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NCT02477826 · OUTCOME

Percentage of Participants With Symptom Deterioration at Week 12 Assessed Via Lung Cancer Symptom Scale

An Investigational Immuno-therapy Trial of Nivolumab, or Nivolumab Plus Ipilimumab, or Nivolumab Plus Platinum-doublet Chemotherapy, Compared to Platinum Doublet Chemotherapy in Patients With Stage IV Non-Small Cell Lung Cancer (NSCLC) · Source last updated 2025-10-30

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
percentage of participants
Interval / dispersion
95% Confidence Interval
Time frame
Week 12

What was measured

The Lung Cancer Symptom Scale (LCSS) is a disease measure of quality of life which evaluates six major lung cancer symptoms and their effect on overall distress and symptom severity, impact on day-to-day activities, and overall quality of life. This patient reported outcome (PRO) questionnaire assesses the following 6 symptoms items (appetite loss, fatigue, cough, dyspnea, hemoptysis, pain) and 3 summary global items (symptom distress, activity level, overall quality of life) for patients using visual analogue scales (VAS) (100 mm horizontal line) ranging from 0 (best rating) to 100 (worst rating). The LCSS average total score is sum of items 1 to 9 divided by the total number of items ((sum of items 1 to 9)/9) ranging from 0 to 100 where high score represent worst outcome. Disease-Related Symptom Deterioration by Week 12 defined as a 10 points or more increase from baseline in LCSS average score at any time (on or off-treatment) up to 95 days from randomization date.

Analysis population: All randomized participants

Groups in this outcome

Part 1-Arm B: Nivo + Ipi

Participants with PD-L1 positive status Non Small Cell Lung Cancer received nivolumab 3 mg/kg IV over 30 minutes Q2W + ipilimumab 1 mg/kg over 30minutes every 6 weeks (Q6W) given for up to 24 months in the absence of disease progression or unacceptable toxicity.

Part 1-Arm A: Nivolumab

Participants with PD-L1 positive status Non Small Cell Lung Cancer received nivolumab 240 mg intravenously (IV) over 30 minutes every 2 weeks (Q2W) given for up to 24months in the absence of disease progression or unacceptable toxicity.

Part 1-Arm C: Chemotherapy

Participants with PD-L1 positive status Non Small Cell Lung Cancer received histology-based platinum-doublet chemotherapy IV in3-week cycles for a maximum of 4 cycles or until disease progression or unacceptable toxicity (whichever comes first). For participants with NSQ histology, pemetrexed maintenance was allowed until disease progression or unacceptable toxicity after 4 cycles of chemotherapy.

Part 1-Arm D: Nivo + Ipi

Participants with PD-L1 negative status Non Small Cell Lung Cancer received nivolumab 3 mg/kg IV over 30 minutes Q2W + ipilimumab 1 mg/kg over 30minutes Q6W given for up to 24 months in the absence of disease progression or unacceptable toxicity.

Part 1-Arm G: Nivo + Chemo

Participants with PD-L1 negative status Non Small Cell Lung Cancer received nivolumab 360 mg IV over 30 minutes combined with platinum-doublet chemotherapy administered IV every 3 weeks for a maximum of 4 cycles. Participants who have not experienced disease progression were to receive nivolumab 360 mg every 3weeks until the progression of disease, discontinuation due to toxicity, or up to 24 months (whichever comes first). For subjects with NSQ histology, pemetrexed maintenance was allowed until disease progression or unacceptable toxicity after 4 cycles of chemotherapy.

Part 1-Arm F: Chemotherapy

Participants with PD-L1 negative status Non Small Cell Lung Cancer received histology-based platinum-doublet chemotherapy IV in 3-week cycles for a maximum of 4 cycles or until disease progression or unacceptable toxicity (whichever comes first). For participants with NSQ histology, pemetrexed maintenance was allowed until disease progression or unacceptable toxicity after 4 cycles of chemotherapy.

Part 2 - Arm H: Nivolumab + Chemotherapy

Chemotherapy-naive participants with stage IV or recurrent NSCLC irrespective of PD-L1 expressing levels received nivolumab 360 mg IV over 30 minutes combined with platinum-doublet chemotherapy administered IV every 3 weeks for a maximum of 4 cycles. Participants who have not experienced disease progression were to receive nivolumab 360 mg every 3weeks until the progression of disease, discontinuation due to toxicity, or up to 24 months (whichever comes first). For subjects with NSQ histology, pemetrexed maintenance was allowed until disease progression or unacceptable toxicity after 4 cycles of chemotherapy.

Part 2 - Arm I: Chemotherapy

Chemotherapy-naive participants with stage IV or recurrent NSCLC irrespective of PD-L1 expressing levels received histology-based platinum-doublet chemotherapy IV in 3-week cycles for a maximum of 4 cycles or until disease progression or unacceptable toxicity (whichever comes first). For participants with NSQ histology, pemetrexed maintenance was allowed until disease progression or unacceptable toxicity after 4 cycles of chemotherapy.

Part 3 -Arm J: Nivolumab + Ipilimumab

Participants in China with PD-L1 Non Small Cell Lung Cancer received nivolumab 3 mg/kg IV over 30 minutes Q2W + ipilimumab 1 mg/kg over 30minutes every 6 weeks (Q6W) given for up to 24 months in the absence of disease progression or unacceptable toxicity.

Part 3 - Arm K: Chemotherapy

Participants in China with PD-L1 Non Small Cell Lung Cancer received histology-based platinum-doublet chemotherapy IV in3-week cycles for a maximum of 4 cycles or until disease progression or unacceptable toxicity (whichever comes first). For participants with NSQ histology, pemetrexed maintenance was allowed until disease progression or unacceptable toxicity after 4 cycles of chemotherapy.

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

Analysis denominator · Participants

GroupSource count
Part 1-Arm B: Nivo + Ipi396
Part 1-Arm A: Nivolumab396
Part 1-Arm C: Chemotherapy397
Part 1-Arm D: Nivo + Ipi187
Part 1-Arm G: Nivo + Chemo177
Part 1-Arm F: Chemotherapy186
Part 2 - Arm H: Nivolumab + Chemotherapy377
Part 2 - Arm I: Chemotherapy378
Part 3 -Arm J: Nivolumab + Ipilimumab126
Part 3 - Arm K: Chemotherapy127

Reported measurements

Source class 1
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Part 1-Arm B: Nivo + Ipi31.3Not reported26.836.1Not reported
Part 1-Arm A: Nivolumab35.4Not reported30.640.3Not reported
Part 1-Arm C: Chemotherapy25.7Not reported21.530.3Not reported
Part 1-Arm D: Nivo + Ipi33.2Not reported26.540.4Not reported
Part 1-Arm G: Nivo + Chemo28.8Not reported22.336.1Not reported
Part 1-Arm F: Chemotherapy37.6Not reported30.745.0Not reported
Part 2 - Arm H: Nivolumab + Chemotherapy30.0Not reported25.434.9Not reported
Part 2 - Arm I: Chemotherapy24.3Not reported20.129.0Not reported
Part 3 -Arm J: Nivolumab + Ipilimumab23.0Not reported16.031.4Not reported
Part 3 - Arm K: Chemotherapy26.0Not reported18.634.5Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        26.8
        upper Limit
        36.1
        value
        31.3
      2. group Id
        OG001
        lower Limit
        30.6
        upper Limit
        40.3
        value
        35.4
      3. group Id
        OG002
        lower Limit
        21.5
        upper Limit
        30.3
        value
        25.7
      4. group Id
        OG003
        lower Limit
        26.5
        upper Limit
        40.4
        value
        33.2
      5. group Id
        OG004
        lower Limit
        22.3
        upper Limit
        36.1
        value
        28.8
      6. group Id
        OG005
        lower Limit
        30.7
        upper Limit
        45.0
        value
        37.6
      7. group Id
        OG006
        lower Limit
        25.4
        upper Limit
        34.9
        value
        30.0
      8. group Id
        OG007
        lower Limit
        20.1
        upper Limit
        29.0
        value
        24.3
      9. group Id
        OG008
        lower Limit
        16.0
        upper Limit
        31.4
        value
        23.0
      10. group Id
        OG009
        lower Limit
        18.6
        upper Limit
        34.5
        value
        26.0
denoms
  1. counts
    1. group Id
      OG000
      value
      396
    2. group Id
      OG001
      value
      396
    3. group Id
      OG002
      value
      397
    4. group Id
      OG003
      value
      187
    5. group Id
      OG004
      value
      177
    6. group Id
      OG005
      value
      186
    7. group Id
      OG006
      value
      377
    8. group Id
      OG007
      value
      378
    9. group Id
      OG008
      value
      126
    10. group Id
      OG009
      value
      127
    units
    Participants
description
The Lung Cancer Symptom Scale (LCSS) is a disease measure of quality of life which evaluates six major lung cancer symptoms and their effect on overall distress and symptom severity, impact on day-to-day activities, and overall quality of life. This patient reported outcome (PRO) questionnaire assesses the following 6 symptoms items (appetite loss, fatigue, cough, dyspnea, hemoptysis, pain) and 3 summary global items (symptom distress, activity level, overall quality of life) for patients using visual analogue scales (VAS) (100 mm horizontal line) ranging from 0 (best rating) to 100 (worst rating). The LCSS average total score is sum of items 1 to 9 divided by the total number of items ((sum of items 1 to 9)/9) ranging from 0 to 100 where high score represent worst outcome. Disease-Related Symptom Deterioration by Week 12 defined as a 10 points or more increase from baseline in LCSS average score at any time (on or off-treatment) up to 95 days from randomization date.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants with PD-L1 positive status Non Small Cell Lung Cancer received nivolumab 3 mg/kg IV over 30 minutes Q2W + ipilimumab 1 mg/kg over 30minutes every 6 weeks (Q6W) given for up to 24 months in the absence of disease progression or unacceptable toxicity.
    id
    OG000
    title
    Part 1-Arm B: Nivo + Ipi
  2. description
    Participants with PD-L1 positive status Non Small Cell Lung Cancer received nivolumab 240 mg intravenously (IV) over 30 minutes every 2 weeks (Q2W) given for up to 24months in the absence of disease progression or unacceptable toxicity.
    id
    OG001
    title
    Part 1-Arm A: Nivolumab
  3. description
    Participants with PD-L1 positive status Non Small Cell Lung Cancer received histology-based platinum-doublet chemotherapy IV in3-week cycles for a maximum of 4 cycles or until disease progression or unacceptable toxicity (whichever comes first). For participants with NSQ histology, pemetrexed maintenance was allowed until disease progression or unacceptable toxicity after 4 cycles of chemotherapy.
    id
    OG002
    title
    Part 1-Arm C: Chemotherapy
  4. description
    Participants with PD-L1 negative status Non Small Cell Lung Cancer received nivolumab 3 mg/kg IV over 30 minutes Q2W + ipilimumab 1 mg/kg over 30minutes Q6W given for up to 24 months in the absence of disease progression or unacceptable toxicity.
    id
    OG003
    title
    Part 1-Arm D: Nivo + Ipi
  5. description
    Participants with PD-L1 negative status Non Small Cell Lung Cancer received nivolumab 360 mg IV over 30 minutes combined with platinum-doublet chemotherapy administered IV every 3 weeks for a maximum of 4 cycles. Participants who have not experienced disease progression were to receive nivolumab 360 mg every 3weeks until the progression of disease, discontinuation due to toxicity, or up to 24 months (whichever comes first). For subjects with NSQ histology, pemetrexed maintenance was allowed until disease progression or unacceptable toxicity after 4 cycles of chemotherapy.
    id
    OG004
    title
    Part 1-Arm G: Nivo + Chemo
  6. description
    Participants with PD-L1 negative status Non Small Cell Lung Cancer received histology-based platinum-doublet chemotherapy IV in 3-week cycles for a maximum of 4 cycles or until disease progression or unacceptable toxicity (whichever comes first). For participants with NSQ histology, pemetrexed maintenance was allowed until disease progression or unacceptable toxicity after 4 cycles of chemotherapy.
    id
    OG005
    title
    Part 1-Arm F: Chemotherapy
  7. description
    Chemotherapy-naive participants with stage IV or recurrent NSCLC irrespective of PD-L1 expressing levels received nivolumab 360 mg IV over 30 minutes combined with platinum-doublet chemotherapy administered IV every 3 weeks for a maximum of 4 cycles. Participants who have not experienced disease progression were to receive nivolumab 360 mg every 3weeks until the progression of disease, discontinuation due to toxicity, or up to 24 months (whichever comes first). For subjects with NSQ histology, pemetrexed maintenance was allowed until disease progression or unacceptable toxicity after 4 cycles of chemotherapy.
    id
    OG006
    title
    Part 2 - Arm H: Nivolumab + Chemotherapy
  8. description
    Chemotherapy-naive participants with stage IV or recurrent NSCLC irrespective of PD-L1 expressing levels received histology-based platinum-doublet chemotherapy IV in 3-week cycles for a maximum of 4 cycles or until disease progression or unacceptable toxicity (whichever comes first). For participants with NSQ histology, pemetrexed maintenance was allowed until disease progression or unacceptable toxicity after 4 cycles of chemotherapy.
    id
    OG007
    title
    Part 2 - Arm I: Chemotherapy
  9. description
    Participants in China with PD-L1 Non Small Cell Lung Cancer received nivolumab 3 mg/kg IV over 30 minutes Q2W + ipilimumab 1 mg/kg over 30minutes every 6 weeks (Q6W) given for up to 24 months in the absence of disease progression or unacceptable toxicity.
    id
    OG008
    title
    Part 3 -Arm J: Nivolumab + Ipilimumab
  10. description
    Participants in China with PD-L1 Non Small Cell Lung Cancer received histology-based platinum-doublet chemotherapy IV in3-week cycles for a maximum of 4 cycles or until disease progression or unacceptable toxicity (whichever comes first). For participants with NSQ histology, pemetrexed maintenance was allowed until disease progression or unacceptable toxicity after 4 cycles of chemotherapy.
    id
    OG009
    title
    Part 3 - Arm K: Chemotherapy
param Type
NUMBER
population Description
All randomized participants
reporting Status
POSTED
time Frame
Week 12
title
Percentage of Participants With Symptom Deterioration at Week 12 Assessed Via Lung Cancer Symptom Scale
type
SECONDARY
unit Of Measure
percentage of participants

Download exact source JSON → · Snapshot ctgov-results-191f4516d4760045304b24a0

Preserved source evidence · Not medical advice