗决定应该平衡有效性,安全性和以患者为中心的后勤因素.
- 患者的偏好突出了生存,安全和可管理的治疗管理的重要性.
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