PMID- 36583557 OWN - NLM STAT- MEDLINE DCOM- 20230324 LR - 20230326 IS - 2045-7634 (Electronic) IS - 2045-7634 (Linking) VI - 12 IP - 5 DP - 2023 Mar TI - Identifying symptomatic adverse events using the patient-reported outcomes version of the common terminology criteria for adverse events in patients with non-small cell lung cancer with epidermal growth factor receptor exon 20 insertion mutations. PG - 5494-5505 LID - 10.1002/cam4.5376 [doi] AB - OBJECTIVE: Tolerability and safety of treatments are important in oncology trials and should be informed by patient assessments. We identified the most relevant patient-reported symptomatic adverse events (AEs) to measure in patients with non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR) exon 20 insertion mutations. METHODS: This study selected relevant symptomatic AEs from 78 AEs available in the Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) measurement system. Initially, symptomatic AEs were selected based on literature and product labeling reviews, and then core sets of symptomatic AEs were identified by patient and clinician interviews. Qualitative and descriptive analyses were performed using the data collected from three iterative rounds of patient interviews. RESULTS: During concept elicitation interviews involving 29 patients, 12 symptomatic AEs were identified and were then adapted into a 25-item PRO-CTCAE form for use in future clinical trials along with commonly used PRO measures. Cognitive interviews showed that the PRO-CTCAE items were easy to answer and appropriate for assessing the patients' experience with symptomatic AEs. This study also assessed disease symptoms, impacts, and overall patient experience. CONCLUSIONS: The 25-item PRO-CTCAE form captures the most relevant symptomatic AEs in this patient population, and it is available for future studies. Baseline characterization of AEs associated with this distinct patient group contributes to our broader knowledge about NSCLC and through platforms like Project Patient Voice will expand our understanding of treatment tolerability and safety for NSCLC. Ultimately, this data collection will help inform decision-making for patients, caregivers, healthcare providers, and regulators. CI - (c) 2022 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. FAU - Zhu, Yanyan AU - Zhu Y AD - Millennium Pharmaceuticals, Inc., a wholly owned subsidiary of TakedaPharmaceutical Company Limited, Massachusetts, Cambridge, USA. FAU - Jean-Baptiste, Milenka AU - Jean-Baptiste M AD - Evidera Inc., Bethesda, Maryland, USA. FAU - Lenderking, William R AU - Lenderking WR AUID- ORCID: 0000-0002-3080-3643 AD - Evidera Inc., Bethesda, Maryland, USA. AD - Evidera Inc., Waltham, Massachusetts, USA. FAU - Bell, Jill A AU - Bell JA AD - Millennium Pharmaceuticals, Inc., a wholly owned subsidiary of TakedaPharmaceutical Company Limited, Massachusetts, Cambridge, USA. FAU - Revicki, Dennis A AU - Revicki DA AD - Evidera Inc., Bethesda, Maryland, USA. FAU - Lin, Huamao M AU - Lin HM AD - Millennium Pharmaceuticals, Inc., a wholly owned subsidiary of TakedaPharmaceutical Company Limited, Massachusetts, Cambridge, USA. FAU - Brake, Rachael AU - Brake R AD - Millennium Pharmaceuticals, Inc., a wholly owned subsidiary of TakedaPharmaceutical Company Limited, Massachusetts, Cambridge, USA. FAU - Reeve, Bryce B AU - Reeve BB AUID- ORCID: 0000-0002-6709-8714 AD - Duke University School of Medicine, Durham, North Carolina, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20221230 PL - United States TA - Cancer Med JT - Cancer medicine JID - 101595310 RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (EGFR protein, human) SB - IM MH - Humans MH - *Carcinoma, Non-Small-Cell Lung/drug therapy/genetics MH - ErbB Receptors/genetics MH - *Lung Neoplasms/drug therapy/genetics MH - Mutagenesis, Insertional MH - *Neoplasms/drug therapy MH - Patient Reported Outcome Measures PMC - PMC10028096 OTO - NOTNLM OT - PRO-CTCAE OT - adverse events OT - non-small cell lung cancer OT - oncology OT - patient-reported outcome measures OT - symptoms OT - tolerability COIS- YZ and JAB were former employees of Takeda when this research was conducted and are current employees of AstraZeneca. HML and RB are current employees of Takeda. WRL is a full-time employee of Evidera, DAR was a former employee of Evidera (now deceased), and MJB is a part-time employee of Evidera, which received funding from Takeda to carry out this research. BBR served as a paid consultant for Takeda. EDAT- 2022/12/31 06:00 MHDA- 2023/03/24 06:00 PMCR- 2022/12/30 CRDT- 2022/12/30 08:12 PHST- 2022/08/25 00:00 [revised] PHST- 2022/04/28 00:00 [received] PHST- 2022/10/08 00:00 [accepted] PHST- 2022/12/31 06:00 [pubmed] PHST- 2023/03/24 06:00 [medline] PHST- 2022/12/30 08:12 [entrez] PHST- 2022/12/30 00:00 [pmc-release] AID - CAM45376 [pii] AID - 10.1002/cam4.5376 [doi] PST - ppublish SO - Cancer Med. 2023 Mar;12(5):5494-5505. doi: 10.1002/cam4.5376. Epub 2022 Dec 30.