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NCT01942135 · OUTCOME

Change From Baseline Between Treatment Comparison in EORTC QLQ BR23 Symptom Scale Scores

Palbociclib (PD-0332991) Combined With Fulvestrant In Hormone Receptor+ HER2-Negative Metastatic Breast Cancer After Endocrine Failure (PALOMA-3) · Source last updated 2024-04-04

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
95% Confidence Interval
Time frame
From Cycle 1 to 14, as of 05 December 2014.

What was measured

The EORTC-QLQ-BR23 is a 23-item breast cancer-specific companion module to the EORTC-QLQ-C30 and consists of four functional scales (body image, sexual functioning, sexual enjoyment, future perspective) and four symptom scales (systemic side effects, breast symptoms, arm symptoms, upset by hair loss). QLQ-BR23 questionnaire employs 4-point scales with responses from 'not at all' to 'very much'. All scores are converted to a 0 to 100 scale. For symptom-oriented scales, a higher score represent more severe symptoms.

Analysis population: The PRO -evaluable population is defined as a subset of ITT participants, who have completed a baseline and at least one post -baseline PRO assessment prior to end of study treatment. Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.

Groups in this outcome

Palbociclib + Fulvestrant

Participants were administered an initial dose of 125 mg per day orally continuously for 3 weeks followed by 1 week off that can be reduced to 100 mg or 75 mg in case of toxicity; repeated at each subsequent cycle and fulvestrant 500 mg intramuscularly on days 1 and 15 of cycle 1 and then every 28 days. Pre- and perimenopausal women received goserelin at least 4 weeks before study treatment start and continued receiving concurrent ovarian function suppression with goserelin administered subcutaneously every 28 days during the active treatment phase. Maximum treatment duration was 105 cycles.

Placebo + Fulvestrant

Participants were administered placebo orally continuously dosed for 3 weeks followed by 1 week off; repeated at each subsequent cycle and Fulvestrant 500 mg intramuscularly on Days 1 and 15 of cycle 1 and then every 28 days. Pre- and perimenopausal women received goserelin at least 4 weeks before study treatment start and continued receiving concurrent ovarian function suppression with goserelin administered subcutaneously every 28 days during the active treatment phase. Maximum treatment duration was 93 cycles.

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

Analysis denominator · Participants

GroupSource count
Palbociclib + Fulvestrant335
Placebo + Fulvestrant166

Reported measurements

Systemic therapy side effects
Values in Units on a scale · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Palbociclib + Fulvestrant3.815.192.64.9Not reported
Placebo + Fulvestrant3.414.311.85.0Not reported
Breast symptoms
Values in Units on a scale · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Palbociclib + Fulvestrant-2.221.32-3.2-1.3Not reported
Placebo + Fulvestrant-1.317.49-2.70.0Not reported
Arm symptoms
Values in Units on a scale · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Palbociclib + Fulvestrant-2.220.59-3.6-0.9Not reported
Placebo + Fulvestrant-2.020.08-4.0-0.1Not reported
Upset by hair loss
Values in Units on a scale · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Palbociclib + Fulvestrant2.930.19-1.77.4Not reported
Placebo + Fulvestrant-6.020.91-12.30.3Not reported

Source statistical analyses

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

  1. ci Lower Limit
    -1.6
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.3
    group Description
    Statistical significance for palbociclib plus fulvestrant vs placebo plus fulvestrant for systemic therapy side effects
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.7273
    p Value Comment
    The priori threshold for statistical significance is 2-sided alpha=0.05. The p-value was not adjusted for multiple comparisons.
    param Type
    Mean Difference (Final Values)
    param Value
    0.4
    statistical Comment
    Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
    statistical Method
    Mixed Model Analysis (2-sided)
  2. ci Lower Limit
    -2.6
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.7
    group Description
    Statistical significance for palbociclib plus fulvestrant vs placebo plus fulvestrant for breast symptoms
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.2671
    p Value Comment
    The priori threshold for statistical significance is 2-sided alpha=0.05. The p-value was not adjusted for multiple comparisons.
    param Type
    Mean Difference (Final Values)
    param Value
    -0.9
    statistical Comment
    Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
    statistical Method
    Mixed Model Analysis (2-sided)
  3. ci Lower Limit
    -2.6
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.2
    group Description
    Statistical significance for palbociclib plus fulvestrant vs placebo plus fulvestrant for arm symptoms
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.8750
    p Value Comment
    The priori threshold for statistical significance is 2-sided alpha=0.05. The p-value was not adjusted for multiple comparisons.
    param Type
    Mean Difference (Final Values)
    param Value
    -0.2
    statistical Comment
    Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
    statistical Method
    Mixed Model Analysis (2-sided)
  4. ci Lower Limit
    1.1
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    16.6
    group Description
    Statistical significance for palbociclib plus fulvestrant vs placebo plus fulvestrant for upset by hair loss
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.0255
    p Value Comment
    The priori threshold for statistical significance is 2-sided alpha=0.05. The p-value was not adjusted for multiple comparisons.
    param Type
    Mean Difference (Final Values)
    param Value
    8.9
    statistical Comment
    Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
    statistical Method
    Mixed Model Analysis (2-sided)
Complete source fields
analyses
  1. ci Lower Limit
    -1.6
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.3
    group Description
    Statistical significance for palbociclib plus fulvestrant vs placebo plus fulvestrant for systemic therapy side effects
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.7273
    p Value Comment
    The priori threshold for statistical significance is 2-sided alpha=0.05. The p-value was not adjusted for multiple comparisons.
    param Type
    Mean Difference (Final Values)
    param Value
    0.4
    statistical Comment
    Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
    statistical Method
    Mixed Model Analysis (2-sided)
  2. ci Lower Limit
    -2.6
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.7
    group Description
    Statistical significance for palbociclib plus fulvestrant vs placebo plus fulvestrant for breast symptoms
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.2671
    p Value Comment
    The priori threshold for statistical significance is 2-sided alpha=0.05. The p-value was not adjusted for multiple comparisons.
    param Type
    Mean Difference (Final Values)
    param Value
    -0.9
    statistical Comment
    Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
    statistical Method
    Mixed Model Analysis (2-sided)
  3. ci Lower Limit
    -2.6
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.2
    group Description
    Statistical significance for palbociclib plus fulvestrant vs placebo plus fulvestrant for arm symptoms
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.8750
    p Value Comment
    The priori threshold for statistical significance is 2-sided alpha=0.05. The p-value was not adjusted for multiple comparisons.
    param Type
    Mean Difference (Final Values)
    param Value
    -0.2
    statistical Comment
    Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
    statistical Method
    Mixed Model Analysis (2-sided)
  4. ci Lower Limit
    1.1
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    16.6
    group Description
    Statistical significance for palbociclib plus fulvestrant vs placebo plus fulvestrant for upset by hair loss
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.0255
    p Value Comment
    The priori threshold for statistical significance is 2-sided alpha=0.05. The p-value was not adjusted for multiple comparisons.
    param Type
    Mean Difference (Final Values)
    param Value
    8.9
    statistical Comment
    Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
    statistical Method
    Mixed Model Analysis (2-sided)
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        2.6
        spread
        15.19
        upper Limit
        4.9
        value
        3.8
      2. group Id
        OG001
        lower Limit
        1.8
        spread
        14.31
        upper Limit
        5.0
        value
        3.4
    title
    Systemic therapy side effects
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        -3.2
        spread
        21.32
        upper Limit
        -1.3
        value
        -2.2
      2. group Id
        OG001
        lower Limit
        -2.7
        spread
        17.49
        upper Limit
        0.0
        value
        -1.3
    title
    Breast symptoms
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        -3.6
        spread
        20.59
        upper Limit
        -0.9
        value
        -2.2
      2. group Id
        OG001
        lower Limit
        -4.0
        spread
        20.08
        upper Limit
        -0.1
        value
        -2.0
    title
    Arm symptoms
  4. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        -1.7
        spread
        30.19
        upper Limit
        7.4
        value
        2.9
      2. group Id
        OG001
        lower Limit
        -12.3
        spread
        20.91
        upper Limit
        0.3
        value
        -6.0
    title
    Upset by hair loss
denoms
  1. counts
    1. group Id
      OG000
      value
      335
    2. group Id
      OG001
      value
      166
    units
    Participants
description
The EORTC-QLQ-BR23 is a 23-item breast cancer-specific companion module to the EORTC-QLQ-C30 and consists of four functional scales (body image, sexual functioning, sexual enjoyment, future perspective) and four symptom scales (systemic side effects, breast symptoms, arm symptoms, upset by hair loss). QLQ-BR23 questionnaire employs 4-point scales with responses from 'not at all' to 'very much'. All scores are converted to a 0 to 100 scale. For symptom-oriented scales, a higher score represent more severe symptoms.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants were administered an initial dose of 125 mg per day orally continuously for 3 weeks followed by 1 week off that can be reduced to 100 mg or 75 mg in case of toxicity; repeated at each subsequent cycle and fulvestrant 500 mg intramuscularly on days 1 and 15 of cycle 1 and then every 28 days. Pre- and perimenopausal women received goserelin at least 4 weeks before study treatment start and continued receiving concurrent ovarian function suppression with goserelin administered subcutaneously every 28 days during the active treatment phase. Maximum treatment duration was 105 cycles.
    id
    OG000
    title
    Palbociclib + Fulvestrant
  2. description
    Participants were administered placebo orally continuously dosed for 3 weeks followed by 1 week off; repeated at each subsequent cycle and Fulvestrant 500 mg intramuscularly on Days 1 and 15 of cycle 1 and then every 28 days. Pre- and perimenopausal women received goserelin at least 4 weeks before study treatment start and continued receiving concurrent ovarian function suppression with goserelin administered subcutaneously every 28 days during the active treatment phase. Maximum treatment duration was 93 cycles.
    id
    OG001
    title
    Placebo + Fulvestrant
param Type
MEAN
population Description
The PRO -evaluable population is defined as a subset of ITT participants, who have completed a baseline and at least one post -baseline PRO assessment prior to end of study treatment. Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
reporting Status
POSTED
time Frame
From Cycle 1 to 14, as of 05 December 2014.
title
Change From Baseline Between Treatment Comparison in EORTC QLQ BR23 Symptom Scale Scores
type
SECONDARY
unit Of Measure
Units on a scale

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