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Quality-adjusted survival with combination nal-IRI+5-FU/LV vs 5-FU/LV alone in metastatic pancreatic cancer patients previously treated with gemcitabine-based therapy: a Q-TWiST analysis

Pelzer, Uwe, Blanc, Jean-Frédéric, Melisi, Davide, Cubillo, Antonio, Von Hoff, Daniel D, Wang-Gillam, Andrea, Chen, Li-Tzong, Siveke, Jens T, Wan, Yin, Solem, Caitlyn T, Botteman, Marc F, Yang, Yoojung, de Jong, Floris A, Hubner, Richard A·2017·British Journal of Cancer

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Figure 1 Utility threshold plot for Q-TWiST (nal-IRI+5-FU/LV vs 5-FU/LV) at 12 months in intent to treat cohort. (A) The x-axis represents the utility for time after disease progression (REL) and y-axis represents the utility for TOX time. Both U(TOX) and U(REL) vary from 0 to 1, with U(TWiST) held at 1. The diagonal bands of different colours represent varying Q-TWiST gains by level of utility for TOX and REL. To understand the Q-TWiST gain associated with a given combination of U(REL) and U(TOX), one must select the corresponding values of U(REL) and U(TOX) on the x-axis and y-axis, respectively. The intersection of these two values inside the plot indicates which band of Q-TWiST gain the result from this combination belong. (B) The x-axis represents the utility for time after disease progression (REL) and y-axis represents the utility for TOX time. Both U(TOX) and U(REL) vary from 0 to 1, with U(TWiST) held at 1. The diagonal bands of different colour represent varying relative Q-TWiST gains by level of utility for TOX and REL, calculated by dividing the absolute Q-TWiST gain by the mean survival in the 5-FU/LV group. To understand relative Q-TWiST gain associated with a given combination of U(REL) and U(TOX), one must select the corresponding values of U(REL) and U(TOX) on the x-axis and y-axis, respectively. The intersection of these two values inside the plot indicates which band of relative Q-TWiST gain the result from this combination belong. *Not significant when utility of relapse is close to 1 and utility of AE is close to 0. REL=relapse; TOX=toxicity.
Figure 1 Utility threshold plot for Q-TWiST (nal-IRI+5-FU/LV vs 5-FU/LV) at 12 months in intent to treat cohort. (A) The x-axis represents the utility for time after disease progression (REL) and y-axis represents the utility for TOX time. Both U(TOX) and U(REL) vary from 0 to 1, with U(TWiST) held at 1. The diagonal bands of different colours represent varying Q-TWiST gains by level of utility for TOX and REL. To understand the Q-TWiST gain associated with a given combination of U(REL) and U(TOX), one must select the corresponding values of U(REL) and U(TOX) on the x-axis and y-axis, respectively. The intersection of these two values inside the plot indicates which band of Q-TWiST gain the result from this combination belong. (B) The x-axis represents the utility for time after disease progression (REL) and y-axis represents the utility for TOX time. Both U(TOX) and U(REL) vary from 0 to 1, with U(TWiST) held at 1. The diagonal bands of different colour represent varying relative Q-TWiST gains by level of utility for TOX and REL, calculated by dividing the absolute Q-TWiST gain by the mean survival in the 5-FU/LV group. To understand relative Q-TWiST gain associated with a given combination of U(REL) and U(TOX), one must select the corresponding values of U(REL) and U(TOX) on the x-axis and y-axis, respectively. The intersection of these two values inside the plot indicates which band of relative Q-TWiST gain the result from this combination belong. *Not significant when utility of relapse is close to 1 and utility of AE is close to 0. REL=relapse; TOX=toxicity.CC BY-NC-SA · PubMed Central
Figure 2 Differences in Q-TWiST between nal-IRI+5-FU/LV vs 5-FU/LV at 3, 6, 9, 12 and 15 Months of Follow-Up.
Figure 2 Differences in Q-TWiST between nal-IRI+5-FU/LV vs 5-FU/LV at 3, 6, 9, 12 and 15 Months of Follow-Up.CC BY-NC-SA · PubMed Central
Figure 3 Quality-adjusted time without symptoms of disease progression or toxicity differences in months (5-FU/LV vs nal-IRI+5-FU/LV) among subgroups. KPS=Karnofsky performance status; tx=treatment.
Figure 3 Quality-adjusted time without symptoms of disease progression or toxicity differences in months (5-FU/LV vs nal-IRI+5-FU/LV) among subgroups. KPS=Karnofsky performance status; tx=treatment.CC BY-NC-SA · PubMed Central

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Research works printed but not linked: 21

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Metadata

Authors
Pelzer, U., Blanc, J.-F., Melisi, D., Cubillo, A., Von Hoff, D. D., Wang-Gillam, A., Chen, L.-T., Siveke, J. T., Wan, Y., Solem, C. T., Botteman, M. F., Yang, Y., de Jong, F. A., & Hubner, R. A.
Venue
British Journal of Cancer
Published
2017-03-28
Volume
116
Issue
10
Pages
1247-1253
ISSN
  • 0007-0920
  • 1532-1827
Cited by
26
References
1
Language
en

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CoChat. (2026). Citation check: Quality-adjusted survival with combination nal-IRI+5-FU/LV vs 5-FU/LV alone in metastatic pancreatic cancer patients previously treated with gemcitabine-based therapy: a Q-TWiST analysis. https://app.cochat.ai/papers/10.1038/bjc.2017.67
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Pelzer, U., Blanc, J.-F., Melisi, D., Cubillo, A., Von Hoff, D. D., Wang-Gillam, A., Chen, L.-T., Siveke, J. T., Wan, Y., Solem, C. T., Botteman, M. F., Yang, Y., de Jong, F. A., & Hubner, R. A. (2017). Quality-adjusted survival with combination nal-IRI+5-FU/LV vs 5-FU/LV alone in metastatic pancreatic cancer patients previously treated with gemcitabine-based therapy: a Q-TWiST analysis. British Journal of Cancer. https://doi.org/10.1038/bjc.2017.67