Non-Muscle Invasive Bladder Cancer Patient Survey - Imfinzi (durvalumab)

Non-Muscle Invasive Bladder Cancer Patient Survey - Imfinzi (durvalumab)

Bladder Cancer Canada is looking for people with non-muscle invasive bladder cancer and people who have been treated with Imfinzi (durvalumab) to talk about their experience.

The pan-Canadian Oncology Drug Review (pCODR) makes recommendations about whether provincial health plans should pay for new cancer drugs. pCODR will soon be reviewing the use of Imfinzi (durvalumabumab) in combination with BCG (Bacillus Calmette-Guérin) as treatment for non-muscle invasive bladder cancer. Bladder Cancer Canada will be making a submission to ensure that patient voices are represented and considered during the review process. We are looking for patients willing to speak about their experience.

Does this survey apply to you?
This survey is intended for patients with non-muscle invasive bladder cancer. We are also interested in surveying the subgroup of patients who have treatment experience with Imfinzi (durvalumab) in combination with BCG.

Please note that caregivers may answer questions on behalf of the patient where the patient is unable or unavailable.

You do not need to live in Canada to respond to this survey; we appreciate input from every patient.

We are also interested in speaking directly with people who have treatment experience with Imfinzi in combination with BCG.
Please contact Michelle Colero, Executive Director at patients@bladdercancercanada.org or by calling 1-866-674-8889 if you would be willing to participate in a brief telephone interview.

We would like to thank everyone for helping to ensure that patient experiences are represented in the cancer drug funding review process.

Privacy Policy: To ensure patient privacy and confidentiality, individual responses will not be identifiable. It is important to note that selected quotations may be used for the final submission to government agencies without reference to patient name or any other information that could lead to identifying the patient.
1.Are you a patient or a caregiver answering on behalf of a patient?
2.Have you been diagnosed with non-muscle invasive bladder cancer?
3.In what year were you diagnosed with non-muscle invasive bladder cancer?
4.Have you experienced any symptoms as a result of non-muscle invasive bladder cancer? (If you can, please try to focus on symptoms caused by the cancer rather than by any treatments.)
5.What treatment phase are you in?
6.What treatments have you received since your initial diagnosis?
7.Please describe your overall experience with these cancer treatments including both positive and negative experiences.
8.Were there any gaps in your treatment, ex. delays in treatment or referral to a physician, difficulty accessing treatments, personal difficulties, etc.? If so, please describe them.
9.Have you experienced side effects as a result of treatment? (Do not include the side effects of Imfinzi.)
10.Have you had difficulties accessing cancer treatments for any of the following reasons?
11.On a scale of 1 (not important) to 5 (very important), how important are these outcomes for your cancer treatment?
1 - not important
2
3
4
5 - very important
Controlling disease progression
Reducing symptoms
Maintaining quality of life
Managing side effects
Preventing recurrence
12.On a scale of 1 (Will Not Tolerate Side Effects) to 10 (Will Tolerate Significant Side Effects), how willing would you be to tolerate new side effects from drugs that can control disease progression or improve overall survival?
Questions 13-29 are for patients or caregivers who have treatment experience with Imfinzi in combination with BCG. If you have not been treated with this combination, you can proceed directly to Question 30.
13.Have you been treated as a bladder cancer patient with Imfinzi (durvalumab) in combination with BCG (Bacillus Calmette-Guérin)?
14.Did you receive BCG without Imfinzi prior to this combination therapy?
15.Did you receive any other drugs or therapies either before or after Imfinzi? If yes, please identify them.
16.How long were you treated with Imfinzi?
17.Did you receive BCG throughout the entirety of your treatment with Imfinzi?
18.Are you still receiving Imfinzi in combination with BCG for treatment of bladder cancer?
19.If you are no longer receiving Imfinzi, why?
20.If you stopped treatment of Imfinzi in combination with BCG due to severe side effects, which side effect(s) caused you to stop?
21.On a scale of 1 (much worse) to 5 (much better), how has your life changed on Imfinzi compared to other therapies that you received?
1 - much worse
2
3
4
5 - much better
Controlling disease progression
Reducing symptoms
Maintaining quality of life
Managing side effects
Preventing recurrence
22.Has Imfinzi in combination with BCG helped to manage your bladder cancer symptoms? If yes, please identify them below.
23.Have you experienced side effects while on Imfinzi in combination with BCG? If yes, please identify them below.
24.If you experienced side effects, which did you find most difficult to tolerate?
25.How much can you tolerate the side effects associated with Imfinzi in combination with BCG on a scale of 1 (completely tolerable) to 10 (completely intolerable)?
26.On a scale of 1 (no impact) to 5 (significant impact), how have the side effects associated with Imfinzi in combination with BCG impacted the following areas of your life:
1 - No impact
2
3
4
5 - Significant impact
Not applicable to me
Ability to work
Ability to sleep
Ability to perform household chores
Ability to care for children
Ability to spend time with family & friends
27.Did you have any difficulty accessing Imfinzi in combination with BCG?
28.Overall, what has been your experience with Imfinzi in combination with BCG? Describe the positive and negative.
29.Based on your personal experiences with Imfinzi in combination with BCG, would you recommend it to other patients with bladder cancer?
30.What country are you from?
31.If you are Canadian, what province are you from?
32.Would you be willing to participate in a telephone survey to discuss your experience with Imfinzi in combination with BCG?
33.If yes, please enter your email address or phone number below.
If you have a primary caregiver who is willing to participate in this survey, please allow them to complete the following questions by themselves.

If you don't have a primary caregiver or if they do not wish to participate in this survey, you can skip this section and click 'Done' at the bottom of the page to complete the survey.
34.What is your relationship to the bladder cancer patient?
35.In your own words, please describe how your day-to-day life has been impacted by caring for a person with bladder carcinoma (e.g. daily routines, ability to work, family obligations, financial impact, etc). Please include anything relevant to your experience as a caregiver.
36.How would you describe the effect of Imfinzi in combination with BCG on the patient for whom you are caring (if applicable)?
37.How did treatment with Imfinzi in combination with BCG affect your responsibilities as a caregiver?