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NCT02718417 · OUTCOME

Number of Participants With Laboratory Abnormalities Greater Than or Equal to (>=) Grade 3, Based on National Cancer Institute Common Terminology Criteria (NCI-CTCAE), Version 4.03

Avelumab in Previously Untreated Patients With Epithelial Ovarian Cancer (JAVELIN OVARIAN 100) · Source last updated 2020-07-14

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

Measure
COUNT_OF_PARTICIPANTS
Unit
Participants
Interval / dispersion
Not reported
Time frame
Baseline to discontinuation from the study or death, whichever occurred first (maximum duration of 27 months)

What was measured

As per NCI-CTCAE v 4.03, Grade 3 and above criteria were; Hematology \[Anemia - Grade 3: hemoglobin \<8.0 grams per deciliter (g/dL), \<4.9 millimoles per liter (mmol/L), \<80 grams per liter (g/L), transfusion indicated, Grade 4: life-threatening consequences, urgent intervention indicated, Grade 5: death; platelet count decreased- Grade 3:\<50.0 to 25.0\*10\^9/Liters(L), Grade 4: \<25.0\*10\^9/L; lymphocyte count decreased-Grade 3: \<0.5-0.2\*10\^9/L, Grade 4: \<0.2\*10\^9/L; neutrophil count decreased-Grade 3: \<1.0 to 0.5\*10\^9 /L, Grade 4: \<0.5\*10\^9/L\]. Chemistry \[creatinine increased-Grade 3: \>3.0 to 6.0\*upper limit of normal (ULN), Grade 4: \>6.0\*ULN; serum amylase increased, lipase increased-Grade 3: \>2.0 - 5.0\*ULN, Grade 4: \>5.0\*ULN\]. Liver function \[aspartate aminotransferase (AST) and alanine aminotransferase (ALT)-Grade 3: \>5.0 to 20.0\*ULN, Grade 4: \>20.0\*ULN\].

Analysis population: The safety analysis set included all participants who received at least one dose of study drug. Here, 'Number analyzed' = Participants evaluable for this outcome measure for each specified row.

Groups in this outcome

Chemotherapy Followed by Avelumab

In chemotherapy phase (CP),based on investigator's decision,participants received either:paclitaxel 175 milligrams per square meter (mg/m2) intravenous (IV) infusion,followed by carboplatin dose at area under curve (AUC) 5 or 6,IV infusion (carboplatin dose (mg) = Target AUC (mg\*min/mL) x (glomerular filtration rate\[GFR\] mL/min + 25),and maximum carboplatin dose = target AUC x (150 mL/min) on Day 1 of Cycles 1 to 6; or Paclitaxel 80 mg/m2 IV infusion over 1 hour on Days 1, 8, and 15, along with carboplatin dose at AUC 5 or 6, IV infusion over 1 hour on Day 1 of Cycle 1 to 6 (1 cycle=21 days). After completion of CP, participants without evidence of disease progression, received avelumab 10 mg/kg, over 1 hour IV infusion,once every 2 weeks on Days 1, 15, and 29 (1 cycle=42 days) in maintenance phase (MP) until confirmed progressive disease,unacceptable toxicity, or withdrawal of consent, or a maximum duration of 24 months. Participants were then followed up to a maximum of 36 months.

Chemotherapy + Avelumab Followed by Avelumab

In CP, based on investigator's decision, participants received either:paclitaxel 175 mg/m2,IV,followed by carboplatin dose at AUC 5 or 6,IV (carboplatin dose \[milligrams\](mg) = Target AUC (mg\*min/mL) x GFR mL/min + 25),and maximum carboplatin dose = target AUC x (150 mL/min) on Day 1 of Cycles 1 to 6;or Paclitaxel 80 mg/m2 IV infusion over 1 hour on Days 1, 8, and 15, along with carboplatin dose at AUC 5 or 6, IV infusion over 1 hour on Day 1 of Cycle 1 to 6 along with Avelumab 10 mg/kg administered as a 1-hour IV infusion once every 3 weeks for Cycle 1 to 6 ( 1 cycle=21 days).After completion of CP, participants without evidence of disease progression, received Avelumab IV, 10 mg/kg, once every 2 weeks on Days 1, 15, and 29 ( 1 cycle=42 days) in MP until confirmed progressive disease (PD), unacceptable toxicity, or withdrawal of consent, or a maximum duration of 24 months. Participants were then followed up to a maximum of 36 months.

Chemotherapy Followed by Observation

In CP, based on investigator's decision, participants received either: paclitaxel 175 mg/m2, IV infusion, followed by carboplatin dose at AUC 5 or 6, IV infusion (carboplatin dose \[milligrams\](mg) = Target AUC \[milligrams\*minute per milliliter\] (mg\*min/mL) x GFR mL/min + 25), and maximum carboplatin dose = target AUC x (150 mL/min) on Day 1 of Cycles 1 to 6; or Paclitaxel 80 mg/m2 IV infusion over 1 hour on Days 1, 8, and 15, along with carboplatin dose at AUC 5 or 6, IV infusion over 1 hour on Day 1 of Cycle 1 to 6. Each cycle was of 21 days (3 weeks). After completion of CP, participants were followed for survival status until death or until study completion, whichever was earlier or a maximum duration of 24 months in observation phase. Participants were then followed up to a maximum of 36 months.

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

Analysis denominator · Participants

GroupSource count
Chemotherapy Followed by Avelumab328
Chemotherapy + Avelumab Followed by Avelumab329
Chemotherapy Followed by Observation334

Reported measurements

Anemia

Analysis denominator · Participants

GroupSource count
Chemotherapy Followed by Avelumab326
Chemotherapy + Avelumab Followed by Avelumab326
Chemotherapy Followed by Observation328
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Chemotherapy Followed by Avelumab73Not reportedNot reportedNot reportedNot reported
Chemotherapy + Avelumab Followed by Avelumab68Not reportedNot reportedNot reportedNot reported
Chemotherapy Followed by Observation63Not reportedNot reportedNot reportedNot reported
Platelet Count Decreased

Analysis denominator · Participants

GroupSource count
Chemotherapy Followed by Avelumab326
Chemotherapy + Avelumab Followed by Avelumab326
Chemotherapy Followed by Observation328
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Chemotherapy Followed by Avelumab20Not reportedNot reportedNot reportedNot reported
Chemotherapy + Avelumab Followed by Avelumab35Not reportedNot reportedNot reportedNot reported
Chemotherapy Followed by Observation38Not reportedNot reportedNot reportedNot reported
Lymphocyte Count Decreased

Analysis denominator · Participants

GroupSource count
Chemotherapy Followed by Avelumab326
Chemotherapy + Avelumab Followed by Avelumab326
Chemotherapy Followed by Observation328
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Chemotherapy Followed by Avelumab35Not reportedNot reportedNot reportedNot reported
Chemotherapy + Avelumab Followed by Avelumab63Not reportedNot reportedNot reportedNot reported
Chemotherapy Followed by Observation29Not reportedNot reportedNot reportedNot reported
Neutrophil Count Decreased

Analysis denominator · Participants

GroupSource count
Chemotherapy Followed by Avelumab326
Chemotherapy + Avelumab Followed by Avelumab326
Chemotherapy Followed by Observation328
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Chemotherapy Followed by Avelumab144Not reportedNot reportedNot reportedNot reported
Chemotherapy + Avelumab Followed by Avelumab159Not reportedNot reportedNot reportedNot reported
Chemotherapy Followed by Observation156Not reportedNot reportedNot reportedNot reported
Creatinine Increased

Analysis denominator · Participants

GroupSource count
Chemotherapy Followed by Avelumab324
Chemotherapy + Avelumab Followed by Avelumab326
Chemotherapy Followed by Observation327
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Chemotherapy Followed by Avelumab2Not reportedNot reportedNot reportedNot reported
Chemotherapy + Avelumab Followed by Avelumab7Not reportedNot reportedNot reportedNot reported
Chemotherapy Followed by Observation0Not reportedNot reportedNot reportedNot reported
Serum Amylase Increased

Analysis denominator · Participants

GroupSource count
Chemotherapy Followed by Avelumab321
Chemotherapy + Avelumab Followed by Avelumab322
Chemotherapy Followed by Observation326
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Chemotherapy Followed by Avelumab5Not reportedNot reportedNot reportedNot reported
Chemotherapy + Avelumab Followed by Avelumab9Not reportedNot reportedNot reportedNot reported
Chemotherapy Followed by Observation10Not reportedNot reportedNot reportedNot reported
Lipase Increased

Analysis denominator · Participants

GroupSource count
Chemotherapy Followed by Avelumab323
Chemotherapy + Avelumab Followed by Avelumab323
Chemotherapy Followed by Observation325
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Chemotherapy Followed by Avelumab19Not reportedNot reportedNot reportedNot reported
Chemotherapy + Avelumab Followed by Avelumab24Not reportedNot reportedNot reportedNot reported
Chemotherapy Followed by Observation11Not reportedNot reportedNot reportedNot reported
ALT or AST

Analysis denominator · Participants

GroupSource count
Chemotherapy Followed by Avelumab324
Chemotherapy + Avelumab Followed by Avelumab326
Chemotherapy Followed by Observation327
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Chemotherapy Followed by Avelumab0Not reportedNot reportedNot reportedNot reported
Chemotherapy + Avelumab Followed by Avelumab1Not reportedNot reportedNot reportedNot reported
Chemotherapy Followed by Observation0Not reportedNot reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        73
      2. group Id
        OG001
        value
        68
      3. group Id
        OG002
        value
        63
    denoms
    1. counts
      1. group Id
        OG000
        value
        326
      2. group Id
        OG001
        value
        326
      3. group Id
        OG002
        value
        328
      units
      Participants
    title
    Anemia
  2. categories
    1. measurements
      1. group Id
        OG000
        value
        20
      2. group Id
        OG001
        value
        35
      3. group Id
        OG002
        value
        38
    denoms
    1. counts
      1. group Id
        OG000
        value
        326
      2. group Id
        OG001
        value
        326
      3. group Id
        OG002
        value
        328
      units
      Participants
    title
    Platelet Count Decreased
  3. categories
    1. measurements
      1. group Id
        OG000
        value
        35
      2. group Id
        OG001
        value
        63
      3. group Id
        OG002
        value
        29
    denoms
    1. counts
      1. group Id
        OG000
        value
        326
      2. group Id
        OG001
        value
        326
      3. group Id
        OG002
        value
        328
      units
      Participants
    title
    Lymphocyte Count Decreased
  4. categories
    1. measurements
      1. group Id
        OG000
        value
        144
      2. group Id
        OG001
        value
        159
      3. group Id
        OG002
        value
        156
    denoms
    1. counts
      1. group Id
        OG000
        value
        326
      2. group Id
        OG001
        value
        326
      3. group Id
        OG002
        value
        328
      units
      Participants
    title
    Neutrophil Count Decreased
  5. categories
    1. measurements
      1. group Id
        OG000
        value
        2
      2. group Id
        OG001
        value
        7
      3. group Id
        OG002
        value
        0
    denoms
    1. counts
      1. group Id
        OG000
        value
        324
      2. group Id
        OG001
        value
        326
      3. group Id
        OG002
        value
        327
      units
      Participants
    title
    Creatinine Increased
  6. categories
    1. measurements
      1. group Id
        OG000
        value
        5
      2. group Id
        OG001
        value
        9
      3. group Id
        OG002
        value
        10
    denoms
    1. counts
      1. group Id
        OG000
        value
        321
      2. group Id
        OG001
        value
        322
      3. group Id
        OG002
        value
        326
      units
      Participants
    title
    Serum Amylase Increased
  7. categories
    1. measurements
      1. group Id
        OG000
        value
        19
      2. group Id
        OG001
        value
        24
      3. group Id
        OG002
        value
        11
    denoms
    1. counts
      1. group Id
        OG000
        value
        323
      2. group Id
        OG001
        value
        323
      3. group Id
        OG002
        value
        325
      units
      Participants
    title
    Lipase Increased
  8. categories
    1. measurements
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        1
      3. group Id
        OG002
        value
        0
    denoms
    1. counts
      1. group Id
        OG000
        value
        324
      2. group Id
        OG001
        value
        326
      3. group Id
        OG002
        value
        327
      units
      Participants
    title
    ALT or AST
denoms
  1. counts
    1. group Id
      OG000
      value
      328
    2. group Id
      OG001
      value
      329
    3. group Id
      OG002
      value
      334
    units
    Participants
description
As per NCI-CTCAE v 4.03, Grade 3 and above criteria were; Hematology \[Anemia - Grade 3: hemoglobin \<8.0 grams per deciliter (g/dL), \<4.9 millimoles per liter (mmol/L), \<80 grams per liter (g/L), transfusion indicated, Grade 4: life-threatening consequences, urgent intervention indicated, Grade 5: death; platelet count decreased- Grade 3:\<50.0 to 25.0\*10\^9/Liters(L), Grade 4: \<25.0\*10\^9/L; lymphocyte count decreased-Grade 3: \<0.5-0.2\*10\^9/L, Grade 4: \<0.2\*10\^9/L; neutrophil count decreased-Grade 3: \<1.0 to 0.5\*10\^9 /L, Grade 4: \<0.5\*10\^9/L\]. Chemistry \[creatinine increased-Grade 3: \>3.0 to 6.0\*upper limit of normal (ULN), Grade 4: \>6.0\*ULN; serum amylase increased, lipase increased-Grade 3: \>2.0 - 5.0\*ULN, Grade 4: \>5.0\*ULN\]. Liver function \[aspartate aminotransferase (AST) and alanine aminotransferase (ALT)-Grade 3: \>5.0 to 20.0\*ULN, Grade 4: \>20.0\*ULN\].
groups
  1. description
    In chemotherapy phase (CP),based on investigator's decision,participants received either:paclitaxel 175 milligrams per square meter (mg/m2) intravenous (IV) infusion,followed by carboplatin dose at area under curve (AUC) 5 or 6,IV infusion (carboplatin dose (mg) = Target AUC (mg\*min/mL) x (glomerular filtration rate\[GFR\] mL/min + 25),and maximum carboplatin dose = target AUC x (150 mL/min) on Day 1 of Cycles 1 to 6; or Paclitaxel 80 mg/m2 IV infusion over 1 hour on Days 1, 8, and 15, along with carboplatin dose at AUC 5 or 6, IV infusion over 1 hour on Day 1 of Cycle 1 to 6 (1 cycle=21 days). After completion of CP, participants without evidence of disease progression, received avelumab 10 mg/kg, over 1 hour IV infusion,once every 2 weeks on Days 1, 15, and 29 (1 cycle=42 days) in maintenance phase (MP) until confirmed progressive disease,unacceptable toxicity, or withdrawal of consent, or a maximum duration of 24 months. Participants were then followed up to a maximum of 36 months.
    id
    OG000
    title
    Chemotherapy Followed by Avelumab
  2. description
    In CP, based on investigator's decision, participants received either:paclitaxel 175 mg/m2,IV,followed by carboplatin dose at AUC 5 or 6,IV (carboplatin dose \[milligrams\](mg) = Target AUC (mg\*min/mL) x GFR mL/min + 25),and maximum carboplatin dose = target AUC x (150 mL/min) on Day 1 of Cycles 1 to 6;or Paclitaxel 80 mg/m2 IV infusion over 1 hour on Days 1, 8, and 15, along with carboplatin dose at AUC 5 or 6, IV infusion over 1 hour on Day 1 of Cycle 1 to 6 along with Avelumab 10 mg/kg administered as a 1-hour IV infusion once every 3 weeks for Cycle 1 to 6 ( 1 cycle=21 days).After completion of CP, participants without evidence of disease progression, received Avelumab IV, 10 mg/kg, once every 2 weeks on Days 1, 15, and 29 ( 1 cycle=42 days) in MP until confirmed progressive disease (PD), unacceptable toxicity, or withdrawal of consent, or a maximum duration of 24 months. Participants were then followed up to a maximum of 36 months.
    id
    OG001
    title
    Chemotherapy + Avelumab Followed by Avelumab
  3. description
    In CP, based on investigator's decision, participants received either: paclitaxel 175 mg/m2, IV infusion, followed by carboplatin dose at AUC 5 or 6, IV infusion (carboplatin dose \[milligrams\](mg) = Target AUC \[milligrams\*minute per milliliter\] (mg\*min/mL) x GFR mL/min + 25), and maximum carboplatin dose = target AUC x (150 mL/min) on Day 1 of Cycles 1 to 6; or Paclitaxel 80 mg/m2 IV infusion over 1 hour on Days 1, 8, and 15, along with carboplatin dose at AUC 5 or 6, IV infusion over 1 hour on Day 1 of Cycle 1 to 6. Each cycle was of 21 days (3 weeks). After completion of CP, participants were followed for survival status until death or until study completion, whichever was earlier or a maximum duration of 24 months in observation phase. Participants were then followed up to a maximum of 36 months.
    id
    OG002
    title
    Chemotherapy Followed by Observation
param Type
COUNT_OF_PARTICIPANTS
population Description
The safety analysis set included all participants who received at least one dose of study drug. Here, 'Number analyzed' = Participants evaluable for this outcome measure for each specified row.
reporting Status
POSTED
time Frame
Baseline to discontinuation from the study or death, whichever occurred first (maximum duration of 27 months)
title
Number of Participants With Laboratory Abnormalities Greater Than or Equal to (>=) Grade 3, Based on National Cancer Institute Common Terminology Criteria (NCI-CTCAE), Version 4.03
type
SECONDARY
unit Of Measure
Participants

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Preserved source evidence · Not medical advice