Dysgeusia in patients with advanced urothelial carcinoma receiving enfortumab vedotin, platinum-based chemotherapy, or immune check point inhibitors: time-course assessment using chemotherapy-induced taste alteration scale

被引:2
作者
Miyake, Makito [1 ]
Nishimura, Nobutaka [1 ]
Oda, Yuki [1 ]
Miyamoto, Tatsuki [1 ]
Tomizawa, Mitsuru [1 ]
Shimizu, Takuto [1 ]
Hori, Shunta [1 ]
Morizawa, Yosuke [1 ]
Gotoh, Daisuke [1 ]
Nakai, Yasushi [1 ]
Torimoto, Kazumasa [1 ]
Fujii, Tomomi [2 ,3 ]
Tanaka, Nobumichi [1 ,4 ]
Fujimoto, Kiyohide [1 ]
机构
[1] Nara Med Univ, Dept Urol, 840 Shijo cho, Kashihara, Nara 6348522, Japan
[2] Nara Med Univ, Dept Diagnost Pathol, Kashihara, Nara, Japan
[3] Osaka Univ, Ctr Infect Dis Educ & Res CiDER, Div Fostering Required Med Human Resources, Osaka, Japan
[4] Nara Med Univ, Dept Prostate Brachytherapy, Kashihara, Nara, Japan
关键词
Chemotherapy; dysgeusia; enfortumab vedotin; patient reported outcome measures; urothelial carcinoma; BREAST-CANCER; SMELL CHANGES; DYSFUNCTION; JAPANESE; VERSION;
D O I
10.1080/1120009X.2024.2340885
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
A time-course questionnaire survey using the chemotherapy-induced taste alteration scale (CiTAS) was conducted in patients with advanced urothelial carcinoma (UC) treated with systemic chemotherapy and/or immunotherapy. A total of 37 patients receiving systemic therapy with enfortumab vedotin (EV), platinum-based chemotherapy and immune checkpoint inhibitors were included in this study. No significant changes were observed in any of the CiTAS subscales during platinum-based chemotherapy and immune checkpoint inhibitor treatment, while EV therapy induced significant dysgeusia. Among 10 patients treated with EV, dysgeusia was associated with a substantial negative effect on the health-related quality-of-life domains, particularly global health status/QOL (mean +/- standard deviation: 52 +/- 19 in dysgeusia group vs 89 +/- 13 in non-dysgeusia group) and mental component summary (47 +/- 5.1 vs 53 +/- 2.0). The fatigue symptom score was higher in the dysgeusia group at the post-third cycle of EV (47 +/- 16 vs 15 +/- 17). Severe dysgeusia can be induced by EV therapy, which is usually not observed in other systemic therapies for advanced UC.
引用
收藏
页码:146 / 158
页数:13
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