Treatment patterns and medication adherence among patients diagnosed with multiple myeloma and treated with panobinostat

Future Oncol. 2018 Sep;14(21):2149-2160. doi: 10.2217/fon-2017-0727. Epub 2018 May 30.

Abstract

Aim: To examine real-world treatment patterns in multiple myeloma (MM) patients treated with panobinostat.

Materials & methods: Using a US claims database, MM patients treated with panobinostat during 02/01/2015-01/31/2017 were evaluated. Lines of therapy, combination regimens, dosing and duration were measured.

Results: Ninety-five patients were included (mean age: 61.4 years). Patients were heavily pretreated, with 88.4% exposed to both a proteasome inhibitor and an immunomodulatory agent. A panobinostat containing regimen was started in the fourth or more (86%) lines of therapy within a median of 3.77 years from initial treatment. The most common treatment combination was bortezomib/dexamethasone/panobinostat (31.6%) with 69.5% receiving the recommended dose (20 mg). Mean duration was 98.8 days.

Conclusion: Patients received the recommended dose, most commonly with bortezomib and dexamethasone. Panobinostat was used in heavily pretreated patients within 4 years post-diagnosis, reflecting an advanced MM population.

Keywords: adherence; multiple myeloma; outcomes research; panobinostat; real-world evidence; treatment patterns.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Antineoplastic Agents / therapeutic use*
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Comorbidity
  • Female
  • Humans
  • Male
  • Medication Adherence
  • Middle Aged
  • Multiple Myeloma / diagnosis
  • Multiple Myeloma / drug therapy*
  • Panobinostat / therapeutic use*
  • Treatment Outcome
  • Young Adult

Substances

  • Antineoplastic Agents
  • Panobinostat