Section of Medical Oncology, Tom Baker Cancer Centre, Calgary, AB.
Department of Oncology, Faculty of Medicine, McGill University, Montreal, QC.
Curr Oncol. 2020 Oct;27(5):e451-e458. doi: 10.3747/co.27.6533. Epub 2020 Oct 1.
Quality of life (qol) is important for oncology patients, especially for those with late-stage disease. The present study was initiated to address the lack of published prospective data about the qol benefits of trifluridine/tipiracil (ftd/tpi) compared with best supportive care (bsc) in patients with refractory metastatic colorectal cancer (mcrc).
This prospective, cross-sectional, non-interventional study used multidimensional validated scales to evaluate patient-reported qol in two study cohorts of patients and also to measure differences in mcrc-related symptoms and pain in a real-world clinical setting.
Our findings demonstrate that patients with refractory mcrc report better overall qol when treated with ftd/tpi than with bsc alone. In that population, statistically significant differences in mean qol measures favoured ftd/tpi over bsc for physical symptom distress, psychological distress, activity impairment, overall valuation of life, and symptomatology. The overall better qol for patients receiving ftd/tpi implies that treatment was well tolerated and was associated with a lower symptom burden. No significant differences for pain were observed between the groups.
This study suggests that ftd/tpi is a well-tolerated option for the treatment of patients with refractory mcrc, showcasing the value of capturing real-world qol data in routine clinical practice.
生活质量(qol)对于肿瘤患者很重要,尤其是对于晚期疾病患者。本研究旨在解决缺乏关于三氟尿苷/替匹嘧啶(ftd/tpi)与最佳支持治疗(bsc)相比在难治性转移性结直肠癌(mcrc)患者中提高 qol 的前瞻性数据。
本前瞻性、横断面、非干预性研究使用多维验证量表评估了两个研究队列患者的患者报告 qol,并在真实临床环境中测量了 mcrc 相关症状和疼痛的差异。
我们的研究结果表明,与单独接受 bsc 治疗相比,接受 ftd/tpi 治疗的难治性 mcrc 患者报告的整体 qol 更好。在该人群中,ftd/tpi 治疗在身体症状困扰、心理困扰、活动障碍、整体生活评估和症状学方面的 qol 指标平均值差异具有统计学意义。接受 ftd/tpi 治疗的患者总体 qol 更好,这意味着治疗耐受性良好,与较低的症状负担相关。两组之间未观察到疼痛的显著差异。
这项研究表明,ftd/tpi 是治疗难治性 mcrc 患者的一种耐受良好的选择,突显了在常规临床实践中捕获真实世界 qol 数据的价值。