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NCT02763579 · OUTCOME

Time to Deterioration (TTD) Per European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ) Core 30 (C30) and Supplemental Lung Cancer Module (QLQ-LC13) in the Global Population

A Study of Carboplatin Plus Etoposide With or Without Atezolizumab in Participants With Untreated Extensive-Stage (ES) Small Cell Lung Cancer (SCLC) · Source last updated 2023-07-28

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

Measure
MEDIAN
Unit
Month
Interval / dispersion
95% Confidence Interval
Time frame
Baseline until deterioration per symptom subscale (up to approximately 23 months)

What was measured

TTD according to the EORTC QLQ-C30 and EORTC QLQ-LC13 measures were evaluated in each of the following linearly transformed symptom scores: cough, dyspnea (single item), dyspnea (multi-item subscale), chest pain, or arm/shoulder pain. The linear transformation gives each individual symptom subscale a possible score of 0 to 100. For the symptom to be considered "deteriorated," a score increase of ≥10 points above baseline must be held for at least two consecutive assessments or an initial score increase of ≥10 points is followed by death within 3 weeks from the last assessment. A ≥ 10-point change in the symptoms subscale score is perceived by participants as clinically significant.

Analysis population: The ITT population was defined as all randomized participants, regardless of whether the participant received the assigned treatment.

Groups in this outcome

Placebo + Carboplatin + Etoposide

Participants received intravenous infusions of placebo in combination with carboplatin to achieve an initial target AUC of 5 mg/mL/min followed by etoposide 100 mg/m\^2 on Day 1 of every 21-day cycle during the induction phase (Cycles 1-4). On Days 2 and 3 of every 21-day cycle during the induction phase (Cycles 1-4), etoposide 100 mg/m\^2 was administered alone. Thereafter, participants received maintenance (Cycle 5 onward) placebo on Day 1 of every 21-day cycle until persistent radiographic PD, symptomatic deterioration, intolerable toxicity, withdrawal of consent, death, or study termination by the Sponsor.

Atezolizumab + Carboplatin + Etoposide

Participants received intravenous infusions of atezolizumab 1200 milligrams (mg) in combination with carboplatin to achieve an initial target area under the concentration-time curve (AUC) of 5 milligrams per milliliter per minute (mg/mL/min) followed by etoposide 100 milligrams per square meter (mg/m\^2) on Day 1 of every 21-day cycle during the induction phase (Cycles 1-4). On Days 2 and 3 of every 21-day cycle during the induction phase (Cycles 1-4), etoposide 100 mg/m\^2 was administered alone. Thereafter, participants received maintenance (Cycle 5 onward) atezolizumab 1200 mg on Day 1 of every 21-day cycle until persistent radiographic PD, symptomatic deterioration, intolerable toxicity, withdrawal of consent, death, or study termination by the Sponsor.

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

Analysis denominator · Participants

GroupSource count
Placebo + Carboplatin + Etoposide202
Atezolizumab + Carboplatin + Etoposide201

Reported measurements

Cough
Values in Month · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Placebo + Carboplatin + EtoposideNANot reported16.6NAInsufficient number of participants with events.
Atezolizumab + Carboplatin + Etoposide20.3Not reportedNANAInsufficient number of participants with events.
Pain in Chest
Values in Month · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Placebo + Carboplatin + EtoposideNANot reported10.9NAInsufficient number of participants with events.
Atezolizumab + Carboplatin + EtoposideNANot reportedNANAInsufficient number of participants with events.
Pain in Arm or Shoulder
Values in Month · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Placebo + Carboplatin + EtoposideNANot reported8.8NAInsufficient number of participants with events.
Atezolizumab + Carboplatin + EtoposideNANot reported9.2NAInsufficient number of participants with events.
Dyspnea
Values in Month · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Placebo + Carboplatin + Etoposide5.6Not reported3.68.8Not reported
Atezolizumab + Carboplatin + EtoposideNANot reported5.5NAInsufficient number of participants with events.

Source statistical analyses

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

  1. ci Lower Limit
    0.795
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.874
    group Description
    Cough
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Stratified analysis. Stratification factors: Sex (male vs female) and ECOG (0 vs 1).
    non Inferiority Type
    SUPERIORITY
    p Value
    0.3604
    param Type
    Hazard Ratio (HR)
    param Value
    1.221
    statistical Method
    Log Rank
  2. ci Lower Limit
    0.722
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.553
    group Description
    Pain in Chest
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Stratified analysis. Stratification factors: Sex (male vs female) and ECOG (0 vs 1).
    non Inferiority Type
    SUPERIORITY
    p Value
    0.7712
    param Type
    Hazard Ratio (HR)
    param Value
    1.058
    statistical Method
    Log Rank
  3. ci Lower Limit
    0.747
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.552
    group Description
    Pain in Arm or Shoulder
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Stratified analysis. Stratification factors: Sex (male vs female) and ECOG (0 vs 1).
    non Inferiority Type
    SUPERIORITY
    p Value
    0.6922
    param Type
    Hazard Ratio (HR)
    param Value
    1.077
    statistical Method
    Log Rank
  4. ci Lower Limit
    0.549
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.019
    group Description
    Dyspnea
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Stratified analysis. Stratification factors: Sex (male vs female) and ECOG (0 vs 1).
    non Inferiority Type
    SUPERIORITY
    p Value
    0.0650
    param Type
    Hazard Ratio (HR)
    param Value
    0.748
    statistical Method
    Log Rank
Complete source fields
analyses
  1. ci Lower Limit
    0.795
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.874
    group Description
    Cough
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Stratified analysis. Stratification factors: Sex (male vs female) and ECOG (0 vs 1).
    non Inferiority Type
    SUPERIORITY
    p Value
    0.3604
    param Type
    Hazard Ratio (HR)
    param Value
    1.221
    statistical Method
    Log Rank
  2. ci Lower Limit
    0.722
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.553
    group Description
    Pain in Chest
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Stratified analysis. Stratification factors: Sex (male vs female) and ECOG (0 vs 1).
    non Inferiority Type
    SUPERIORITY
    p Value
    0.7712
    param Type
    Hazard Ratio (HR)
    param Value
    1.058
    statistical Method
    Log Rank
  3. ci Lower Limit
    0.747
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.552
    group Description
    Pain in Arm or Shoulder
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Stratified analysis. Stratification factors: Sex (male vs female) and ECOG (0 vs 1).
    non Inferiority Type
    SUPERIORITY
    p Value
    0.6922
    param Type
    Hazard Ratio (HR)
    param Value
    1.077
    statistical Method
    Log Rank
  4. ci Lower Limit
    0.549
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.019
    group Description
    Dyspnea
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Stratified analysis. Stratification factors: Sex (male vs female) and ECOG (0 vs 1).
    non Inferiority Type
    SUPERIORITY
    p Value
    0.0650
    param Type
    Hazard Ratio (HR)
    param Value
    0.748
    statistical Method
    Log Rank
classes
  1. categories
    1. measurements
      1. comment
        Insufficient number of participants with events.
        group Id
        OG000
        lower Limit
        16.6
        upper Limit
        NA
        value
        NA
      2. comment
        Insufficient number of participants with events.
        group Id
        OG001
        lower Limit
        NA
        upper Limit
        NA
        value
        20.3
    title
    Cough
  2. categories
    1. measurements
      1. comment
        Insufficient number of participants with events.
        group Id
        OG000
        lower Limit
        10.9
        upper Limit
        NA
        value
        NA
      2. comment
        Insufficient number of participants with events.
        group Id
        OG001
        lower Limit
        NA
        upper Limit
        NA
        value
        NA
    title
    Pain in Chest
  3. categories
    1. measurements
      1. comment
        Insufficient number of participants with events.
        group Id
        OG000
        lower Limit
        8.8
        upper Limit
        NA
        value
        NA
      2. comment
        Insufficient number of participants with events.
        group Id
        OG001
        lower Limit
        9.2
        upper Limit
        NA
        value
        NA
    title
    Pain in Arm or Shoulder
  4. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        3.6
        upper Limit
        8.8
        value
        5.6
      2. comment
        Insufficient number of participants with events.
        group Id
        OG001
        lower Limit
        5.5
        upper Limit
        NA
        value
        NA
    title
    Dyspnea
denoms
  1. counts
    1. group Id
      OG000
      value
      202
    2. group Id
      OG001
      value
      201
    units
    Participants
description
TTD according to the EORTC QLQ-C30 and EORTC QLQ-LC13 measures were evaluated in each of the following linearly transformed symptom scores: cough, dyspnea (single item), dyspnea (multi-item subscale), chest pain, or arm/shoulder pain. The linear transformation gives each individual symptom subscale a possible score of 0 to 100. For the symptom to be considered "deteriorated," a score increase of ≥10 points above baseline must be held for at least two consecutive assessments or an initial score increase of ≥10 points is followed by death within 3 weeks from the last assessment. A ≥ 10-point change in the symptoms subscale score is perceived by participants as clinically significant.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants received intravenous infusions of placebo in combination with carboplatin to achieve an initial target AUC of 5 mg/mL/min followed by etoposide 100 mg/m\^2 on Day 1 of every 21-day cycle during the induction phase (Cycles 1-4). On Days 2 and 3 of every 21-day cycle during the induction phase (Cycles 1-4), etoposide 100 mg/m\^2 was administered alone. Thereafter, participants received maintenance (Cycle 5 onward) placebo on Day 1 of every 21-day cycle until persistent radiographic PD, symptomatic deterioration, intolerable toxicity, withdrawal of consent, death, or study termination by the Sponsor.
    id
    OG000
    title
    Placebo + Carboplatin + Etoposide
  2. description
    Participants received intravenous infusions of atezolizumab 1200 milligrams (mg) in combination with carboplatin to achieve an initial target area under the concentration-time curve (AUC) of 5 milligrams per milliliter per minute (mg/mL/min) followed by etoposide 100 milligrams per square meter (mg/m\^2) on Day 1 of every 21-day cycle during the induction phase (Cycles 1-4). On Days 2 and 3 of every 21-day cycle during the induction phase (Cycles 1-4), etoposide 100 mg/m\^2 was administered alone. Thereafter, participants received maintenance (Cycle 5 onward) atezolizumab 1200 mg on Day 1 of every 21-day cycle until persistent radiographic PD, symptomatic deterioration, intolerable toxicity, withdrawal of consent, death, or study termination by the Sponsor.
    id
    OG001
    title
    Atezolizumab + Carboplatin + Etoposide
param Type
MEDIAN
population Description
The ITT population was defined as all randomized participants, regardless of whether the participant received the assigned treatment.
reporting Status
POSTED
time Frame
Baseline until deterioration per symptom subscale (up to approximately 23 months)
title
Time to Deterioration (TTD) Per European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ) Core 30 (C30) and Supplemental Lung Cancer Module (QLQ-LC13) in the Global Population
type
SECONDARY
unit Of Measure
Month

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Preserved source evidence · Not medical advice