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NCT00689936 · OUTCOME

Change From Baseline in the EORTC QLQ-C30 Appetite Loss 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 in clinical research 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 Appetite Loss Scale is scored between 0 and 100, with a high score indicating a higher level of appetite loss. Negative change from Baseline values indicate improvement in appetite and positive values indicate worsening of appetite.

Analysis population: 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)509
Lenalidomide and Dexamethasone Rd18512
Melphalan + Prednisone + Thalidomide (MPT)510

Reported measurements

Month 1

Analysis denominator · Participants

GroupSource count
Lenalidomide and Low-Dose Dexamethasone (Rd)442
Lenalidomide and Dexamethasone Rd18447
Melphalan + Prednisone + Thalidomide (MPT)422
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Lenalidomide and Low-Dose Dexamethasone (Rd)1.333.46Not reportedNot reportedNot reported
Lenalidomide and Dexamethasone Rd182.931.87Not reportedNot reportedNot reported
Melphalan + Prednisone + Thalidomide (MPT)1.032.35Not reportedNot reportedNot reported
Month 3

Analysis denominator · Participants

GroupSource count
Lenalidomide and Low-Dose Dexamethasone (Rd)424
Lenalidomide and Dexamethasone Rd18421
Melphalan + Prednisone + Thalidomide (MPT)396
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Lenalidomide and Low-Dose Dexamethasone (Rd)-5.938.34Not reportedNot reportedNot reported
Lenalidomide and Dexamethasone Rd18-3.335.25Not reportedNot reportedNot reported
Melphalan + Prednisone + Thalidomide (MPT)-6.235.03Not reportedNot reportedNot reported
Month 6

Analysis denominator · Participants

GroupSource count
Lenalidomide and Low-Dose Dexamethasone (Rd)374
Lenalidomide and Dexamethasone Rd18381
Melphalan + Prednisone + Thalidomide (MPT)354
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Lenalidomide and Low-Dose Dexamethasone (Rd)-9.840.02Not reportedNot reportedNot reported
Lenalidomide and Dexamethasone Rd18-8.633.98Not reportedNot reportedNot reported
Melphalan + Prednisone + Thalidomide (MPT)-13.535.98Not reportedNot reportedNot reported
Month 12

Analysis denominator · Participants

GroupSource count
Lenalidomide and Low-Dose Dexamethasone (Rd)307
Lenalidomide and Dexamethasone Rd18299
Melphalan + Prednisone + Thalidomide (MPT)253
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Lenalidomide and Low-Dose Dexamethasone (Rd)-7.337.07Not reportedNot reportedNot reported
Lenalidomide and Dexamethasone Rd18-6.435.30Not reportedNot reportedNot reported
Melphalan + Prednisone + Thalidomide (MPT)-10.534.16Not reportedNot reportedNot reported
Month 18

Analysis denominator · Participants

GroupSource count
Lenalidomide and Low-Dose Dexamethasone (Rd)246
Lenalidomide and Dexamethasone Rd18241
Melphalan + Prednisone + Thalidomide (MPT)183
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Lenalidomide and Low-Dose Dexamethasone (Rd)-8.135.97Not reportedNot reportedNot reported
Lenalidomide and Dexamethasone Rd18-5.133.29Not reportedNot reportedNot reported
Melphalan + Prednisone + Thalidomide (MPT)-12.231.88Not reportedNot reportedNot reported
Discontinuation Visit

Analysis denominator · Participants

GroupSource count
Lenalidomide and Low-Dose Dexamethasone (Rd)203
Lenalidomide and Dexamethasone Rd18267
Melphalan + Prednisone + Thalidomide (MPT)257
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Lenalidomide and Low-Dose Dexamethasone (Rd)-1.036.77Not reportedNot reportedNot reported
Lenalidomide and Dexamethasone Rd18-7.537.49Not reportedNot reportedNot reported
Melphalan + Prednisone + Thalidomide (MPT)-2.637.18Not reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        33.46
        value
        1.3
      2. group Id
        OG001
        spread
        31.87
        value
        2.9
      3. group Id
        OG002
        spread
        32.35
        value
        1.0
    denoms
    1. counts
      1. group Id
        OG000
        value
        442
      2. group Id
        OG001
        value
        447
      3. group Id
        OG002
        value
        422
      units
      Participants
    title
    Month 1
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        38.34
        value
        -5.9
      2. group Id
        OG001
        spread
        35.25
        value
        -3.3
      3. group Id
        OG002
        spread
        35.03
        value
        -6.2
    denoms
    1. counts
      1. group Id
        OG000
        value
        424
      2. group Id
        OG001
        value
        421
      3. group Id
        OG002
        value
        396
      units
      Participants
    title
    Month 3
  3. categories
    1. measurements
      1. group Id
        OG000
        spread
        40.02
        value
        -9.8
      2. group Id
        OG001
        spread
        33.98
        value
        -8.6
      3. group Id
        OG002
        spread
        35.98
        value
        -13.5
    denoms
    1. counts
      1. group Id
        OG000
        value
        374
      2. group Id
        OG001
        value
        381
      3. group Id
        OG002
        value
        354
      units
      Participants
    title
    Month 6
  4. categories
    1. measurements
      1. group Id
        OG000
        spread
        37.07
        value
        -7.3
      2. group Id
        OG001
        spread
        35.30
        value
        -6.4
      3. group Id
        OG002
        spread
        34.16
        value
        -10.5
    denoms
    1. counts
      1. group Id
        OG000
        value
        307
      2. group Id
        OG001
        value
        299
      3. group Id
        OG002
        value
        253
      units
      Participants
    title
    Month 12
  5. categories
    1. measurements
      1. group Id
        OG000
        spread
        35.97
        value
        -8.1
      2. group Id
        OG001
        spread
        33.29
        value
        -5.1
      3. group Id
        OG002
        spread
        31.88
        value
        -12.2
    denoms
    1. counts
      1. group Id
        OG000
        value
        246
      2. group Id
        OG001
        value
        241
      3. group Id
        OG002
        value
        183
      units
      Participants
    title
    Month 18
  6. categories
    1. measurements
      1. group Id
        OG000
        spread
        36.77
        value
        -1.0
      2. group Id
        OG001
        spread
        37.49
        value
        -7.5
      3. group Id
        OG002
        spread
        37.18
        value
        -2.6
    denoms
    1. counts
      1. group Id
        OG000
        value
        203
      2. group Id
        OG001
        value
        267
      3. group Id
        OG002
        value
        257
      units
      Participants
    title
    Discontinuation Visit
denoms
  1. counts
    1. group Id
      OG000
      value
      509
    2. group Id
      OG001
      value
      512
    3. group Id
      OG002
      value
      510
    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 in clinical research 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 Appetite Loss Scale is scored between 0 and 100, with a high score indicating a higher level of appetite loss. Negative change from Baseline values indicate improvement in appetite and positive values indicate worsening of appetite.
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
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 EORTC QLQ-C30 Appetite Loss Domain
type
SECONDARY
unit Of Measure
units on a scale

Download exact source JSON → · Snapshot ctgov-results-25a395029948b04d52b1253f

Preserved source evidence · Not medical advice