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NCT02005471 · OUTCOME

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

GroupSource count
Bendamustine + Rituximab Main Study117
Venetoclax + Rituximab Main Study42

Reported measurements

Baseline; Mean core symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study116
Venetoclax + Rituximab Main Study42
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study1.761.55Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study1.551.31Not reportedNot reportedNot reported
Change at C1D1; Mean core symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study116
Venetoclax + Rituximab Main Study36
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study0.000.00Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.080.98Not reportedNot reportedNot reported
Change at C1D8; Mean core symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study107
Venetoclax + Rituximab Main Study36
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study0.261.34Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.300.84Not reportedNot reportedNot reported
Change at C1D15; Mean core symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study104
Venetoclax + Rituximab Main Study33
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study0.001.31Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.270.93Not reportedNot reportedNot reported
Change at C2D1; Mean core symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study101
Venetoclax + Rituximab Main Study35
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study-0.231.30Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.330.91Not reportedNot reportedNot reported
Change at C2D8; Mean core symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study91
Venetoclax + Rituximab Main Study36
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study0.171.59Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.450.91Not reportedNot reportedNot reported
Change at C2D15; Mean core symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study90
Venetoclax + Rituximab Main Study37
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study-0.131.53Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.530.90Not reportedNot reportedNot reported
Change at C3D1; Mean core symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study89
Venetoclax + Rituximab Main Study36
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study-0.261.60Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.401.13Not reportedNot reportedNot reported
Change at C3D8; Mean core symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study72
Venetoclax + Rituximab Main Study30
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study-0.131.63Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.661.20Not reportedNot reportedNot reported
Change at C3D15; Mean core symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study73
Venetoclax + Rituximab Main Study32
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study-0.421.52Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.531.05Not reportedNot reportedNot reported
Baseline; Mean module symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study116
Venetoclax + Rituximab Main Study42
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study1.601.46Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study1.571.11Not reportedNot reportedNot reported
Change at C1D1; Mean module symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study116
Venetoclax + Rituximab Main Study36
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study0.000.00Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.190.96Not reportedNot reportedNot reported
Change at C1D8; Mean module symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study107
Venetoclax + Rituximab Main Study36
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study-0.221.40Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.530.96Not reportedNot reportedNot reported
Change at C1D15; Mean module symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study104
Venetoclax + Rituximab Main Study33
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study-0.431.51Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.731.13Not reportedNot reportedNot reported
Change at C2D1; Mean module symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study101
Venetoclax + Rituximab Main Study34
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study-0.491.46Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.650.92Not reportedNot reportedNot reported
Change at C2D8; Mean module symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study91
Venetoclax + Rituximab Main Study35
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study-0.461.63Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.770.87Not reportedNot reportedNot reported
Change at C2D15; Mean module symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study90
Venetoclax + Rituximab Main Study36
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study-0.691.47Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.940.93Not reportedNot reportedNot reported
Change at C3D1; Mean module symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study86
Venetoclax + Rituximab Main Study35
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study-0.651.48Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.810.97Not reportedNot reportedNot reported
Change at C3D8; Mean module symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study72
Venetoclax + Rituximab Main Study30
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study-0.511.58Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.830.97Not reportedNot reportedNot reported
Change at C3D15; Mean module symptom severity

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study73
Venetoclax + Rituximab Main Study32
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study-0.831.51Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.920.97Not reportedNot reportedNot reported
Baseline; Mean interference

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study116
Venetoclax + Rituximab Main Study41
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study1.812.05Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study1.902.25Not reportedNot reportedNot reported
Change at C1D1; Mean interference

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study116
Venetoclax + Rituximab Main Study35
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study0.000.00Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.131.49Not reportedNot reportedNot reported
Change at C1D8; Mean interference

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study107
Venetoclax + Rituximab Main Study33
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study0.451.78Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.292.14Not reportedNot reportedNot reported
Change at C1D15; Mean interference

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study104
Venetoclax + Rituximab Main Study32
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study0.361.85Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study0.012.04Not reportedNot reportedNot reported
Change at C2D1; Mean interference

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study101
Venetoclax + Rituximab Main Study33
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study0.011.73Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.341.78Not reportedNot reportedNot reported
Change at C2D8; Mean interference

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study91
Venetoclax + Rituximab Main Study34
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study0.582.20Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.581.81Not reportedNot reportedNot reported
Change at C2D15; Mean interference

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study89
Venetoclax + Rituximab Main Study35
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study0.061.84Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.641.59Not reportedNot reportedNot reported
Change at C3D1; Mean interference

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study86
Venetoclax + Rituximab Main Study34
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study-0.022.02Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.732.06Not reportedNot reportedNot reported
Change at C3D8; Mean interference

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study72
Venetoclax + Rituximab Main Study29
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study0.151.91Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.822.09Not reportedNot reportedNot reported
Change at C3D15; Mean interference

Analysis denominator · Participants

GroupSource count
Bendamustine + Rituximab Main Study72
Venetoclax + Rituximab Main Study30
Values in units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Bendamustine + Rituximab Main Study-0.072.01Not reportedNot reportedNot reported
Venetoclax + Rituximab Main Study-0.552.18Not reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        1.55
        value
        1.76
      2. group Id
        OG001
        spread
        1.31
        value
        1.55
    denoms
    1. counts
      1. group Id
        OG000
        value
        116
      2. group Id
        OG001
        value
        42
      units
      Participants
    title
    Baseline; Mean core symptom severity
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.00
        value
        0.00
      2. group Id
        OG001
        spread
        0.98
        value
        -0.08
    denoms
    1. counts
      1. group Id
        OG000
        value
        116
      2. group Id
        OG001
        value
        36
      units
      Participants
    title
    Change at C1D1; Mean core symptom severity
  3. categories
    1. measurements
      1. group Id
        OG000
        spread
        1.34
        value
        0.26
      2. group Id
        OG001
        spread
        0.84
        value
        -0.30
    denoms
    1. counts
      1. group Id
        OG000
        value
        107
      2. group Id
        OG001
        value
        36
      units
      Participants
    title
    Change at C1D8; Mean core symptom severity
  4. categories
    1. measurements
      1. group Id
        OG000
        spread
        1.31
        value
        0.00
      2. group Id
        OG001
        spread
        0.93
        value
        -0.27
    denoms
    1. counts
      1. group Id
        OG000
        value
        104
      2. group Id
        OG001
        value
        33
      units
      Participants
    title
    Change at C1D15; Mean core symptom severity
  5. categories
    1. measurements
      1. group Id
        OG000
        spread
        1.30
        value
        -0.23
      2. group Id
        OG001
        spread
        0.91
        value
        -0.33
    denoms
    1. counts
      1. group Id
        OG000
        value
        101
      2. group Id
        OG001
        value
        35
      units
      Participants
    title
    Change at C2D1; Mean core symptom severity
  6. categories
    1. measurements
      1. group Id
        OG000
        spread
        1.59
        value
        0.17
      2. group Id
        OG001
        spread
        0.91
        value
        -0.45
    denoms
    1. counts
      1. group Id
        OG000
        value
        91
      2. group Id
        OG001
        value
        36
      units
      Participants
    title
    Change at C2D8; Mean core symptom severity
  7. categories
    1. measurements
      1. group Id
        OG000
        spread
        1.53
        value
        -0.13
      2. group Id
        OG001
        spread
        0.90
        value
        -0.53
    denoms
    1. counts
      1. group Id
        OG000
        value
        90
      2. group Id
        OG001
        value
        37
      units
      Participants
    title
    Change at C2D15; Mean core symptom severity
  8. categories
    1. measurements
      1. group Id
        OG000
        spread
        1.60
        value
        -0.26
      2. group Id
        OG001
        spread
        1.13
        value
        -0.40
    denoms
    1. counts
      1. group Id
        OG000
        value
        89
      2. group Id
        OG001
        value
        36
      units
      Participants
    title
    Change at C3D1; Mean core symptom severity
  9. categories
    1. measurements
      1. group Id
        OG000
        spread
        1.63
        value
        -0.13
      2. group Id
        OG001
        spread
        1.20
        value
        -0.66
    denoms
    1. counts
      1. group Id
        OG000
        value
        72
      2. group Id
        OG001
        value
        30
      units
      Participants
    title
    Change at C3D8; Mean core symptom severity
  10. categories
    1. measurements
      1. group Id
        OG000
        spread
        1.52
        value
        -0.42
      2. group Id
        OG001
        spread
        1.05
        value
        -0.53
    denoms
    1. counts
      1. group Id
        OG000
        value
        73
      2. group Id
        OG001
        value
        32
      units
      Participants
    title
    Change at C3D15; Mean core symptom severity
  11. categories
    1. measurements
      1. group Id
        OG000
        spread
        1.46
        value
        1.60
      2. group Id
        OG001
        spread
        1.11
        value
        1.57
    denoms
    1. counts
      1. group Id
        OG000
        value
        116
      2. group Id
        OG001
        value
        42
      units
      Participants
    title
    Baseline; Mean module symptom severity
  12. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.00
        value
        0.00
      2. group Id
        OG001
        spread
        0.96
        value
        -0.19
    denoms
    1. counts
      1. group Id
        OG000
        value
        116
      2. group Id
        OG001
        value
        36
      units
      Participants
    title
    Change at C1D1; Mean module symptom severity
denoms
  1. counts
    1. group Id
      OG000
      value
      117
    2. 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
  1. 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
  2. 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
type
SECONDARY
unit Of Measure
units on a scale

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Preserved source evidence · Not medical advice