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NCT01713946 · OUTCOME

Long Term Evaluation: Effect of Everolimus Over Time in the Overall Vineland-II Adaptive Behavior Composite (ABC) Score

A Placebo-controlled Study of Efficacy & Safety of 2 Trough-ranges of Everolimus as Adjunctive Therapy in Patients With Tuberous Sclerosis Complex (TSC) & Refractory Partial-onset Seizures · Source last updated 2018-11-07

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

Measure
MEDIAN
Unit
scores on a scale
Interval / dispersion
Full Range
Time frame
Baseline, Weeks 18, 42, 66 and 90

What was measured

Comparison of adaptive functioning using the VABS-II composite score in the everolimus low-trough treatment arm (3-7 ng/mL), high-trough treatment arm (9-15 ng/mL) and placebo arm. The Vineland II assesses an individual's development of personal independence \& social responsibility. The questionnaire contains 433 items which assess 15 subdomains organized into the five domains of Communication, Daily Living Skills, Socialization, Motor Skills and Maladaptive Behavior. The overall Adaptive Behavior Composite (ABC) score is obtained by summing the standard scores of the first four domain scores for patients aged less than 7 years, or the first 3 domain scores for patients aged 7 or older (the Maladaptive Behavior domain is optional). The ABC standard score ranges from 20 to 160 with a mean of 100 and a standard deviation of 15. Higher scores correspond to improved adaptive level. Note that 2 questionnaires with ABC scores\<20 (data issues) were included in this analysis.

Analysis population: The Long Term Evaluation (LTE) efficacy set consists of all patients who received at least one dose of everolimus and had at least one efficacy assessment while on everolimus.

Groups in this outcome

Everolimus LT Target of 3 to 7 ng/mL

Participants were randomized to receive everolimus dispersible tablets for oral suspension with titration to a low trough (LT) range of 3 to 7 ng/mL

Everolimus HT Target of 9 to 15 ng/mL

Participants were randomized to receive everolimus dispersible tablets for oral suspension with titration to a high trough (HT) range of 9 to 15 ng/mL

Placebo

Participants were randomized to receive placebo dispersible tablets for oral suspension.

Everolimus Long Term Evaluation (LTE)

Participants who were treated with everolimus either in the Core or Extension phases of the study and were evaluated for longer term safety and efficacy.

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 LT Target of 3 to 7 ng/mL0
Everolimus HT Target of 9 to 15 ng/mL0
Placebo0
Everolimus Long Term Evaluation (LTE)239

Reported measurements

Baseline

Analysis denominator · Participants

GroupSource count
Everolimus LT Target of 3 to 7 ng/mL0
Everolimus HT Target of 9 to 15 ng/mL0
Placebo0
Everolimus Long Term Evaluation (LTE)88
Values in scores on a scale · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Everolimus Long Term Evaluation (LTE)56.00Not reported20.0112.0Not reported
Week 18

Analysis denominator · Participants

GroupSource count
Everolimus LT Target of 3 to 7 ng/mL0
Everolimus HT Target of 9 to 15 ng/mL0
Placebo0
Everolimus Long Term Evaluation (LTE)94
Values in scores on a scale · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Everolimus Long Term Evaluation (LTE)53.50Not reported4.0121.0Not reported
Week 42

Analysis denominator · Participants

GroupSource count
Everolimus LT Target of 3 to 7 ng/mL0
Everolimus HT Target of 9 to 15 ng/mL0
Placebo0
Everolimus Long Term Evaluation (LTE)94
Values in scores on a scale · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Everolimus Long Term Evaluation (LTE)55.50Not reported20.0111.0Not reported
Week 66

Analysis denominator · Participants

GroupSource count
Everolimus LT Target of 3 to 7 ng/mL0
Everolimus HT Target of 9 to 15 ng/mL0
Placebo0
Everolimus Long Term Evaluation (LTE)88
Values in scores on a scale · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Everolimus Long Term Evaluation (LTE)57.00Not reported20.0112.0Not reported
Week 90

Analysis denominator · Participants

GroupSource count
Everolimus LT Target of 3 to 7 ng/mL0
Everolimus HT Target of 9 to 15 ng/mL0
Placebo0
Everolimus Long Term Evaluation (LTE)66
Values in scores on a scale · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Everolimus Long Term Evaluation (LTE)49.50Not reported20.0150.0Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG003
        lower Limit
        20.0
        upper Limit
        112.0
        value
        56.00
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        88
      units
      Participants
    title
    Baseline
  2. categories
    1. measurements
      1. group Id
        OG003
        lower Limit
        4.0
        upper Limit
        121.0
        value
        53.50
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        94
      units
      Participants
    title
    Week 18
  3. categories
    1. measurements
      1. group Id
        OG003
        lower Limit
        20.0
        upper Limit
        111.0
        value
        55.50
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        94
      units
      Participants
    title
    Week 42
  4. categories
    1. measurements
      1. group Id
        OG003
        lower Limit
        20.0
        upper Limit
        112.0
        value
        57.00
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        88
      units
      Participants
    title
    Week 66
  5. categories
    1. measurements
      1. group Id
        OG003
        lower Limit
        20.0
        upper Limit
        150.0
        value
        49.50
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        66
      units
      Participants
    title
    Week 90
denoms
  1. counts
    1. group Id
      OG000
      value
      0
    2. group Id
      OG001
      value
      0
    3. group Id
      OG002
      value
      0
    4. group Id
      OG003
      value
      239
    units
    Participants
description
Comparison of adaptive functioning using the VABS-II composite score in the everolimus low-trough treatment arm (3-7 ng/mL), high-trough treatment arm (9-15 ng/mL) and placebo arm. The Vineland II assesses an individual's development of personal independence \& social responsibility. The questionnaire contains 433 items which assess 15 subdomains organized into the five domains of Communication, Daily Living Skills, Socialization, Motor Skills and Maladaptive Behavior. The overall Adaptive Behavior Composite (ABC) score is obtained by summing the standard scores of the first four domain scores for patients aged less than 7 years, or the first 3 domain scores for patients aged 7 or older (the Maladaptive Behavior domain is optional). The ABC standard score ranges from 20 to 160 with a mean of 100 and a standard deviation of 15. Higher scores correspond to improved adaptive level. Note that 2 questionnaires with ABC scores\<20 (data issues) were included in this analysis.
dispersion Type
Full Range
groups
  1. description
    Participants were randomized to receive everolimus dispersible tablets for oral suspension with titration to a low trough (LT) range of 3 to 7 ng/mL
    id
    OG000
    title
    Everolimus LT Target of 3 to 7 ng/mL
  2. description
    Participants were randomized to receive everolimus dispersible tablets for oral suspension with titration to a high trough (HT) range of 9 to 15 ng/mL
    id
    OG001
    title
    Everolimus HT Target of 9 to 15 ng/mL
  3. description
    Participants were randomized to receive placebo dispersible tablets for oral suspension.
    id
    OG002
    title
    Placebo
  4. description
    Participants who were treated with everolimus either in the Core or Extension phases of the study and were evaluated for longer term safety and efficacy.
    id
    OG003
    title
    Everolimus Long Term Evaluation (LTE)
param Type
MEDIAN
population Description
The Long Term Evaluation (LTE) efficacy set consists of all patients who received at least one dose of everolimus and had at least one efficacy assessment while on everolimus.
reporting Status
POSTED
time Frame
Baseline, Weeks 18, 42, 66 and 90
title
Long Term Evaluation: Effect of Everolimus Over Time in the Overall Vineland-II Adaptive Behavior Composite (ABC) Score
type
SECONDARY
unit Of Measure
scores on a scale

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Preserved source evidence · Not medical advice