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Health‐related quality‐of‐life results from PALETTE: A randomized, double‐blind, phase 3 trial of pazopanib versus placebo in patients with soft tissue sarcoma whose disease has progressed during or after prior chemotherapy—a European Organization for research and treatment of cancer soft tissue and bone sarcoma group global network study (EORTC 62072)
Author(s) -
Coens Corneel,
van der Graaf Winette T. A.,
Blay JeanYves,
Chawla Sant P.,
Judson Ian,
Sanfilippo Roberta,
Manson Stephanie C.,
Hodge Rachel A.,
Marreaud Sandrine,
Prins Judith B.,
Lugowska Iwona,
Litière Saskia,
Bottomley Andrew
Publication year - 2015
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/cncr.29426
Subject(s) - medicine , pazopanib , placebo , soft tissue sarcoma , double blind , quality of life (healthcare) , randomized controlled trial , soft tissue , sarcoma , oncology , cancer , surgery , pathology , alternative medicine , sunitinib , nursing
BACKGROUND Health‐related quality of life (HRQoL) was an exploratory endpoint in the PALETTE trial, a global, double‐blind, randomized, phase 3 trial of pazopanib 800 mg versus placebo as second‐line or later treatment for patients with advanced soft tissue sarcoma (N = 369). In that trial, progression‐free survival was significantly improved in the pazopanib arm (median, 4.6 vs 1.6 months; hazard ratio, 0.31; P < .001), and toxicity of pazopanib consisted mainly of fatigue, diarrhea, nausea, weight loss, and hypertension. METHODS HRQoL was assessed using the 30‐item core European Organization for the Research and Treatment of Cancer (EORTC) Quality‐of‐Life Questionnaire (EORTC QLQ‐C30) at baseline and at weeks 4, 8, and 12 in patients who received treatment on protocol. The primary HRQoL endpoint was the EORTC QLQ‐C30 global health status scale. RESULTS Compliance with HRQoL assessments was good, ranging from 94% at baseline to 81% at week 12. Differences in scores on the EORTC QLQ‐C30 global health status subscale between the 2 treatment arms were not statistically significant and did not exceed the predetermined, minimal clinically important difference of 10 points ( P = .291; maximum difference, 3.8 points). Among the other subscales, the pazopanib arm reported significantly worse symptom scores for diarrhea ( P < .001) loss of appetite ( P < .001), nausea/vomiting ( P < .001), and fatigue ( P = .012). In general, HRQoL scores tended to decline over time in both arms. CONCLUSIONS HRQoL did not improve with the receipt of pazopanib. However, the observed improvement in progression‐free survival without impairment of HRQoL was considered a meaningful result. The toxicity profile of pazopanib was reflected in the patients’ self‐reported symptoms but did not translate into significantly worse overall global health status during treatment. Cancer 2015;121:2933–2941. © 2015 American Cancer Society .