Functional Assessment of Cancer Therapy-Immune Checkpoint Modulator Version 4 Questionnaire - 52 Item

**Semantic type:** Intellectual Product

**Definition:** A standardized 52-item self-report rating scale to measure quality of life in cancer patients receiving immunotherapy over the past seven days that is divided into five subscales: physical, social/family, emotional, and functional well-being, as well as a specific immune checkpoint modulator subscale. Originally developed by Hansen, et al. in 2020, it combines the 27-item Functional Assessment of Cancer Therapy - General (FACT-G) Version 4, and the25-item Immune Checkpoint Modulator (ICM) Subscale.

**Synonyms:** - FAC104 - FACT-ICM V4 - FACT-ICM Version 4