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Health-related quality of life outcomes of lenalidomide in transfusion-dependent patients with Low- or Intermediate-1-risk myelodysplastic syndromes with a chromosome 5q deletion: results from a randomized clinical trial.

Abstract
We report health-related quality of life (HRQL) outcomes assessed using the Functional Assessment of Cancer Therapy-Anemia (FACT-An) among 167 RBC transfusion-dependent patients with IPSS Low-/Intermediate-1-risk del5q31 MDS treated with lenalidomide versus placebo in a randomized phase 3 clinical trial, MDS-004. Mean baseline to 12 week changes in FACT-An Total scores improved following treatment with lenalidomide 5 and 10mg (+5.7 and +5.7, respectively) versus placebo (-2.8) (both p<0.05). Clinically important changes in HRQL from baseline were observed at weeks 12, 24, 36, and 48 among RBC-TI≥26 week responders in both treatment groups. Lenalidomide treatment may be effective in improving HRQL outcomes.
AuthorsDennis A Revicki, Nancy A Brandenburg, Petra Muus, Ren Yu, Robert Knight, Pierre Fenaux
JournalLeukemia research (Leuk Res) Vol. 37 Issue 3 Pg. 259-65 (Mar 2013) ISSN: 1873-5835 [Electronic] England
PMID23273538 (Publication Type: Clinical Trial, Phase III, Journal Article, Randomized Controlled Trial)
CopyrightCopyright © 2012 Elsevier Ltd. All rights reserved.
Chemical References
  • Antineoplastic Agents
  • Placebos
  • Thalidomide
  • Lenalidomide
Topics
  • Adult
  • Aged
  • Aged, 80 and over
  • Anemia, Macrocytic (complications, therapy)
  • Antineoplastic Agents (adverse effects, therapeutic use)
  • Blood Transfusion
  • Chromosome Deletion
  • Chromosomes, Human, Pair 5
  • Combined Modality Therapy
  • Cross-Over Studies
  • Double-Blind Method
  • Female
  • Health Status
  • Humans
  • Lenalidomide
  • Male
  • Middle Aged
  • Myelodysplastic Syndromes (complications, drug therapy, genetics, therapy)
  • Placebos
  • Quality of Life
  • Risk
  • Severity of Illness Index
  • Thalidomide (adverse effects, analogs & derivatives, therapeutic use)
  • Treatment Outcome

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