Evidence map›Paper›PMID 29675616›Full record

Trial reportPharmaceutical research2018

A Pharmacometric Analysis of Patient-Reported Outcomes in Breast Cancer Patients Through Item Response Theory.

Emilie Schindler, Lena E Friberg, Bertram L Lum, Bei Wang, Angelica Quartino, Chunze Li, Sandhya Girish, Jin Y Jin, Mats O Karlsson

Abstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pharmaceutical research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Emilie SchindlerDepartment of Pharmaceutical Biosciences, Uppsala University, Box 591, SE-75124, Uppsala, Sweden.
Lena E FribergDepartment of Pharmaceutical Biosciences, Uppsala University, Box 591, SE-75124, Uppsala, Sweden.
Bertram L LumDepartment of Clinical Pharmacology, Genentech Inc., South San Francisco, California, USA.
Bei WangDepartment of Clinical Pharmacology, Genentech Inc., South San Francisco, California, USA.
Angelica QuartinoDepartment of Clinical Pharmacology, Genentech Inc., South San Francisco, California, USA.
Chunze LiDepartment of Clinical Pharmacology, Genentech Inc., South San Francisco, California, USA.
Sandhya GirishDepartment of Clinical Pharmacology, Genentech Inc., South San Francisco, California, USA.
Jin Y JinDepartment of Clinical Pharmacology, Genentech Inc., South San Francisco, California, USA.
Mats O KarlssonDepartment of Pharmaceutical Biosciences, Uppsala University, Box 591, SE-75124, Uppsala, Sweden. mats.karlsson@farmbio.uu.se.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAn item response theory (IRT) pharmacometric framework is presented to characterize Functional Assessment of Cancer Therapy-Breast (FACT-B) data in locally-advanced or metastatic breast cancer patients treated with ado-trastuzumab emtansine (T-DM1) or capecitabine-plus-lapatinib.

methodsIn the IRT model, four latent well-being variables, based on FACT-B general subscales, were used to describe the physical, social/family, emotional and functional well-being. Each breast cancer subscale item was reassigned to one of the other subscales. Longitudinal changes in FACT-B responses and covariate effects were investigated.

resultsThe IRT model could describe both item-level and subscale-level FACT-B data. Non-Asian patients showed better baseline social/family and functional well-being than Asian patients. Moreover, patients with Eastern Cooperative Oncology Group performance status of 0 had better baseline physical and functional well-being. Well-being was described as initially increasing or decreasing before reaching a steady-state, which varied substantially between patients and subscales. T-DM1 exposure was not related to any of the latent variables. Physical well-being worsening was identified in capecitabine-plus-lapatinib-treated patients, whereas T-DM1-treated patients typically stayed stable.

conclusionThe developed framework provides a thorough description of FACT-B longitudinal data. It acknowledges the multi-dimensional nature of the questionnaire and allows covariate and exposure effects to be evaluated on responses.

Indexed as

Models, BiologicalPatient Reported Outcome MeasuresAdo-Trastuzumab EmtansineAdultAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsCapecitabineFemaleHumansLapatinibLongitudinal StudiesMaytansineTrastuzumabTreatment OutcomeYoung AdultAdo-Trastuzumab EmtansineCapecitabineLapatinibMaytansineTrastuzumabado-trastuzumab emtansinecapecitabinekadcylalapatinibnonlinear mixed effectsNONMEMT-DM1

Identifiers

PMID29675616
PMCPMC5908825

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.