Subjective and objective prospective, long-term analysis of quality of life during inhaled interleukin-2 immunotherapy
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Subjective and objective prospective, long-term analysis of quality of life during inhaled interleukin-2 immunotherapy. / Heinzer, H; Mir, T S; Huland, E; Huland, H.
In: J CLIN ONCOL, Vol. 17, No. 11, 11.1999, p. 3612-3620.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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T1 - Subjective and objective prospective, long-term analysis of quality of life during inhaled interleukin-2 immunotherapy
AU - Heinzer, H
AU - Mir, T S
AU - Huland, E
AU - Huland, H
PY - 1999/11
Y1 - 1999/11
N2 - PURPOSE: We conducted both a subjective and objective, prospective quality-of-life analysis during high-dose (36 x 10(6) immunizing units/d) inhalational interleukin (IL)-2 treatment (mean treatment time, 13.4 months) of 15 patients with metastatic renal cell carcinoma (mRCC). Additionally, quality of life for 10 patients with mRCC receiving low-dose (9 x 10(6) IU/m(2)/d for 5 days) intravenous IL-2 treatment also was evaluated.PATIENTS AND METHODS: Patients responded to the European Organization for Research and Treatment of Cancer quality-of-life questionnaire QLQ-C30 before and during inhalational IL-2 treatment at 1, 3, 6, 9, and 12 months and before and once during intravenous IL-2 treatment. A clinician assessed patient well-being using the Quality of Well-Being scale to calculate once weekly quality-adjusted life-years (QALYs) during inhalational IL-2 treatment.RESULTS: Patients completed 103 questionnaires and clinicians performed 892 QALY calculations. For patients treated with inhalational IL-2, the mean quality-of-life score deteriorated modestly but significantly 1 month after treatment initiation (15.1%, P =.01) but did not differ significantly from pretreatment scores after 3, 6, 9, and 12 months of treatment. Inhalational IL-2 therapy stabilized patient quality of life for a mean of 13.4 months. The resulting QALY calculation for patients on inhalation IL-2 was 70.1% of 13.4 months, representing 9.4 months of QALY. In comparison, patients who received intravenous IL-2 showed a more marked, statistically significant deterioration in mean quality-of-life score during treatment (27%, P =.006); moreover, three of these 10 patients experienced treatment-related toxicity that prevented questionnaire completion.CONCLUSION: Quality-of-life analysis during immunotherapy provides valuable information regarding cancer treatment outcomes.
AB - PURPOSE: We conducted both a subjective and objective, prospective quality-of-life analysis during high-dose (36 x 10(6) immunizing units/d) inhalational interleukin (IL)-2 treatment (mean treatment time, 13.4 months) of 15 patients with metastatic renal cell carcinoma (mRCC). Additionally, quality of life for 10 patients with mRCC receiving low-dose (9 x 10(6) IU/m(2)/d for 5 days) intravenous IL-2 treatment also was evaluated.PATIENTS AND METHODS: Patients responded to the European Organization for Research and Treatment of Cancer quality-of-life questionnaire QLQ-C30 before and during inhalational IL-2 treatment at 1, 3, 6, 9, and 12 months and before and once during intravenous IL-2 treatment. A clinician assessed patient well-being using the Quality of Well-Being scale to calculate once weekly quality-adjusted life-years (QALYs) during inhalational IL-2 treatment.RESULTS: Patients completed 103 questionnaires and clinicians performed 892 QALY calculations. For patients treated with inhalational IL-2, the mean quality-of-life score deteriorated modestly but significantly 1 month after treatment initiation (15.1%, P =.01) but did not differ significantly from pretreatment scores after 3, 6, 9, and 12 months of treatment. Inhalational IL-2 therapy stabilized patient quality of life for a mean of 13.4 months. The resulting QALY calculation for patients on inhalation IL-2 was 70.1% of 13.4 months, representing 9.4 months of QALY. In comparison, patients who received intravenous IL-2 showed a more marked, statistically significant deterioration in mean quality-of-life score during treatment (27%, P =.006); moreover, three of these 10 patients experienced treatment-related toxicity that prevented questionnaire completion.CONCLUSION: Quality-of-life analysis during immunotherapy provides valuable information regarding cancer treatment outcomes.
KW - Activities of Daily Living
KW - Administration, Inhalation
KW - Adult
KW - Carcinoma, Renal Cell/drug therapy
KW - Combined Modality Therapy
KW - Dose-Response Relationship, Drug
KW - Female
KW - Humans
KW - Interleukin-2/administration & dosage
KW - Kidney Neoplasms/drug therapy
KW - Male
KW - Middle Aged
KW - Prospective Studies
KW - Quality-Adjusted Life Years
KW - Surveys and Questionnaires
U2 - 10.1200/JCO.1999.17.11.3612
DO - 10.1200/JCO.1999.17.11.3612
M3 - SCORING: Journal article
C2 - 10550161
VL - 17
SP - 3612
EP - 3620
JO - J CLIN ONCOL
JF - J CLIN ONCOL
SN - 0732-183X
IS - 11
ER -