Mean Change From Baseline in Health-related Quality of Life (HRQoL)
A Study to Compare BMS-936558 to the Physician's Choice of Either Dacarbazine or Carboplatin and Paclitaxel in Advanced Melanoma Patients That Have Progressed Following Anti-CTLA-4 Therapy (CheckMate 037) · Source last updated 2022-04-19
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
From Baseline (Day1) to second Follow-Up (Up to 96 months)
What was measured
Health-related Quality of Life (HRQoL) was assessed with the EORTC QLQ-C30 questionnaire, which is the most commonly used quality-of-life instrument in oncology trials. The instrument's 30 items were divided among 5 functional scales (physical, role, cognitive, emotional, and social), 9 symptom scales (fatigue, pain, nausea/vomiting, dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties), and a global health/quality of life scale. Raw scores for the EORTC QLQ-C30 were transformed to a 0-100 metric.
Higher scores for all functional scales and Global Health Status=better HRQoL Increase from baseline indicates improvement in HRQoL. Lower scores for symptom scales=better HRQoL Decline from baseline for symptom scales =improvement in symptoms compared to baseline.
A 10 point difference on a 100 point scale between treatments was considered clinically significant.
Analysis population: All randomized participants
Groups in this outcome
Nivolumab
Nivolumab 3 mg/kg IV over 60 minutes Q2W
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Dacarbazine: 1000 mg/m\^2 IV Q3W Carboplatin: Area under the concentration-time curve (AUC) 6 IV Q3W Paclitaxel: 175 mg/m\^2 IV Q3W
Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.
Analysis denominator · Participants
Group
Source count
Nivolumab
272
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
133
Reported measurements
Physical Functioning Follow-Up 1
Analysis denominator · Participants
Group
Source count
Nivolumab
77
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
22
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
-7.97
20.49
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
-12.73
21.47
Not reported
Not reported
Not reported
Physical Functioning Follow-Up 2
Analysis denominator · Participants
Group
Source count
Nivolumab
62
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
28
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
-3.66
16.05
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
-7.14
16.02
Not reported
Not reported
Not reported
Role Functioning Follow-Up 1
Analysis denominator · Participants
Group
Source count
Nivolumab
77
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
22
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
-14.94
31.13
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
-15.91
29.76
Not reported
Not reported
Not reported
Role Functioning Follow-Up 2
Analysis denominator · Participants
Group
Source count
Nivolumab
62
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
28
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
-7.80
25.56
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
-8.33
21.52
Not reported
Not reported
Not reported
Emotional Functioning Follow-Up 1
Analysis denominator · Participants
Group
Source count
Nivolumab
77
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
21
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
-5.09
21.59
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
-15.48
24.48
Not reported
Not reported
Not reported
Emotional Functioning Follow-Up 2
Analysis denominator · Participants
Group
Source count
Nivolumab
62
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
28
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
-0.94
19.15
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
-5.36
25.98
Not reported
Not reported
Not reported
Cognitive Functioning Follow-Up 1
Analysis denominator · Participants
Group
Source count
Nivolumab
77
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
21
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
-7.58
16.79
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
-7.94
17.17
Not reported
Not reported
Not reported
Cognitive Functioning Follow-Up 2
Analysis denominator · Participants
Group
Source count
Nivolumab
62
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
28
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
-3.49
15.43
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
-1.19
13.55
Not reported
Not reported
Not reported
Social Functioning Follow-Up 1
Analysis denominator · Participants
Group
Source count
Nivolumab
77
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
21
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
-8.66
29.45
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
-18.25
26.82
Not reported
Not reported
Not reported
Social Functioning Follow-Up 2
Analysis denominator · Participants
Group
Source count
Nivolumab
62
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
28
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
-1.61
29.52
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
-4.17
24.69
Not reported
Not reported
Not reported
Global Health Status Follow-Up 1
Analysis denominator · Participants
Group
Source count
Nivolumab
77
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
21
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
-8.23
22.44
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
-10.71
17.71
Not reported
Not reported
Not reported
Global Health Status Follow-Up 2
Analysis denominator · Participants
Group
Source count
Nivolumab
62
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
28
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
-1.61
18.53
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
-3.27
12.07
Not reported
Not reported
Not reported
Dyspnea Follow-Up 1
Analysis denominator · Participants
Group
Source count
Nivolumab
77
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
22
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
6.06
27.96
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
16.67
24.67
Not reported
Not reported
Not reported
Dyspnea Follow-Up 2
Analysis denominator · Participants
Group
Source count
Nivolumab
62
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
28
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
5.91
22.20
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
7.14
24.61
Not reported
Not reported
Not reported
Insomnia Follow-Up 1
Analysis denominator · Participants
Group
Source count
Nivolumab
77
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
22
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
3.46
32.26
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
0.00
30.86
Not reported
Not reported
Not reported
Insomnia Follow-Up 2
Analysis denominator · Participants
Group
Source count
Nivolumab
62
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
28
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
-4.84
25.50
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
0.00
30.09
Not reported
Not reported
Not reported
Apatite loss Follow-Up 1
Analysis denominator · Participants
Group
Source count
Nivolumab
77
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
22
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
6.93
28.79
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
13.64
24.47
Not reported
Not reported
Not reported
Apatite loss Follow-Up 2
Analysis denominator · Participants
Group
Source count
Nivolumab
62
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
28
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
5.91
30.49
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
2.38
22.09
Not reported
Not reported
Not reported
Constipation Follow-Up 1
Analysis denominator · Participants
Group
Source count
Nivolumab
77
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
21
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
7.36
28.93
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
0.00
23.57
Not reported
Not reported
Not reported
Constipation Follow-Up 2
Analysis denominator · Participants
Group
Source count
Nivolumab
62
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
28
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
2.15
22.48
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
-2.38
29.99
Not reported
Not reported
Not reported
Diarrhea Follow-Up 1
Analysis denominator · Participants
Group
Source count
Nivolumab
77
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
21
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
-0.43
19.86
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
6.35
22.65
Not reported
Not reported
Not reported
Diarrhea Follow-Up 2
Analysis denominator · Participants
Group
Source count
Nivolumab
62
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
28
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
1.08
20.88
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
1.19
16.93
Not reported
Not reported
Not reported
Financial Difficulties Follow-Up 1
Analysis denominator · Participants
Group
Source count
Nivolumab
77
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
21
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
-1.73
25.87
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
4.76
39.84
Not reported
Not reported
Not reported
Financial Difficulties Follow-Up 2
Analysis denominator · Participants
Group
Source count
Nivolumab
62
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
28
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
-1.08
22.56
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
-2.38
28.59
Not reported
Not reported
Not reported
Fatigue Follow-Up 1
Analysis denominator · Participants
Group
Source count
Nivolumab
77
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
22
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
8.95
23.78
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
15.66
28.00
Not reported
Not reported
Not reported
Fatigue Follow-Up 2
Analysis denominator · Participants
Group
Source count
Nivolumab
62
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
28
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
4.84
22.55
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
7.14
21.85
Not reported
Not reported
Not reported
Nausea and Vomiting Follow-Up 1
Analysis denominator · Participants
Group
Source count
Nivolumab
77
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
22
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
2.81
17.19
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
10.61
25.48
Not reported
Not reported
Not reported
Nausea and Vomiting Follow-Up 2
Analysis denominator · Participants
Group
Source count
Nivolumab
272
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
133
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
0.00
15.39
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
2.98
18.73
Not reported
Not reported
Not reported
Pain Follow-Up 1
Analysis denominator · Participants
Group
Source count
Nivolumab
77
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
22
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
6.06
31.17
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
6.82
25.02
Not reported
Not reported
Not reported
Pain Follow-Up 2
Analysis denominator · Participants
Group
Source count
Nivolumab
272
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
133
Values in Units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Nivolumab
5.38
24.84
Not reported
Not reported
Not reported
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
-1.79
14.59
Not reported
Not reported
Not reported
Complete source fields
classes
categories
measurements
group Id
OG000
spread
20.49
value
-7.97
group Id
OG001
spread
21.47
value
-12.73
denoms
counts
group Id
OG000
value
77
group Id
OG001
value
22
units
Participants
title
Physical Functioning Follow-Up 1
categories
measurements
group Id
OG000
spread
16.05
value
-3.66
group Id
OG001
spread
16.02
value
-7.14
denoms
counts
group Id
OG000
value
62
group Id
OG001
value
28
units
Participants
title
Physical Functioning Follow-Up 2
categories
measurements
group Id
OG000
spread
31.13
value
-14.94
group Id
OG001
spread
29.76
value
-15.91
denoms
counts
group Id
OG000
value
77
group Id
OG001
value
22
units
Participants
title
Role Functioning Follow-Up 1
categories
measurements
group Id
OG000
spread
25.56
value
-7.80
group Id
OG001
spread
21.52
value
-8.33
denoms
counts
group Id
OG000
value
62
group Id
OG001
value
28
units
Participants
title
Role Functioning Follow-Up 2
categories
measurements
group Id
OG000
spread
21.59
value
-5.09
group Id
OG001
spread
24.48
value
-15.48
denoms
counts
group Id
OG000
value
77
group Id
OG001
value
21
units
Participants
title
Emotional Functioning Follow-Up 1
categories
measurements
group Id
OG000
spread
19.15
value
-0.94
group Id
OG001
spread
25.98
value
-5.36
denoms
counts
group Id
OG000
value
62
group Id
OG001
value
28
units
Participants
title
Emotional Functioning Follow-Up 2
categories
measurements
group Id
OG000
spread
16.79
value
-7.58
group Id
OG001
spread
17.17
value
-7.94
denoms
counts
group Id
OG000
value
77
group Id
OG001
value
21
units
Participants
title
Cognitive Functioning Follow-Up 1
categories
measurements
group Id
OG000
spread
15.43
value
-3.49
group Id
OG001
spread
13.55
value
-1.19
denoms
counts
group Id
OG000
value
62
group Id
OG001
value
28
units
Participants
title
Cognitive Functioning Follow-Up 2
categories
measurements
group Id
OG000
spread
29.45
value
-8.66
group Id
OG001
spread
26.82
value
-18.25
denoms
counts
group Id
OG000
value
77
group Id
OG001
value
21
units
Participants
title
Social Functioning Follow-Up 1
categories
measurements
group Id
OG000
spread
29.52
value
-1.61
group Id
OG001
spread
24.69
value
-4.17
denoms
counts
group Id
OG000
value
62
group Id
OG001
value
28
units
Participants
title
Social Functioning Follow-Up 2
categories
measurements
group Id
OG000
spread
22.44
value
-8.23
group Id
OG001
spread
17.71
value
-10.71
denoms
counts
group Id
OG000
value
77
group Id
OG001
value
21
units
Participants
title
Global Health Status Follow-Up 1
categories
measurements
group Id
OG000
spread
18.53
value
-1.61
group Id
OG001
spread
12.07
value
-3.27
denoms
counts
group Id
OG000
value
62
group Id
OG001
value
28
units
Participants
title
Global Health Status Follow-Up 2
denoms
counts
group Id
OG000
value
272
group Id
OG001
value
133
units
Participants
description
Health-related Quality of Life (HRQoL) was assessed with the EORTC QLQ-C30 questionnaire, which is the most commonly used quality-of-life instrument in oncology trials. The instrument's 30 items were divided among 5 functional scales (physical, role, cognitive, emotional, and social), 9 symptom scales (fatigue, pain, nausea/vomiting, dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties), and a global health/quality of life scale. Raw scores for the EORTC QLQ-C30 were transformed to a 0-100 metric.
Higher scores for all functional scales and Global Health Status=better HRQoL Increase from baseline indicates improvement in HRQoL. Lower scores for symptom scales=better HRQoL Decline from baseline for symptom scales =improvement in symptoms compared to baseline.
A 10 point difference on a 100 point scale between treatments was considered clinically significant.
dispersion Type
Standard Deviation
groups
description
Nivolumab 3 mg/kg IV over 60 minutes Q2W
id
OG000
title
Nivolumab
description
Dacarbazine: 1000 mg/m\^2 IV Q3W Carboplatin: Area under the concentration-time curve (AUC) 6 IV Q3W Paclitaxel: 175 mg/m\^2 IV Q3W
id
OG001
title
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
param Type
MEAN
population Description
All randomized participants
reporting Status
POSTED
time Frame
From Baseline (Day1) to second Follow-Up (Up to 96 months)
title
Mean Change From Baseline in Health-related Quality of Life (HRQoL)