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KISQALI patient portrayal.

Patient-reported health-related quality of life with KISQALI + AI vs AI alone in stage II/III HR+/HER2- eBC

In NATALEE, physical functioning from the EORTC QLQ-C30 was the prespecified primary HRQOL outcome of interest1,2
Change in physical functioning* from baseline at a median follow-up of 34 months: KISQALI + AI: -1.50; AI alone: -1.34. Range of -5 to 2 equates to no clinically meaningful difference according to established threshold for interpreting changes in physical functioning score.
Additional HRQOL outcomes from the EORTC QLQ-C30 in NATALEE1,2
Change from baseline, reported for KISQALI + AI and AI alone, at a median follow-up of 34 months. Global health status†: -3.10, -1.96. Social functioning‡: 0.26, 1.39. Emotional functioning§: -4.52, -3.97. Range that equates to no clinically meaningful difference according to established threshold for interpreting changes in respective scores: global health status: -5 to 5; social functioning: -6 to 3; emotional functioning: -3 to 6.

*Standard deviation from baseline values was 14.87 for KISQALI + AI treatment arm and 14.87 for AI alone; all changes were within 0.5 SD of baseline values.
Standard deviation from baseline values was 17.67 for KISQALI + AI treatment arm and 17.77 for AI alone; all changes were within 0.5 SD of baseline values.
Standard deviation from baseline values was 22.55 for KISQALI + AI treatment arm and 22.36 for AI alone; all changes were within 0.5 SD of baseline values.
§Standard deviation from baseline values was 20.07 for KISQALI + AI treatment arm and 19.51 for AI alone; all changes were within 0.5 SD of baseline values.

  • HRQOL was a secondary end point measured by patient-reported outcomes and was assessed at baseline, every 12 weeks for the first 24 months of treatment and every 24 weeks after that, at end of treatment, at confirmation of first recurrence, and every 12 or 24 weeks after confirmation of distant recurrence1

  • There was no prespecified statistical procedure controlling for type 1 error

  • The HRQOL measures used in the NATALEE trial are not all inclusive and do not include assessment of all disease- or treatment-related symptoms

NATALEE was a randomized, multicenter, open-label, phase III study of KISQALI + letrozole or anastrozole (n=2549) vs letrozole or anastrozole (n=2552) for the adjuvant treatment of men and women with stage II/III HR+/HER2- eBC. HRQOL was a secondary end point; iDFS was the primary end point.1,3,4

AI=aromatase inhibitor; eBC=early breast cancer; EORTC QLQ-C30=European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30; HR=hazard ratio; HRQOL=health-related quality of life; SD=standard deviation.
 
References: 1. Fasching PA, Slamon DJ, Nowecki Z, et al. Health-related quality of life in the phase 3 NATALEE study of adjuvant ribociclib plus a NSAI vs NSAI alone in patients with HR+/HER2- early breast cancer. Presented at: ESMO Virtual Plenary with AACR Expert Commentary; September 14-15, 2023. 2. Cocks K, King MT, Velikova G, et al. Evidence-based guidelines for interpreting change scores for the European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30. Eur J Cancer. 2012;48(11):1713-1721. doi:10.1016/j.ejca.2012.02.059 3. Kisqali. Prescribing information. Novartis Pharmaceuticals Corp. 4. Slamon DJ, Fasching PA, Hurvitz S, et al. Rationale and trial design of NATALEE: a phase III trial of adjuvant ribociclib + endocrine therapy versus endocrine therapy alone in patients with HR+/HER2− early breast cancer. Ther Adv Med Oncol. 2023;15:1-16. doi:10.1177/17588359231178125