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NCT00689936 · OUTCOME

Change From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for Patients With Cancer (EORTC QLQ-C30) Global Health Status Domain

Study to Determine Efficacy and Safety of Lenalidomide Plus Low-dose Dexamethasone Versus Melphalan, Prednisone, Thalidomide in Patients With Previously Untreated Multiple Myeloma · Source last updated 2019-11-20

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
MEAN
Unit
units on a scale
Interval / dispersion
Standard Deviation
Time frame
Cycle 1 Day 1 (Baseline), then Months 1, 3, 6, 12, 18 and Discontinuation visit

What was measured

The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall quality of life in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Global Health Status/QOL scale is scored between 0 and 100, with a high score indicating better Global Health Status/QOL. Negative change from Baseline values indicate deterioration in QOL or functioning and positive values indicate improvement.

Analysis population: Intent to Treat (ITT) population with available data.

Groups in this outcome

Lenalidomide and Low-Dose Dexamethasone (Rd)

Participants ≤ 75 years old received 25 mg lenalidomide (R) administered by mouth (PO) on days 1 to 21 of each 28-day cycle plus 40 mg dexamethasone (d) PO on days 1, 8, 15, and 22 of a 28-day cycle until disease progression or intolerable toxicity. Participants \> 75 years old received lenalidomide 25 mg PO on the same schedule and frequency plus 20 mg dexamethasone at the same schedule. Participants with moderate renal insufficiency received 10-15 mg lenalidomide (R) PO on days 1-21 of each 28-day treatment cycle and 20-40 mg dexamethasone (d) PO on days 1, 8, 15, and 22 of a 28-day cycle until disease progression or intolerable toxicity. Participants with severe renal insufficiency received 15 mg lenalidomide (R) PO every other day on days 1-21 of each 28-day treatment cycle and 20-40 mg dexamethasone (d) PO on days 1, 8, 15, and 22 of a 28-day cycle until disease progression or intolerable toxicity.

Lenalidomide and Dexamethasone Rd18

Participants ≤ 75 years old received 25 mg lenalidomide (R) PO on days 1 to 21 of each 28-day treatment cycle 40 mg dexamethasone (d) PO on days 1, 8, 15, and 22 of a 28-day cycle for up to 18 cycles unless progressive disease (PD) or intolerable toxicity occurred. Those \> 75 years old received lenalidomide 25 mg PO on the same schedule and frequency plus 20 mg dexamethasone (d) PO on days 1, 8, 15, and 22 of a 28-day cycle for up to 18 cycles unless PD or intolerable toxicity. Those with moderate renal insufficiency received 10-15 mg lenalidomide (R) PO on days 1-21 of each 28-day cycle and 20-40 mg dexamethasone (d) PO on days 1, 8, 15, and 22 of a 28-day cycle for up to 18 cycles unless PD or intolerable toxicity. Participants with severe renal insufficiency received 15 mg lenalidomide (R) PO every other day (QOD) on days 1-21 of each 28-day cycle and 20-40 mg dexamethasone (d) PO on days 1, 8, 15, and 22 of a 28-day cycle for up to 18 cycles unless PD or intolerable toxicity.

Melphalan + Prednisone + Thalidomide (MPT)

Participants received melphalan (M) 0.25 mg/kg PO daily (QD) on days 1 to 4 of each 42-day cycle plus prednisone (P) at 2 mg/kg PO on days 1 to 4 of each 42-day cycle and thalidomide 200 mg PO QD on days 1 to 41 of each 42-day cycle. MPT therapy was given for up to 12 cycles unless PD or intolerable toxicity occurred. Participants with moderate to severe renal insufficiency received melphalan (M) 0.10-0.125 mg/kg PO daily (QD) on days 1 to 4 of each 42-day cycle plus prednisone (P) at 2 mg/kg PO on days 1 to 4 of each 42-day cycle and thalidomide 100-200 mg PO QD on days 1 to 41 of each 42-day cycle. MPT therapy was given for up to 12 cycles unless PD or intolerable toxicity occurred.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Lenalidomide and Low-Dose Dexamethasone (Rd)508
Lenalidomide and Dexamethasone Rd18507
Melphalan + Prednisone + Thalidomide (MPT)508

Reported measurements

Month 1

Analysis denominator · Participants

GroupSource count
Lenalidomide and Low-Dose Dexamethasone (Rd)438
Lenalidomide and Dexamethasone Rd18441
Melphalan + Prednisone + Thalidomide (MPT)415
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Lenalidomide and Low-Dose Dexamethasone (Rd)0.423.98Not reportedNot reportedNot reported
Lenalidomide and Dexamethasone Rd18-1.323.93Not reportedNot reportedNot reported
Melphalan + Prednisone + Thalidomide (MPT)1.023.68Not reportedNot reportedNot reported
Month 3

Analysis denominator · Participants

GroupSource count
Lenalidomide and Low-Dose Dexamethasone (Rd)421
Lenalidomide and Dexamethasone Rd18413
Melphalan + Prednisone + Thalidomide (MPT)396
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Lenalidomide and Low-Dose Dexamethasone (Rd)4.824.15Not reportedNot reportedNot reported
Lenalidomide and Dexamethasone Rd184.725.15Not reportedNot reportedNot reported
Melphalan + Prednisone + Thalidomide (MPT)4.326.04Not reportedNot reportedNot reported
Month 6

Analysis denominator · Participants

GroupSource count
Lenalidomide and Low-Dose Dexamethasone (Rd)369
Lenalidomide and Dexamethasone Rd18376
Melphalan + Prednisone + Thalidomide (MPT)351
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Lenalidomide and Low-Dose Dexamethasone (Rd)5.925.93Not reportedNot reportedNot reported
Lenalidomide and Dexamethasone Rd185.423.88Not reportedNot reportedNot reported
Melphalan + Prednisone + Thalidomide (MPT)6.125.98Not reportedNot reportedNot reported
Month 12

Analysis denominator · Participants

GroupSource count
Lenalidomide and Low-Dose Dexamethasone (Rd)302
Lenalidomide and Dexamethasone Rd18299
Melphalan + Prednisone + Thalidomide (MPT)252
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Lenalidomide and Low-Dose Dexamethasone (Rd)4.826.42Not reportedNot reportedNot reported
Lenalidomide and Dexamethasone Rd183.225.38Not reportedNot reportedNot reported
Melphalan + Prednisone + Thalidomide (MPT)6.525.90Not reportedNot reportedNot reported
Month 18

Analysis denominator · Participants

GroupSource count
Lenalidomide and Low-Dose Dexamethasone (Rd)246
Lenalidomide and Dexamethasone Rd18238
Melphalan + Prednisone + Thalidomide (MPT)178
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Lenalidomide and Low-Dose Dexamethasone (Rd)6.428.02Not reportedNot reportedNot reported
Lenalidomide and Dexamethasone Rd185.724.86Not reportedNot reportedNot reported
Melphalan + Prednisone + Thalidomide (MPT)4.827.05Not reportedNot reportedNot reported
Study discontinuation

Analysis denominator · Participants

GroupSource count
Lenalidomide and Low-Dose Dexamethasone (Rd)203
Lenalidomide and Dexamethasone Rd18261
Melphalan + Prednisone + Thalidomide (MPT)257
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Lenalidomide and Low-Dose Dexamethasone (Rd)-0.127.07Not reportedNot reportedNot reported
Lenalidomide and Dexamethasone Rd185.027.33Not reportedNot reportedNot reported
Melphalan + Prednisone + Thalidomide (MPT)0.328.07Not reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        23.98
        value
        0.4
      2. group Id
        OG001
        spread
        23.93
        value
        -1.3
      3. group Id
        OG002
        spread
        23.68
        value
        1.0
    denoms
    1. counts
      1. group Id
        OG000
        value
        438
      2. group Id
        OG001
        value
        441
      3. group Id
        OG002
        value
        415
      units
      Participants
    title
    Month 1
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        24.15
        value
        4.8
      2. group Id
        OG001
        spread
        25.15
        value
        4.7
      3. group Id
        OG002
        spread
        26.04
        value
        4.3
    denoms
    1. counts
      1. group Id
        OG000
        value
        421
      2. group Id
        OG001
        value
        413
      3. group Id
        OG002
        value
        396
      units
      Participants
    title
    Month 3
  3. categories
    1. measurements
      1. group Id
        OG000
        spread
        25.93
        value
        5.9
      2. group Id
        OG001
        spread
        23.88
        value
        5.4
      3. group Id
        OG002
        spread
        25.98
        value
        6.1
    denoms
    1. counts
      1. group Id
        OG000
        value
        369
      2. group Id
        OG001
        value
        376
      3. group Id
        OG002
        value
        351
      units
      Participants
    title
    Month 6
  4. categories
    1. measurements
      1. group Id
        OG000
        spread
        26.42
        value
        4.8
      2. group Id
        OG001
        spread
        25.38
        value
        3.2
      3. group Id
        OG002
        spread
        25.90
        value
        6.5
    denoms
    1. counts
      1. group Id
        OG000
        value
        302
      2. group Id
        OG001
        value
        299
      3. group Id
        OG002
        value
        252
      units
      Participants
    title
    Month 12
  5. categories
    1. measurements
      1. group Id
        OG000
        spread
        28.02
        value
        6.4
      2. group Id
        OG001
        spread
        24.86
        value
        5.7
      3. group Id
        OG002
        spread
        27.05
        value
        4.8
    denoms
    1. counts
      1. group Id
        OG000
        value
        246
      2. group Id
        OG001
        value
        238
      3. group Id
        OG002
        value
        178
      units
      Participants
    title
    Month 18
  6. categories
    1. measurements
      1. group Id
        OG000
        spread
        27.07
        value
        -0.1
      2. group Id
        OG001
        spread
        27.33
        value
        5.0
      3. group Id
        OG002
        spread
        28.07
        value
        0.3
    denoms
    1. counts
      1. group Id
        OG000
        value
        203
      2. group Id
        OG001
        value
        261
      3. group Id
        OG002
        value
        257
      units
      Participants
    title
    Study discontinuation
denoms
  1. counts
    1. group Id
      OG000
      value
      508
    2. group Id
      OG001
      value
      507
    3. group Id
      OG002
      value
      508
    units
    Participants
description
The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall quality of life in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Global Health Status/QOL scale is scored between 0 and 100, with a high score indicating better Global Health Status/QOL. Negative change from Baseline values indicate deterioration in QOL or functioning and positive values indicate improvement.
dispersion Type
Standard Deviation
groups
  1. description
    Participants ≤ 75 years old received 25 mg lenalidomide (R) administered by mouth (PO) on days 1 to 21 of each 28-day cycle plus 40 mg dexamethasone (d) PO on days 1, 8, 15, and 22 of a 28-day cycle until disease progression or intolerable toxicity. Participants \> 75 years old received lenalidomide 25 mg PO on the same schedule and frequency plus 20 mg dexamethasone at the same schedule. Participants with moderate renal insufficiency received 10-15 mg lenalidomide (R) PO on days 1-21 of each 28-day treatment cycle and 20-40 mg dexamethasone (d) PO on days 1, 8, 15, and 22 of a 28-day cycle until disease progression or intolerable toxicity. Participants with severe renal insufficiency received 15 mg lenalidomide (R) PO every other day on days 1-21 of each 28-day treatment cycle and 20-40 mg dexamethasone (d) PO on days 1, 8, 15, and 22 of a 28-day cycle until disease progression or intolerable toxicity.
    id
    OG000
    title
    Lenalidomide and Low-Dose Dexamethasone (Rd)
  2. description
    Participants ≤ 75 years old received 25 mg lenalidomide (R) PO on days 1 to 21 of each 28-day treatment cycle 40 mg dexamethasone (d) PO on days 1, 8, 15, and 22 of a 28-day cycle for up to 18 cycles unless progressive disease (PD) or intolerable toxicity occurred. Those \> 75 years old received lenalidomide 25 mg PO on the same schedule and frequency plus 20 mg dexamethasone (d) PO on days 1, 8, 15, and 22 of a 28-day cycle for up to 18 cycles unless PD or intolerable toxicity. Those with moderate renal insufficiency received 10-15 mg lenalidomide (R) PO on days 1-21 of each 28-day cycle and 20-40 mg dexamethasone (d) PO on days 1, 8, 15, and 22 of a 28-day cycle for up to 18 cycles unless PD or intolerable toxicity. Participants with severe renal insufficiency received 15 mg lenalidomide (R) PO every other day (QOD) on days 1-21 of each 28-day cycle and 20-40 mg dexamethasone (d) PO on days 1, 8, 15, and 22 of a 28-day cycle for up to 18 cycles unless PD or intolerable toxicity.
    id
    OG001
    title
    Lenalidomide and Dexamethasone Rd18
  3. description
    Participants received melphalan (M) 0.25 mg/kg PO daily (QD) on days 1 to 4 of each 42-day cycle plus prednisone (P) at 2 mg/kg PO on days 1 to 4 of each 42-day cycle and thalidomide 200 mg PO QD on days 1 to 41 of each 42-day cycle. MPT therapy was given for up to 12 cycles unless PD or intolerable toxicity occurred. Participants with moderate to severe renal insufficiency received melphalan (M) 0.10-0.125 mg/kg PO daily (QD) on days 1 to 4 of each 42-day cycle plus prednisone (P) at 2 mg/kg PO on days 1 to 4 of each 42-day cycle and thalidomide 100-200 mg PO QD on days 1 to 41 of each 42-day cycle. MPT therapy was given for up to 12 cycles unless PD or intolerable toxicity occurred.
    id
    OG002
    title
    Melphalan + Prednisone + Thalidomide (MPT)
param Type
MEAN
population Description
Intent to Treat (ITT) population with available data.
reporting Status
POSTED
time Frame
Cycle 1 Day 1 (Baseline), then Months 1, 3, 6, 12, 18 and Discontinuation visit
title
Change From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for Patients With Cancer (EORTC QLQ-C30) Global Health Status Domain
type
SECONDARY
unit Of Measure
units on a scale

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Preserved source evidence · Not medical advice