• Media type: E-Article
  • Title: Comparative effectiveness of avelumab versus chemotherapy in Merkel cell carcinoma: innovative use of patient insights
  • Contributor: Bharmal, Murtuza; Marrel, Alexia; Hennessy, Meliessa; Fofana, Fatoumata; Lambert, Jérémy; Arnould, Benoit
  • Published: Becaris Publishing Limited, 2018
  • Published in: Journal of Comparative Effectiveness Research, 7 (2018) 9, Seite 881-890
  • Language: English
  • DOI: 10.2217/cer-2018-0048
  • ISSN: 2042-6313; 2042-6305
  • Keywords: Health Policy
  • Origination:
  • Footnote:
  • Description: <jats:p> <jats:bold>Aim:</jats:bold> To assess patient experience with chemotherapy and avelumab in metastatic Merkel cell carcinoma (mMCC). <jats:bold>Methods:</jats:bold> In the JAVELIN Merkel 200 trial, chemotherapy-refractory mMCC patients could participate in optional qualitative interviews at baseline documenting recollection of previous chemotherapy experience, and at weeks 13/25 documenting current experience with avelumab. Functional Assessment of Cancer Therapy subscale for melanoma questionnaire (FACT-M) was administered in parallel. <jats:bold>Results:</jats:bold> In our sample, chemotherapy was associated with an unpleasant experience. On selected FACT-M items addressing chemotherapy-impacted concepts, most patients receiving avelumab were improved or stable; few worsened. In addition, a few patients spontaneously reported experiencing less toxicity with avelumab than experienced during previous chemotherapy. <jats:bold>Conclusion:</jats:bold> This approach merging qualitative and quantitative data suggests that mMCC patients report a better experience with avelumab than with chemotherapy. </jats:p>
  • Access State: Open Access