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NCT02195479 · OUTCOME

Change From Baseline in EuroQol 5 Dimensions-5 Level (EQ-5D-5L) Utility Score

A Study of Combination of Daratumumab and Velcade (Bortezomib) Melphalan-Prednisone (DVMP) Compared to Velcade Melphalan-Prednisone (VMP) in Participants With Previously Untreated Multiple Myeloma · Source last updated 2025-08-22

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 (Day -24), Months 3, 6, 9, 12 ,18, 24, 30, 36, 42 and 48

What was measured

EQ-5D-5L is a standardized, participant-rated questionnaire to assess health-related quality of life. The EQ-5D-5L includes 2 components: the EQ-5D-5L health state profile (descriptive system) and the EQ-5D-5L Visual Analog Scale. The EQ-5D-5L descriptive system provides a profile of the participant's health state 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 response options (no problems, slight problems, moderate problems, severe problems and extreme problems) that reflect increasing levels of difficulty. The participant was asked to indicate his/her current health state by selecting the most appropriate level in each of the 5 dimensions. Responses to the 5 dimension scores were combined and converted into a single preference-weighted health utility index score 0 (0.0- worst health state) to 1 (1.0- better health state) representing the general health status of the individual based on the UK scoring algorithm.

Analysis population: ITT population: participants randomized into the study; classified according to assigned treatment group, regardless actual treatment received. Here, 'N' (overall number of participants analyzed) signifies participants evaluable for this outcome measure and 'n' (number analyzed) signifies number of participants who were analyzed at each specified timepoint, for each arm, respectively. n=0 indicated that no participant was available for assessment at specified timepoint.

Groups in this outcome

Velcade, Melphalan and Prednisone (VMP)

Participants received Velcade (bortezomib) 1.3 milligrams per square meter (mg/m\^2) as subcutaneous (SC) injection, twice weekly at Weeks 1, 2, 4 and 5 in Cycle 1 followed by once weekly at Weeks 1, 2, 4 and 5 in Cycles 2 to 9, melphalan 9 mg/m\^2 orally once daily on Days 1 to 4 and prednisone 60 mg/m\^2 orally once daily on Days 1 to 4 of each cycle up to Cycle 9. Each treatment cycle was of 6 weeks. After completion of treatment, participants entered follow-up phase and were not started on subsequent anti-myeloma therapy without confirmed disease progression (assessed by the International Myeloma Working Group \[IMWG\] criteria). After implementation of Amendment 7, post interim overall survival (OS) analysis, sponsor confirmation of disease progression was no longer required prior to initiation of subsequent anti-myeloma therapy, except for participants who progressed on VMP arm and requested subsequent therapy with daratumumab.

Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)

Participants received Velcade 1.3 mg/m\^2 as SC injection, twice weekly at Weeks 1, 2, 4 and 5 in Cycle 1 followed by once weekly at weeks 1, 2, 4 and 5 in Cycles 2 to 9, melphalan 9 mg/m\^2, orally once daily on Days 1 to 4 and prednisone 60 mg/m\^2, orally once daily on Days 2 to 4 of each cycle up to Cycle 9. In addition, participants also received daratumumab 16 milligrams per kilogram (mg/kg) as intravenous (IV) infusion once weekly for 6 weeks in Cycle 1 and then once every 3 weeks in Cycle 2 to 9 and thereafter, once every 4 weeks (post-VMP treatment phase) until documented progression, unacceptable toxicity, or study end. On Day 1 of each cycle, dexamethasone 20 mg IV or per oral (PO) was given 1 hour or less prior to daratumumab infusion as pre-medication and prednisone substitute. Each treatment cycle was of 6 weeks. After implementation of Amendment 7, participants who were ongoing with daratumumab IV treatment were given an option to switch to daratumumab SC injection on Day 1 of any cycle, as per investigator's discretion. After completion of treatment, participants entered follow-up phase and were not started on subsequent anti-myeloma therapy without confirmed disease progression (assessed by IMWG criteria).

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

Analysis denominator · Participants

GroupSource count
Velcade, Melphalan and Prednisone (VMP)325
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)315

Reported measurements

Month 3

Analysis denominator · Participants

GroupSource count
Velcade, Melphalan and Prednisone (VMP)242
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)258
Values in Units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Velcade, Melphalan and Prednisone (VMP)0.090.312Not reportedNot reportedNot reported
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)0.120.266Not reportedNot reportedNot reported
Month 6

Analysis denominator · Participants

GroupSource count
Velcade, Melphalan and Prednisone (VMP)210
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)230
Values in Units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Velcade, Melphalan and Prednisone (VMP)0.120.269Not reportedNot reportedNot reported
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)0.140.271Not reportedNot reportedNot reported
Month 9

Analysis denominator · Participants

GroupSource count
Velcade, Melphalan and Prednisone (VMP)185
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)227
Values in Units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Velcade, Melphalan and Prednisone (VMP)0.160.27Not reportedNot reportedNot reported
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)0.160.271Not reportedNot reportedNot reported
Month 12

Analysis denominator · Participants

GroupSource count
Velcade, Melphalan and Prednisone (VMP)185
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)217
Values in Units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Velcade, Melphalan and Prednisone (VMP)0.150.281Not reportedNot reportedNot reported
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)0.170.288Not reportedNot reportedNot reported
Month 18

Analysis denominator · Participants

GroupSource count
Velcade, Melphalan and Prednisone (VMP)134
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)194
Values in Units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Velcade, Melphalan and Prednisone (VMP)0.140.268Not reportedNot reportedNot reported
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)0.170.293Not reportedNot reportedNot reported
Month 24

Analysis denominator · Participants

GroupSource count
Velcade, Melphalan and Prednisone (VMP)82
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)150
Values in Units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Velcade, Melphalan and Prednisone (VMP)0.150.252Not reportedNot reportedNot reported
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)0.180.312Not reportedNot reportedNot reported
Month 30

Analysis denominator · Participants

GroupSource count
Velcade, Melphalan and Prednisone (VMP)71
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)157
Values in Units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Velcade, Melphalan and Prednisone (VMP)0.160.291Not reportedNot reportedNot reported
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)0.190.303Not reportedNot reportedNot reported
Month 36

Analysis denominator · Participants

GroupSource count
Velcade, Melphalan and Prednisone (VMP)47
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)143
Values in Units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Velcade, Melphalan and Prednisone (VMP)0.160.315Not reportedNot reportedNot reported
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)0.210.306Not reportedNot reportedNot reported
Month 42

Analysis denominator · Participants

GroupSource count
Velcade, Melphalan and Prednisone (VMP)33
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)123
Values in Units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Velcade, Melphalan and Prednisone (VMP)0.080.303Not reportedNot reportedNot reported
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)0.20.287Not reportedNot reportedNot reported
Month 48

Analysis denominator · Participants

GroupSource count
Velcade, Melphalan and Prednisone (VMP)23
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)99
Values in Units on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Velcade, Melphalan and Prednisone (VMP)0.070.246Not reportedNot reportedNot reported
Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)0.150.319Not reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.312
        value
        0.09
      2. group Id
        OG001
        spread
        0.266
        value
        0.12
    denoms
    1. counts
      1. group Id
        OG000
        value
        242
      2. group Id
        OG001
        value
        258
      units
      Participants
    title
    Month 3
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.269
        value
        0.12
      2. group Id
        OG001
        spread
        0.271
        value
        0.14
    denoms
    1. counts
      1. group Id
        OG000
        value
        210
      2. group Id
        OG001
        value
        230
      units
      Participants
    title
    Month 6
  3. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.27
        value
        0.16
      2. group Id
        OG001
        spread
        0.271
        value
        0.16
    denoms
    1. counts
      1. group Id
        OG000
        value
        185
      2. group Id
        OG001
        value
        227
      units
      Participants
    title
    Month 9
  4. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.281
        value
        0.15
      2. group Id
        OG001
        spread
        0.288
        value
        0.17
    denoms
    1. counts
      1. group Id
        OG000
        value
        185
      2. group Id
        OG001
        value
        217
      units
      Participants
    title
    Month 12
  5. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.268
        value
        0.14
      2. group Id
        OG001
        spread
        0.293
        value
        0.17
    denoms
    1. counts
      1. group Id
        OG000
        value
        134
      2. group Id
        OG001
        value
        194
      units
      Participants
    title
    Month 18
  6. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.252
        value
        0.15
      2. group Id
        OG001
        spread
        0.312
        value
        0.18
    denoms
    1. counts
      1. group Id
        OG000
        value
        82
      2. group Id
        OG001
        value
        150
      units
      Participants
    title
    Month 24
  7. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.291
        value
        0.16
      2. group Id
        OG001
        spread
        0.303
        value
        0.19
    denoms
    1. counts
      1. group Id
        OG000
        value
        71
      2. group Id
        OG001
        value
        157
      units
      Participants
    title
    Month 30
  8. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.315
        value
        0.16
      2. group Id
        OG001
        spread
        0.306
        value
        0.21
    denoms
    1. counts
      1. group Id
        OG000
        value
        47
      2. group Id
        OG001
        value
        143
      units
      Participants
    title
    Month 36
  9. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.303
        value
        0.08
      2. group Id
        OG001
        spread
        0.287
        value
        0.2
    denoms
    1. counts
      1. group Id
        OG000
        value
        33
      2. group Id
        OG001
        value
        123
      units
      Participants
    title
    Month 42
  10. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.246
        value
        0.07
      2. group Id
        OG001
        spread
        0.319
        value
        0.15
    denoms
    1. counts
      1. group Id
        OG000
        value
        23
      2. group Id
        OG001
        value
        99
      units
      Participants
    title
    Month 48
denoms
  1. counts
    1. group Id
      OG000
      value
      325
    2. group Id
      OG001
      value
      315
    units
    Participants
description
EQ-5D-5L is a standardized, participant-rated questionnaire to assess health-related quality of life. The EQ-5D-5L includes 2 components: the EQ-5D-5L health state profile (descriptive system) and the EQ-5D-5L Visual Analog Scale. The EQ-5D-5L descriptive system provides a profile of the participant's health state 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 response options (no problems, slight problems, moderate problems, severe problems and extreme problems) that reflect increasing levels of difficulty. The participant was asked to indicate his/her current health state by selecting the most appropriate level in each of the 5 dimensions. Responses to the 5 dimension scores were combined and converted into a single preference-weighted health utility index score 0 (0.0- worst health state) to 1 (1.0- better health state) representing the general health status of the individual based on the UK scoring algorithm.
dispersion Type
Standard Deviation
groups
  1. description
    Participants received Velcade (bortezomib) 1.3 milligrams per square meter (mg/m\^2) as subcutaneous (SC) injection, twice weekly at Weeks 1, 2, 4 and 5 in Cycle 1 followed by once weekly at Weeks 1, 2, 4 and 5 in Cycles 2 to 9, melphalan 9 mg/m\^2 orally once daily on Days 1 to 4 and prednisone 60 mg/m\^2 orally once daily on Days 1 to 4 of each cycle up to Cycle 9. Each treatment cycle was of 6 weeks. After completion of treatment, participants entered follow-up phase and were not started on subsequent anti-myeloma therapy without confirmed disease progression (assessed by the International Myeloma Working Group \[IMWG\] criteria). After implementation of Amendment 7, post interim overall survival (OS) analysis, sponsor confirmation of disease progression was no longer required prior to initiation of subsequent anti-myeloma therapy, except for participants who progressed on VMP arm and requested subsequent therapy with daratumumab.
    id
    OG000
    title
    Velcade, Melphalan and Prednisone (VMP)
  2. description
    Participants received Velcade 1.3 mg/m\^2 as SC injection, twice weekly at Weeks 1, 2, 4 and 5 in Cycle 1 followed by once weekly at weeks 1, 2, 4 and 5 in Cycles 2 to 9, melphalan 9 mg/m\^2, orally once daily on Days 1 to 4 and prednisone 60 mg/m\^2, orally once daily on Days 2 to 4 of each cycle up to Cycle 9. In addition, participants also received daratumumab 16 milligrams per kilogram (mg/kg) as intravenous (IV) infusion once weekly for 6 weeks in Cycle 1 and then once every 3 weeks in Cycle 2 to 9 and thereafter, once every 4 weeks (post-VMP treatment phase) until documented progression, unacceptable toxicity, or study end. On Day 1 of each cycle, dexamethasone 20 mg IV or per oral (PO) was given 1 hour or less prior to daratumumab infusion as pre-medication and prednisone substitute. Each treatment cycle was of 6 weeks. After implementation of Amendment 7, participants who were ongoing with daratumumab IV treatment were given an option to switch to daratumumab SC injection on Day 1 of any cycle, as per investigator's discretion. After completion of treatment, participants entered follow-up phase and were not started on subsequent anti-myeloma therapy without confirmed disease progression (assessed by IMWG criteria).
    id
    OG001
    title
    Daratumumab, Velcade, Melphalan and Prednisone (D-VMP)
param Type
MEAN
population Description
ITT population: participants randomized into the study; classified according to assigned treatment group, regardless actual treatment received. Here, 'N' (overall number of participants analyzed) signifies participants evaluable for this outcome measure and 'n' (number analyzed) signifies number of participants who were analyzed at each specified timepoint, for each arm, respectively. n=0 indicated that no participant was available for assessment at specified timepoint.
reporting Status
POSTED
time Frame
Baseline (Day -24), Months 3, 6, 9, 12 ,18, 24, 30, 36, 42 and 48
title
Change From Baseline in EuroQol 5 Dimensions-5 Level (EQ-5D-5L) Utility Score
type
SECONDARY
unit Of Measure
Units on a scale

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Preserved source evidence · Not medical advice