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NCT03674112 · OUTCOME

Change From Baseline Over Time in the Diarrhoea Scale Score of the EORTC QLQ-C30

A Study to Evaluate Patient Preference and Satisfaction of Subcutaneous Administration of the Fixed-Dose Combination of Pertuzumab and Trastuzumab in Participants With HER2-Positive Early Breast Cancer · Source last updated 2024-01-02

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

Measure
MEAN
Unit
score on a scale
Interval / dispersion
Standard Deviation
Time frame
Baseline (Day 1 of Cycle 1); Day 1 of Cycles 3, 6, and 15 (or last treatment cycle; each cycle is 21 days); 1.5, 2, and 3 years (up to 3 years)

What was measured

The EORTC QLQ-C30 questionnaire consisted of 30 questions covering treatment-related symptoms, functioning, and GHS/HRQoL. Questions were answered by participants on a scale from 1 to 4 or 1 to 7. Raw scores were transformed to scale scores that ranged from 0 to 100 where a higher scale score indicating a higher response (i.e., on the functioning and GHS/QoL scales a higher score meant better functioning/QoL, whereas on the symptom scales a higher score meant greater \[worse\] symptoms). The EORTC QLQ-C30 data was scored according to the EORTC scoring manual (Fayers 2001). In the event of incomplete data, for all questionnaire subscales, if more than 50% of the constituent items are completed, a pro-rated score was to be computed consistent with the scoring manuals and published validation reports. For subscales with less than 50% of the items completed, the subscale was to be considered as missing.

Analysis population: The Patient-Reported Outcome (PRO)-Evaluable Population includes all participants in the ITT population with a baseline EORTC QLQ-C30 assessment and at least one post-baseline EORTC QLQ-C30 assessment. The number analyzed at a given timepoint indicates participants with non-missing data at that timepoint.

Groups in this outcome

All Participants

In the Treatment Cross-Over Period of the study, all participants received their first 6 cycles of treatment in accordance with the study arm to which they were randomized: Arm A) pertuzumab IV and trastuzumab IV (P+H IV) for 3 treatment cycles followed by the pertuzumab and trastuzumab fixed-dose combination for subcutaneous administration (PH FDC SC) for 3 treatment cycles (1 cycle = 21 days); or Arm B) PH FDC SC for 3 treatment cycles followed by P+H IV for 3 treatment cycles (1 cycle = 21 days). Following completion of this study period, participants chose one of the two study treatments to receive in the Treatment Continuation Period for the remaining anti-HER2 treatment cycles (18 planned cycles in total, including pre-study neoadjuvant treatment). After completing study treatment, participants entered the Follow-up Period wherein they were to be followed for 3 years from the date the last participant was randomized.

A: P+H IV Followed by PH FDC SC

In the Treatment Cross-Over Period of the study, participants randomized to Arm A first received pertuzumab IV and trastuzumab IV (P+H IV) administration for 3 treatment cycles followed by the pertuzumab and trastuzumab fixed-dose combination for subcutaneous administration (PH FDC SC) for 3 treatment cycles (1 cycle = 21 days). Following completion of this study period, participants chose one of the two study treatments to receive in the Treatment Continuation Period for the remaining anti-HER2 treatment cycles (18 planned cycles in total, including pre-study neoadjuvant treatment). After completing study treatment, participants entered the Follow-up Period wherein they were to be followed for 3 years from the date the last participant was randomized.

B: PH FDC SC Followed by P+H IV

In the Treatment Cross-Over Period of the study, participants randomized to Arm B first received the pertuzumab and trastuzumab fixed-dose combination for subcutaneous administration (PH FDC SC) for 3 treatment cycles followed by pertuzumab intravenous (IV) and trastuzumab IV (P+H IV) administration for 3 treatment cycles (1 cycle = 21 days). Following completion of this study period, participants chose one of the two study treatments to receive in the Treatment Continuation Period for the remaining anti-HER2 treatment cycles (18 planned cycles in total, including pre-study neoadjuvant treatment). After completing study treatment, participants entered the Follow-up Period wherein they were to be followed for 3 years from the date the last participant was randomized.

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

Analysis denominator · Participants

GroupSource count
All Participants159
A: P+H IV Followed by PH FDC SC79
B: PH FDC SC Followed by P+H IV80

Reported measurements

Baseline (BL): Value at Visit

Analysis denominator · Participants

GroupSource count
All Participants159
A: P+H IV Followed by PH FDC SC79
B: PH FDC SC Followed by P+H IV80
Values in score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
All Participants10.4821.59Not reportedNot reportedNot reported
A: P+H IV Followed by PH FDC SC12.2422.76Not reportedNot reportedNot reported
B: PH FDC SC Followed by P+H IV8.7520.36Not reportedNot reportedNot reported
Change from BL at Cycle 3 Day 1

Analysis denominator · Participants

GroupSource count
All Participants158
A: P+H IV Followed by PH FDC SC78
B: PH FDC SC Followed by P+H IV80
Values in score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
All Participants7.1727.22Not reportedNot reportedNot reported
A: P+H IV Followed by PH FDC SC4.7025.04Not reportedNot reportedNot reported
B: PH FDC SC Followed by P+H IV9.5829.14Not reportedNot reportedNot reported
Change from BL at Cycle 6 Day 1

Analysis denominator · Participants

GroupSource count
All Participants155
A: P+H IV Followed by PH FDC SC76
B: PH FDC SC Followed by P+H IV79
Values in score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
All Participants4.9524.26Not reportedNot reportedNot reported
A: P+H IV Followed by PH FDC SC4.3923.31Not reportedNot reportedNot reported
B: PH FDC SC Followed by P+H IV5.4925.28Not reportedNot reportedNot reported
Change from BL at Cycle 15 or Last Treatment Cycle

Analysis denominator · Participants

GroupSource count
All Participants142
A: P+H IV Followed by PH FDC SC71
B: PH FDC SC Followed by P+H IV71
Values in score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
All Participants2.5826.06Not reportedNot reportedNot reported
A: P+H IV Followed by PH FDC SC2.8225.66Not reportedNot reportedNot reported
B: PH FDC SC Followed by P+H IV2.3526.62Not reportedNot reportedNot reported
Change from BL at 1.5 Years

Analysis denominator · Participants

GroupSource count
All Participants146
A: P+H IV Followed by PH FDC SC72
B: PH FDC SC Followed by P+H IV74
Values in score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
All Participants-6.3922.25Not reportedNot reportedNot reported
A: P+H IV Followed by PH FDC SC-8.3323.57Not reportedNot reportedNot reported
B: PH FDC SC Followed by P+H IV-4.5020.88Not reportedNot reportedNot reported
Change from BL at 2 Years

Analysis denominator · Participants

GroupSource count
All Participants146
A: P+H IV Followed by PH FDC SC73
B: PH FDC SC Followed by P+H IV73
Values in score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
All Participants-6.8523.79Not reportedNot reportedNot reported
A: P+H IV Followed by PH FDC SC-8.2226.52Not reportedNot reportedNot reported
B: PH FDC SC Followed by P+H IV-5.4820.80Not reportedNot reportedNot reported
Change from BL at 3 Years

Analysis denominator · Participants

GroupSource count
All Participants133
A: P+H IV Followed by PH FDC SC68
B: PH FDC SC Followed by P+H IV65
Values in score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
All Participants-7.5223.79Not reportedNot reportedNot reported
A: P+H IV Followed by PH FDC SC-9.8025.79Not reportedNot reportedNot reported
B: PH FDC SC Followed by P+H IV-5.1321.43Not reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        21.59
        value
        10.48
      2. group Id
        OG001
        spread
        22.76
        value
        12.24
      3. group Id
        OG002
        spread
        20.36
        value
        8.75
    denoms
    1. counts
      1. group Id
        OG000
        value
        159
      2. group Id
        OG001
        value
        79
      3. group Id
        OG002
        value
        80
      units
      Participants
    title
    Baseline (BL): Value at Visit
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        27.22
        value
        7.17
      2. group Id
        OG001
        spread
        25.04
        value
        4.70
      3. group Id
        OG002
        spread
        29.14
        value
        9.58
    denoms
    1. counts
      1. group Id
        OG000
        value
        158
      2. group Id
        OG001
        value
        78
      3. group Id
        OG002
        value
        80
      units
      Participants
    title
    Change from BL at Cycle 3 Day 1
  3. categories
    1. measurements
      1. group Id
        OG000
        spread
        24.26
        value
        4.95
      2. group Id
        OG001
        spread
        23.31
        value
        4.39
      3. group Id
        OG002
        spread
        25.28
        value
        5.49
    denoms
    1. counts
      1. group Id
        OG000
        value
        155
      2. group Id
        OG001
        value
        76
      3. group Id
        OG002
        value
        79
      units
      Participants
    title
    Change from BL at Cycle 6 Day 1
  4. categories
    1. measurements
      1. group Id
        OG000
        spread
        26.06
        value
        2.58
      2. group Id
        OG001
        spread
        25.66
        value
        2.82
      3. group Id
        OG002
        spread
        26.62
        value
        2.35
    denoms
    1. counts
      1. group Id
        OG000
        value
        142
      2. group Id
        OG001
        value
        71
      3. group Id
        OG002
        value
        71
      units
      Participants
    title
    Change from BL at Cycle 15 or Last Treatment Cycle
  5. categories
    1. measurements
      1. group Id
        OG000
        spread
        22.25
        value
        -6.39
      2. group Id
        OG001
        spread
        23.57
        value
        -8.33
      3. group Id
        OG002
        spread
        20.88
        value
        -4.50
    denoms
    1. counts
      1. group Id
        OG000
        value
        146
      2. group Id
        OG001
        value
        72
      3. group Id
        OG002
        value
        74
      units
      Participants
    title
    Change from BL at 1.5 Years
  6. categories
    1. measurements
      1. group Id
        OG000
        spread
        23.79
        value
        -6.85
      2. group Id
        OG001
        spread
        26.52
        value
        -8.22
      3. group Id
        OG002
        spread
        20.80
        value
        -5.48
    denoms
    1. counts
      1. group Id
        OG000
        value
        146
      2. group Id
        OG001
        value
        73
      3. group Id
        OG002
        value
        73
      units
      Participants
    title
    Change from BL at 2 Years
  7. categories
    1. measurements
      1. group Id
        OG000
        spread
        23.79
        value
        -7.52
      2. group Id
        OG001
        spread
        25.79
        value
        -9.80
      3. group Id
        OG002
        spread
        21.43
        value
        -5.13
    denoms
    1. counts
      1. group Id
        OG000
        value
        133
      2. group Id
        OG001
        value
        68
      3. group Id
        OG002
        value
        65
      units
      Participants
    title
    Change from BL at 3 Years
denoms
  1. counts
    1. group Id
      OG000
      value
      159
    2. group Id
      OG001
      value
      79
    3. group Id
      OG002
      value
      80
    units
    Participants
description
The EORTC QLQ-C30 questionnaire consisted of 30 questions covering treatment-related symptoms, functioning, and GHS/HRQoL. Questions were answered by participants on a scale from 1 to 4 or 1 to 7. Raw scores were transformed to scale scores that ranged from 0 to 100 where a higher scale score indicating a higher response (i.e., on the functioning and GHS/QoL scales a higher score meant better functioning/QoL, whereas on the symptom scales a higher score meant greater \[worse\] symptoms). The EORTC QLQ-C30 data was scored according to the EORTC scoring manual (Fayers 2001). In the event of incomplete data, for all questionnaire subscales, if more than 50% of the constituent items are completed, a pro-rated score was to be computed consistent with the scoring manuals and published validation reports. For subscales with less than 50% of the items completed, the subscale was to be considered as missing.
dispersion Type
Standard Deviation
groups
  1. description
    In the Treatment Cross-Over Period of the study, all participants received their first 6 cycles of treatment in accordance with the study arm to which they were randomized: Arm A) pertuzumab IV and trastuzumab IV (P+H IV) for 3 treatment cycles followed by the pertuzumab and trastuzumab fixed-dose combination for subcutaneous administration (PH FDC SC) for 3 treatment cycles (1 cycle = 21 days); or Arm B) PH FDC SC for 3 treatment cycles followed by P+H IV for 3 treatment cycles (1 cycle = 21 days). Following completion of this study period, participants chose one of the two study treatments to receive in the Treatment Continuation Period for the remaining anti-HER2 treatment cycles (18 planned cycles in total, including pre-study neoadjuvant treatment). After completing study treatment, participants entered the Follow-up Period wherein they were to be followed for 3 years from the date the last participant was randomized.
    id
    OG000
    title
    All Participants
  2. description
    In the Treatment Cross-Over Period of the study, participants randomized to Arm A first received pertuzumab IV and trastuzumab IV (P+H IV) administration for 3 treatment cycles followed by the pertuzumab and trastuzumab fixed-dose combination for subcutaneous administration (PH FDC SC) for 3 treatment cycles (1 cycle = 21 days). Following completion of this study period, participants chose one of the two study treatments to receive in the Treatment Continuation Period for the remaining anti-HER2 treatment cycles (18 planned cycles in total, including pre-study neoadjuvant treatment). After completing study treatment, participants entered the Follow-up Period wherein they were to be followed for 3 years from the date the last participant was randomized.
    id
    OG001
    title
    A: P+H IV Followed by PH FDC SC
  3. description
    In the Treatment Cross-Over Period of the study, participants randomized to Arm B first received the pertuzumab and trastuzumab fixed-dose combination for subcutaneous administration (PH FDC SC) for 3 treatment cycles followed by pertuzumab intravenous (IV) and trastuzumab IV (P+H IV) administration for 3 treatment cycles (1 cycle = 21 days). Following completion of this study period, participants chose one of the two study treatments to receive in the Treatment Continuation Period for the remaining anti-HER2 treatment cycles (18 planned cycles in total, including pre-study neoadjuvant treatment). After completing study treatment, participants entered the Follow-up Period wherein they were to be followed for 3 years from the date the last participant was randomized.
    id
    OG002
    title
    B: PH FDC SC Followed by P+H IV
param Type
MEAN
population Description
The Patient-Reported Outcome (PRO)-Evaluable Population includes all participants in the ITT population with a baseline EORTC QLQ-C30 assessment and at least one post-baseline EORTC QLQ-C30 assessment. The number analyzed at a given timepoint indicates participants with non-missing data at that timepoint.
reporting Status
POSTED
time Frame
Baseline (Day 1 of Cycle 1); Day 1 of Cycles 3, 6, and 15 (or last treatment cycle; each cycle is 21 days); 1.5, 2, and 3 years (up to 3 years)
title
Change From Baseline Over Time in the Diarrhoea Scale Score of the EORTC QLQ-C30
type
SECONDARY
unit Of Measure
score on a scale

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Preserved source evidence · Not medical advice