Patient‐reported outcomes and inflammatory biomarkers in patients with locally advanced/metastatic urothelial carcinoma treated with durvalumab in phase 1/2 dose‐escalation study 1108

Background Durvalumab has shown meaningful clinical activity in patients with metastatic urothelial carcinoma (mUC) in Study 1108 (NCT01693562). An important focus in treatment is health‐related quality of life (HRQOL). Here, patient‐reported outcomes (PROs) from Study 1108 and their relationship wi...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Cancer 2020-01, Vol.126 (2), p.432-443
Hauptverfasser: O'Donnell, Peter H., Arkenau, Hendrick Tobias, Sridhar, Srikala S., Ong, Michael, Drakaki, Alexandra, Spira, Alexander I., Zhang, Jingsong, Gordon, Michael S., Degboe, Arnold N., Gupta, Ashok K., Mukhopadhyay, Pralay, Huang, Wenmei, Abdullah, Shaad E., Angra, Natasha, Roskos, Lorin K., Guo, Xiang, Friedlander, Terence
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 443
container_issue 2
container_start_page 432
container_title Cancer
container_volume 126
creator O'Donnell, Peter H.
Arkenau, Hendrick Tobias
Sridhar, Srikala S.
Ong, Michael
Drakaki, Alexandra
Spira, Alexander I.
Zhang, Jingsong
Gordon, Michael S.
Degboe, Arnold N.
Gupta, Ashok K.
Mukhopadhyay, Pralay
Huang, Wenmei
Abdullah, Shaad E.
Angra, Natasha
Roskos, Lorin K.
Guo, Xiang
Friedlander, Terence
description Background Durvalumab has shown meaningful clinical activity in patients with metastatic urothelial carcinoma (mUC) in Study 1108 (NCT01693562). An important focus in treatment is health‐related quality of life (HRQOL). Here, patient‐reported outcomes (PROs) from Study 1108 and their relationship with inflammatory biomarkers are explored. Methods Disease‐related symptoms, functioning, and HRQOL were assessed with the Functional Assessment of Cancer Therapy–Bladder (FACT‐Bl) and the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 (QLQ‐C30). Relationships between PRO improvements and the best changes in the tumor size, albumin level, and neutrophil‐lymphocyte ratio (NLR) were assessed with Spearman correlation analysis. Results The mean FACT‐Bl total score improved from 107.5 (standard deviation [SD], 23.0) at the baseline to 115.4 (SD, 22.6) on day 113, with similar increases found for the Trial Outcome Index (TOI) and Bladder Cancer Subscale (BLCS) scores. The mean FACT‐Bl total scores improved over time, and the FACT‐Bl TOI scores significantly improved by day 113 (P 
doi_str_mv 10.1002/cncr.32532
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2334698916</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2334698916</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3932-553a40160be27d4e47a65a682526da8e2bbcafd4c21da6e08ce2fea15cf22b043</originalsourceid><addsrcrecordid>eNp9kc9q3DAQh0VJaTZpL32AIMit4F39sb3eY1iSJrC0pSTQmxlLY9aJbG0keRff8gh9n7xNnyTadZpjToOGb74Z9CPkK2dTzpiYqU65qRSZFB_IhLPFPGE8FUdkwhgrkiyVf47Jiff38TmP1CdyLHlWcMnyCXn-BaHBLvx7-utwY11ATW0flG3RU-g0bbraQNtCsG6gVWNbcA_ofOzTzTjq6a4Ja2qsAmMGCnoLnUI9azGAD5FRtHc2rNE0YKgCp5ouamhwCPt1h2nduy2YvoXqYF6DR8pngmrrMd6GPsqjynbUh14PlHNWfCYfazAev7zWU3J3dXm7vE5WP7_fLC9WiZILKZIsk5AynrMKxVynmM4hzyAvRCZyDQWKqlJQ61QJriFHVigUNQLPVC1ExVJ5Ss5H78bZxx59KO9t77q4shRSpvmiWPA8Ut9GSjnrvcO63Lgm_tZQclbucyr3OZWHnCJ89qrsqxb1G_o_mAjwEdg1Bod3VOXyx_L3KH0BhuCkZw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2334698916</pqid></control><display><type>article</type><title>Patient‐reported outcomes and inflammatory biomarkers in patients with locally advanced/metastatic urothelial carcinoma treated with durvalumab in phase 1/2 dose‐escalation study 1108</title><source>Wiley-Blackwell Journals</source><source>Wiley Online Library Free Content</source><source>Free E-Journal (出版社公開部分のみ)</source><source>Alma/SFX Local Collection</source><creator>O'Donnell, Peter H. ; Arkenau, Hendrick Tobias ; Sridhar, Srikala S. ; Ong, Michael ; Drakaki, Alexandra ; Spira, Alexander I. ; Zhang, Jingsong ; Gordon, Michael S. ; Degboe, Arnold N. ; Gupta, Ashok K. ; Mukhopadhyay, Pralay ; Huang, Wenmei ; Abdullah, Shaad E. ; Angra, Natasha ; Roskos, Lorin K. ; Guo, Xiang ; Friedlander, Terence</creator><creatorcontrib>O'Donnell, Peter H. ; Arkenau, Hendrick Tobias ; Sridhar, Srikala S. ; Ong, Michael ; Drakaki, Alexandra ; Spira, Alexander I. ; Zhang, Jingsong ; Gordon, Michael S. ; Degboe, Arnold N. ; Gupta, Ashok K. ; Mukhopadhyay, Pralay ; Huang, Wenmei ; Abdullah, Shaad E. ; Angra, Natasha ; Roskos, Lorin K. ; Guo, Xiang ; Friedlander, Terence</creatorcontrib><description>Background Durvalumab has shown meaningful clinical activity in patients with metastatic urothelial carcinoma (mUC) in Study 1108 (NCT01693562). An important focus in treatment is health‐related quality of life (HRQOL). Here, patient‐reported outcomes (PROs) from Study 1108 and their relationship with inflammatory biomarkers are explored. Methods Disease‐related symptoms, functioning, and HRQOL were assessed with the Functional Assessment of Cancer Therapy–Bladder (FACT‐Bl) and the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 (QLQ‐C30). Relationships between PRO improvements and the best changes in the tumor size, albumin level, and neutrophil‐lymphocyte ratio (NLR) were assessed with Spearman correlation analysis. Results The mean FACT‐Bl total score improved from 107.5 (standard deviation [SD], 23.0) at the baseline to 115.4 (SD, 22.6) on day 113, with similar increases found for the Trial Outcome Index (TOI) and Bladder Cancer Subscale (BLCS) scores. The mean FACT‐Bl total scores improved over time, and the FACT‐Bl TOI scores significantly improved by day 113 (P &lt; .05). The mean EORTC QLQ‐C30 Global Health Status/Quality of Life score improved from 57.1 (SD, 24.8) at the baseline to 69.0 (SD, 21.4) on day 113; the functional scale and symptom scores (day 113) were higher than the baseline scores (P &lt; .05) for EORTC Social Functioning. The FACT‐Bl total, BLCS, and TOI scores improved in 32.6%, 34.9%, and 32.6% of the patients by day 113; 26.3% to 37.8% of the patients exhibited improvements in EORTC QLQ‐C30 functional scores. The best tumor shrinkage and posttreatment improvements in serum albumin and NLR correlated with increases in FACT‐Bl total, TOI, and BLCS scores and in EORTC Physical Functioning and Role Functioning scores (P &lt; .05). Conclusions Durvalumab was associated with improvements in disease‐related symptoms, functioning, and HRQOL in patients with mUC. Improvements in systemic inflammation may contribute to PRO improvements in these patients. In patients with locally advanced/metastatic urothelial carcinoma treated with durvalumab, improvements in patient‐reported outcomes correlate not only with objective tumor responses but also with reductions in markers of systemic inflammation. These findings provide insight into potential links between attenuation of inflammation in cancer and patient‐reported outcomes.</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/cncr.32532</identifier><identifier>PMID: 31581306</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Albumin ; Biomarkers ; Bladder ; Bladder cancer ; Cancer ; Correlation analysis ; durvalumab ; Global health ; health‐related quality of life ; Immunotherapy ; Inflammation ; Lymphocytes ; Metastases ; Metastasis ; Monoclonal antibodies ; Oncology ; Patients ; patient‐reported outcome measures ; Quality of life ; Serum albumin ; Shrinkage ; Signs and symptoms ; Targeted cancer therapy ; tumor ; Tumors ; Urothelial carcinoma</subject><ispartof>Cancer, 2020-01, Vol.126 (2), p.432-443</ispartof><rights>2019 American Cancer Society</rights><rights>2019 American Cancer Society.</rights><rights>2020 American Cancer Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3932-553a40160be27d4e47a65a682526da8e2bbcafd4c21da6e08ce2fea15cf22b043</citedby><cites>FETCH-LOGICAL-c3932-553a40160be27d4e47a65a682526da8e2bbcafd4c21da6e08ce2fea15cf22b043</cites><orcidid>0000-0003-2650-0049</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fcncr.32532$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fcncr.32532$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,1432,27922,27923,45572,45573,46407,46831</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31581306$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>O'Donnell, Peter H.</creatorcontrib><creatorcontrib>Arkenau, Hendrick Tobias</creatorcontrib><creatorcontrib>Sridhar, Srikala S.</creatorcontrib><creatorcontrib>Ong, Michael</creatorcontrib><creatorcontrib>Drakaki, Alexandra</creatorcontrib><creatorcontrib>Spira, Alexander I.</creatorcontrib><creatorcontrib>Zhang, Jingsong</creatorcontrib><creatorcontrib>Gordon, Michael S.</creatorcontrib><creatorcontrib>Degboe, Arnold N.</creatorcontrib><creatorcontrib>Gupta, Ashok K.</creatorcontrib><creatorcontrib>Mukhopadhyay, Pralay</creatorcontrib><creatorcontrib>Huang, Wenmei</creatorcontrib><creatorcontrib>Abdullah, Shaad E.</creatorcontrib><creatorcontrib>Angra, Natasha</creatorcontrib><creatorcontrib>Roskos, Lorin K.</creatorcontrib><creatorcontrib>Guo, Xiang</creatorcontrib><creatorcontrib>Friedlander, Terence</creatorcontrib><title>Patient‐reported outcomes and inflammatory biomarkers in patients with locally advanced/metastatic urothelial carcinoma treated with durvalumab in phase 1/2 dose‐escalation study 1108</title><title>Cancer</title><addtitle>Cancer</addtitle><description>Background Durvalumab has shown meaningful clinical activity in patients with metastatic urothelial carcinoma (mUC) in Study 1108 (NCT01693562). An important focus in treatment is health‐related quality of life (HRQOL). Here, patient‐reported outcomes (PROs) from Study 1108 and their relationship with inflammatory biomarkers are explored. Methods Disease‐related symptoms, functioning, and HRQOL were assessed with the Functional Assessment of Cancer Therapy–Bladder (FACT‐Bl) and the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 (QLQ‐C30). Relationships between PRO improvements and the best changes in the tumor size, albumin level, and neutrophil‐lymphocyte ratio (NLR) were assessed with Spearman correlation analysis. Results The mean FACT‐Bl total score improved from 107.5 (standard deviation [SD], 23.0) at the baseline to 115.4 (SD, 22.6) on day 113, with similar increases found for the Trial Outcome Index (TOI) and Bladder Cancer Subscale (BLCS) scores. The mean FACT‐Bl total scores improved over time, and the FACT‐Bl TOI scores significantly improved by day 113 (P &lt; .05). The mean EORTC QLQ‐C30 Global Health Status/Quality of Life score improved from 57.1 (SD, 24.8) at the baseline to 69.0 (SD, 21.4) on day 113; the functional scale and symptom scores (day 113) were higher than the baseline scores (P &lt; .05) for EORTC Social Functioning. The FACT‐Bl total, BLCS, and TOI scores improved in 32.6%, 34.9%, and 32.6% of the patients by day 113; 26.3% to 37.8% of the patients exhibited improvements in EORTC QLQ‐C30 functional scores. The best tumor shrinkage and posttreatment improvements in serum albumin and NLR correlated with increases in FACT‐Bl total, TOI, and BLCS scores and in EORTC Physical Functioning and Role Functioning scores (P &lt; .05). Conclusions Durvalumab was associated with improvements in disease‐related symptoms, functioning, and HRQOL in patients with mUC. Improvements in systemic inflammation may contribute to PRO improvements in these patients. In patients with locally advanced/metastatic urothelial carcinoma treated with durvalumab, improvements in patient‐reported outcomes correlate not only with objective tumor responses but also with reductions in markers of systemic inflammation. These findings provide insight into potential links between attenuation of inflammation in cancer and patient‐reported outcomes.</description><subject>Albumin</subject><subject>Biomarkers</subject><subject>Bladder</subject><subject>Bladder cancer</subject><subject>Cancer</subject><subject>Correlation analysis</subject><subject>durvalumab</subject><subject>Global health</subject><subject>health‐related quality of life</subject><subject>Immunotherapy</subject><subject>Inflammation</subject><subject>Lymphocytes</subject><subject>Metastases</subject><subject>Metastasis</subject><subject>Monoclonal antibodies</subject><subject>Oncology</subject><subject>Patients</subject><subject>patient‐reported outcome measures</subject><subject>Quality of life</subject><subject>Serum albumin</subject><subject>Shrinkage</subject><subject>Signs and symptoms</subject><subject>Targeted cancer therapy</subject><subject>tumor</subject><subject>Tumors</subject><subject>Urothelial carcinoma</subject><issn>0008-543X</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kc9q3DAQh0VJaTZpL32AIMit4F39sb3eY1iSJrC0pSTQmxlLY9aJbG0keRff8gh9n7xNnyTadZpjToOGb74Z9CPkK2dTzpiYqU65qRSZFB_IhLPFPGE8FUdkwhgrkiyVf47Jiff38TmP1CdyLHlWcMnyCXn-BaHBLvx7-utwY11ATW0flG3RU-g0bbraQNtCsG6gVWNbcA_ofOzTzTjq6a4Ja2qsAmMGCnoLnUI9azGAD5FRtHc2rNE0YKgCp5ouamhwCPt1h2nduy2YvoXqYF6DR8pngmrrMd6GPsqjynbUh14PlHNWfCYfazAev7zWU3J3dXm7vE5WP7_fLC9WiZILKZIsk5AynrMKxVynmM4hzyAvRCZyDQWKqlJQ61QJriFHVigUNQLPVC1ExVJ5Ss5H78bZxx59KO9t77q4shRSpvmiWPA8Ut9GSjnrvcO63Lgm_tZQclbucyr3OZWHnCJ89qrsqxb1G_o_mAjwEdg1Bod3VOXyx_L3KH0BhuCkZw</recordid><startdate>20200115</startdate><enddate>20200115</enddate><creator>O'Donnell, Peter H.</creator><creator>Arkenau, Hendrick Tobias</creator><creator>Sridhar, Srikala S.</creator><creator>Ong, Michael</creator><creator>Drakaki, Alexandra</creator><creator>Spira, Alexander I.</creator><creator>Zhang, Jingsong</creator><creator>Gordon, Michael S.</creator><creator>Degboe, Arnold N.</creator><creator>Gupta, Ashok K.</creator><creator>Mukhopadhyay, Pralay</creator><creator>Huang, Wenmei</creator><creator>Abdullah, Shaad E.</creator><creator>Angra, Natasha</creator><creator>Roskos, Lorin K.</creator><creator>Guo, Xiang</creator><creator>Friedlander, Terence</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TO</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><orcidid>https://orcid.org/0000-0003-2650-0049</orcidid></search><sort><creationdate>20200115</creationdate><title>Patient‐reported outcomes and inflammatory biomarkers in patients with locally advanced/metastatic urothelial carcinoma treated with durvalumab in phase 1/2 dose‐escalation study 1108</title><author>O'Donnell, Peter H. ; Arkenau, Hendrick Tobias ; Sridhar, Srikala S. ; Ong, Michael ; Drakaki, Alexandra ; Spira, Alexander I. ; Zhang, Jingsong ; Gordon, Michael S. ; Degboe, Arnold N. ; Gupta, Ashok K. ; Mukhopadhyay, Pralay ; Huang, Wenmei ; Abdullah, Shaad E. ; Angra, Natasha ; Roskos, Lorin K. ; Guo, Xiang ; Friedlander, Terence</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3932-553a40160be27d4e47a65a682526da8e2bbcafd4c21da6e08ce2fea15cf22b043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Albumin</topic><topic>Biomarkers</topic><topic>Bladder</topic><topic>Bladder cancer</topic><topic>Cancer</topic><topic>Correlation analysis</topic><topic>durvalumab</topic><topic>Global health</topic><topic>health‐related quality of life</topic><topic>Immunotherapy</topic><topic>Inflammation</topic><topic>Lymphocytes</topic><topic>Metastases</topic><topic>Metastasis</topic><topic>Monoclonal antibodies</topic><topic>Oncology</topic><topic>Patients</topic><topic>patient‐reported outcome measures</topic><topic>Quality of life</topic><topic>Serum albumin</topic><topic>Shrinkage</topic><topic>Signs and symptoms</topic><topic>Targeted cancer therapy</topic><topic>tumor</topic><topic>Tumors</topic><topic>Urothelial carcinoma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>O'Donnell, Peter H.</creatorcontrib><creatorcontrib>Arkenau, Hendrick Tobias</creatorcontrib><creatorcontrib>Sridhar, Srikala S.</creatorcontrib><creatorcontrib>Ong, Michael</creatorcontrib><creatorcontrib>Drakaki, Alexandra</creatorcontrib><creatorcontrib>Spira, Alexander I.</creatorcontrib><creatorcontrib>Zhang, Jingsong</creatorcontrib><creatorcontrib>Gordon, Michael S.</creatorcontrib><creatorcontrib>Degboe, Arnold N.</creatorcontrib><creatorcontrib>Gupta, Ashok K.</creatorcontrib><creatorcontrib>Mukhopadhyay, Pralay</creatorcontrib><creatorcontrib>Huang, Wenmei</creatorcontrib><creatorcontrib>Abdullah, Shaad E.</creatorcontrib><creatorcontrib>Angra, Natasha</creatorcontrib><creatorcontrib>Roskos, Lorin K.</creatorcontrib><creatorcontrib>Guo, Xiang</creatorcontrib><creatorcontrib>Friedlander, Terence</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>O'Donnell, Peter H.</au><au>Arkenau, Hendrick Tobias</au><au>Sridhar, Srikala S.</au><au>Ong, Michael</au><au>Drakaki, Alexandra</au><au>Spira, Alexander I.</au><au>Zhang, Jingsong</au><au>Gordon, Michael S.</au><au>Degboe, Arnold N.</au><au>Gupta, Ashok K.</au><au>Mukhopadhyay, Pralay</au><au>Huang, Wenmei</au><au>Abdullah, Shaad E.</au><au>Angra, Natasha</au><au>Roskos, Lorin K.</au><au>Guo, Xiang</au><au>Friedlander, Terence</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient‐reported outcomes and inflammatory biomarkers in patients with locally advanced/metastatic urothelial carcinoma treated with durvalumab in phase 1/2 dose‐escalation study 1108</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>2020-01-15</date><risdate>2020</risdate><volume>126</volume><issue>2</issue><spage>432</spage><epage>443</epage><pages>432-443</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><abstract>Background Durvalumab has shown meaningful clinical activity in patients with metastatic urothelial carcinoma (mUC) in Study 1108 (NCT01693562). An important focus in treatment is health‐related quality of life (HRQOL). Here, patient‐reported outcomes (PROs) from Study 1108 and their relationship with inflammatory biomarkers are explored. Methods Disease‐related symptoms, functioning, and HRQOL were assessed with the Functional Assessment of Cancer Therapy–Bladder (FACT‐Bl) and the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 (QLQ‐C30). Relationships between PRO improvements and the best changes in the tumor size, albumin level, and neutrophil‐lymphocyte ratio (NLR) were assessed with Spearman correlation analysis. Results The mean FACT‐Bl total score improved from 107.5 (standard deviation [SD], 23.0) at the baseline to 115.4 (SD, 22.6) on day 113, with similar increases found for the Trial Outcome Index (TOI) and Bladder Cancer Subscale (BLCS) scores. The mean FACT‐Bl total scores improved over time, and the FACT‐Bl TOI scores significantly improved by day 113 (P &lt; .05). The mean EORTC QLQ‐C30 Global Health Status/Quality of Life score improved from 57.1 (SD, 24.8) at the baseline to 69.0 (SD, 21.4) on day 113; the functional scale and symptom scores (day 113) were higher than the baseline scores (P &lt; .05) for EORTC Social Functioning. The FACT‐Bl total, BLCS, and TOI scores improved in 32.6%, 34.9%, and 32.6% of the patients by day 113; 26.3% to 37.8% of the patients exhibited improvements in EORTC QLQ‐C30 functional scores. The best tumor shrinkage and posttreatment improvements in serum albumin and NLR correlated with increases in FACT‐Bl total, TOI, and BLCS scores and in EORTC Physical Functioning and Role Functioning scores (P &lt; .05). Conclusions Durvalumab was associated with improvements in disease‐related symptoms, functioning, and HRQOL in patients with mUC. Improvements in systemic inflammation may contribute to PRO improvements in these patients. In patients with locally advanced/metastatic urothelial carcinoma treated with durvalumab, improvements in patient‐reported outcomes correlate not only with objective tumor responses but also with reductions in markers of systemic inflammation. These findings provide insight into potential links between attenuation of inflammation in cancer and patient‐reported outcomes.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31581306</pmid><doi>10.1002/cncr.32532</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-2650-0049</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0008-543X
ispartof Cancer, 2020-01, Vol.126 (2), p.432-443
issn 0008-543X
1097-0142
language eng
recordid cdi_proquest_journals_2334698916
source Wiley-Blackwell Journals; Wiley Online Library Free Content; Free E-Journal (出版社公開部分のみ); Alma/SFX Local Collection
subjects Albumin
Biomarkers
Bladder
Bladder cancer
Cancer
Correlation analysis
durvalumab
Global health
health‐related quality of life
Immunotherapy
Inflammation
Lymphocytes
Metastases
Metastasis
Monoclonal antibodies
Oncology
Patients
patient‐reported outcome measures
Quality of life
Serum albumin
Shrinkage
Signs and symptoms
Targeted cancer therapy
tumor
Tumors
Urothelial carcinoma
title Patient‐reported outcomes and inflammatory biomarkers in patients with locally advanced/metastatic urothelial carcinoma treated with durvalumab in phase 1/2 dose‐escalation study 1108
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-14T15%3A10%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Patient%E2%80%90reported%20outcomes%20and%20inflammatory%20biomarkers%20in%20patients%20with%20locally%20advanced/metastatic%20urothelial%20carcinoma%20treated%20with%20durvalumab%20in%20phase%201/2%20dose%E2%80%90escalation%20study%201108&rft.jtitle=Cancer&rft.au=O'Donnell,%20Peter%20H.&rft.date=2020-01-15&rft.volume=126&rft.issue=2&rft.spage=432&rft.epage=443&rft.pages=432-443&rft.issn=0008-543X&rft.eissn=1097-0142&rft_id=info:doi/10.1002/cncr.32532&rft_dat=%3Cproquest_cross%3E2334698916%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2334698916&rft_id=info:pmid/31581306&rfr_iscdi=true