Geriatric oncologists have two main challenges: selecting patients for specific treatments and the delicate balance of prolonging their survival while maintaining independence and quality of life. Elderly patients are underrepresented in cancer clinical trials, and it is hard to have evidence-based recommendations in everyday clinical practice. So EORTC aims to develop, conduct, coordinate and stimulate elderly-specific clinical research for those older patients often excluded from clinical trials. Our research focuses on helping develop new biological and targeted agents that minimize the toxicity of common chemotherapy without affecting its efficacy.
EORTC’s research in this field includes identifying appropriate endpoints and designs for clinical studies in elderly patients and describing potential biomarkers to define the biological age of elderly patients more accurately, for better-tailored cancer treatment.
A Phase II study of Adjuvant PALbociclib as an Alternative to CHemotherapy in Elderly patientS with high-risk ER+/HER2- early breast cancer (APPALACHES)
A 3 arm randomized study on healTh-related quality Of Life of EldeRly pAtients with advaNced soft tissue sarComa undergoing doxorubicin every three weeks or doxorubicin weekly or cyclophosphamide plus predniso(lo)ne treatment
Helped establish a standardised Elderly Minimal Dataset (MinDS) to harmonise the collection of data relevant to the elderly and enable future cross-study and practice comparisons. All EORTC clinical trials now use the Elderly Minimal Dataset, in particular, G8 screening for patients who are more than 70 years old.
Hans Wildiers, Chair of the EORTC Cancer in the Elderly Task Force from 2009 until 2015, was appointed to the European Medicines Agency’s geriatric expert group in 2010. The group is working on a standard geriatric assessment to include in all future registration trials in Europe. Its recommendations are publically available at the EMA website.
Work in this field also resulted in developing an elderly-specific quality of life assessment tool, the QLQ-ELD14 scale. This quality of life scale is already integrated in some studies of the elderly.