Key result
Qualitative interviews with 10 patients with familial chylomicronemia syndrome supported the content validity of a novel 17-item FCS Symptoms and Impacts Scale.
Why the study?
Familial chylomicronemia syndrome negatively impacts multiple organs, prompting the development and content validation of a novel patient-reported outcome measure consistent with regulatory guidance for clinical trials.
A novel 17-item patient-reported outcome measure for familial chylomicronemia syndrome was developed and demonstrated content validity, facilitating its use in future clinical trials.
BACKGROUND: Familial chylomicronemia syndrome (FCS), a rare genetic disorder characterized by high levels of circulating triglycerides, negatively impacts multiple organs, including the liver and pancreas. OBJECTIVE: The objective of this study was to develop and support the content validity of a novel patient-reported outcome (PRO) measure addressing FCS symptoms and impacts. To facilitate use in clinical trials of new treatments, evidence supporting the new measure needed to be consistent with regulatory guidance and requirements. METHODS: A pool of items addressing symptoms and impacts of FCS was initially developed based on data from a large burden-of-illness study with patients with FCS as well as a review of available literature and existing PRO measures. Two rounds of qualitative interviews were conducted with patients with FCS (N = 10) to refine the draft items and support the measure's content validity. Each interview began with concept elicitation followed by cognitive debriefing of the draft FCS measure. RESULTS: Patient-reported symptoms and impacts of FCS were generally consistent with those identified by the burden-of-illness study; abdominal pain was particularly prevalent and salient for patients. Suggested changes to the draft item pool were generally minor. Comprehensibility and ease of completion for the final instrument were confirmed during the second set of interviews. CONCLUSION: The content validity of the final 17-item FCS Symptoms and Impacts Scale is strongly supported by patient input gathered through both a large burden-of-illness study and qualitative research. To further support use in clinical trials, psychometric evaluation of the measure is underway.
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Davidson et al. (2021) studied Familial chylomicronemia syndrome (n=10). Qualitative interviews was evaluated on Content validity of the FCS Symptoms and Impacts Scale. Qualitative interviews with 10 patients with familial chylomicronemia syndrome supported the content validity of a novel 17-item FCS Symptoms and Impacts Scale.
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