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NCT02516241 · OUTCOME

Change From Baseline in FACT-BL (Derived NFBlSI-18 Score, FACT-BL TOI, and FACT-BL Total Score) by MMRM Analysis, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC

Study of MEDI4736 (Durvalumab) With or Without Tremelimumab Versus Standard of Care Chemotherapy in Urothelial Cancer · Source last updated 2026-07-14

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

Measure
MEAN
Unit
Scores on a scale
Interval / dispersion
Standard Error
Time frame
At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).

What was measured

the change from baseline in the following total/index scores will be evaluated as secondary endpoints: FACT-BL TOI (refer to as TOI), FACT-BL Total score, and NFBlSI-18 score. All the 5 subscales (PWB (0-28), FWB (0-28), EWB (0-24), SWB (0-28), and BlCS(0-48)) are summed as the FACT-BL total score (range 0-156), while the sum of PWB, FWB and BICS constitutes the FACT-BL TOI (range 0-104). NFBlSI-18 (range 0-72) is based on the scores of 16 items (GP4, C2, BL1, GP3, GE6, GE1, C6, BL5, GF5, GP2, GP1, GP6, C3, GP5, GF3, GF7) and 2 extra items "I feel weak all overall" and "I feel light-headed (dizzy)". The range of each item is 0-4. Higher score represent worse

Analysis population: The PD-L1-High analysis set will include the subset of patients in the FAS whose PD-L1 status is PD-L1-High as defined by an Immunohistochemistry (IHC) assay developed by Ventana as: ≥25% tumor cell membrane positivity for PD-L1 at any intensity above background staining as noted on the corresponding negative control OR ≥25% tumor associated immune cell positivity for PD-L1 at any intensity above background staining as noted on the corresponding negative control

Groups in this outcome

Combination Therapy

MEDI4736 (Durvalumab) + Tremelimumab

Monotherapy

MEDI4736 (Durvalumab)

Standard of Care

Standard of Care Chemotherapy Treatment

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

Analysis denominator · Participants

GroupSource count
Combination Therapy205
Monotherapy209
Standard of Care207

Reported measurements

NFBLSI - 18 Score (Average overall visits)

Analysis denominator · Participants

GroupSource count
Combination Therapy129
Monotherapy131
Standard of Care119
Values in Scores on a scale · Interval/dispersion: Standard Error
GroupValueSpreadLowerUpperComment
Combination Therapy-3.90.85Not reportedNot reportedNot reported
Monotherapy-2.00.87Not reportedNot reportedNot reported
Standard of Care-5.70.95Not reportedNot reportedNot reported
FACT-BL TOI (Average overall visits)

Analysis denominator · Participants

GroupSource count
Combination Therapy129
Monotherapy131
Standard of Care119
Values in Scores on a scale · Interval/dispersion: Standard Error
GroupValueSpreadLowerUpperComment
Combination Therapy-5.81.09Not reportedNot reportedNot reported
Monotherapy-2.61.11Not reportedNot reportedNot reported
Standard of Care-8.01.22Not reportedNot reportedNot reported
FACT-BL Total score (Average overall visits)

Analysis denominator · Participants

GroupSource count
Combination Therapy129
Monotherapy131
Standard of Care119
Values in Scores on a scale · Interval/dispersion: Standard Error
GroupValueSpreadLowerUpperComment
Combination Therapy-8.01.47Not reportedNot reportedNot reported
Monotherapy-2.71.51Not reportedNot reportedNot reported
Standard of Care-10.11.65Not reportedNot reportedNot reported

Source statistical analyses

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

  1. ci Lower Limit
    -0.6
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    4.36
    group Description
    NFBLSI- 18 score (Average overall visits)
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    0.1373
    p Value Comment
    MMRM model included patient, treatment, cisplatin eligibility and visceral metastasis, visit and treatment by visit interaction as explanatory variables, and the appropriate baseline FACT-BL value as a covariate.
    param Type
    Mean Difference (Final Values)
    param Value
    1.9
    statistical Method
    Mixed Models Analysis
  2. ci Lower Limit
    1.26
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    6.27
    group Description
    NFBLSI- 18 score (Average overall visits)
    group Ids
    1. OG001
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    0.0034
    p Value Comment
    MMRM model included patient, treatment, cisplatin eligibility and visceral metastasis, visit and treatment by visit interaction as explanatory variables, and the appropriate baseline FACT-BL value as a covariate.
    param Type
    Mean Difference (Final Values)
    param Value
    3.8
    statistical Method
    Mixed Models Analysis
  3. ci Lower Limit
    -1.00
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    5.39
    group Description
    FACT-BL TOI (Average overall visits)
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    0.1774
    p Value Comment
    MMRM model included patient, treatment, cisplatin eligibility and visceral metastasis, visit and treatment by visit interaction as explanatory variables, and the appropriate baseline FACT-BL value as a covariate.
    param Type
    Mean Difference (Final Values)
    param Value
    2.2
    statistical Method
    Mixed Models Analysis
  4. ci Lower Limit
    2.19
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    8.65
    group Description
    FACT-BL TOI (Average overall visits)
    group Ids
    1. OG001
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    0.0011
    p Value Comment
    MMRM model included patient, treatment, cisplatin eligibility and visceral metastasis, visit and treatment by visit interaction as explanatory variables, and the appropriate baseline FACT-BL value as a covariate.
    param Type
    Mean Difference (Final Values)
    param Value
    5.4
    statistical Method
    Mixed Models Analysis
  5. ci Lower Limit
    -2.27
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    6.38
    group Description
    FACT-BL Total score (Average overall visits)
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    0.3494
    p Value Comment
    MMRM model included patient, treatment, cisplatin eligibility and visceral metastasis, visit and treatment by visit interaction as explanatory variables, and the appropriate baseline FACT-BL value as a covariate.
    param Type
    Mean Difference (Final Values)
    param Value
    2.1
    statistical Method
    Mixed Models Analysis
  6. ci Lower Limit
    2.96
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    11.71
    group Description
    FACT-BL Total score (Average overall visits)
    group Ids
    1. OG001
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    0.0011
    p Value Comment
    MMRM model included patient, treatment, cisplatin eligibility and visceral metastasis, visit and treatment by visit interaction as explanatory variables, and the appropriate baseline FACT-BL value as a covariate.
    param Type
    Mean Difference (Final Values)
    param Value
    7.3
    statistical Method
    Mixed Models Analysis
Complete source fields
analyses
  1. ci Lower Limit
    -0.6
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    4.36
    group Description
    NFBLSI- 18 score (Average overall visits)
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    0.1373
    p Value Comment
    MMRM model included patient, treatment, cisplatin eligibility and visceral metastasis, visit and treatment by visit interaction as explanatory variables, and the appropriate baseline FACT-BL value as a covariate.
    param Type
    Mean Difference (Final Values)
    param Value
    1.9
    statistical Method
    Mixed Models Analysis
  2. ci Lower Limit
    1.26
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    6.27
    group Description
    NFBLSI- 18 score (Average overall visits)
    group Ids
    1. OG001
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    0.0034
    p Value Comment
    MMRM model included patient, treatment, cisplatin eligibility and visceral metastasis, visit and treatment by visit interaction as explanatory variables, and the appropriate baseline FACT-BL value as a covariate.
    param Type
    Mean Difference (Final Values)
    param Value
    3.8
    statistical Method
    Mixed Models Analysis
  3. ci Lower Limit
    -1.00
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    5.39
    group Description
    FACT-BL TOI (Average overall visits)
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    0.1774
    p Value Comment
    MMRM model included patient, treatment, cisplatin eligibility and visceral metastasis, visit and treatment by visit interaction as explanatory variables, and the appropriate baseline FACT-BL value as a covariate.
    param Type
    Mean Difference (Final Values)
    param Value
    2.2
    statistical Method
    Mixed Models Analysis
  4. ci Lower Limit
    2.19
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    8.65
    group Description
    FACT-BL TOI (Average overall visits)
    group Ids
    1. OG001
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    0.0011
    p Value Comment
    MMRM model included patient, treatment, cisplatin eligibility and visceral metastasis, visit and treatment by visit interaction as explanatory variables, and the appropriate baseline FACT-BL value as a covariate.
    param Type
    Mean Difference (Final Values)
    param Value
    5.4
    statistical Method
    Mixed Models Analysis
  5. ci Lower Limit
    -2.27
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    6.38
    group Description
    FACT-BL Total score (Average overall visits)
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    0.3494
    p Value Comment
    MMRM model included patient, treatment, cisplatin eligibility and visceral metastasis, visit and treatment by visit interaction as explanatory variables, and the appropriate baseline FACT-BL value as a covariate.
    param Type
    Mean Difference (Final Values)
    param Value
    2.1
    statistical Method
    Mixed Models Analysis
  6. ci Lower Limit
    2.96
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    11.71
    group Description
    FACT-BL Total score (Average overall visits)
    group Ids
    1. OG001
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    0.0011
    p Value Comment
    MMRM model included patient, treatment, cisplatin eligibility and visceral metastasis, visit and treatment by visit interaction as explanatory variables, and the appropriate baseline FACT-BL value as a covariate.
    param Type
    Mean Difference (Final Values)
    param Value
    7.3
    statistical Method
    Mixed Models Analysis
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.85
        value
        -3.9
      2. group Id
        OG001
        spread
        0.87
        value
        -2.0
      3. group Id
        OG002
        spread
        0.95
        value
        -5.7
    denoms
    1. counts
      1. group Id
        OG000
        value
        129
      2. group Id
        OG001
        value
        131
      3. group Id
        OG002
        value
        119
      units
      Participants
    title
    NFBLSI - 18 Score (Average overall visits)
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        1.09
        value
        -5.8
      2. group Id
        OG001
        spread
        1.11
        value
        -2.6
      3. group Id
        OG002
        spread
        1.22
        value
        -8.0
    denoms
    1. counts
      1. group Id
        OG000
        value
        129
      2. group Id
        OG001
        value
        131
      3. group Id
        OG002
        value
        119
      units
      Participants
    title
    FACT-BL TOI (Average overall visits)
  3. categories
    1. measurements
      1. group Id
        OG000
        spread
        1.47
        value
        -8.0
      2. group Id
        OG001
        spread
        1.51
        value
        -2.7
      3. group Id
        OG002
        spread
        1.65
        value
        -10.1
    denoms
    1. counts
      1. group Id
        OG000
        value
        129
      2. group Id
        OG001
        value
        131
      3. group Id
        OG002
        value
        119
      units
      Participants
    title
    FACT-BL Total score (Average overall visits)
denoms
  1. counts
    1. group Id
      OG000
      value
      205
    2. group Id
      OG001
      value
      209
    3. group Id
      OG002
      value
      207
    units
    Participants
description
the change from baseline in the following total/index scores will be evaluated as secondary endpoints: FACT-BL TOI (refer to as TOI), FACT-BL Total score, and NFBlSI-18 score. All the 5 subscales (PWB (0-28), FWB (0-28), EWB (0-24), SWB (0-28), and BlCS(0-48)) are summed as the FACT-BL total score (range 0-156), while the sum of PWB, FWB and BICS constitutes the FACT-BL TOI (range 0-104). NFBlSI-18 (range 0-72) is based on the scores of 16 items (GP4, C2, BL1, GP3, GE6, GE1, C6, BL5, GF5, GP2, GP1, GP6, C3, GP5, GF3, GF7) and 2 extra items "I feel weak all overall" and "I feel light-headed (dizzy)". The range of each item is 0-4. Higher score represent worse
dispersion Type
Standard Error
groups
  1. description
    MEDI4736 (Durvalumab) + Tremelimumab
    id
    OG000
    title
    Combination Therapy
  2. description
    MEDI4736 (Durvalumab)
    id
    OG001
    title
    Monotherapy
  3. description
    Standard of Care Chemotherapy Treatment
    id
    OG002
    title
    Standard of Care
param Type
MEAN
population Description
The PD-L1-High analysis set will include the subset of patients in the FAS whose PD-L1 status is PD-L1-High as defined by an Immunohistochemistry (IHC) assay developed by Ventana as: ≥25% tumor cell membrane positivity for PD-L1 at any intensity above background staining as noted on the corresponding negative control OR ≥25% tumor associated immune cell positivity for PD-L1 at any intensity above background staining as noted on the corresponding negative control
reporting Status
POSTED
time Frame
At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
title
Change From Baseline in FACT-BL (Derived NFBlSI-18 Score, FACT-BL TOI, and FACT-BL Total Score) by MMRM Analysis, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
type
SECONDARY
unit Of Measure
Scores on a scale

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Preserved source evidence · Not medical advice