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Eksport do Mediów Społecznościowych

Eksport do Mediów Społecznościowych

Ocena jakości życia chorych na uogólnionego raka piersi leczonych inhibitorami kinaz zależnych od cyklin 4 i 6 w połączeniu z inhibitorem aromatazy lub fulwestrantem – badanie wieloośrodkowe.

Agnieszka Jagiełło-Gruszfeld1, Michał Kunkiel1, Piotr Pańtak2, Michał Jarząb3, Barbara Radecka45, Joanna Hudała-Klecha45, Bogumiła Arłukowicz-Czartoryska6, Michał Jurczyk78, Anna Majstrak-Hulewska9, Ewa Szombara9, Renata Sienkiewicz9, Joanna Streb810

Streszczenie

Wprowadzenie. Zaawansowany, hormonozależny rak piersi stał się chorobą przewlekłą, co doprowadziło do sytuacji, w której coraz istotniejsza staje się jakość życia pacjentów w trakcie terapii. Celem opisanego w niniejszym artykule badania było przeprowadzenie oceny jakości życia chorych leczonych trzema lekami z grupy inhibitorów CDK4/6 w skojarzeniu z hormonoterapią. 

Materiał i metody. Badanie przeprowadzono w pięciu ośrodkach w Polsce. Kolejni chorzy, którzy wyrazili zgodę na udział w badaniu, zostali poproszeni o jednorazowe wypełnienie arkuszy EORTC QLQ-C30 i QLQ-BR23 oraz ankiety dodatkowej. 

Wyniki. Ankiety zostały wypełnione przez 502 chorych leczonych inhibitorami CDK4/6 (rybocyklib — 51%, palbocyklib — 24%, abemacyklib — 23%, brak informacji — 3%) w skojarzeniu z hormonoterapią (inhibitor aromatazy — 65%, fulwestrant — 25%, brak informacji — 10%). Różnice w ocenianych parametrach były niewielkie, a w kilku aspektach najlepiej tolerowany był rybocyklib. 

Wnioski. Uzyskane wyniki wskazują, że zastosowanie hormonoterapii w skojarzeniu z inhibitorem CDK4/6 pozwala chorym utrzymać bardzo dobrą lub dobrą jakość życia. Różnice pomiędzy grupami otrzymującymi rybocyklib, palbocyklib albo abemacyklib są niewielkie, ale w kilku aspektach rybocyklib jest najwyżej oceniany w skalach jakości życia.

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Referencje

  1. Pu D, Xu D, Wu Y, et al. Efficacy of CDK4/6 inhibitors combined with endocrine therapy in HR+/HER2- breast cancer: an umbrella review. J Cancer Res Clin Oncol. 2024; 150(1): 16.
  2. Gennari A, André F, Barrios CH, et al. ESMO Guidelines Committee. Electronic address: clinicalguidelines@esmo.org. ESMO Clinical Practice Guideline for the diagnosis, staging and treatment of patients with metastatic breast cancer. Ann Oncol. 2021; 32(12): 1475–1495.
  3. ESMO Metastatic Breast Cancer Living Guidelines, v1.1 May 2023.
  4. Gradishar WJ, Moran MS, Abraham J, et al. Breast Cancer, Version 3.2022, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw. 2022; 20(6): 691–722.
  5. Finn RS, Martin M, Rugo HS, et al. Palbociclib and Letrozole in Advanced Breast Cancer. N Engl J Med. 2016; 375(20): 1925–1936.
  6. Cristofanilli M, Turner NC, Bondarenko I, et al. Fulvestrant plus palbociclib versus fulvestrant plus placebo for treatment of hormone-receptor-positive, HER2-negative metastatic breast cancer that progressed on previous endocrine therapy (PALOMA-3): final analysis of the multicentre, double-blind, phase 3 randomised controlled trial. Lancet Oncol. 2016; 17(4): 425–439.
  7. Hortobagyi GN, Stemmer SM, Burris HA, et al. Ribociclib as First-Line Therapy for HR-Positive, Advanced Breast Cancer. N Engl J Med. 2016; 375(18): 1738–1748.
  8. Slamon DJ, Neven P, Chia S, et al. Overall Survival with Ribociclib plus Fulvestrant in Advanced Breast Cancer. N Engl J Med. 2020; 382(6): 514–524.
  9. Im SA, Lu YS, Bardia A, et al. Overall Survival with Ribociclib plus Endocrine Therapy in Breast Cancer. N Engl J Med. 2019; 381(4): 307–316.
  10. Sledge GW, Toi M, Neven P, et al. MONARCH 2: Abemaciclib in Combination With Fulvestrant in Women With HR+/HER2- Advanced Breast Cancer Who Had Progressed While Receiving Endocrine Therapy. J Clin Oncol. 2017; 35(25): 2875–2884.
  11. Goetz MP, Toi M, Campone M, et al. MONARCH 3: Abemaciclib As Initial Therapy for Advanced Breast Cancer. J Clin Oncol. 2017; 35(32): 3638–3646.
  12. Schettini F, Giudici F, Giuliano M, et al. Overall Survival of CDK4/6-Inhibitor-Based Treatments in Clinically Relevant Subgroups of Metastatic Breast Cancer: Systematic Review and Meta-Analysis. J Natl Cancer Inst. 2020; 112(11): 1089–1097.
  13. Gao JJ, Cheng J, Bloomquist E, et al. CDK4/6 inhibitor treatment for patients with hormone receptor-positive, HER2-negative, advanced or metastatic breast cancer: a US Food and Drug Administration pooled analysis. Lancet Oncol. 2020; 21(2): 250–260.
  14. Finn RS, Rugo HS, Dieras V, et al. Overall suvival with first-line palbociclib plus letrozole versus placebo plus letrozole in women with estrogen-receptor-positive/human epidermal growth factor receptor 2-negative advanced breast cancer: analysis from PALOMA-2. Am Soc Clin Oncol. 2022; 40: LBA1003.
  15. Turner NC, Slamon DJ, Ro J, et al. Overall Survival with Palbociclib and Fulvestrant in Advanced Breast Cancer. N Engl J Med. 2018; 379(20): 1926–1936.
  16. Sledge GW, Toi M, Neven P, et al. The Effect of Abemaciclib Plus Fulvestrant on Overall Survival in Hormone Receptor-Positive, ERBB2-Negative Breast Cancer That Progressed on Endocrine Therapy-MONARCH 2: A Randomized Clinical Trial. JAMA Oncol. 2020; 6(1): 116–124.
  17. Goetz M. Goetz MONARCH 3: Final overall survival results of abemaciclib plus a nonsteroidal aromatase inhibitor as first-line therapy in patients with HR+, HER2- advanced breast cancer. San Antonio Breast Cancer Symposium (SABCS). 2023: Abstract #1643629 Late Breaking Oral, December 6, 2023.
  18. Cardoso F, Rihani J, Aubel D, et al. Assessment of side effects impacting quality of life in patients undergoing treatment for advanced breast cancer (ABC) in clinical practice: a real-world multicountry survey. Eur Soc Med Oncol Breast Cancer. 2022; 33: S208–S209.
  19. Corazza GR, Formagnana P, Lenti MV. Bringing complexity into clinical practice: An internistic approach. Eur J Intern Med. 2019; 61: 9–14.
  20. Lenti MV, Sottotetti F, Corazza GR. Tackling the clinical complexity of breast cancer. Drugs Context. 2022; 11.
  21. Wojciechowska U, Barańska K, Miklewska M, et al. Cancer incidence and mortality in Poland in 2020. Nowotwory. Journal of Oncology. 2023; 73(3): 129–145.
  22. Cardoso F, Cella D, Velikova G, et al. Quality-of-life methodology in hormone receptor-positive advanced breast cancer: Current tools and perspectives for the future. Cancer Treat Rev. 2022; 102: 102321.
  23. Zhao JJ, Fong KY, Chan YH, et al. Indirect Treatment Comparison of First-Line CDK4/6-Inhibitors in Post-Menopausal Patients with HR+/HER2- Metastatic Breast Cancer. Cancers (Basel). 2023; 15(18).
  24. Fasching PA, Beck JT, Chan A, et al. Ribociclib plus fulvestrant for advanced breast cancer: Health-related quality-of-life analyses from the MONALEESA-3 study. Breast. 2020; 54: 148–154.
  25. Rocque G, Blum JL, Montero A, et al. Abstract PD10-03: quality of life in patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative advanced breast cancer treated with palbociclib in real-world practice settings. Cancer Res. 2020; 80: PD10-03-PD10-03.
  26. Rugo HS, O’Shaughnessy J, Jhaveri KL, et al. Quality of life (QOL) with ribociclib (RIB) plus aromatase inhibitor (AI) versus abemaciclib (ABE) plus AI as first-line (1L) treatment (tx) of hormone receptor-positive/human epidermal growth factor receptor-negative (HRþ/HER2-) advanced breast cancer (ABC), assessed via matching-adjusted indirect comparison (MAIC). J Clin Oncol. 2022; 40: 1015.
  27. Di Lauro V, Barchiesi G, Martorana F, et al. Health-related quality of life in breast cancer patients treated with CDK4/6 inhibitors: a systematic review. ESMO Open. 2022; 7(6): 100629.
  28. Tagliaferri B, Mollica L, Palumbo R, et al. Health-related quality of life and clinical complexity of a real-life cohort of patients with advanced HR/HER2 breast cancer treated with CDK4/6 inhibitors and endocrine therapy. Drugs Context. 2023; 12.
  29. Harbeck N, Franke F, Villanueva-Vazquez R, et al. Health-related quality of life in premenopausal women with hormone-receptor-positive, HER2-negative advanced breast cancer treated with ribociclib plus endocrine therapy: results from a phase III randomized clinical trial (MONALEESA-7). Ther Adv Med Oncol. 2020; 12: 1758835920943065.
  30. Verma S, O'Shaughnessy J, Burris HA, et al. Health-related quality of life of postmenopausal women with hormone receptor-positive, human epidermal growth factor receptor 2-negative advanced breast cancer treated with ribociclib + letrozole: results from MONALEESA-2. Breast Cancer Res Treat. 2018; 170(3): 535–545.
  31. Harbeck N, Iyer S, Turner N, et al. Quality of life with palbociclib plus fulvestrant in previously treated hormone receptor-positive, HER2-negative metastatic breast cancer: patient-reported outcomes from the PALOMA-3 trial. Ann Oncol. 2016; 27(6): 1047–1054.
  32. Kahan Z, Gil-Gil M, Ruiz-Borrego M, et al. Health-related quality of life with palbociclib plus endocrine therapy versus capecitabine in postmenopausal patients with hormone receptor-positive metastatic breast cancer: Patient-reported outcomes in the PEARL study. Eur J Cancer. 2021; 156: 70–82.
  33. Wilson FR, Varu A, Mitra D, et al. Systematic review and network meta-analysis comparing palbociclib with chemotherapy agents for the treatment of postmenopausal women with HR-positive and HER2-negative advanced/metastatic breast cancer. Breast Cancer Res Treat. 2017; 166(1): 167–177.
  34. Rugo HS, Harmer V, O'Shaughnessy J, et al. Quality of life with ribociclib abemaciclib as first-line treatment of HR+/HER2- advanced breast cancer: a matching-adjusted indirect comparison. Ther Adv Med Oncol. 2023; 15: 17588359231152843.
  35. Kaufman PA, Toi M, Neven P, et al. Health-Related Quality of Life in MONARCH 2: Abemaciclib plus Fulvestrant in Hormone Receptor-Positive, HER2-Negative Advanced Breast Cancer After Endocrine Therapy. Oncologist. 2020; 25(2): e243–e251.
  36. Goetz MP, Martin M, Tokunaga E, et al. Health-Related Quality of Life in MONARCH 3: Abemaciclib plus an Aromatase Inhibitor as Initial Therapy in HR+, HER2- Advanced Breast Cancer. Oncologist. 2020; 25(9): e1346–e1354.