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Health-related quality of life in the phase III GALLIUM study of obinutuzumab- or rituximab-based chemotherapy in patients with previously untreated advanced follicular lymphoma

Health-related quality of life in the phase III GALLIUM study of obinutuzumab- or rituximab-based chemotherapy in patients with previously untreated advanced follicular lymphoma
Health-related quality of life in the phase III GALLIUM study of obinutuzumab- or rituximab-based chemotherapy in patients with previously untreated advanced follicular lymphoma

Health-related quality of life was a secondary endpoint in the phase III GALLIUM study in previously untreated patients with follicular lymphoma who were treated with rituximab- or obinutuzumab-chemotherapy. Patients were randomized 1:1 to receive induction therapy with obinutuzumab- or rituximab-chemotherapy and maintenance in responders. Health-related quality of life was assessed using the Functional Assessment of Cancer Treatment-Lymphoma questionnaire, incorporating well-being and lymphoma-specific subscales. Assessments were performed at baseline, and during induction, maintenance, and follow-up (maximum 84 months). Clinically meaningful responses were defined by minimally important difference values. Of 1202 randomized patients (median follow-up 57.4 months), 557/601 (92.7%; obinutuzumab-chemotherapy) and 548/601 (91.2%; rituximab-chemotherapy) completed all Functional Assessment of Cancer Treatment-Lymphoma scales at baseline. Mean baseline health-related quality of life scores were similar between both arms, with all patients having some functional impairment and lymphoma symptoms. Over the course of treatment, mean health-related quality of life remained similar in both arms. Equal proportions of patients in both arms achieved minimally important difference by the Functional Assessment of Cancer Treatment-Lymphoma lymphoma-specific subscale and summary scales throughout induction, maintenance, and follow-up. On each summary scale, ~ 50% of patients in each arm achieved minimally important difference by maintenance month 2. In GALLIUM, similar improvements in health-related quality of life were seen with obinutuzumab- and rituximab-chemotherapy, suggesting that both treatments reduced lymphoma-related symptoms, and treatment-related side effects did not abrogate these improvements in well-being. ClinicalTrials.gov identifier: NCT01332968.

Follicular lymphoma, Indolent non-Hodgkin lymphoma, Obinutuzumab, Quality of life, Rituximab
0939-5555
2837-2846
Davies, Andrew
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Trask, Peter
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Demeter, Judit
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Florschütz, Axel
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Hänel, Mathias
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Kinoshita, Tomohiro
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Pettengell, Ruth
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Quach, Hang
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Robinson, Stephen
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Sadullah, Shalal
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Sancho, Juan-Manuel
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Udvardy, Miklos
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Witzens-Harig, Mathias
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Knapp, Andrea
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Liu, Wenxin
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Davies, Andrew
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Trask, Peter
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Demeter, Judit
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Florschütz, Axel
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Hänel, Mathias
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Kinoshita, Tomohiro
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Pettengell, Ruth
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Quach, Hang
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Robinson, Stephen
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Sadullah, Shalal
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Sancho, Juan-Manuel
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Udvardy, Miklos
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Witzens-Harig, Mathias
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Knapp, Andrea
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Liu, Wenxin
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Davies, Andrew, Trask, Peter, Demeter, Judit, Florschütz, Axel, Hänel, Mathias, Kinoshita, Tomohiro, Pettengell, Ruth, Quach, Hang, Robinson, Stephen, Sadullah, Shalal, Sancho, Juan-Manuel, Udvardy, Miklos, Witzens-Harig, Mathias, Knapp, Andrea and Liu, Wenxin (2020) Health-related quality of life in the phase III GALLIUM study of obinutuzumab- or rituximab-based chemotherapy in patients with previously untreated advanced follicular lymphoma. Annals of Hematology, 99 (12), 2837-2846. (doi:10.1007/s00277-020-04021-6).

Record type: Article

Abstract

Health-related quality of life was a secondary endpoint in the phase III GALLIUM study in previously untreated patients with follicular lymphoma who were treated with rituximab- or obinutuzumab-chemotherapy. Patients were randomized 1:1 to receive induction therapy with obinutuzumab- or rituximab-chemotherapy and maintenance in responders. Health-related quality of life was assessed using the Functional Assessment of Cancer Treatment-Lymphoma questionnaire, incorporating well-being and lymphoma-specific subscales. Assessments were performed at baseline, and during induction, maintenance, and follow-up (maximum 84 months). Clinically meaningful responses were defined by minimally important difference values. Of 1202 randomized patients (median follow-up 57.4 months), 557/601 (92.7%; obinutuzumab-chemotherapy) and 548/601 (91.2%; rituximab-chemotherapy) completed all Functional Assessment of Cancer Treatment-Lymphoma scales at baseline. Mean baseline health-related quality of life scores were similar between both arms, with all patients having some functional impairment and lymphoma symptoms. Over the course of treatment, mean health-related quality of life remained similar in both arms. Equal proportions of patients in both arms achieved minimally important difference by the Functional Assessment of Cancer Treatment-Lymphoma lymphoma-specific subscale and summary scales throughout induction, maintenance, and follow-up. On each summary scale, ~ 50% of patients in each arm achieved minimally important difference by maintenance month 2. In GALLIUM, similar improvements in health-related quality of life were seen with obinutuzumab- and rituximab-chemotherapy, suggesting that both treatments reduced lymphoma-related symptoms, and treatment-related side effects did not abrogate these improvements in well-being. ClinicalTrials.gov identifier: NCT01332968.

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GALLIUM PRO Ann Hematol Davies 27 March 20 clean - Accepted Manuscript
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Accepted/In Press date: 2 April 2020
e-pub ahead of print date: 20 April 2020
Published date: December 2020
Additional Information: Funding Information: GALLIUM was sponsored by the F. Hoffmann-La Roche Ltd. Third-party medical writing assistance, under the direction of Andrew Davies, was provided by the Russell Craddock and Louise Profit of Gardiner-Caldwell Communications, and was funded by the F. Hoffmann-La Roche Ltd. Publisher Copyright: © 2020, The Author(s).
Keywords: Follicular lymphoma, Indolent non-Hodgkin lymphoma, Obinutuzumab, Quality of life, Rituximab

Identifiers

Local EPrints ID: 439734
URI: http://eprints.soton.ac.uk/id/eprint/439734
ISSN: 0939-5555
PURE UUID: eb8a76a6-b1a1-42e0-a1ac-faa4c371ed93
ORCID for Andrew Davies: ORCID iD orcid.org/0000-0002-7517-6938

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Date deposited: 30 Apr 2020 16:35
Last modified: 17 Mar 2024 03:14

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Contributors

Author: Andrew Davies ORCID iD
Author: Peter Trask
Author: Judit Demeter
Author: Axel Florschütz
Author: Mathias Hänel
Author: Tomohiro Kinoshita
Author: Ruth Pettengell
Author: Hang Quach
Author: Stephen Robinson
Author: Shalal Sadullah
Author: Juan-Manuel Sancho
Author: Miklos Udvardy
Author: Mathias Witzens-Harig
Author: Andrea Knapp
Author: Wenxin Liu

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