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NCT01524783 · OUTCOME

Time to Definitive Deterioration in World Health Organization (WHO) Performance Status (PS) Change

Everolimus Plus Best Supportive Care vs Placebo Plus Best Supportive Care in the Treatment of Patients With Advanced Neuroendocrine Tumors (GI or Lung Origin) · Source last updated 2021-08-05

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

Measure
MEDIAN
Unit
Months
Interval / dispersion
95% Confidence Interval
Time frame
From randomization to definitive deterioration of WHO performance status, assessed up to approximately 3 years

What was measured

WHO PS is a scale rated from 0 (fully active) to 5 (death) by a healthcare professional to assess the overall status of a patient: a lower score represents a higher ability to perform daily tasks. Deterioration is defined as an increase of at least one point compared to baseline. Deterioration is considered definitive if no improvements in the WHO PS status is observed at a subsequent time of measurement during the treatment period following the time point where the deterioration is observed. Death was considered as worsening of the WHO PS if it occurred close to the last available assessment, where "close" was defined as twice the planned period between two assessments. Patients without definitive worsening prior to analysis cut-off or prior to start of another anticancer therapy were censored at the date of their last assessment.

Analysis population: The full analysis set (FAS) consists of all randomized patients. Following the intent-to-treat principle, patients were analyzed according to the treatment arm and stratification factors they were assigned to at randomization.

Groups in this outcome

Everolimus + BSC

Participants received everolimus 10 mg once daily BSC throughout the study

Placebo + BSC

Participants received matching placebo once daily plus BSC during the blinded period. Participants were allowed to crossover to treatment with everolimus 10mg once daily plus BSC during the open-label period

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

Analysis denominator · Participants

GroupSource count
Everolimus + BSC205
Placebo + BSC97

Reported measurements

Source class 1
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Everolimus + BSC24.08Not reported17.05NANA. Not evaluable due to the low number of participants with an event of interest.
Placebo + BSC24.15Not reported8.31NANA. Not evaluable due to the low number of participants with an event of interest.

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    0.65
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.61
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.539
    param Type
    Hazard Ratio (HR)
    param Value
    1.02
    statistical Method
    Log Rank
Complete source fields
analyses
  1. ci Lower Limit
    0.65
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.61
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.539
    param Type
    Hazard Ratio (HR)
    param Value
    1.02
    statistical Method
    Log Rank
classes
  1. categories
    1. measurements
      1. comment
        NA. Not evaluable due to the low number of participants with an event of interest.
        group Id
        OG000
        lower Limit
        17.05
        upper Limit
        NA
        value
        24.08
      2. comment
        NA. Not evaluable due to the low number of participants with an event of interest.
        group Id
        OG001
        lower Limit
        8.31
        upper Limit
        NA
        value
        24.15
denoms
  1. counts
    1. group Id
      OG000
      value
      205
    2. group Id
      OG001
      value
      97
    units
    Participants
description
WHO PS is a scale rated from 0 (fully active) to 5 (death) by a healthcare professional to assess the overall status of a patient: a lower score represents a higher ability to perform daily tasks. Deterioration is defined as an increase of at least one point compared to baseline. Deterioration is considered definitive if no improvements in the WHO PS status is observed at a subsequent time of measurement during the treatment period following the time point where the deterioration is observed. Death was considered as worsening of the WHO PS if it occurred close to the last available assessment, where "close" was defined as twice the planned period between two assessments. Patients without definitive worsening prior to analysis cut-off or prior to start of another anticancer therapy were censored at the date of their last assessment.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants received everolimus 10 mg once daily BSC throughout the study
    id
    OG000
    title
    Everolimus + BSC
  2. description
    Participants received matching placebo once daily plus BSC during the blinded period. Participants were allowed to crossover to treatment with everolimus 10mg once daily plus BSC during the open-label period
    id
    OG001
    title
    Placebo + BSC
param Type
MEDIAN
population Description
The full analysis set (FAS) consists of all randomized patients. Following the intent-to-treat principle, patients were analyzed according to the treatment arm and stratification factors they were assigned to at randomization.
reporting Status
POSTED
time Frame
From randomization to definitive deterioration of WHO performance status, assessed up to approximately 3 years
title
Time to Definitive Deterioration in World Health Organization (WHO) Performance Status (PS) Change
type
SECONDARY
unit Of Measure
Months

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Preserved source evidence · Not medical advice