Quality of life assessment of cabozantinib in patients with advanced hepatocellular carcinoma in the CELESTIAL trial Journal Article


Authors: Freemantle, N.; Mollon, P.; Meyer, T.; Cheng, A. L.; El-Khoueiry, A. B.; Kelley, R. K.; Baron, A. D.; Benzaghou, F.; Mangeshkar, M.; Abou-Alfa, G. K.
Article Title: Quality of life assessment of cabozantinib in patients with advanced hepatocellular carcinoma in the CELESTIAL trial
Abstract: BACKGROUND: The CELESTIAL trial (NCT01908426) demonstrated overall survival benefit for cabozantinib versus placebo in patients with advanced hepatocellular carcinoma (aHCC) who had received prior sorafenib treatment. This analysis of CELESTIAL compared the impact of cabozantinib versus placebo on health-related quality of life (HRQoL). MATERIALS AND METHODS: Health status was assessed using the EuroQol five-dimension five-level (EQ-5D-5L) questionnaire over the 800-day follow-up period. EQ-5D-5L health states were mapped to health utility scores using reference values for the UK population. Quality-adjusted life years (QALYs) were calculated for each treatment group as the area under the curve for the plot of health utility score over time. The between-treatment group difference in restricted mean QALYs was calculated by generalized linear models and adjusted for baseline differences. A difference of 0.08 in health utility score (or in QALY) was deemed a minimally important difference and to be clinically significant. RESULTS: At week 5, the difference in mean health utility score between cabozantinib and placebo was -0.097 (95% confidence interval [95% CI]: -0.126, -0.067; p ≤ 0.001). Between-group differences in health utility scores diminished over time and were generally non-significant. The cabozantinib group accrued more QALYs than the placebo group over follow-up. Differences in mean QALYs (cabozantinib minus placebo) were statistically and clinically significant, ranging from +0.092 (95% CI: 0.016, 0.169) to +0.185 (95% CI: 0.126, 0.243) in favour of cabozantinib, depending on the reference value set used. CONCLUSIONS: These HRQoL findings support a positive benefit-risk profile for cabozantinib in previously treated patients with aHCC. Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.
Keywords: clinical trial; liver cell carcinoma; carcinoma, hepatocellular; liver neoplasms; pyridines; quality of life; pathology; liver tumor; carcinoma; patient reported outcome measures; visual analog scale; anilides; pyridine derivative; quality-adjusted life years; anilide; hepatocellular; cabozantinib; humans; human; patient health questionnaire
Journal Title: European Journal of Cancer
Volume: 168
ISSN: 0959-8049
Publisher: Elsevier Inc.  
Date Published: 2022-06-01
Start Page: 91
End Page: 98
Language: English
DOI: 10.1016/j.ejca.2022.03.021
PUBMED: 35487183
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 1 June 2022 -- Source: Scopus
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  1. Ghassan Abou-Alfa
    567 Abou-Alfa