PMID- 38236702 OWN - NLM STAT- Publisher LR - 20240425 IS - 1097-0142 (Electronic) IS - 0008-543X (Linking) DP - 2024 Jan 18 TI - Adjuvant platinum versus capecitabine for residual, invasive, triple-negative breast cancer: Patient-reported outcomes in ECOG-ACRIN EA1131. LID - 10.1002/cncr.35187 [doi] AB - BACKGROUND: Patient-reported outcomes (PROs) are a better tool for evaluating the experiences of patients who have symptomatic, treatment-associated adverse events (AEs) compared with clinician-rated AEs. The authors present PROs assessing health-related quality of life (HRQoL) and treatment-related neurotoxicity for adjuvant capecitabine versus platinum on the Eastern Cooperative Oncology Group-American College of Radiology Imaging Network (ECOG-ACRIN) EA1131 trial (ClinicalTrials.gov identifier NCT02445391). METHODS: Participants completed the National Comprehensive Cancer Network Functional Assessment of Cancer Therapy-Breast Cancer Symptom Index (NFBSI-16) and the Functional Assessment of Cancer Therapy-Gynecologic Oncology Group neurotoxicity subscale (platinum arm only) at baseline, cycle 3 day 1 (C3D1), 6 months, and 15 months. Because of early termination, power was insufficient to test the hypothesis that HRQoL, as assessed by the NFBSI-16 treatment side-effect (TSE) subscale, would be better at 6 and 15 months in the capecitabine arm; all analyses were exploratory. Means were compared by using t-tests or the Wilcoxon rank-sum test, and proportions were compared by using the chi(2) test. RESULTS: Two hundred ninety-six of 330 eligible patients provided PROs. The mean NFBSI-16 TSE subscale score was lower for the platinum arm at baseline (p = .02; absolute difference, 0.6 points) and for the capecitabine arm at C3D1 (p = .04; absolute difference, 0.5 points), but it did not differ at other times. The mean change in TSE subscale scores differed between the arms from baseline to C3D1 (platinum arm, 0.15; capecitabine arm, -0.72; p = .03), but not from baseline to later time points. The mean decline in Functional Assessment of Cancer Therapy-Gynecologic Oncology Group neurotoxicity subscale scores exceeded the minimal meaningful change (1.38 points) from baseline to each subsequent time point (all p < .05). CONCLUSIONS: Despite the similar frequency of clinician-rated AEs, PROs identified greater on-treatment symptom burden with capecitabine and complemented clinician-rated AEs by characterizing patients' experiences during chemotherapy. CI - (c) 2024 American Cancer Society. FAU - Smith, Karen L AU - Smith KL AD - Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, Maryland, USA. AD - Sibley Memorial Hospital, Washington, District of Columbia, USA. FAU - Zhao, Fengmin AU - Zhao F AD - Dana Farber Cancer Institute, Eastern Cooperative Oncology Group-American College of Radiology Imaging Network Biostatistics Center, Boston, Massachusetts, USA. FAU - Mayer, Ingrid A AU - Mayer IA AD - Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, Tennessee, USA. FAU - Tevaarwerk, Amye J AU - Tevaarwerk AJ AUID- ORCID: 0000-0002-8087-5119 AD - Mayo Clinic Comprehensive Cancer Center, Rochester, Minnesota, USA. FAU - Garcia, Sofia F AU - Garcia SF AUID- ORCID: 0000-0003-3300-385X AD - Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA. FAU - Arteaga, Carlos L AU - Arteaga CL AD - University of Texas Southwestern Simmons Cancer Center, Dallas, Texas, USA. FAU - Symmans, William F AU - Symmans WF AD - The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. FAU - Park, Ben H AU - Park BH AD - Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, Tennessee, USA. FAU - Burnette, Brian L AU - Burnette BL AD - Cancer Research of Wisconsin and Northern Michigan (CROWN) NCORP, Green Bay, Wisconsin, USA. FAU - Makower, Della F AU - Makower DF AD - Montefiore Medical Center, Bronx, New York, USA. FAU - Block, Margaret AU - Block M AD - Alegent Health Bergan Mercy Medical Center, Omaha, Nebraska, USA. FAU - Morley, Kimberly A AU - Morley KA AD - St Joseph Mercy Hospital, Ann Arbor, Michigan, USA. FAU - Jani, Chirag R AU - Jani CR AD - Phoebe Putney Memorial Hospital, Albany, Georgia, USA. FAU - Mescher, Craig AU - Mescher C AD - Metro-Minnesota Community Oncology Research Consortium, St Louis Park, Minnesota, USA. FAU - Dewani, Shabana J AU - Dewani SJ AD - Columbus Oncology and Hematology Associates Inc., Columbus, Ohio, USA. FAU - Brown-Glaberman, Ursa AU - Brown-Glaberman U AD - University of New Mexico Comprehensive Cancer Center, Albuquerque, New Mexico, USA. FAU - Flaum, Lisa E AU - Flaum LE AD - Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA. FAU - Mayer, Erica L AU - Mayer EL AD - Dana-Farber Cancer Institute, Boston, Massachusetts, USA. FAU - Sikov, William M AU - Sikov WM AD - Women and Infants Hospital of Rhode Island, Providence, Rhode Island, USA. FAU - Rodler, Eve T AU - Rodler ET AD - University of California, Davis, Davis, California, USA. FAU - DeMichele, Angela M AU - DeMichele AM AD - University of Pennsylvania/Abramson Cancer Center, Philadelphia, Pennsylvania, USA. FAU - Sparano, Joseph A AU - Sparano JA AUID- ORCID: 0000-0002-9031-2010 AD - Icahn School of Medicine at Mount Sinai, Tisch Cancer Institute, New York, New York, USA. FAU - Wolff, Antonio C AU - Wolff AC AD - Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, Maryland, USA. FAU - Miller, Kathy D AU - Miller KD AD - Indiana University Melvin and Bren Simon Comprehensive Cancer Center, Indianapolis, Indiana, USA. FAU - Wagner, Lynne I AU - Wagner LI AUID- ORCID: 0000-0001-9685-4796 AD - Wake Forest University Health Sciences, Winston-Salem, North Carolina, USA. LA - eng SI - ClinicalTrials.gov/NCT02445391 GR - U10 CA180868/CA/NCI NIH HHS/United States GR - UG1 CA233320/CA/NCI NIH HHS/United States GR - UG1 CA233329/CA/NCI NIH HHS/United States GR - UG1 CA189828/CA/NCI NIH HHS/United States GR - UG1 CA189863/CA/NCI NIH HHS/United States GR - UG1 CA233340/CA/NCI NIH HHS/United States GR - U10 CA180820/CA/NCI NIH HHS/United States GR - U10 CA180794/CA/NCI NIH HHS/United States GR - U10 CA180821/CA/NCI NIH HHS/United States GR - UG1 CA233277/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20240118 PL - United States TA - Cancer JT - Cancer JID - 0374236 SB - IM OTO - NOTNLM OT - adjuvant therapy OT - capecitabine OT - neuropathy OT - patient-reported outcomes OT - platinum OT - quality of life OT - triple-negative breast cancer EDAT- 2024/01/18 18:42 MHDA- 2024/01/18 18:42 CRDT- 2024/01/18 12:42 PHST- 2023/10/19 00:00 [revised] PHST- 2023/08/07 00:00 [received] PHST- 2023/11/20 00:00 [accepted] PHST- 2024/01/18 18:42 [medline] PHST- 2024/01/18 18:42 [pubmed] PHST- 2024/01/18 12:42 [entrez] AID - 10.1002/cncr.35187 [doi] PST - aheadofprint SO - Cancer. 2024 Jan 18. doi: 10.1002/cncr.35187.