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免疫肿瘤治疗诱导的细胞因子释放综合征患者日记:一种内容有效的患者报告结局测量工具

英文原题:The Immuno-oncology-Induced Cytokine Release Syndrome Patient Diary: A Content-Valid, Patient-Reported Outcome Measure.

查看英文原题

The Immuno-oncology-Induced Cytokine Release Syndrome Patient Diary: A Content-Valid, Patient-Reported Outcome Measure.

PubMed 2025/10/03(内容时间) Oncol Ther Q2 · IF 3.4(JCR 2025)

分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。

研究概要

IO 诱导的 CRS 患者日记可被视为一种内容效度良好的工具,用于在 IO 临床试验中捕获和监测 CRS 最重要的患者可报告症状和影响。该 PROM 可从患者角度提供对 IO 诱导的 CRS 的标准化理解,而迄今为止,这主要通过多种不同的评估在临床上进行评价。

研究思路结论见上方概要

细胞因子释放综合征(CRS)发生于免疫系统对感染或某些免疫治疗反应过度时,导致全身性炎症反应。CRS的临床表现高度可变,从发热、乏力等轻度症状到严重、危及生命的状况不等。目前,尚无标准化的方法来收集患者报告的CRS经历数据。本研究旨在开发一种新型患者报告结局测量工具(PROM),以捕捉患者对CRS的体验。

采用了一个全面的、多步骤的证据生成过程,包括几个研究步骤:文献回顾和赛诺菲临床试验不良事件数据分析,与临床专家的半结构化访谈,与临床试验研究者的顾问委员会会议,与经历过CRS的患者的概念引出访谈,一次PROM开发研讨会,与临床试验研究者的认知访谈,以及与患者的认知访谈。

本综述从文献和临床试验的匿名安全性数据中识别了多种与CRS相关的体征和症状。临床专家验证了初步概念模型(CM),并识别出其他相关症状。患者访谈揭示了更多症状和影响,从而开发了免疫肿瘤(IO)诱导的CRS患者日记。该PROM通过临床专家和患者的迭代反馈进行了完善,确保其能有效捕捉CRS症状的发生率、严重程度和影响。

展开英文摘要原文

A comprehensive, multistep evidence-generation process was employed, including several research steps: a literature review and analysis of Sanofi clinical trial adverse event data, semi-structured interviews with clinical experts, advisory board meetings with clinical trial investigators, concept elicitation interviews with patients who experienced CRS, a PROM development workshop, cognitive debriefing interviews with clinical trial investigators, and cognitive debriefing interviews with patients.

This review identified various CRS-related signs and symptoms from literature and anonymized safety data from clinical trials. Clinical experts validated the preliminary conceptual model (CM) and identified additional relevant symptoms. Patient interviews revealed further symptoms and impacts, leading to the development of the immuno-oncology (IO)-induced CRS patient diary. This PROM was refined through iterative feedback from clinical experts and patients, ensuring it effectively captures the incidence, severity, and impact of CRS symptoms.

The "IO-induced CRS patient diary" can be considered a content-valid tool for capturing and monitoring the most important patient-reportable symptoms and impacts of CRS in IO clinical trials. This PROM can provide a standardized understanding of IO-induced CRS from the patient perspective, where to date this has been mainly clinically assessed using diverse assessments.

论文信息

作者
Wells ET、Lucats L、Abbadessa G、Turnbull J、Talavera JR、Van Tomme SR、Cordero P、Arnould B
单位
IQVIA, Strategy and Life Sciences Consulting, Durham, NC, USA. edward.wells@iqvia.com.United States
期刊
Oncology and therapy2025 Dec
原文标识
PubMed 41042495 · DOI 10.1007/s40487-025-00383-x