NON-INTERVENTIONAL REAL-WORLD EUROPEAN STUDY QUANTIFYING THE BURDEN OF CENTRAL NERVOUS SYSTEM (CNS) METASTASES ON HEALTHCARE RESOURCE USE (HRU) IN PATIENTS WITH METASTATIC NON-SMALL-CELL LUNG CANCER (MNSCLC) – RESULTS FROM AN INTERIM ANALYS ...
Author(s)
Crane G1, Khan N2, Pedrós M3, Hipp J4, Gally S5, Smoljanovic V6, Gondos A7, Hammerschmidt S8
1Roche (RWD), Welwyn Garden City, UK, 2QuintilesIMS, Mendham, NJ, USA, 3QuintilesIMS, Barcelona, Spain, 4Roche Pharma AG, Grenzach-Wyhlen, Germany, 5Roche SAS, Boulogne-Billancourt, France, 6F. Hoffmann-La Roche Ltd., Basel, Switzerland, 7QuintilesIMS, Frankfurt, Germany, 8Klinikum Chemnitz gGMBH, Chemnitz, Germany
OBJECTIVES: Limited information is available regarding CNS metastases impact on HRU and HRQoL for patients with mNSCLC in Europe. This ongoing study (MO39084) compares HRQoL and HRU in mNSCLC patients with and without CNS metastases alongside demographic/clinical characteristics and concomitant medications. METHODS: Patients ≥≥HRU data are collected via validated patient questionnaires and clinical charts RESULTS: At data cut-off (29 May 2017), 123 patients were eligible: CNS metastases cohort n=49 and non-CNS metastases cohort n=74. Baseline characteristics were similar between cohorts: mean age 63 vs 67 years; 53% vs 66% male; mean BMI 23.6 vs 24.9 kg/m; ex-smoker status 51% vs 47%; mean time since diagnosis 6.1 vs 5.4 months; ECOG PS 1 55% vs 54%, and 1-2 chronic comorbidities 51% vs 49%. At V1, 41% (CNS metastases cohort) and 14% (non-CNS metastases cohort) had ≥3 metastatic sites (p=0.002). Dyspnoea (16% vs 31%, p=0.07), cough (14% vs 28%, p=0.07) and pain (12% vs 28%, p=0.03) were more common in the non-CNS metastases cohort. Similar HRU patterns were recorded in the cohorts before V1; no significant differences in number of hospitalizations (p=0.75), emergency room (p=0.22) or outpatient visits (p=0.22). Length of hospital stay was significantly longer in the CNS metastases cohort (p<0.001). CONCLUSIONS: Interim data from a small sample suggest that the CNS and non-CNS metastases cohorts have similar HRU, except length of hospital stay. Final analyses including the full patient cohort will help understand the economic impact of this difference.
Conference/Value in Health Info
2017-11, ISPOR Europe 2017, Glasgow, Scotland
Value in Health, Vol. 20, No. 9 (October 2017)
Code
PRM159
Topic
Methodological & Statistical Research
Topic Subcategory
PRO & Related Methods
Disease
Oncology