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Cited by 325

The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.

Symptom Control and Quality of Life in LUX-Lung 3: A Phase III Study of Afatinib or Cisplatin/Pemetrexed in Patients With Advanced Lung Adenocarcinoma With EGFR Mutations

Yang, James Chih-Hsin, Hirsh, Vera, Schuler, Martin, Yamamoto, Nobuyuki, O'Byrne, Kenneth J., Mok, Tony S.K., Zazulina, Victoria, Shahidi, Mehdi, Lungershausen, Juliane, Massey, Dan, Palmer, Michael, Sequist, Lecia V.·2013·Journal of Clinical Oncology

Abstract

Purpose: Patient-reported symptoms and health-related quality of life (QoL) benefits were investigated in a randomized, phase III trial of afatinib or cisplatin/pemetrexed. Patients and Methods: Three hundred forty-five patients with advanced epidermal growth factor receptor (EGFR) mutation–positive lung adenocarcinoma were randomly assigned 2:1 to afatinib 40 mg per day or up to six cycles of cisplatin/pemetrexed. Lung cancer symptoms and health-related QoL were assessed every 21 days until progression using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire C30 and Lung Cancer-13 questionnaires. Analyses of cough, dyspnea, and pain were preplanned, including percentage of patients who improved on therapy, time to deterioration of symptoms, and change in symptoms over time. Results: Questionnaire compliance was high. Compared with chemotherapy, afatinib significantly delayed the time to deterioration for cough (hazard ratio [HR], 0.60; 95% CI, 0.41 to 0.87; P = .007) and dyspnea (HR, 0.68; 95% CI, 0.50 to 0.93; P = .015), but not pain (HR, 0.83; 95% CI, 0.62 to 1.10; P = .19). More patients on afatinib (64%) versus chemotherapy (50%) experienced improvements in dyspnea scores (P = .010). Differences in mean scores over time significantly favored afatinib over chemotherapy for cough (P < .001) and dyspnea (P < .001). Afatinib showed significantly better mean scores over time in global health status/QoL (P = .015) and physical (P < .001), role (P = .004), and cognitive (P = .007) functioning compared with chemotherapy. Fatigue and nausea were worse with chemotherapy, whereas diarrhea, dysphagia, and sore mouth were worse with afatinib (all P < .01). Conclusion: In patients with lung adenocarcinoma with EGFR mutations, first-line afatinib was associated with better control of cough and dyspnea compared with chemotherapy, although diarrhea, dysphagia, and sore mouth were worse. Global health status/QoL was also improved over time with afatinib compared with chemotherapy.

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Research works printed but not linked: 19

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Metadata

Authors
Yang, J. C.-H., Hirsh, V., Schuler, M., Yamamoto, N., O'Byrne, K. J., Mok, T. S. K., Zazulina, V., Shahidi, M., Lungershausen, J., Massey, D., Palmer, M., & Sequist, L. V.
Venue
Journal of Clinical Oncology
Published
2013-09-20
Volume
31
Issue
27
Pages
3342-3350
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W1497402064
Cited by
325
References
9
FWCI
35.08
Type
journal article
Language
en
Open access
closed

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