Mean Change in Quality-Of-Life Indicators Post-Transplant
Autologous Stem Cell Transplant Followed By Maintenance Therapy in Treating Elderly Patients With Multiple Myeloma · Source last updated 2022-05-11
Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.
Measure
MEAN
Unit
score on a scale
Interval / dispersion
95% Confidence Interval
Time frame
Pre-DPACE, Pre-maintenance, every 6 months for up to 2 years during maintenance. Up to 6 years.
What was measured
Measured using the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ-C30) and Multiple Myeloma module (QLQ-MY20). The EORTC QLQ-C30 includes functional scales (physical, role, emotional, cognitive, and social) and global health status. The EORTC QLQ-MY20 includes disease symptoms and treatment side effects scales. Scores are averaged and transformed to 0-100 scale. For functional and global health status, a positive change from baseline (pre-DPACE) indicates improvement whereas for the symptom scales a negative change from baseline (pre-DPACE) indicates improvement.
Analysis population: Participants who received at least one day of study treatment. Globally, there were 37 patients who were included in at least one of the estimated mean change scores being reported. Four patients were not included due to not completing the baseline questionnaire making it impossible to calculate change from baseline (n=3) or did not complete the questionnaire at any time point (n=1).
Groups in this outcome
Autologous Stem Cell Transplant
Induction : DPACE(dexamethasone,cisplatin,doxorubicin,cyclophosphamide,etoposide) chemotherapy plus stem cell collection. Additional stem cell collection and/or chemotherapy may be required.
After collection, participants will receive dexamethasone x 4 days every 14 days.
Transplant: The transplant preparative regimen will be bortezomib/thalidomide/dexamethasone/melphalan.
Once recovered, participants start thalidomide daily and dexamethasone x 4 days every 21 days.
Consolidation (if administered): VDT-PACE(bortezomib,dexamethasone,thalidomide,cisplatin,doxorubicin,cyclophosphamide, etoposide)
Maintenance: Year 1 - VTD (bortezomib, thalidomide, dexamethasone) cycles. Year 2 - VCD (bortezomib, cyclophosphamide, dexamethasone)cycles.
dexamethasone: Given PO
cisplatin: Given IV
doxorubicin: Given IV
cyclophosphamide: Given IV or PO
etoposide: Given IV
bortezomib: Given IV
thalidomide: Given PO
melphalan: Given IV
autologous stem cell transplant
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
Autologous Stem Cell Transplant
37
Reported measurements
Change in Physical Functioning at Pre-Maintenance
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
30
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
1.3
Not reported
-5.2
7.9
Not reported
Change in Physical Functioning at Maintenance Cycle 6
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
31
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
-0.6
Not reported
-7.1
5.9
Not reported
Change in Physical Functioning at Maintenance Cycle 12
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
26
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
1.1
Not reported
-5.6
7.8
Not reported
Change in Physical Functioning at Maintenance Cycle 18
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
24
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
5.4
Not reported
-1.5
12.3
Not reported
Change in Physical Functioning at Maintenance Cycle 24
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
22
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
4.6
Not reported
-2.6
11.7
Not reported
Change in Role Functioning at Pre-Maintenance
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
28
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
7.4
Not reported
-5.5
20.4
Not reported
Change in Role Functioning at Maintenance Cycle 6
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
30
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
8.7
Not reported
-4.0
21.5
Not reported
Change in Role Functioning at Maintenance Cycle 12
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
26
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
4.4
Not reported
-8.7
17.5
Not reported
Change in Role Functioning at Maintenance Cycle 18
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
23
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
7.0
Not reported
-6.6
20.5
Not reported
Change in Role Functioning at Maintenance Cycle 24
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
22
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
6.0
Not reported
-8.0
20.0
Not reported
Change in Emotional Functioning at Pre-Maintenance
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
31
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
8.7
Not reported
2.5
14.9
Not reported
Change in Emotional Functioning at Maintenance Cycle 6
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
32
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
5.5
Not reported
-0.6
11.6
Not reported
Change in Emotional Functioning at Maintenance Cycle 12
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
28
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
1.4
Not reported
-4.9
7.7
Not reported
Change in Emotional Functioning at Maintenance Cycle 18
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
24
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
5.8
Not reported
-1.0
12.5
Not reported
Change in Emotional Functioning at Maintenance Cycle 24
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
24
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
8.3
Not reported
1.3
15.2
Not reported
Change in Cognitive Functioning at Pre-Maintenance
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
31
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
0.4
Not reported
-7.1
7.9
Not reported
Change in Cognitive Functioning at Maintenance Cycle 6
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
31
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
-4.6
Not reported
-12.0
2.9
Not reported
Change in Cognitive Functioning at Maintenance Cycle 12
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
28
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
-5.1
Not reported
-12.8
2.5
Not reported
Change in Cognitive Functioning at Maintenance Cycle 18
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
25
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
-6.0
Not reported
-14.0
2.1
Not reported
Change in Cognitive Functioning at Maintenance Cycle 24
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
24
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
-3.6
Not reported
-11.9
4.7
Not reported
Change in Social Functioning at Pre-Maintenance
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
30
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
-1.0
Not reported
-11.0
9.1
Not reported
Change in Social Functioning at Maintenance Cycle 6
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
31
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
2.7
Not reported
-7.2
12.6
Not reported
Change in Social Functioning at Maintenance Cycle 12
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
25
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
-4.9
Not reported
-15.3
5.6
Not reported
Change in Social Functioning at Maintenance Cycle 18
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
24
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
0.8
Not reported
-9.9
11.6
Not reported
Change in Social Functioning at Maintenance Cycle 24
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
23
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
-1.5
Not reported
-12.7
9.7
Not reported
Change in Global Health Status at Pre-Maintenance
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
31
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
5.4
Not reported
-2.7
13.5
Not reported
Change in Global Health Status at Maintenance Cycle 6
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
32
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
0.2
Not reported
-7.8
8.3
Not reported
Change in Global Health Status at Maintenance Cycle 12
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
28
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
-3.1
Not reported
-11.4
5.1
Not reported
Change in Global Health Status at Maintenance Cycle 18
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
25
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
-0.1
Not reported
-8.8
8.5
Not reported
Change in Global Health Status at Maintenance Cycle 24
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
24
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
3.4
Not reported
-5.6
12.3
Not reported
Change in Distress Symptoms at Pre-Maintenance
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
32
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
6.2
Not reported
1.2
11.2
Not reported
Change in Distress Symptoms at Maintenance Cycle 6
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
32
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
5.9
Not reported
0.9
10.8
Not reported
Change in Distress Symptoms at Maintenance Cycle 12
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
28
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
5.7
Not reported
0.5
10.9
Not reported
Change in Distress Symptoms at Maintenance Cycle 18
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
25
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
3.8
Not reported
-1.7
9.3
Not reported
Change in Distress Symptoms at Maintenance Cycle 24
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
24
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
5.3
Not reported
-0.4
11.0
Not reported
Change in Side Effects of Treatment at Pre-Maintenance
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
32
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
-3.3
Not reported
-8.0
1.3
Not reported
Change in Side Effects of Treatment at Maintenance Cycle 6
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
32
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
-0.7
Not reported
-5.3
3.9
Not reported
Change in Side Effects of Treatment at Maintenance Cycle 12
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
28
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
-5.1
Not reported
-9.8
-0.3
Not reported
Change in Side Effects of Treatment at Maintenance Cycle 18
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
25
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
-2.4
Not reported
-7.4
2.5
Not reported
Change in Side Effects of Treatment at Maintenance Cycle 24
Analysis denominator · Participants
Group
Source count
Autologous Stem Cell Transplant
24
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Autologous Stem Cell Transplant
-2.7
Not reported
-7.8
2.4
Not reported
Complete source fields
classes
categories
measurements
group Id
OG000
lower Limit
-5.2
upper Limit
7.9
value
1.3
denoms
counts
group Id
OG000
value
30
units
Participants
title
Change in Physical Functioning at Pre-Maintenance
categories
measurements
group Id
OG000
lower Limit
-7.1
upper Limit
5.9
value
-0.6
denoms
counts
group Id
OG000
value
31
units
Participants
title
Change in Physical Functioning at Maintenance Cycle 6
categories
measurements
group Id
OG000
lower Limit
-5.6
upper Limit
7.8
value
1.1
denoms
counts
group Id
OG000
value
26
units
Participants
title
Change in Physical Functioning at Maintenance Cycle 12
categories
measurements
group Id
OG000
lower Limit
-1.5
upper Limit
12.3
value
5.4
denoms
counts
group Id
OG000
value
24
units
Participants
title
Change in Physical Functioning at Maintenance Cycle 18
categories
measurements
group Id
OG000
lower Limit
-2.6
upper Limit
11.7
value
4.6
denoms
counts
group Id
OG000
value
22
units
Participants
title
Change in Physical Functioning at Maintenance Cycle 24
categories
measurements
group Id
OG000
lower Limit
-5.5
upper Limit
20.4
value
7.4
denoms
counts
group Id
OG000
value
28
units
Participants
title
Change in Role Functioning at Pre-Maintenance
categories
measurements
group Id
OG000
lower Limit
-4.0
upper Limit
21.5
value
8.7
denoms
counts
group Id
OG000
value
30
units
Participants
title
Change in Role Functioning at Maintenance Cycle 6
categories
measurements
group Id
OG000
lower Limit
-8.7
upper Limit
17.5
value
4.4
denoms
counts
group Id
OG000
value
26
units
Participants
title
Change in Role Functioning at Maintenance Cycle 12
categories
measurements
group Id
OG000
lower Limit
-6.6
upper Limit
20.5
value
7.0
denoms
counts
group Id
OG000
value
23
units
Participants
title
Change in Role Functioning at Maintenance Cycle 18
categories
measurements
group Id
OG000
lower Limit
-8.0
upper Limit
20.0
value
6.0
denoms
counts
group Id
OG000
value
22
units
Participants
title
Change in Role Functioning at Maintenance Cycle 24
categories
measurements
group Id
OG000
lower Limit
2.5
upper Limit
14.9
value
8.7
denoms
counts
group Id
OG000
value
31
units
Participants
title
Change in Emotional Functioning at Pre-Maintenance
categories
measurements
group Id
OG000
lower Limit
-0.6
upper Limit
11.6
value
5.5
denoms
counts
group Id
OG000
value
32
units
Participants
title
Change in Emotional Functioning at Maintenance Cycle 6
denoms
counts
group Id
OG000
value
37
units
Participants
description
Measured using the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ-C30) and Multiple Myeloma module (QLQ-MY20). The EORTC QLQ-C30 includes functional scales (physical, role, emotional, cognitive, and social) and global health status. The EORTC QLQ-MY20 includes disease symptoms and treatment side effects scales. Scores are averaged and transformed to 0-100 scale. For functional and global health status, a positive change from baseline (pre-DPACE) indicates improvement whereas for the symptom scales a negative change from baseline (pre-DPACE) indicates improvement.
dispersion Type
95% Confidence Interval
groups
description
Induction : DPACE(dexamethasone,cisplatin,doxorubicin,cyclophosphamide,etoposide) chemotherapy plus stem cell collection. Additional stem cell collection and/or chemotherapy may be required.
After collection, participants will receive dexamethasone x 4 days every 14 days.
Transplant: The transplant preparative regimen will be bortezomib/thalidomide/dexamethasone/melphalan.
Once recovered, participants start thalidomide daily and dexamethasone x 4 days every 21 days.
Consolidation (if administered): VDT-PACE(bortezomib,dexamethasone,thalidomide,cisplatin,doxorubicin,cyclophosphamide, etoposide)
Maintenance: Year 1 - VTD (bortezomib, thalidomide, dexamethasone) cycles. Year 2 - VCD (bortezomib, cyclophosphamide, dexamethasone)cycles.
dexamethasone: Given PO
cisplatin: Given IV
doxorubicin: Given IV
cyclophosphamide: Given IV or PO
etoposide: Given IV
bortezomib: Given IV
thalidomide: Given PO
melphalan: Given IV
autologous stem cell transplant
id
OG000
title
Autologous Stem Cell Transplant
param Type
MEAN
population Description
Participants who received at least one day of study treatment. Globally, there were 37 patients who were included in at least one of the estimated mean change scores being reported. Four patients were not included due to not completing the baseline questionnaire making it impossible to calculate change from baseline (n=3) or did not complete the questionnaire at any time point (n=1).
reporting Status
POSTED
time Frame
Pre-DPACE, Pre-maintenance, every 6 months for up to 2 years during maintenance. Up to 6 years.
title
Mean Change in Quality-Of-Life Indicators Post-Transplant