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NCT00689936 · OUTCOME

Change From Baseline in the European Quality of Life-5 Dimensions (EQ-5D) Health Utility Index Score

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

EQ-5D is a self-administered questionnaire that assesses health-related quality of life. The EQ-5D descriptive health profile comprises five dimensions of health (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). Each dimension has 3 levels of response: No problem (1), some problems (2), and extreme problems (3). A unique EQ-5D health state is defined by combining one level from each of the five dimensions into a single utility index score. EQ-5D index values range from -0.59 to 1.00 where higher EQ-5D scores represent better health status. A positive change from baseline score indicates improvement in health status and better health state.

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)490
Lenalidomide and Dexamethasone Rd18492
Melphalan + Prednisone + Thalidomide (MPT)490

Reported measurements

Month 1

Analysis denominator · Participants

GroupSource count
Lenalidomide and Low-Dose Dexamethasone (Rd)400
Lenalidomide and Dexamethasone Rd18420
Melphalan + Prednisone + Thalidomide (MPT)381
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Lenalidomide and Low-Dose Dexamethasone (Rd)0.00.29Not reportedNot reportedNot reported
Lenalidomide and Dexamethasone Rd18-0.00.31Not reportedNot reportedNot reported
Melphalan + Prednisone + Thalidomide (MPT)0.00.28Not reportedNot reportedNot reported
Month 3

Analysis denominator · Participants

GroupSource count
Lenalidomide and Low-Dose Dexamethasone (Rd)389
Lenalidomide and Dexamethasone Rd18283
Melphalan + Prednisone + Thalidomide (MPT)366
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Lenalidomide and Low-Dose Dexamethasone (Rd)0.10.33Not reportedNot reportedNot reported
Lenalidomide and Dexamethasone Rd180.10.32Not reportedNot reportedNot reported
Melphalan + Prednisone + Thalidomide (MPT)0.10.32Not reportedNot reportedNot reported
Month 6

Analysis denominator · Participants

GroupSource count
Lenalidomide and Low-Dose Dexamethasone (Rd)341
Lenalidomide and Dexamethasone Rd18351
Melphalan + Prednisone + Thalidomide (MPT)323
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Lenalidomide and Low-Dose Dexamethasone (Rd)0.10.32Not reportedNot reportedNot reported
Lenalidomide and Dexamethasone Rd180.10.31Not reportedNot reportedNot reported
Melphalan + Prednisone + Thalidomide (MPT)0.10.34Not reportedNot reportedNot reported
Month 12

Analysis denominator · Participants

GroupSource count
Lenalidomide and Low-Dose Dexamethasone (Rd)283
Lenalidomide and Dexamethasone Rd18278
Melphalan + Prednisone + Thalidomide (MPT)231
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Lenalidomide and Low-Dose Dexamethasone (Rd)0.10.33Not reportedNot reportedNot reported
Lenalidomide and Dexamethasone Rd180.10.31Not reportedNot reportedNot reported
Melphalan + Prednisone + Thalidomide (MPT)0.10.35Not reportedNot reportedNot reported
Month 18

Analysis denominator · Participants

GroupSource count
Lenalidomide and Low-Dose Dexamethasone (Rd)219
Lenalidomide and Dexamethasone Rd18230
Melphalan + Prednisone + Thalidomide (MPT)170
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Lenalidomide and Low-Dose Dexamethasone (Rd)0.10.36Not reportedNot reportedNot reported
Lenalidomide and Dexamethasone Rd180.10.32Not reportedNot reportedNot reported
Melphalan + Prednisone + Thalidomide (MPT)0.10.35Not reportedNot reportedNot reported
Discontinuation Visit

Analysis denominator · Participants

GroupSource count
Lenalidomide and Low-Dose Dexamethasone (Rd)186
Lenalidomide and Dexamethasone Rd18231
Melphalan + Prednisone + Thalidomide (MPT)240
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Lenalidomide and Low-Dose Dexamethasone (Rd)0.00.40Not reportedNot reportedNot reported
Lenalidomide and Dexamethasone Rd180.00.35Not reportedNot reportedNot reported
Melphalan + Prednisone + Thalidomide (MPT)0.00.39Not reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.29
        value
        0.0
      2. group Id
        OG001
        spread
        0.31
        value
        -0.0
      3. group Id
        OG002
        spread
        0.28
        value
        0.0
    denoms
    1. counts
      1. group Id
        OG000
        value
        400
      2. group Id
        OG001
        value
        420
      3. group Id
        OG002
        value
        381
      units
      Participants
    title
    Month 1
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.33
        value
        0.1
      2. group Id
        OG001
        spread
        0.32
        value
        0.1
      3. group Id
        OG002
        spread
        0.32
        value
        0.1
    denoms
    1. counts
      1. group Id
        OG000
        value
        389
      2. group Id
        OG001
        value
        283
      3. group Id
        OG002
        value
        366
      units
      Participants
    title
    Month 3
  3. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.32
        value
        0.1
      2. group Id
        OG001
        spread
        0.31
        value
        0.1
      3. group Id
        OG002
        spread
        0.34
        value
        0.1
    denoms
    1. counts
      1. group Id
        OG000
        value
        341
      2. group Id
        OG001
        value
        351
      3. group Id
        OG002
        value
        323
      units
      Participants
    title
    Month 6
  4. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.33
        value
        0.1
      2. group Id
        OG001
        spread
        0.31
        value
        0.1
      3. group Id
        OG002
        spread
        0.35
        value
        0.1
    denoms
    1. counts
      1. group Id
        OG000
        value
        283
      2. group Id
        OG001
        value
        278
      3. group Id
        OG002
        value
        231
      units
      Participants
    title
    Month 12
  5. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.36
        value
        0.1
      2. group Id
        OG001
        spread
        0.32
        value
        0.1
      3. group Id
        OG002
        spread
        0.35
        value
        0.1
    denoms
    1. counts
      1. group Id
        OG000
        value
        219
      2. group Id
        OG001
        value
        230
      3. group Id
        OG002
        value
        170
      units
      Participants
    title
    Month 18
  6. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.40
        value
        0.0
      2. group Id
        OG001
        spread
        0.35
        value
        0.0
      3. group Id
        OG002
        spread
        0.39
        value
        0.0
    denoms
    1. counts
      1. group Id
        OG000
        value
        186
      2. group Id
        OG001
        value
        231
      3. group Id
        OG002
        value
        240
      units
      Participants
    title
    Discontinuation Visit
denoms
  1. counts
    1. group Id
      OG000
      value
      490
    2. group Id
      OG001
      value
      492
    3. group Id
      OG002
      value
      490
    units
    Participants
description
EQ-5D is a self-administered questionnaire that assesses health-related quality of life. The EQ-5D descriptive health profile comprises five dimensions of health (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). Each dimension has 3 levels of response: No problem (1), some problems (2), and extreme problems (3). A unique EQ-5D health state is defined by combining one level from each of the five dimensions into a single utility index score. EQ-5D index values range from -0.59 to 1.00 where higher EQ-5D scores represent better health status. A positive change from baseline score indicates improvement in health status and better health state.
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 European Quality of Life-5 Dimensions (EQ-5D) Health Utility Index Score
type
SECONDARY
unit Of Measure
units on a scale

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

Preserved source evidence · Not medical advice