PMID- 30717745 OWN - NLM STAT- MEDLINE DCOM- 20190318 LR - 20240329 IS - 1477-7525 (Electronic) IS - 1477-7525 (Linking) VI - 17 IP - 1 DP - 2019 Feb 4 TI - Health-related quality of life assessment for patients with advanced or metastatic renal cell carcinoma treated with a tyrosine kinase inhibitor using electronic patient-reported outcomes in daily clinical practice (QUANARIE trial): study protocol. PG - 25 LID - 10.1186/s12955-019-1085-1 [doi] LID - 25 AB - BACKGROUND: Two main therapies, pazopanib and sunitinib, are used in the first-line setting for metastatic renal cell carcinoma (mRCC). These two tyrosine kinase inhibitors (TKI) are equally effective in terms of survival; however, they frequently induce adverse events. In this setting, Health-Related Quality of life (HRQoL) is a key element in the choice between these two treatments and the evaluation of treatment effectiveness. It could be of interest to evaluate HRQoL in daily clinical practice to aid adequate therapy choice and management. Currently, the development of information and communication technology may allow HRQoL monitoring in routine practice. The objective of the QUANARIE study is to evaluate the use of HRQoL assessment in daily clinical practice for patients with mRCC treated with TKI using electronic patient-reported outcomes (e-PRO). The present article describes the key elements of the study protocol. METHODS: The QUANARIE study is an interventional, prospective, multicentre trial. Patients diagnosed with mRCC initiating sunitinib or pazopanib treatment will be invited to complete the EORTC QLQ-C30 questionnaire, nine additional questions from the EORTC items library, and the EuroQoL EQ-5D, prior to each visit with the physician. Questionnaires will be completed by patients using tablets and/or computer terminals via the e-PRO software. The physician will have real-time access to a visual summary of the HRQoL evaluation. The primary objective is to assess the proportion of patients having good compliance with Routine Electronic Monitoring of HRQoL (REMOQOL) during the first 12 months. Physicians' satisfaction with REMOQOL will be assessed as a secondary objective. We hypothesise that 80% of patients having good compliance with REMOQOL would be meaningful. A sample size of 56 patients would be needed. DISCUSSION: The results of this study will show whether REMOQOL is feasible on a large scale and whether patients are receptive to this new practice. This study will also determine how real-time multidimensional evaluation of patient perception can help physicians in their daily practice and how they used it in conjunction with other clinical information to manage patient care. TRIAL REGISTRATION: ClinicalTrials.gov; Identifier: NCT03062410 ; First Posted: February 23, 2017; Last Update Posted: August 9, 2017. FAU - Mouillet, Guillaume AU - Mouillet G AUID- ORCID: 0000-0002-2288-7461 AD - Department of Medical Oncology, University Hospital of Besancon, Boulevard Fleming, F-25000, Besancon, France. gmouillet@chu-besancon.fr. AD - Methodological and Quality of Life Unit, University Hospital of Besancon, F-25000, Besancon, France. gmouillet@chu-besancon.fr. AD - INSERM, EFS BFC, UMR1098, Interactions Hote-Greffon-Tumeur/Ingenierie Cellulaire et Genique, University Bourgogne Franche-Comte, F-25000, Besancon, France. gmouillet@chu-besancon.fr. FAU - Fritzsch, Joelle AU - Fritzsch J AD - Methodological and Quality of Life Unit, University Hospital of Besancon, F-25000, Besancon, France. AD - INSERM, EFS BFC, UMR1098, Interactions Hote-Greffon-Tumeur/Ingenierie Cellulaire et Genique, University Bourgogne Franche-Comte, F-25000, Besancon, France. FAU - Paget-Bailly, Sophie AU - Paget-Bailly S AD - Methodological and Quality of Life Unit, University Hospital of Besancon, F-25000, Besancon, France. AD - INSERM, EFS BFC, UMR1098, Interactions Hote-Greffon-Tumeur/Ingenierie Cellulaire et Genique, University Bourgogne Franche-Comte, F-25000, Besancon, France. FAU - Pozet, Astrid AU - Pozet A AD - Methodological and Quality of Life Unit, University Hospital of Besancon, F-25000, Besancon, France. AD - INSERM, EFS BFC, UMR1098, Interactions Hote-Greffon-Tumeur/Ingenierie Cellulaire et Genique, University Bourgogne Franche-Comte, F-25000, Besancon, France. FAU - Es-Saad, Ikram AU - Es-Saad I AD - Methodological and Quality of Life Unit, University Hospital of Besancon, F-25000, Besancon, France. AD - INSERM, EFS BFC, UMR1098, Interactions Hote-Greffon-Tumeur/Ingenierie Cellulaire et Genique, University Bourgogne Franche-Comte, F-25000, Besancon, France. FAU - Meurisse, Aurelia AU - Meurisse A AD - Methodological and Quality of Life Unit, University Hospital of Besancon, F-25000, Besancon, France. AD - INSERM, EFS BFC, UMR1098, Interactions Hote-Greffon-Tumeur/Ingenierie Cellulaire et Genique, University Bourgogne Franche-Comte, F-25000, Besancon, France. FAU - Vernerey, Dewi AU - Vernerey D AD - Methodological and Quality of Life Unit, University Hospital of Besancon, F-25000, Besancon, France. AD - INSERM, EFS BFC, UMR1098, Interactions Hote-Greffon-Tumeur/Ingenierie Cellulaire et Genique, University Bourgogne Franche-Comte, F-25000, Besancon, France. FAU - Mouyabi, Kristina AU - Mouyabi K AD - Clinical Research and Innovation Office, University Hospital of Besancon, F-25000, Besancon, France. FAU - Berthod, Diane AU - Berthod D AD - Department of Medical Oncology, University Hospital of Besancon, Boulevard Fleming, F-25000, Besancon, France. FAU - Bonnetain, Franck AU - Bonnetain F AD - Methodological and Quality of Life Unit, University Hospital of Besancon, F-25000, Besancon, France. AD - INSERM, EFS BFC, UMR1098, Interactions Hote-Greffon-Tumeur/Ingenierie Cellulaire et Genique, University Bourgogne Franche-Comte, F-25000, Besancon, France. FAU - Anota, Amelie AU - Anota A AD - Methodological and Quality of Life Unit, University Hospital of Besancon, F-25000, Besancon, France. AD - INSERM, EFS BFC, UMR1098, Interactions Hote-Greffon-Tumeur/Ingenierie Cellulaire et Genique, University Bourgogne Franche-Comte, F-25000, Besancon, France. AD - French National Platform Quality of Life and Cancer, Besancon, France. FAU - Thiery-Vuillemin, Antoine AU - Thiery-Vuillemin A AD - Department of Medical Oncology, University Hospital of Besancon, Boulevard Fleming, F-25000, Besancon, France. AD - INSERM, EFS BFC, UMR1098, Interactions Hote-Greffon-Tumeur/Ingenierie Cellulaire et Genique, University Bourgogne Franche-Comte, F-25000, Besancon, France. LA - eng SI - ClinicalTrials.gov/NCT03062410 GR - PHRCI-2016/GIRCI/ PT - Clinical Trial Protocol PT - Journal Article DEP - 20190204 PL - England TA - Health Qual Life Outcomes JT - Health and quality of life outcomes JID - 101153626 RN - 0 (Indazoles) RN - 7RN5DR86CK (pazopanib) RN - 0 (Protein Kinase Inhibitors) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - 0 (Pyrimidines) RN - 0 (Sulfonamides) RN - V99T50803M (Sunitinib) SB - IM MH - Adult MH - Aged MH - Female MH - Humans MH - Male MH - Middle Aged MH - Young Adult MH - *Carcinoma, Renal Cell/drug therapy/pathology/psychology MH - Indazoles MH - *Kidney Neoplasms/drug therapy/pathology/psychology MH - Patient Reported Outcome Measures MH - Prospective Studies MH - *Protein Kinase Inhibitors/therapeutic use MH - Protein-Tyrosine Kinases/antagonists & inhibitors MH - *Pyrimidines/therapeutic use MH - *Quality of Life MH - *Sulfonamides/therapeutic use MH - *Sunitinib/therapeutic use MH - Surveys and Questionnaires MH - Treatment Outcome MH - Multicenter Studies as Topic PMC - PMC6360763 OTO - NOTNLM OT - Health-related quality of life OT - Patient-reported outcome,sunitinib,pazopanib OT - Renal cell carcinoma COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: The QUANARIE trial was reviewed and approved by the local ethics committee (Comite de protection des personnes EST-II, Besancon) on the 24th October 2016. Approval from the National Authority for the Safety of Medicines and Health Products (Agence nationale de securite du medicament et des produits de sante (ANSM)) was obtained on the 16th December 2016. The QUANARIE study is registered with the Clinical Trials Registry (ClinicalTrials.org; Identifier: NCT03062410). All participants will provide written informed consent in accordance with the Declaration of Helsinki. CONSENT FOR PUBLICATION: All authors have read the manuscript and given consent for its publication. COMPETING INTERESTS: A.T.-V. and G.M. received honoraria from Novartis, Pfizer, Roche, BMS, and Ipsen. A.A. received travel fees from Novartis and Roche. The other authors have stated that they have no conflicts of interest. PUBLISHER'S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. EDAT- 2019/02/06 06:00 MHDA- 2019/03/19 06:00 PMCR- 2019/02/04 CRDT- 2019/02/06 06:00 PHST- 2018/07/27 00:00 [received] PHST- 2019/01/07 00:00 [accepted] PHST- 2019/02/06 06:00 [entrez] PHST- 2019/02/06 06:00 [pubmed] PHST- 2019/03/19 06:00 [medline] PHST- 2019/02/04 00:00 [pmc-release] AID - 10.1186/s12955-019-1085-1 [pii] AID - 1085 [pii] AID - 10.1186/s12955-019-1085-1 [doi] PST - epublish SO - Health Qual Life Outcomes. 2019 Feb 4;17(1):25. doi: 10.1186/s12955-019-1085-1.