#ESMO26 RAMPART: What do detailed PROs show with adjuvant durvalumab vs active monitoring after RCC resection?
PRO analysis, n=218 (Durvalumab: 87; Active monitoring: 131)
🚨 Primary QoL endpoint at Mo 15 showed no difference between arms—but domain-level analyses told a different story.
At Week 16, durvalumab worsened:
🔹 OHQL: –7.4
🔹 Role function: –7.1
🔹 Cognitive function: –5.3
🔹 Fatigue: +5.5
🔹 Appetite loss: +5.8
At Mo 15:
🔹 Cognitive function remained worse: –7.1
🔹 Appetite loss: +7.4
🔹 Dyspnea: +7.5
🔹 Constipation: +12.2
🔑 A global QoL endpoint may miss clinically meaningful treatment effects across individual domains—some occurring during therapy, some persisting, and others emerging later.
@urotoday
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