gdc
Pancreatic Cancer

Maintenance Therapy and Quality of Life

Helping patients preserve their quality of life by avoiding major side effects, maintenance therapy is a relatively new but promising form of treatment for pancreatic cancer.
Web Exclusives – November 27, 2019

Pancreatic adenocarcinoma is currently treated with surgery, chemotherapy, radiation therapy, immunotherapy, targeted therapy, supportive therapy, or a combination of these therapies.1 Although maintenance therapy is a relatively new concept in pancreatic cancer, it has been used to treat patients with other serious diseases, including ovarian cancer.2

Maintenance therapy may use chemotherapy, hormone therapy, or targeted therapy medications, and treatment usually involves just 1 medication at a time. Therefore, side effects are typically fewer with maintenance therapy compared with traditional chemotherapy used for first-line treatment.3

Maintenance therapy is used to prevent or delay the return of cancer for patients in remission or to slow the growth of advanced cancers after a first treatment.3 An important goal of maintenance therapy is to use medications that do not cause major side effects so that patients can keep a good quality of life during this treatment.2 It is also important that medications for maintenance therapy be easy to take and convenient.4

Maintenance therapy may be a way to treat patients so that pancreatic cancer becomes more like a chronic disease, and patients can live longer and better.4 The aim of maintenance therapy is to give patients a break from traditional chemotherapy and its side effects so that they can have a good quality of life.4

No medications for maintenance therapy are currently approved in pancreatic cancer. However, several trials are currently recruiting patients to participate in maintenance therapy.5

Does Maintenance Therapy Work in Clinical Trials?

Outcomes from early clinical trials of maintenance therapy in pancreatic cancer are promising.

One recent study included patients with metastatic pancreatic cancer who had a BRCA1 or BRCA2 mutation.2 These patients had already received a first round of chemotherapy and their disease was stable. Patients who received maintenance therapy had a longer period of time during which their disease did not progress compared with those who did not receive maintenance therapy.2

The patients who received maintenance therapy were also able to preserve their quality of life during treatment.2 Maintenance therapy has fewer side effects than chemotherapy, and patients receiving maintenance therapy had a similar quality of life compared with patients who received no treatment during the study.2,6

Quality of Life

Maintenance therapy is one promising way healthcare providers may be able to help patients maintain a good quality of life during pancreatic cancer treatment. However, quality of life should be a priority throughout a patient’s journey with pancreatic cancer. It is important that patients speak with their healthcare providers and loved ones about symptoms, treatment side effects, and concerns.7 When choosing treatments, patients and healthcare providers should consider both the expected disease outcomes and the expected effects on patients’ quality of life.6

Symptoms, such as pain and fatigue, and treatment side effects can have a big impact on how patients feel from day to day.6 Quality of life can also be affected by emotional and practical concerns.7 Supportive care can help patients have less severe pain and other symptoms, better quality of life, and improved emotional health.8

References

  1. Pancreatic Cancer Action Network. Treatment types. www.pancan.org/facing-pancreatic-cancer/treatment/treatment-types. 2019. Accessed November 14, 2019.
  2. Golan T, Hammel P, Reni M, et al. Maintenance olaparib for germline BRCA-mutated metastatic pancreatic cancer. N Engl J Med. 2019;381:317-327.
  3. Cancer.Net. Understanding maintenance therapy. www.cancer.net/navigating-cancer-care/how-cancer-treated/understanding-maintenance-therapy. May 2019. Accessed November 14, 2019.
  4. Picozzi V. What is the future role of maintenance therapy in pancreatic cancer? Partners in Pancreatic Cancer. www.partnersinpancreaticcancer.com/reference-ppc/faq-ppc/296-what-is-the-future-role-of-maintenance-therapy-in-pancreatic-cancer. July 25, 2018. Accessed November 21, 2019.
  5. ClinicalTrials.gov [database online]. Bethesda, MD: US National Library of Medicine.  https://clinicaltrials.gov/ct2/results?cond=Pancreatic+Cancer&term=maintenance&cntry=&state=&city=&dist=&recrs=a&recrs=d. Accessed November 14, 2019.
  6. Hammel P, Kindler HL, Reni M, et al. Health-related quality of life in patients with a germline BRCA mutation and metastatic pancreatic cancer receiving maintenance olaparib. Ann Oncol. 2019 Sep 28. pii: mdz406. doi: 10.1093/annonc/mdz406. [Epub ahead of print].
  7. Pancreatic Cancer Action Network. Managing side effects. www.pancan.org/facing-pancreatic-cancer/living-with-pancreatic-cancer/managing-side-effects-palliative-care. 2019. Accessed November 14, 2019.
  8. American Cancer Society. Who should get palliative care and why? www.cancer.org/treatment/treatments-and-side-effects/palliative-care/who-should-get-palliative-care.html. Last revised May 10, 2019. Accessed November 15, 2019.
Recommended For You
Pancreatic Cancer
Understanding Pancreatic Cancer
A complex disease, pancreatic cancer has causes that are difficult to identify, and it often goes without symptoms and undiagnosed until the cancer is locally advanced or metastatic.
Pancreatic Cancer
Pancreatic Cancer Treatment Explained
Depending on the cancer type and stage, along with individual patient factors, pancreatic cancer can be treated with surgery, radiation, chemotherapy, immunotherapy, targeted therapy, supportive care, or a combination of these treatments.
Pancreatic Cancer
Nutrition for Patients with Pancreatic Cancer
Getting proper nutrition is often difficult for patients with pancreatic cancer, but it is possible with specialized nutritional care and guidance from a registered dietitian.
Pancreatic Cancer
Why Is Pancreatic Cancer So Deadly? Looking for New Answers
By Richard C. Frank, MD
Pancreatic cancer may become the second leading cause of cancer deaths in the United States by 2020. Because there are no clear warning signs for this cancer, it is often diagnosed late, when cure is no longer possible. Dr. Frank discusses the challenges of pancreatic cancer and describes new treatments that have shown promise.
Last modified: November 27, 2019

Subscribe to CONQUER: the patient voice magazine

Receive timely cancer news & updates, patient stories, and more.

Country