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- W3087788868 abstract "Gemcitabine and nab-paclitaxel (NPG) is one of the standard 1st therapies for metastatic pancreatic cancer (mPC). Nevertheless, only few data exist on health-related quality of life (QoL) in mPC. receiving first-line systemic chemotherapy. The QOLIXANE-PARAGON study is a prospective, non-interventional, multicenter sub-study of the PARAGON- registry, conducted in Germany and transitioned into a permanent registry for pancreatic cancer pts considering all types of treatments. This report focuses on the pts enrolled into the QOLIXANE portion of the study, treated with NPG in 1st line. Pts were recruited from 95 German centers. QoL was prospectively measured via EORTC-C30 questionnaires (at baseline and every month thereafter): therapy and efficacy parameters were prospectively collected. QoL and efficacy endpoints were analyzed in the intention-to-treat population (ITT). Main objectives were the rate of patients without deterioration of Global Health Status/QoL (GHS/QoL) at 3 and 6 months. 600 pts were enrolled. MPFS was 5.85 months (95% CI, 5.23 to 6.25). MOS was 8.91 mo (95% CI, 7.89 to 10.19). The mOS in ECOG 0 pts. was significantly better (11.18 mo; p = 0.027) than in ECOG 1 pts. (mOS 8.52 mo) and ECOG 2 (mOS 4.80 mo; p <0.0001). Worst mOS was seen in ECOG 3 (mOS 2.94 mo). The KM-analysis showed that 61% and 41% of pts had maintained QoL/GHS after 3 and 6 months, respectively. Median time to deterioration of QoL/GHS was 4.68 months (95% CI, 4.04 to 5.59). Mean QoL/GHS improved from 46.1 (SD 22.7) at baseline to 52.8 (SD 21.3) after 6 months. In the QoL response analysis, 34.6%, 37.4% and 28% of evaluable pts had improved, stable and worse QoL/GHS after 3 months, respectively. In the Cox regression analysis, GHS/QoL scores strongly predicted survival with a HR of 0.86 (p<0.0001). QoliXane is the largest study on QoL in mPC and shows that time to deterioration of QoL is short, reflecting the aggressive nature of mPC. Nevertheless, a relevant group of mPC in 1st line have improved or maintained QoL after 3 and 6 months, indicating that QoL is a predictor of pts outcome." @default.
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- W3087788868 date "2020-09-01" @default.
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- W3087788868 title "1525O The QOLIXANE trial - Real life QoL and efficacy data in 1st line pancreatic cancer from the prospective platform for outcome, quality of life, and translational research on pancreatic cancer (PARAGON) registry" @default.
- W3087788868 doi "https://doi.org/10.1016/j.annonc.2020.08.2008" @default.
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