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NCT02604433 · OUTCOME

Mean Change From Baseline in the 36-item Short Form Health Survey (SF-36) Questionnaire At Weeks 24

An Efficacy and Safety Study of Luspatercept (ACE-536) Versus Placebo in Adults Who Require Regular Red Blood Cell Transfusions Due to Beta (β) Thalassemia · Source last updated 2023-04-18

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

Measure
MEAN
Unit
T-score
Interval / dispersion
Standard Deviation
Time frame
Baseline: 4 weeks prior to Day 1; Treatment: Weeks 24

What was measured

The SF-36 (version 2) is a generic, self-administered instrument consisting of 8 multi-item scales that assess 8 health domains. The raw score for each health domain is transformed into a 0 (worst) to 100 (best) domain score. The 0-100 scale score for each health domain is further converted to normbased scores using a T-score transformation, with a mean of 50 and a standard deviation (SD) of 10. Higher norm-based T-scores indicate better heath/QoL. The domains/summaries reported are: 1. Physical Functioning (Range of possible T-scores is 19.26 - 57.54) 2. General Health (Range of possible T-scores is 18.95 - 66.50) 3. Physical Component summary (PCS) (Range of possible T-scores is 5.02 - 79.78). Positive change from baseline values indicate improvement.

Analysis population: All randomized participants with an evaluable SF-36 questionnaire at screening visit and at least one post-screening visit

Groups in this outcome

Luspatercept + BSC

Luspatercept (ACE-536) was administered subcutaneously (SC) at a starting dose level of 1 mg/kg once every 21 days. Participants could be dose-titrated to 1.25 mg/kg, but the maximum total dose should not exceed 120 mg, total dose per administration during the Treatment Period, the Long-term Treatment Period, and Open-Label Treatment Period. BSC = Best Supportive Care

Placebo + BSC

Placebo (normal saline) was administered subcutaneously (SC) in volumes to match active treatment once every 21 days. BSC = Best Supportive Care

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

Analysis denominator · Participants

GroupSource count
Luspatercept + BSC210
Placebo + BSC103

Reported measurements

Physical Functioning Domain Score - Change from Baseline

Analysis denominator · Participants

GroupSource count
Luspatercept + BSC197
Placebo + BSC91
Values in T-score · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Luspatercept + BSC-0.36.93Not reportedNot reportedNot reported
Placebo + BSC-0.27.86Not reportedNot reportedNot reported
General Health Domain Score - Change from Baseline

Analysis denominator · Participants

GroupSource count
Luspatercept + BSC197
Placebo + BSC91
Values in T-score · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Luspatercept + BSC0.47.18Not reportedNot reportedNot reported
Placebo + BSC0.37.03Not reportedNot reportedNot reported
PCS - Change from Baseline

Analysis denominator · Participants

GroupSource count
Luspatercept + BSC197
Placebo + BSC91
Values in T-score · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Luspatercept + BSC-0.47.01Not reportedNot reportedNot reported
Placebo + BSC-0.37.97Not reportedNot reportedNot reported

Source statistical analyses

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

  1. group Description
    Physical Functioning Domain - Change from Baseline at Week 24
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.918
    p Value Comment
    Significance level of 0.050 for 2-sided tests.
    statistical Method
    t-test, 2 sided
  2. group Description
    General Health Domain - Change from Baseline at Week 24
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.857
    p Value Comment
    Significance level of 0.050 for 2-sided tests.
    statistical Method
    t-test, 2 sided
  3. group Description
    PCS - Change from Baseline at Week 24
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.839
    p Value Comment
    Significance level of 0.050 for 2-sided tests.
    statistical Method
    t-test, 2 sided
Complete source fields
analyses
  1. group Description
    Physical Functioning Domain - Change from Baseline at Week 24
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.918
    p Value Comment
    Significance level of 0.050 for 2-sided tests.
    statistical Method
    t-test, 2 sided
  2. group Description
    General Health Domain - Change from Baseline at Week 24
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.857
    p Value Comment
    Significance level of 0.050 for 2-sided tests.
    statistical Method
    t-test, 2 sided
  3. group Description
    PCS - Change from Baseline at Week 24
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.839
    p Value Comment
    Significance level of 0.050 for 2-sided tests.
    statistical Method
    t-test, 2 sided
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        6.93
        value
        -0.3
      2. group Id
        OG001
        spread
        7.86
        value
        -0.2
    denoms
    1. counts
      1. group Id
        OG000
        value
        197
      2. group Id
        OG001
        value
        91
      units
      Participants
    title
    Physical Functioning Domain Score - Change from Baseline
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        7.18
        value
        0.4
      2. group Id
        OG001
        spread
        7.03
        value
        0.3
    denoms
    1. counts
      1. group Id
        OG000
        value
        197
      2. group Id
        OG001
        value
        91
      units
      Participants
    title
    General Health Domain Score - Change from Baseline
  3. categories
    1. measurements
      1. group Id
        OG000
        spread
        7.01
        value
        -0.4
      2. group Id
        OG001
        spread
        7.97
        value
        -0.3
    denoms
    1. counts
      1. group Id
        OG000
        value
        197
      2. group Id
        OG001
        value
        91
      units
      Participants
    title
    PCS - Change from Baseline
denoms
  1. counts
    1. group Id
      OG000
      value
      210
    2. group Id
      OG001
      value
      103
    units
    Participants
description
The SF-36 (version 2) is a generic, self-administered instrument consisting of 8 multi-item scales that assess 8 health domains. The raw score for each health domain is transformed into a 0 (worst) to 100 (best) domain score. The 0-100 scale score for each health domain is further converted to normbased scores using a T-score transformation, with a mean of 50 and a standard deviation (SD) of 10. Higher norm-based T-scores indicate better heath/QoL. The domains/summaries reported are: 1. Physical Functioning (Range of possible T-scores is 19.26 - 57.54) 2. General Health (Range of possible T-scores is 18.95 - 66.50) 3. Physical Component summary (PCS) (Range of possible T-scores is 5.02 - 79.78). Positive change from baseline values indicate improvement.
dispersion Type
Standard Deviation
groups
  1. description
    Luspatercept (ACE-536) was administered subcutaneously (SC) at a starting dose level of 1 mg/kg once every 21 days. Participants could be dose-titrated to 1.25 mg/kg, but the maximum total dose should not exceed 120 mg, total dose per administration during the Treatment Period, the Long-term Treatment Period, and Open-Label Treatment Period. BSC = Best Supportive Care
    id
    OG000
    title
    Luspatercept + BSC
  2. description
    Placebo (normal saline) was administered subcutaneously (SC) in volumes to match active treatment once every 21 days. BSC = Best Supportive Care
    id
    OG001
    title
    Placebo + BSC
param Type
MEAN
population Description
All randomized participants with an evaluable SF-36 questionnaire at screening visit and at least one post-screening visit
reporting Status
POSTED
time Frame
Baseline: 4 weeks prior to Day 1; Treatment: Weeks 24
title
Mean Change From Baseline in the 36-item Short Form Health Survey (SF-36) Questionnaire At Weeks 24
type
SECONDARY
unit Of Measure
T-score

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Preserved source evidence · Not medical advice