ZYTIGA SURVEY

The purpose of the survey is to provide the Canadian Cancer Survivor Network (CCSN) with insights and perspectives about living with and managing advanced stages of prostate cancer from patients and caregivers in order to complete a patient evidence submission for a new medication for metastatic castration-resistant prostate cancer called Zytiga (abiraterone acetate).

This medication has been available in Canada since 2011 for patients with metastatic castration-resistant prostate cancer in the post-chemotherapy stages. This national cancer drug review will consider its use in the pre-chemotherapy stage. The pan-Canadian Oncology Drug Review invites patient groups like CCSN to prepare and send in submissions so that patients and caregivers like you can be heard. Please join us and have your voice included in this important submission process.

The survey will be available starting now and remain open until April 5, 2013.

Thank you for your participation.

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* 1. What are the symptoms or problems you experience with advanced prostate cancer that affect your day-to-day living and quality of life?

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* 2. Which of these symptoms are the most important to control. Please pick your top 5:

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* 3. What therapies or treatments are you currently using or did you use to treat your disease? Please check all that apply.

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* 4. How effective have the therapies or treatments listed in question 3 been at controlling common aspects of advanced prostate cancer? Please check all that apply.

  Very effective Somewhat effective Not very effective Not effective at all
No treatment ("watch and wait")
Docetaxel (Taxotere)
Abiraterone acetate (Zytiga)
Enzalutamide (Xtandi)
Radiation therapy
Steriods
Other hormone therapy
Clinical trial

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* 5. What are the common adverse effects you have experienced?

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* 6. Are some adverse effects you have experienced more difficult to manage than others?

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* 7. Have you had issues accessing current therapy?

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* 8. Are there any needs in your current therapy that are not yet being met?

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* 9. EXPECTIONS OF A NEW DRUG
NO EXPERIENCE WITH ZYTIGA (ABIRATERONE ACETATE)

Please complete these questions if you have not been treated with Zytiga (abiraterone acetate)

Based on the needs in question 8, how much of an improvement would be needed from the new drug to make it better than current treatment? Please describe:

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