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Infusion Hesitancy and the Impact of Route of Administration of NSCLC Treatment Options in Patients’ Quality of Life

A panelist discusses how evidence-based protocols for managing infusion-related reactions have reduced hesitancy among health care providers to use agents like amivantamab, empowered the entire care team with knowledge, and balanced the benefits and challenges of oral vs intravenous (IV) chemotherapy administration in relation to patient autonomy, adherence, and quality of life.

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    Impact of Evidence-Based Approaches on Treatment Implementation: Summary for Physicians

    Infusion Hesitancy with High-Risk Agents

    • Data from the SKIPPirr trial have significantly reduced physician hesitancy in prescribing amivantamab
    • Enhanced premedication protocols have improved confidence among infusion nurses
    • Institutions continue to block 8-hour appointments for cycle 1 day 1 and day 2 amivantamab patients
    • Well-informed health care teams are better equipped to manage potential reactions

    Oral vs IV Therapy Considerations

    Oral Therapy Advantages

    • Provides greater patient autonomy and sense of control
    • Reduces frequency of clinical visits
    • May improve quality of life by eliminating infusion appointments

    Oral Therapy Challenges

    • Reduced adherence in patients with limited social support or lower health literacy
    • Less frequent monitoring may delay identification and management of adverse effects
    • Patient hesitancy to report symptoms between visits can impact treatment efficacy

    IV Therapy Considerations

    • Regular clinic visits ensure consistent monitoring and adherence
    • Travel burden for frequent appointments may decrease quality of life
    • More immediate opportunity to address emerging adverse effects

    Clinical Approach

    • Treatment selection should involve thoughtful discussion about individual patient circumstances
    • Assess potential barriers to adherence for both oral and IV options
    • Consider patient preferences, distance to treatment center, and support systems
    • Balance efficacy considerations with anticipated impact on quality of life

    The ideal treatment approach requires individualizing therapy based on both clinical factors and patient-specific considerations.

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