TREATMENT SATISFACTION AND BURDEN OF ILLNESS (BOI) WITH ORAL VS INJECTABLE MULTIPLE MYELOMA THERAPY IN PATIENTS WITH RELAPSED OR REFRACTORY DISEASE

Author(s)

Romanus D1, DasMahapatra P2, Hoole M2, Lowe M2, Curran C2, Campbell S1, Bell J3
1Takeda Pharmaceuticals International Co, Cambridge, MA, USA, 2PatientsLikeMe, Cambridge, MA, USA, 3Millennium Pharmaceuticals, Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited, Cambridge, MA, USA

OBJECTIVES: Compare patient-reported satisfaction and BOI with oral vs. injectable therapy for multiple myeloma (MM) among patients with relapsed/refractory (RR) disease. METHODS: Patients within the patient-powered research network, PatientsLikeMe (PLM; www.patientslikeme.com) were surveyed about their treatment experience and BOI. Eligible patients were ≥ 18 years, resided in the USA, and were currently on a treatment regimen comprised of either an all-oral therapy (oral users) or injectable therapy with or without oral medication (injectable users). Those with concomitant amyloidosis or other cancers in the past 5 years were excluded. Patients were classified as RR if they ever changed treatment due to disease progression or recurrence. Patients completed a web based self-administered survey using the Treatment Satisfaction Questionnaire for Medication (TSQM) and BOI questions related to MM. Outcomes of interest were compared in univariate analyses between oral and injectable users. RESULTS: In this interim analysis, among 32 respondents, mean age was 60 years (SD: 9), 86% were Caucasian, 15% were Hispanic, and 57% and 25% had an ECOG PS 0-1 and 2, respectively. Current use of an all-oral regimen was 44% (n=14/32), whereas 56% (n=18/32) were on an injectable regimen. Oral users tended to report better mean effectiveness (70 vs. 65, p = 0.465) and global satisfaction (56 vs. 51, p = 0.386), and significantly greater convenience (83 vs. 64, p < 0.01) with therapy than injectable users. Oral users had fewer provider treatment visits in the past 30-days (median: 1 vs. 3) and less time spent per visit (median: 68 vs. 120 minutes) compared with injectable users. CONCLUSIONS: Emerging data suggests that an all-oral regimen is associated with a higher level of convenience and a trend towards greater treatment satisfaction and lower healthcare resource use than an injectable regimen in RRMM. Patient productivity will be reported in the final analysis.

Conference/Value in Health Info

2017-05, ISPOR 2017, Boston, MA, USA

Value in Health, Vol. 20, No. 5 (May 2017)

Code

PCN174

Topic

Patient-Centered Research

Topic Subcategory

Patient-reported Outcomes & Quality of Life Outcomes

Disease

Oncology

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