TY - JOUR TI - Health-related quality of life in patients with newly diagnosed multiple myeloma ineligible for stem cell transplantation: results from the randomized phase III ALCYONE trial AU - Knop, Stefan AU - Mateos, Maria-Victoria AU - Dimopoulos, Meletios A. and AU - Suzuki, Kenshi AU - Jakubowiak, Andrzej AU - Doyen, Chantal AU - Lucio, AU - Paulo AU - Nagy, Zsolt AU - Usenko, Ganna AU - Pour, Ludek AU - Cook, Mark AU - and Grosicki, Sebastian AU - Crepaldi, Andre AU - Liberati, Anna Marina AU - and Campbell, Philip AU - Shelekhova, Tatiana AU - Yoon, Sung-Soo and AU - Losava, Genadi AU - Fujisaki, Tomoaki AU - Garg, Mamta AU - Wang, Jianping AU - and Wroblewski, Susan AU - Kudva, Anupa AU - Gries, Katharine S. and AU - Fastenau, John AU - San-Miguel, Jesus AU - Cavo, Michele JO - BMC Cancer PY - 2021 VL - 21 TODO - 1 SP - null PB - BMC SN - 1471-2407 TODO - 10.1186/s12885-021-08325-2 TODO - null TODO - BackgroundIn the phase III ALCYONE trial, daratumumab plus bortezomib/melphalan/prednisone (D-VMP) significantly improved overall response rate and progression-free status compared with VMP alone in transplant-ineligible patients with newly diagnosed multiple myeloma (NDMM). Here, we present patient-reported outcomes (PROs) from ALCYONE.MethodsThe European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30-item (EORTC QLQ-C30) and EuroQol 5-dimensional descriptive system (EQ-5D-5L) questionnaire were administered at baseline, every 3months (year 1) and every 6months (until progression). Treatment effects were assessed using a repeated-measures, mixed-effects model.ResultsCompliance with PRO assessments was comparable at baseline (>90%) and throughout study (>76%) for both treatment groups. Improvements from baseline were observed in both groups for EORTC QLQ-C30 Global Health Status (GHS), most functional scales, symptom scales and EQ-5D-5L visual analog scale (VAS). Between-group differences were significant for GHS (p =0.0240) and VAS (p =0.0160) at month 3. Improvements in pain were clinically meaningful in both groups at all assessment time points. Cognitive function declined in both groups, but the magnitude of the decline was not clinically meaningful.ConclusionsPatients with transplant-ineligible NDMM demonstrated early and continuous improvements in health-related quality of life, including improvements in functioning and symptoms, following treatment with D-VMP or VMP.Trial registrationClinicalTrials.gov identifier NCT02195479, registered September 21, 2014 ER -