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Health-related quality of life and symptoms in patients with IPF treated with nintedanib: analyses of patient-reported outcomes from the INPULSIS® trials

Kreuter, Michael ; Wuyts, Wim A ; Wijsenbeek, Marlies ; Bajwah, Sabrina ; Maher, Toby M ; Stowasser, Susanne ; Male, Natalia ; Stansen, Wibke ; Schoof, Nils ; Orsatti, Leticia ; Swigris, Jeffrey

Respiratory research, 2020-01, Vol.21 (1), p.36-12, Article 36 [Periódico revisado por pares]

England: BioMed Central Ltd

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Health-related quality of life and symptoms in patients with IPF treated with nintedanib: analyses of patient-reported outcomes from the INPULSIS® trials
Autor: Kreuter, Michael ; Wuyts, Wim A ; Wijsenbeek, Marlies ; Bajwah, Sabrina ; Maher, Toby M ; Stowasser, Susanne ; Male, Natalia ; Stansen, Wibke ; Schoof, Nils ; Orsatti, Leticia ; Swigris, Jeffrey
Assuntos: Aged ; Carbon monoxide ; CASA-Q ; Clinical trials ; Double-Blind Method ; Drug therapy ; EQ-5D VAS ; Female ; Fibrosis ; Health aspects ; Health services ; Humans ; Idiopathic Pulmonary Fibrosis - diagnosis ; Idiopathic Pulmonary Fibrosis - drug therapy ; Idiopathic Pulmonary Fibrosis - psychology ; Indoles - pharmacology ; Indoles - therapeutic use ; Lung diseases ; Male ; Middle Aged ; Patient outcomes ; Patient Reported Outcome Measures ; Patients ; Protein Kinase Inhibitors - pharmacology ; Protein Kinase Inhibitors - therapeutic use ; Pulmonary fibrosis ; Quality assessment ; Quality of life ; Quality of Life - psychology ; SGRQ ; Signs and symptoms ; Treatment Outcome ; UCSD-SOBQ ; Vital Capacity - drug effects ; Vital Capacity - physiology
É parte de: Respiratory research, 2020-01, Vol.21 (1), p.36-12, Article 36
Descrição: In the Phase III INPULSIS® trials, treatment of patients with idiopathic pulmonary fibrosis (IPF) with nintedanib significantly reduced the annual rate of decline in forced vital capacity (FVC) versus placebo, consistent with slowing disease progression. However, nintedanib was not associated with a benefit in health-related quality of life (HRQoL) assessed using the St George's respiratory questionnaire (SGRQ). We aimed to further examine the impact of IPF progression on HRQoL and symptoms, and to explore the effect of nintedanib on HRQoL in patients from the INPULSIS® trials stratified by clinical factors associated with disease progression. Patient-reported outcome (PRO) data from the INPULSIS® trials were included in three post hoc analyses. Two analyses used the pooled data set to examine PRO changes from baseline to week 52 according to 1) decline in FVC and 2) occurrence of acute exacerbations. In the third analysis, patients were stratified based on clinical indicators of disease progression (gender, age and physiology [GAP] stage; FVC % predicted; diffusing capacity of the lung for carbon monoxide [DL ] % predicted; composite physiologic index [CPI]; and SGRQ total score) at baseline; median change from baseline was measured at 52 weeks and treatment groups were compared using the Wilcoxon two-sample test. Data from 1061 patients (638 nintedanib, 423 placebo) were analyzed. Greater categorical decline from baseline in FVC % predicted over 52 weeks was associated with significant worsening of HRQoL and symptoms across all PRO measures. Acute exacerbations were associated with deterioration in HRQoL and worsened symptoms. In general, patients with advanced disease at baseline (defined as GAP II/III, FVC ≤ 80%, DL ≤ 40%, CPI > 45, or SGRQ > 40) experienced greater deterioration in PROs than patients with less-advanced disease. Among patients with advanced disease, compared with placebo, nintedanib slowed deterioration in several PROs; benefit was most apparent on the SGRQ (total and activity scores). In patients with advanced IPF, compared with placebo, nintedanib slowed deterioration in HRQoL and symptoms as assessed by several PROs. HRQoL measures have a higher responsiveness to change in advanced disease and may lack sensitivity to capture change in patients with less-advanced IPF.
Editor: England: BioMed Central Ltd
Idioma: Inglês

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Health-related quality of life and symptoms in patients with IPF treated with nintedanib: analyses of patient-reported outcomes from the INPULSIS® trials

Kreuter, Michael ; Wuyts, Wim A ; Wijsenbeek, Marlies ; Bajwah, Sabrina ; Maher, Toby M ; Stowasser, Susanne ; Male, Natalia ; Stansen, Wibke ; Schoof, Nils ; Orsatti, Leticia ; Swigris, Jeffrey

England: BioMed Central Ltd

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