Nonprogression with Avelumab Treatment Associated with Gains in Quality of Life in Metastatic Merkel Cell Carcinoma
Overview
Affiliations
Aim: To assess the association between tumor response and health-related quality of life (HRQoL) in patients with metastatic Merkel cell carcinoma treated with the anti-PD-L1 avelumab.
Materials & Methods: Phase II single-arm trial (NCT02155647) data of 88 patients were analyzed. Correlations between percentage reduction in tumor size and change from baseline in Functional Assessment of Cancer Therapy - General (FACT-G), FACT - Melanoma (FACT-M) and EuroQol-5 Dimension scores were calculated. HRQoL and utility by tumor response (per the Response Evaluation Criteria In Solid Tumors version 1.1) was estimated.
Results: Tumor shrinkage correlated positively with patients' change from baseline in the FACT-M total (0.364 [95% CI: 0.050-0.607]) and subscale scores. Differences in HRQoL and utility between nonprogressive disease and progressive disease were clinically relevant.
Conclusion: In patients with metastatic Merkel cell carcinoma, nonprogression during treatment with avelumab correlated with gains in HRQoL.
Hoogland A, Brohl A, Small B, Michael L, Wuthrick E, Eroglu Z Cancer Med. 2024; 13(14):e7464.
PMID: 39021272 PMC: 11255021. DOI: 10.1002/cam4.7464.
Silk A, Barker C, Bhatia S, Bollin K, Chandra S, Eroglu Z J Immunother Cancer. 2022; 10(7).
PMID: 35902131 PMC: 9341183. DOI: 10.1136/jitc-2021-004434.
Meta-Analysis of Quality of Life in Cancer Patients Treated With Immune Checkpoint Inhibitors.
Gonzalez B, Eisel S, Bowles K, Hoogland A, James B, Small B J Natl Cancer Inst. 2021; 114(6):808-818.
PMID: 34508604 PMC: 9194633. DOI: 10.1093/jnci/djab171.
Bharmal M, Nolte S, Lebbe C, Mortier L, Brohl A, Fazio N Future Oncol. 2020; 16(27):2089-2099.
PMID: 32938212 PMC: 9437770. DOI: 10.2217/fon-2020-0426.
Clinical benefit of baseline imaging in Merkel cell carcinoma: Analysis of 584 patients.
Singh N, Alexander N, Lachance K, Lewis C, McEvoy A, Akaike G J Am Acad Dermatol. 2020; 84(2):330-339.
PMID: 32707254 PMC: 7854967. DOI: 10.1016/j.jaad.2020.07.065.