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Patient-reported outcomes from the phase 3, randomized, double-blind, placebo-controlled ENGOT-cx11/GOG-3047/KEYNOTE-A18 study of pembrolizumab plus concurrent chemoradiotherapy in participants with high-risk locally advanced cervical cancer
| DC Field | Value | Language |
|---|---|---|
| dc.contributor.author | 이정윤 | - |
| dc.date.accessioned | 2026-01-29T06:26:37Z | - |
| dc.date.available | 2026-01-29T06:26:37Z | - |
| dc.date.issued | 2025-08 | - |
| dc.identifier.issn | 0090-8258 | - |
| dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/210335 | - |
| dc.description.abstract | 10.1016/j.ygyno.2025.06.003 | - |
| dc.description.statementOfResponsibility | Adult ; Aged ; Antibodies, Monoclonal, Humanized* / administration & dosage ; Antibodies, Monoclonal, Humanized* / adverse effects ; Antibodies, Monoclonal, Humanized* / therapeutic use ; Antineoplastic Combined Chemotherapy Protocols / therapeutic use ; Chemoradiotherapy* / methods ; Cisplatin / administration & dosage ; Double-Blind Method ; Female ; Humans ; Middle Aged ; Neoplasm Staging ; Patient Reported Outcome Measures ; Progression-Free Survival ; Quality of Life ; Uterine Cervical Neoplasms* / drug therapy ; Uterine Cervical Neoplasms* / pathology ; Uterine Cervical Neoplasms* / therapy | - |
| dc.language | English | - |
| dc.publisher | Academic Press | - |
| dc.relation.isPartOf | GYNECOLOGIC ONCOLOGY | - |
| dc.rights | CC BY-NC-ND 2.0 KR | - |
| dc.subject.MESH | Chemotherapy | - |
| dc.subject.MESH | Health-related quality of life | - |
| dc.subject.MESH | Locally advanced cervical cancer | - |
| dc.subject.MESH | Patient-reported outcomes | - |
| dc.subject.MESH | pembrolizumab | - |
| dc.title | Patient-reported outcomes from the phase 3, randomized, double-blind, placebo-controlled ENGOT-cx11/GOG-3047/KEYNOTE-A18 study of pembrolizumab plus concurrent chemoradiotherapy in participants with high-risk locally advanced cervical cancer | - |
| dc.type | Article | - |
| dc.contributor.college | College of Medicine (의과대학) | - |
| dc.contributor.department | Dept. of Obstetrics and Gynecology (산부인과학교실) | - |
| dc.contributor.googleauthor | Leslie Randall | - |
| dc.contributor.googleauthor | Yang Xiang | - |
| dc.contributor.googleauthor | Takashi Matsumoto | - |
| dc.contributor.googleauthor | Diana Giannarelli | - |
| dc.contributor.googleauthor | Dency Pilar Milla | - |
| dc.contributor.googleauthor | Karla Alejandra Lopez | - |
| dc.contributor.googleauthor | Alejandro Acevedo | - |
| dc.contributor.googleauthor | Julia Vizkeleti | - |
| dc.contributor.googleauthor | Ritu Salani | - |
| dc.contributor.googleauthor | Angelica Nogueira-Rodrigues | - |
| dc.contributor.googleauthor | Fernando Contreras Mejia | - |
| dc.contributor.googleauthor | Jacob Korach | - |
| dc.contributor.googleauthor | Hüseyin Akilli | - |
| dc.contributor.googleauthor | Jung-Yun Lee | - |
| dc.contributor.googleauthor | Valeriya Vladimirovna Saevets | - |
| dc.contributor.googleauthor | Vanessa Samouelian | - |
| dc.contributor.googleauthor | Jalid Sehouli | - |
| dc.contributor.googleauthor | Ekkasit Tharavichikul | - |
| dc.contributor.googleauthor | Vladyslav Sukhin | - |
| dc.contributor.googleauthor | Nicoletta Colombo | - |
| dc.contributor.googleauthor | Chih-Long Chang | - |
| dc.contributor.googleauthor | Juan F Cueva | - |
| dc.contributor.googleauthor | Susan Lalondrelle | - |
| dc.contributor.googleauthor | Edgar Petru | - |
| dc.contributor.googleauthor | Elizabeth Szamreta | - |
| dc.contributor.googleauthor | Allison Martin Nguyen | - |
| dc.contributor.googleauthor | Karin Yamada | - |
| dc.contributor.googleauthor | Kan Li | - |
| dc.contributor.googleauthor | Sandro Pignata | - |
| dc.contributor.googleauthor | Domenica Lorusso | - |
| dc.identifier.doi | 40592026 | - |
| dc.contributor.localId | A04638 | - |
| dc.relation.journalcode | J00956 | - |
| dc.identifier.eissn | 1095-6859 | - |
| dc.subject.keyword | Objective: In ENGOT-cx11/GOG-3047/KEYNOTE-A18 (NCT04221945), pembrolizumab (vs placebo) + concurrent chemoradiotherapy (CCRT) followed by pembrolizumab (vs placebo) significantly improved progression-free survival and overall survival in participants with newly diagnosed, high-risk locally advanced cervical cancer (LACC). We report patient-reported outcomes (PROs) from the study. Methods: Participants (≥18 years) with high-risk LACC (FIGO 2014 stage IB2-IIB with node-positive disease or stage III-IVA) were randomized 1:1 to 5 cycles of pembrolizumab 200 mg or placebo Q3W plus CCRT, followed by 15 cycles of pembrolizumab 400 mg or placebo Q6W. CCRT was 5 cycles (optional 6th dose) of cisplatin 40 mg/m2 Q1W plus external beam radiotherapy followed by brachytherapy. Secondary PRO endpoints included EORTC QLQ-C30 GHS/QoL and physical functioning subscales and EORTC QLQ-CX24 symptom experience scale | - |
| dc.subject.keyword | EQ-5D-5L visual analogue scale (VAS) was an exploratory endpoint. No alpha was assigned to the PRO analyses. Results: 1008 (95.1 %) of 1060 randomized participants were included in the PRO full analysis set population. No meaningful between-group differences were observed for any of the prespecified PRO instruments. Between-group differences (95 % CIs) in least-squares mean score changes from baseline to week 36 (primary time point) were 0.57 (-2.34 to 3.49) for QLQ-C30 GHS/QoL, 0.64 (-1.54 to 2.82) for QLQ-C30 physical functioning, 0.54 (-1.02 to 2.09) for QLQ-CX24 symptom experience, and -0.55 (-2.97 to 1.86) for EQ-5D-5L VAS. Empirical mean score changes over time and the proportions of participants whose scores improved, remained stable, or deteriorated over time were similar between treatment arms. Conclusions: Pembrolizumab+CCRT did not negatively impact participants' health-related quality of life. | - |
| dc.contributor.alternativeName | Lee, Jung-Yun | - |
| dc.contributor.affiliatedAuthor | 이정윤 | - |
| dc.citation.volume | 199 | - |
| dc.citation.startPage | 88 | - |
| dc.citation.endPage | 95 | - |
| dc.identifier.bibliographicCitation | GYNECOLOGIC ONCOLOGY, Vol.199 : 88-95, 2025-08 | - |
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