Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Core Symptom Severity, Module Symptom Severity, and Interference Scores
A Study to Evaluate the Benefit of Venetoclax Plus Rituximab Compared With Bendamustine Plus Rituximab in Participants With Relapsed or Refractory Chronic Lymphocytic Leukemia (CLL) · Source last updated 2023-10-17
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
Baseline, Days 1, 8, and 15 of Cycles 1, 2, and 3; Cycle length = 28 days
What was measured
MDASI is a 25-item validated questionnaire consisting of 2 parts. Part 1: 19-items divided into 2 scales, Core Symptom Severity (average of Questions 1 to 13; total 13 items: pain, fatigue, nausea, disturbed sleep, distress, shortness of breath, remembering things, lack of appetite, drowsiness, dry mouth, sadness, vomiting, and numbness) and Module Symptom Severity (average of Questions 14 to 19; total 6 items: night sweats, fevers and chills, lymph node swelling, diarrhea, bruising easy or bleeding, and constipation). Part 2: 6-items to assess Interference (symptom distress) (average of Questions 20 to 25; total 6 items: general activity, walking, work, mood, relations with other people, and enjoyment of life). Each item was rated from 0 to 10, with lower scores indicating better outcome. Total score for Core Symptom Severity, Module Symptom Severity, and Interference are reported which range from 0 to 10, with lower scores indicating better health-related quality of life (HRQoL).
Analysis population: Patient reported outcomes (PRO) evaluable population included all participants with baseline and at least one post-baseline PRO assessment. Here, 'Overall Number of Participants Analyzed' = participants evaluable for this outcome measure and 'Number Analyzed' = participants evaluable at specified time point.
Groups in this outcome
Bendamustine + Rituximab Main Study
Participants received bendamustine at a dose of 70 milligrams per meter square (mg/m\^2) via intravenous (IV) infusion on Days 1 and 2 of each 28-day cycle for 6 cycles, in combination with rituximab at a dose of 375 mg/m\^2 via IV infusion on Day 1 of Cycle 1 and at a dose of 500 mg/m\^2 on Day 1 of Cycles 2-6.
Venetoclax + Rituximab Main Study
Participants were initially placed on a venetoclax ramp-up period of 5 weeks and received an initial dose of 20 mg via tablet orally once daily (QD) for initial 1 to 7 days, then venetoclax dose was incremented weekly up to a maximum dose of 400 mg, orally, QD. Participants continued receiving venetoclax at a dose of 400 mg, orally, QD from Week 6 (Day 1 of Cycle 1 of combination therapy) onwards up to PD or 2 years, whichever occurred first, as directed by the investigator, in combination with rituximab at a dose of 375 mg/m\^2 via IV infusion on Day 1 of Cycle 1 and at a dose of 500 mg/m\^2 on Day 1 of Cycles 2-6.
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
Bendamustine + Rituximab Main Study
117
Venetoclax + Rituximab Main Study
42
Reported measurements
Baseline; Mean core symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
116
Venetoclax + Rituximab Main Study
42
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
1.76
1.55
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
1.55
1.31
Not reported
Not reported
Not reported
Change at C1D1; Mean core symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
116
Venetoclax + Rituximab Main Study
36
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
0.00
0.00
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.08
0.98
Not reported
Not reported
Not reported
Change at C1D8; Mean core symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
107
Venetoclax + Rituximab Main Study
36
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
0.26
1.34
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.30
0.84
Not reported
Not reported
Not reported
Change at C1D15; Mean core symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
104
Venetoclax + Rituximab Main Study
33
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
0.00
1.31
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.27
0.93
Not reported
Not reported
Not reported
Change at C2D1; Mean core symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
101
Venetoclax + Rituximab Main Study
35
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
-0.23
1.30
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.33
0.91
Not reported
Not reported
Not reported
Change at C2D8; Mean core symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
91
Venetoclax + Rituximab Main Study
36
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
0.17
1.59
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.45
0.91
Not reported
Not reported
Not reported
Change at C2D15; Mean core symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
90
Venetoclax + Rituximab Main Study
37
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
-0.13
1.53
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.53
0.90
Not reported
Not reported
Not reported
Change at C3D1; Mean core symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
89
Venetoclax + Rituximab Main Study
36
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
-0.26
1.60
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.40
1.13
Not reported
Not reported
Not reported
Change at C3D8; Mean core symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
72
Venetoclax + Rituximab Main Study
30
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
-0.13
1.63
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.66
1.20
Not reported
Not reported
Not reported
Change at C3D15; Mean core symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
73
Venetoclax + Rituximab Main Study
32
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
-0.42
1.52
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.53
1.05
Not reported
Not reported
Not reported
Baseline; Mean module symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
116
Venetoclax + Rituximab Main Study
42
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
1.60
1.46
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
1.57
1.11
Not reported
Not reported
Not reported
Change at C1D1; Mean module symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
116
Venetoclax + Rituximab Main Study
36
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
0.00
0.00
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.19
0.96
Not reported
Not reported
Not reported
Change at C1D8; Mean module symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
107
Venetoclax + Rituximab Main Study
36
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
-0.22
1.40
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.53
0.96
Not reported
Not reported
Not reported
Change at C1D15; Mean module symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
104
Venetoclax + Rituximab Main Study
33
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
-0.43
1.51
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.73
1.13
Not reported
Not reported
Not reported
Change at C2D1; Mean module symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
101
Venetoclax + Rituximab Main Study
34
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
-0.49
1.46
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.65
0.92
Not reported
Not reported
Not reported
Change at C2D8; Mean module symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
91
Venetoclax + Rituximab Main Study
35
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
-0.46
1.63
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.77
0.87
Not reported
Not reported
Not reported
Change at C2D15; Mean module symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
90
Venetoclax + Rituximab Main Study
36
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
-0.69
1.47
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.94
0.93
Not reported
Not reported
Not reported
Change at C3D1; Mean module symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
86
Venetoclax + Rituximab Main Study
35
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
-0.65
1.48
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.81
0.97
Not reported
Not reported
Not reported
Change at C3D8; Mean module symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
72
Venetoclax + Rituximab Main Study
30
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
-0.51
1.58
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.83
0.97
Not reported
Not reported
Not reported
Change at C3D15; Mean module symptom severity
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
73
Venetoclax + Rituximab Main Study
32
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
-0.83
1.51
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.92
0.97
Not reported
Not reported
Not reported
Baseline; Mean interference
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
116
Venetoclax + Rituximab Main Study
41
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
1.81
2.05
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
1.90
2.25
Not reported
Not reported
Not reported
Change at C1D1; Mean interference
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
116
Venetoclax + Rituximab Main Study
35
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
0.00
0.00
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.13
1.49
Not reported
Not reported
Not reported
Change at C1D8; Mean interference
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
107
Venetoclax + Rituximab Main Study
33
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
0.45
1.78
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.29
2.14
Not reported
Not reported
Not reported
Change at C1D15; Mean interference
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
104
Venetoclax + Rituximab Main Study
32
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
0.36
1.85
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
0.01
2.04
Not reported
Not reported
Not reported
Change at C2D1; Mean interference
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
101
Venetoclax + Rituximab Main Study
33
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
0.01
1.73
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.34
1.78
Not reported
Not reported
Not reported
Change at C2D8; Mean interference
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
91
Venetoclax + Rituximab Main Study
34
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
0.58
2.20
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.58
1.81
Not reported
Not reported
Not reported
Change at C2D15; Mean interference
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
89
Venetoclax + Rituximab Main Study
35
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
0.06
1.84
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.64
1.59
Not reported
Not reported
Not reported
Change at C3D1; Mean interference
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
86
Venetoclax + Rituximab Main Study
34
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
-0.02
2.02
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.73
2.06
Not reported
Not reported
Not reported
Change at C3D8; Mean interference
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
72
Venetoclax + Rituximab Main Study
29
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
0.15
1.91
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.82
2.09
Not reported
Not reported
Not reported
Change at C3D15; Mean interference
Analysis denominator · Participants
Group
Source count
Bendamustine + Rituximab Main Study
72
Venetoclax + Rituximab Main Study
30
Values in units on a scale · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Bendamustine + Rituximab Main Study
-0.07
2.01
Not reported
Not reported
Not reported
Venetoclax + Rituximab Main Study
-0.55
2.18
Not reported
Not reported
Not reported
Complete source fields
classes
categories
measurements
group Id
OG000
spread
1.55
value
1.76
group Id
OG001
spread
1.31
value
1.55
denoms
counts
group Id
OG000
value
116
group Id
OG001
value
42
units
Participants
title
Baseline; Mean core symptom severity
categories
measurements
group Id
OG000
spread
0.00
value
0.00
group Id
OG001
spread
0.98
value
-0.08
denoms
counts
group Id
OG000
value
116
group Id
OG001
value
36
units
Participants
title
Change at C1D1; Mean core symptom severity
categories
measurements
group Id
OG000
spread
1.34
value
0.26
group Id
OG001
spread
0.84
value
-0.30
denoms
counts
group Id
OG000
value
107
group Id
OG001
value
36
units
Participants
title
Change at C1D8; Mean core symptom severity
categories
measurements
group Id
OG000
spread
1.31
value
0.00
group Id
OG001
spread
0.93
value
-0.27
denoms
counts
group Id
OG000
value
104
group Id
OG001
value
33
units
Participants
title
Change at C1D15; Mean core symptom severity
categories
measurements
group Id
OG000
spread
1.30
value
-0.23
group Id
OG001
spread
0.91
value
-0.33
denoms
counts
group Id
OG000
value
101
group Id
OG001
value
35
units
Participants
title
Change at C2D1; Mean core symptom severity
categories
measurements
group Id
OG000
spread
1.59
value
0.17
group Id
OG001
spread
0.91
value
-0.45
denoms
counts
group Id
OG000
value
91
group Id
OG001
value
36
units
Participants
title
Change at C2D8; Mean core symptom severity
categories
measurements
group Id
OG000
spread
1.53
value
-0.13
group Id
OG001
spread
0.90
value
-0.53
denoms
counts
group Id
OG000
value
90
group Id
OG001
value
37
units
Participants
title
Change at C2D15; Mean core symptom severity
categories
measurements
group Id
OG000
spread
1.60
value
-0.26
group Id
OG001
spread
1.13
value
-0.40
denoms
counts
group Id
OG000
value
89
group Id
OG001
value
36
units
Participants
title
Change at C3D1; Mean core symptom severity
categories
measurements
group Id
OG000
spread
1.63
value
-0.13
group Id
OG001
spread
1.20
value
-0.66
denoms
counts
group Id
OG000
value
72
group Id
OG001
value
30
units
Participants
title
Change at C3D8; Mean core symptom severity
categories
measurements
group Id
OG000
spread
1.52
value
-0.42
group Id
OG001
spread
1.05
value
-0.53
denoms
counts
group Id
OG000
value
73
group Id
OG001
value
32
units
Participants
title
Change at C3D15; Mean core symptom severity
categories
measurements
group Id
OG000
spread
1.46
value
1.60
group Id
OG001
spread
1.11
value
1.57
denoms
counts
group Id
OG000
value
116
group Id
OG001
value
42
units
Participants
title
Baseline; Mean module symptom severity
categories
measurements
group Id
OG000
spread
0.00
value
0.00
group Id
OG001
spread
0.96
value
-0.19
denoms
counts
group Id
OG000
value
116
group Id
OG001
value
36
units
Participants
title
Change at C1D1; Mean module symptom severity
denoms
counts
group Id
OG000
value
117
group Id
OG001
value
42
units
Participants
description
MDASI is a 25-item validated questionnaire consisting of 2 parts. Part 1: 19-items divided into 2 scales, Core Symptom Severity (average of Questions 1 to 13; total 13 items: pain, fatigue, nausea, disturbed sleep, distress, shortness of breath, remembering things, lack of appetite, drowsiness, dry mouth, sadness, vomiting, and numbness) and Module Symptom Severity (average of Questions 14 to 19; total 6 items: night sweats, fevers and chills, lymph node swelling, diarrhea, bruising easy or bleeding, and constipation). Part 2: 6-items to assess Interference (symptom distress) (average of Questions 20 to 25; total 6 items: general activity, walking, work, mood, relations with other people, and enjoyment of life). Each item was rated from 0 to 10, with lower scores indicating better outcome. Total score for Core Symptom Severity, Module Symptom Severity, and Interference are reported which range from 0 to 10, with lower scores indicating better health-related quality of life (HRQoL).
dispersion Type
Standard Deviation
groups
description
Participants received bendamustine at a dose of 70 milligrams per meter square (mg/m\^2) via intravenous (IV) infusion on Days 1 and 2 of each 28-day cycle for 6 cycles, in combination with rituximab at a dose of 375 mg/m\^2 via IV infusion on Day 1 of Cycle 1 and at a dose of 500 mg/m\^2 on Day 1 of Cycles 2-6.
id
OG000
title
Bendamustine + Rituximab Main Study
description
Participants were initially placed on a venetoclax ramp-up period of 5 weeks and received an initial dose of 20 mg via tablet orally once daily (QD) for initial 1 to 7 days, then venetoclax dose was incremented weekly up to a maximum dose of 400 mg, orally, QD. Participants continued receiving venetoclax at a dose of 400 mg, orally, QD from Week 6 (Day 1 of Cycle 1 of combination therapy) onwards up to PD or 2 years, whichever occurred first, as directed by the investigator, in combination with rituximab at a dose of 375 mg/m\^2 via IV infusion on Day 1 of Cycle 1 and at a dose of 500 mg/m\^2 on Day 1 of Cycles 2-6.
id
OG001
title
Venetoclax + Rituximab Main Study
param Type
MEAN
population Description
Patient reported outcomes (PRO) evaluable population included all participants with baseline and at least one post-baseline PRO assessment. Here, 'Overall Number of Participants Analyzed' = participants evaluable for this outcome measure and 'Number Analyzed' = participants evaluable at specified time point.
reporting Status
POSTED
time Frame
Baseline, Days 1, 8, and 15 of Cycles 1, 2, and 3; Cycle length = 28 days
title
Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Core Symptom Severity, Module Symptom Severity, and Interference Scores