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NCT02718417 · OUTCOME

Change From Baseline in Vital Signs - Pulse Rate at Day 1 of Cycles 2, 3, 4 in Chemotherapy Phase; Days 1, 15 and 29 of Cycles 1 and 2 in Maintenance/ Observation Phase and at End of Treatment

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
MEAN
Unit
beats per minute
Interval / dispersion
Standard Deviation
Time frame
Baseline, first 3 months of Chemotherapy Phase (CP): Day 1 of Cycles 2, 3 and 4 (each cycle 21 days); Maintenance/Observation Phase (MP/OP): Days 1, 15 and 29 of Cycles 1 and 2 (each cycle 42 days) and at end of treatment (up to 27 months)

What was measured

Vital signs included blood pressure and pulse rate. Changes from baseline in sitting pulse rate were summarized. MP is applicable only for two arms 'Chemotherapy followed by Avelumab' and 'Chemotherapy + Avelumab followed by Avelumab'. OP is applicable only for third arm 'Chemotherapy followed by Observation'. Category titles 'MP/OP' imply which ever phase was applicable for the respective reporting arms.

Analysis population: The safety analysis set included all participants who had received at least one dose of study drug. Here "Overall number of participants analyzed" signifies participants who were evaluable for this outcome measure and 'Number analyzed' = participants evaluable for this outcome measure at specified rows.

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 Avelumab318
Chemotherapy + Avelumab Followed by Avelumab317
Chemotherapy Followed by Observation316

Reported measurements

CP: Change at Day 1, Cycle 2

Analysis denominator · Participants

GroupSource count
Chemotherapy Followed by Avelumab310
Chemotherapy + Avelumab Followed by Avelumab304
Chemotherapy Followed by Observation301
Values in beats per minute · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Chemotherapy Followed by Avelumab-0.512.34Not reportedNot reportedNot reported
Chemotherapy + Avelumab Followed by Avelumab1.8012.04Not reportedNot reportedNot reported
Chemotherapy Followed by Observation-0.7011.42Not reportedNot reportedNot reported
CP: Change at Day 1, Cycle 3

Analysis denominator · Participants

GroupSource count
Chemotherapy Followed by Avelumab305
Chemotherapy + Avelumab Followed by Avelumab298
Chemotherapy Followed by Observation295
Values in beats per minute · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Chemotherapy Followed by Avelumab-0.2012.71Not reportedNot reportedNot reported
Chemotherapy + Avelumab Followed by Avelumab2.9013.64Not reportedNot reportedNot reported
Chemotherapy Followed by Observation-0.012.29Not reportedNot reportedNot reported
CP: Change at Day 1, Cycle 4

Analysis denominator · Participants

GroupSource count
Chemotherapy Followed by Avelumab287
Chemotherapy + Avelumab Followed by Avelumab290
Chemotherapy Followed by Observation289
Values in beats per minute · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Chemotherapy Followed by Avelumab-0.3013.49Not reportedNot reportedNot reported
Chemotherapy + Avelumab Followed by Avelumab1.9013.86Not reportedNot reportedNot reported
Chemotherapy Followed by Observation-0.3014.02Not reportedNot reportedNot reported
MP/OP: Change at Day 1, Cycle 1

Analysis denominator · Participants

GroupSource count
Chemotherapy Followed by Avelumab253
Chemotherapy + Avelumab Followed by Avelumab266
Chemotherapy Followed by Observation253
Values in beats per minute · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Chemotherapy Followed by Avelumab-1.9013.70Not reportedNot reportedNot reported
Chemotherapy + Avelumab Followed by Avelumab-0.1013.99Not reportedNot reportedNot reported
Chemotherapy Followed by Observation-0.7013.02Not reportedNot reportedNot reported
MP/OP: Change at Day 15, Cycle 1

Analysis denominator · Participants

GroupSource count
Chemotherapy Followed by Avelumab241
Chemotherapy + Avelumab Followed by Avelumab249
Chemotherapy Followed by Observation3
Values in beats per minute · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Chemotherapy Followed by Avelumab-2.9012.94Not reportedNot reportedNot reported
Chemotherapy + Avelumab Followed by Avelumab-2.4013.57Not reportedNot reportedNot reported
Chemotherapy Followed by Observation-11.7015.14Not reportedNot reportedNot reported
MP/OP: Change at Day 29, Cycle 1

Analysis denominator · Participants

GroupSource count
Chemotherapy Followed by Avelumab233
Chemotherapy + Avelumab Followed by Avelumab249
Chemotherapy Followed by Observation3
Values in beats per minute · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Chemotherapy Followed by Avelumab-3.1012.48Not reportedNot reportedNot reported
Chemotherapy + Avelumab Followed by Avelumab-3.6013.48Not reportedNot reportedNot reported
Chemotherapy Followed by Observation-4.007.55Not reportedNot reportedNot reported
MP/OP: Change at Day 1, Cycle 2

Analysis denominator · Participants

GroupSource count
Chemotherapy Followed by Avelumab228
Chemotherapy + Avelumab Followed by Avelumab247
Chemotherapy Followed by Observation226
Values in beats per minute · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Chemotherapy Followed by Avelumab-3.5013.71Not reportedNot reportedNot reported
Chemotherapy + Avelumab Followed by Avelumab-4.7013.09Not reportedNot reportedNot reported
Chemotherapy Followed by Observation-3.4013.11Not reportedNot reportedNot reported
MP/OP: Change at Day 15, Cycle 2

Analysis denominator · Participants

GroupSource count
Chemotherapy Followed by Avelumab219
Chemotherapy + Avelumab Followed by Avelumab236
Chemotherapy Followed by Observation0
Values in beats per minute · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Chemotherapy Followed by Avelumab-5.1013.73Not reportedNot reportedNot reported
Chemotherapy + Avelumab Followed by Avelumab-4.9013.67Not reportedNot reportedNot reported
MP/OP: Change at Day 29, Cycle 2

Analysis denominator · Participants

GroupSource count
Chemotherapy Followed by Avelumab215
Chemotherapy + Avelumab Followed by Avelumab225
Chemotherapy Followed by Observation0
Values in beats per minute · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Chemotherapy Followed by Avelumab-5.6013.71Not reportedNot reportedNot reported
Chemotherapy + Avelumab Followed by Avelumab-5.2012.79Not reportedNot reportedNot reported
Change at EOT

Analysis denominator · Participants

GroupSource count
Chemotherapy Followed by Avelumab136
Chemotherapy + Avelumab Followed by Avelumab116
Chemotherapy Followed by Observation119
Values in beats per minute · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Chemotherapy Followed by Avelumab-1.6014.47Not reportedNot reportedNot reported
Chemotherapy + Avelumab Followed by Avelumab-1.5015.22Not reportedNot reportedNot reported
Chemotherapy Followed by Observation-3.7015.03Not reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        12.34
        value
        -0.5
      2. group Id
        OG001
        spread
        12.04
        value
        1.80
      3. group Id
        OG002
        spread
        11.42
        value
        -0.70
    denoms
    1. counts
      1. group Id
        OG000
        value
        310
      2. group Id
        OG001
        value
        304
      3. group Id
        OG002
        value
        301
      units
      Participants
    title
    CP: Change at Day 1, Cycle 2
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        12.71
        value
        -0.20
      2. group Id
        OG001
        spread
        13.64
        value
        2.90
      3. group Id
        OG002
        spread
        12.29
        value
        -0.0
    denoms
    1. counts
      1. group Id
        OG000
        value
        305
      2. group Id
        OG001
        value
        298
      3. group Id
        OG002
        value
        295
      units
      Participants
    title
    CP: Change at Day 1, Cycle 3
  3. categories
    1. measurements
      1. group Id
        OG000
        spread
        13.49
        value
        -0.30
      2. group Id
        OG001
        spread
        13.86
        value
        1.90
      3. group Id
        OG002
        spread
        14.02
        value
        -0.30
    denoms
    1. counts
      1. group Id
        OG000
        value
        287
      2. group Id
        OG001
        value
        290
      3. group Id
        OG002
        value
        289
      units
      Participants
    title
    CP: Change at Day 1, Cycle 4
  4. categories
    1. measurements
      1. group Id
        OG000
        spread
        13.70
        value
        -1.90
      2. group Id
        OG001
        spread
        13.99
        value
        -0.10
      3. group Id
        OG002
        spread
        13.02
        value
        -0.70
    denoms
    1. counts
      1. group Id
        OG000
        value
        253
      2. group Id
        OG001
        value
        266
      3. group Id
        OG002
        value
        253
      units
      Participants
    title
    MP/OP: Change at Day 1, Cycle 1
  5. categories
    1. measurements
      1. group Id
        OG000
        spread
        12.94
        value
        -2.90
      2. group Id
        OG001
        spread
        13.57
        value
        -2.40
      3. group Id
        OG002
        spread
        15.14
        value
        -11.70
    denoms
    1. counts
      1. group Id
        OG000
        value
        241
      2. group Id
        OG001
        value
        249
      3. group Id
        OG002
        value
        3
      units
      Participants
    title
    MP/OP: Change at Day 15, Cycle 1
  6. categories
    1. measurements
      1. group Id
        OG000
        spread
        12.48
        value
        -3.10
      2. group Id
        OG001
        spread
        13.48
        value
        -3.60
      3. group Id
        OG002
        spread
        7.55
        value
        -4.00
    denoms
    1. counts
      1. group Id
        OG000
        value
        233
      2. group Id
        OG001
        value
        249
      3. group Id
        OG002
        value
        3
      units
      Participants
    title
    MP/OP: Change at Day 29, Cycle 1
  7. categories
    1. measurements
      1. group Id
        OG000
        spread
        13.71
        value
        -3.50
      2. group Id
        OG001
        spread
        13.09
        value
        -4.70
      3. group Id
        OG002
        spread
        13.11
        value
        -3.40
    denoms
    1. counts
      1. group Id
        OG000
        value
        228
      2. group Id
        OG001
        value
        247
      3. group Id
        OG002
        value
        226
      units
      Participants
    title
    MP/OP: Change at Day 1, Cycle 2
  8. categories
    1. measurements
      1. group Id
        OG000
        spread
        13.73
        value
        -5.10
      2. group Id
        OG001
        spread
        13.67
        value
        -4.90
    denoms
    1. counts
      1. group Id
        OG000
        value
        219
      2. group Id
        OG001
        value
        236
      3. group Id
        OG002
        value
        0
      units
      Participants
    title
    MP/OP: Change at Day 15, Cycle 2
  9. categories
    1. measurements
      1. group Id
        OG000
        spread
        13.71
        value
        -5.60
      2. group Id
        OG001
        spread
        12.79
        value
        -5.20
    denoms
    1. counts
      1. group Id
        OG000
        value
        215
      2. group Id
        OG001
        value
        225
      3. group Id
        OG002
        value
        0
      units
      Participants
    title
    MP/OP: Change at Day 29, Cycle 2
  10. categories
    1. measurements
      1. group Id
        OG000
        spread
        14.47
        value
        -1.60
      2. group Id
        OG001
        spread
        15.22
        value
        -1.50
      3. group Id
        OG002
        spread
        15.03
        value
        -3.70
    denoms
    1. counts
      1. group Id
        OG000
        value
        136
      2. group Id
        OG001
        value
        116
      3. group Id
        OG002
        value
        119
      units
      Participants
    title
    Change at EOT
denoms
  1. counts
    1. group Id
      OG000
      value
      318
    2. group Id
      OG001
      value
      317
    3. group Id
      OG002
      value
      316
    units
    Participants
description
Vital signs included blood pressure and pulse rate. Changes from baseline in sitting pulse rate were summarized. MP is applicable only for two arms 'Chemotherapy followed by Avelumab' and 'Chemotherapy + Avelumab followed by Avelumab'. OP is applicable only for third arm 'Chemotherapy followed by Observation'. Category titles 'MP/OP' imply which ever phase was applicable for the respective reporting arms.
dispersion Type
Standard Deviation
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
MEAN
population Description
The safety analysis set included all participants who had received at least one dose of study drug. Here "Overall number of participants analyzed" signifies participants who were evaluable for this outcome measure and 'Number analyzed' = participants evaluable for this outcome measure at specified rows.
reporting Status
POSTED
time Frame
Baseline, first 3 months of Chemotherapy Phase (CP): Day 1 of Cycles 2, 3 and 4 (each cycle 21 days); Maintenance/Observation Phase (MP/OP): Days 1, 15 and 29 of Cycles 1 and 2 (each cycle 42 days) and at end of treatment (up to 27 months)
title
Change From Baseline in Vital Signs - Pulse Rate at Day 1 of Cycles 2, 3, 4 in Chemotherapy Phase; Days 1, 15 and 29 of Cycles 1 and 2 in Maintenance/ Observation Phase and at End of Treatment
type
SECONDARY
unit Of Measure
beats per minute

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Preserved source evidence · Not medical advice