Table 2.
Overall burden of AML
| Relapsed/refractory statusa | Treatment intensity | HMA monotherapy statusb | SCT status | FLT3-ITD statusc | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall (N = 75) | RR (n = 19) | Non-RR (n = 56) | Overall (N = 82) | High (n = 43) | Low (n = 39) | Overall (N = 39) | HMA mono (n = 24) | Non HMAd (n = 15) | Overall (N = 82) | SCT (n = 10) | Non SCT (n = 72) | Overall (n = 54) | FLT3 (n = 7) | Non FLT3 (n = 47) | |
| FACT-Leu | |||||||||||||||
| Physical well-being | |||||||||||||||
| Mean | 16.4 | 13.0 | 17.6 | 15.9 | 16.3 | 15.4 | 15.4 | 13.0 | 19.3 | 15.9 | 15.1 | 16.0 | 16.2 | 12.0 | 16.2 |
| P | 0.0053 | 0.5227 | 0.0006 | 0.6781 | 0.0711 | ||||||||||
| Effect size | 0.729 | 0.142 | 1.063 | 0.141 | 0.730 | ||||||||||
| Social well-being | |||||||||||||||
| Mean | 18.1 | 17.0 | 18.4 | 18.0 | 17.8 | 18.2 | 18.2 | 17.0 | 19.9 | 18.0 | 17.5 | 18.1 | 17.3 | 18.2 | 17.1 |
| P | 0.3189 | 0.7846 | 0.0851 | 0.7495 | 0.5925 | ||||||||||
| Effect size | 0.266 | 0.061 | 0.567 | 0.109 | 0.220 | ||||||||||
| Emotional well-being | |||||||||||||||
| Mean | 12.1 | 11.7 | 12.3 | 12.0 | 12.0 | 12.0 | 12.0 | 11.7 | 12.5 | 12.0 | 9.5 | 12.3 | 11.7 | 10.3 | 11.9 |
| P | 0.6351 | 0.9818 | 0.5257 | 0.0664 | 0.3820 | ||||||||||
| Effect size | 0.127 | 0.005 | 0.213 | 0.619 | 0.358 | ||||||||||
| Functional well-being | |||||||||||||||
| Mean | 14.9 | 14.3 | 15.1 | 15.1 | 14.6 | 15.7 | 15.7 | 15.1 | 16.7 | 15.1 | 13.4 | 15.4 | 14.2 | 13.3 | 14.4 |
| P | 0.5679 | 0.3099 | 0.3398 | 0.2530 | 0.5927 | ||||||||||
| Effect size | 0.153 | 0.226 | 0.319 | 0.388 | 0.220 | ||||||||||
| FACT-G | |||||||||||||||
| Mean | 61.5 | 56.0 | 63.3 | 61.0 | 60.7 | 61.3 | 61.3 | 56.8 | 68.5 | 61.0 | 55.5 | 61.7 | 59.4 | 53.8 | 60.3 |
| P | 0.0842 | 0.8675 | 0.0143 | 0.2360 | 0.3003 | ||||||||||
| Effect size | 0.458 | 0.037 | 0.790 | 0.402 | 0.423 | ||||||||||
| Leukemia-specific | |||||||||||||||
| Mean | 39.4 | 36.5 | 40.4 | 38.3 | 39.0 | 37.5 | 37.5 | 33.1 | 44.4 | 38.3 | 36.8 | 38.5 | 38.7 | 31.7 | 39.7 |
| P | 0.1788 | 0.5314 | 0.0007 | 0.6545 | 0.0717 | ||||||||||
| Effect size | 0.358 | 0.140 | 1.050 | 0.152 | 0.729 | ||||||||||
| Trial outcome index | |||||||||||||||
| Mean | 70.7 | 63.8 | 73.0 | 69.3 | 69.9 | 68.6 | 68.6 | 61.2 | 80.5 | 69.3 | 65.3 | 69.8 | 69.1 | 70.9 | 57.0 |
| P | 0.0802 | 0.7688 | 0.0007 | 0.4965 | 0.0803 | ||||||||||
| Effect size | 0.464 | 0.066 | 1.055 | 0.231 | 0.708 | ||||||||||
| Overall | |||||||||||||||
| Mean | 100.9 | 92.5 | 103.7 | 99.3 | 99.7 | 98.8 | 98.8 | 89.9 | 112.9 | 99.3 | 92.3 | 100.2 | 98.1 | 85.5 | 100.0 |
| P | 0.0982 | 0.8639 | 0.0021 | 0.3517 | 0.1484 | ||||||||||
| Effect size | 0.439 | 0.038 | 0.971 | 0.316 | 0.588 | ||||||||||
| CTSQ | |||||||||||||||
| Therapy expectations | |||||||||||||||
| Mean | 66.9 | 64.7 | 67.7 | 65.9 | 68.0 | 63.4 | 63.4 | 54.3 | 77.3 | 65.9 | 72.0 | 65.0 | 66.1 | 67.1 | 66.0 |
| P | 0.6172 | 0.3409 | 0.0007 | 0.3396 | 0.8946 | ||||||||||
| Effect size | 0.134 | 0.213 | 1.061 | 0.325 | 0.054 | ||||||||||
| Therapy satisfaction | |||||||||||||||
| Mean | 64.9 | 60.3 | 66.5 | 64.1 | 65.7 | 62.3 | 62.3 | 56.3 | 71.9 | 64.1 | 65.0 | 63.9 | 66.1 | 62.2 | 66.7 |
| P | 0.1581 | 0.3402 | 0.0029 | 0.8474 | 0.4765 | ||||||||||
| Effect size | 0.376 | 0.212 | 0.943 | 0.066 | 0.292 | ||||||||||
| Feelings about side effects | |||||||||||||||
| Mean | 46.5 | 45.1 | 47.0 | 47.0 | 44.8 | 49.5 | 49.5 | 49.5 | 49.6 | 47.0 | 44.4 | 47.4 | 47.1 | 40.2 | 48.1 |
| P | 0.6313 | 0.1439 | 0.9752 | 0.5464 | 0.1810 | ||||||||||
| Effect size | 0.129 | 0.326 | 0.011 | 0.205 | 0.545 | ||||||||||
| EQ-5D-VAS | |||||||||||||||
| Mean | 61.2 | 58.6 | 62.1 | 62.0 | 62.5 | 61.4 | 61.4 | 58.7 | 65.9 | 62.0 | 57.2 | 62.7 | 61.6 | 47.6 | 63.7 |
| P | 0.5092 | 0.7899 | 0.2627 | 0.4100 | 0.0428 | ||||||||||
| Effect size | 0.177 | 0.060 | 0.381 | 0.280 | 0.816 | ||||||||||
| EQ-5D-3L | |||||||||||||||
| Mean | 0.74 | 0.71 | 0.75 | 0.74 | 0.74 | 0.74 | 0.74 | 0.70 | 0.79 | 0.74 | 0.65 | 0.75 | 0.74 | 0.64 | 0.76 |
| P | 0.5148 | 0.9329 | 0.0928 | 0.1288 | 0.1629 | ||||||||||
| Effect size | 0.175 | 0.019 | 0.558 | 0.514 | 0.568 | ||||||||||
Mean scores shown
Bold text reflects where the P value is < 0.05
CTSQ Cancer Therapy Satisfaction Questionnaire, EQ-5D-VAS 5-Dimension EuroQol Questionnaire with Visual Analog Scale, EQ-5D-3L EuroQoL 5-dimension health-related quality of life measure, FACT-G functional assessment of cancer therapy-general, FACT-Leu functional Assessment of Cancer Therapy-Leukemia, RR relapsed/refractory, FLT3-ITD FMS-like tyrosine kinase-3 internal tandem duplication, HMA hypomethylating agent, SCT stem cell transplant, AML acute myeloid leukemia
aSeven patients excluded as not on therapy currently
bForty-three patients excluded as not receiving a high-intensity therapy
cTwenty-eight patients did not undergo cytogenetic testing, FLT3 status unknown
dPatients are receiving other AML treatment