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NCT03777657 · OUTCOME

Change From Baseline in EORTC QLQ-C30 Fatigue Score

Tislelizumab in Combination With Chemotherapy as First-Line Treatment in Adults With Inoperable, Locally Advanced or Metastatic Gastric, or Gastroesophageal Junction Carcinoma · Source last updated 2025-02-14

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

Measure
LEAST_SQUARES_MEAN
Unit
score on a scale
Interval / dispersion
95% Confidence Interval
Time frame
Baseline and Cycles 4 and 6

What was measured

The EORTC QLQ-30 contains 30 questions that incorporate 5 functional scales (physical functioning, role functioning, emotional functioning, cognitive functioning, and social functioning), 1 global health status scale, 3 symptom scales (fatigue, nausea and vomiting, and pain), and 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). The participant answers questions about their health during the past week. There are 28 questions answered on a 4-point scale where 1 = Not at all (best) and 4 = Very Much (worst) and 2 global health quality of life (QOL) questions answered on a 7-point scale where 1 = Very poor and 7 = Excellent. Raw scores are transformed to a 0 to 100 scale via linear transformation. The fatigue symptom scale includes 3 items and ranges from 0 to 100, where higher scores indicate a higher level of symptoms.

Analysis population: Participants in the ITT Analysis Set who completed the EORTC QLQ-C30 at baseline; participants with available data at baseline and the relevant postbaseline visit are included in the analysis at each time point.

Groups in this outcome

Tislelizumab + Chemotherapy

Participants received 200 mg of tislelizumab intravenously with investigator's choice of chemotherapy once every 3 weeks for up to six treatment cycles. Thereafter, participants continued treatment with 200 mg tislelizumab, with optional maintenance capecitabine (only permitted for participants who initially received capecitabine and oxaliplatin) once every 3 weeks until disease progression or unacceptable toxicity.

Placebo + Chemotherapy

Participants received placebo intravenously with investigator's choice of chemotherapy once every 3 weeks for up to six treatment cycles. Thereafter, participants continued treatment with placebo with optional maintenance capecitabine (only permitted for participants who initially received capecitabine and oxaliplatin) once every 3 weeks until disease progression or unacceptable toxicity.

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

Analysis denominator · Participants

GroupSource count
Tislelizumab + Chemotherapy465
Placebo + Chemotherapy467

Reported measurements

Cycle 4

Analysis denominator · Participants

GroupSource count
Tislelizumab + Chemotherapy388
Placebo + Chemotherapy380
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Tislelizumab + Chemotherapy1.75Not reported-0.093.60Not reported
Placebo + Chemotherapy3.07Not reported1.234.91Not reported
Cycle 6

Analysis denominator · Participants

GroupSource count
Tislelizumab + Chemotherapy359
Placebo + Chemotherapy339
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Tislelizumab + Chemotherapy1.71Not reported-0.323.75Not reported
Placebo + Chemotherapy4.73Not reported2.686.77Not reported

Source statistical analyses

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

  1. ci Lower Limit
    -3.79
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.15
    estimate Comment
    Mixed effect model analysis with QLQ-C30 scores from cycle 1 to 6 as the response variable, and treatment by study visit interaction, baseline mean score and randomization stratification factors as covariates.
    group Description
    Analysis of Change from Baseline in Fatigue at Cycle 4
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    OTHER
    param Type
    LS Mean Difference
    param Value
    -1.32
  2. ci Lower Limit
    -5.78
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    -0.24
    estimate Comment
    Mixed effect model analysis with QLQ-C30 scores from cycle 1 to 6 as the response variable, and treatment by study visit interaction, baseline mean score and randomization stratification factors as covariates.
    group Description
    Analysis of Change from Baseline in Fatigue at Cycle 6
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    OTHER
    param Type
    LS Mean Difference
    param Value
    -3.01
Complete source fields
analyses
  1. ci Lower Limit
    -3.79
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.15
    estimate Comment
    Mixed effect model analysis with QLQ-C30 scores from cycle 1 to 6 as the response variable, and treatment by study visit interaction, baseline mean score and randomization stratification factors as covariates.
    group Description
    Analysis of Change from Baseline in Fatigue at Cycle 4
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    OTHER
    param Type
    LS Mean Difference
    param Value
    -1.32
  2. ci Lower Limit
    -5.78
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    -0.24
    estimate Comment
    Mixed effect model analysis with QLQ-C30 scores from cycle 1 to 6 as the response variable, and treatment by study visit interaction, baseline mean score and randomization stratification factors as covariates.
    group Description
    Analysis of Change from Baseline in Fatigue at Cycle 6
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    OTHER
    param Type
    LS Mean Difference
    param Value
    -3.01
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        -0.09
        upper Limit
        3.60
        value
        1.75
      2. group Id
        OG001
        lower Limit
        1.23
        upper Limit
        4.91
        value
        3.07
    denoms
    1. counts
      1. group Id
        OG000
        value
        388
      2. group Id
        OG001
        value
        380
      units
      Participants
    title
    Cycle 4
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        -0.32
        upper Limit
        3.75
        value
        1.71
      2. group Id
        OG001
        lower Limit
        2.68
        upper Limit
        6.77
        value
        4.73
    denoms
    1. counts
      1. group Id
        OG000
        value
        359
      2. group Id
        OG001
        value
        339
      units
      Participants
    title
    Cycle 6
denoms
  1. counts
    1. group Id
      OG000
      value
      465
    2. group Id
      OG001
      value
      467
    units
    Participants
description
The EORTC QLQ-30 contains 30 questions that incorporate 5 functional scales (physical functioning, role functioning, emotional functioning, cognitive functioning, and social functioning), 1 global health status scale, 3 symptom scales (fatigue, nausea and vomiting, and pain), and 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). The participant answers questions about their health during the past week. There are 28 questions answered on a 4-point scale where 1 = Not at all (best) and 4 = Very Much (worst) and 2 global health quality of life (QOL) questions answered on a 7-point scale where 1 = Very poor and 7 = Excellent. Raw scores are transformed to a 0 to 100 scale via linear transformation. The fatigue symptom scale includes 3 items and ranges from 0 to 100, where higher scores indicate a higher level of symptoms.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants received 200 mg of tislelizumab intravenously with investigator's choice of chemotherapy once every 3 weeks for up to six treatment cycles. Thereafter, participants continued treatment with 200 mg tislelizumab, with optional maintenance capecitabine (only permitted for participants who initially received capecitabine and oxaliplatin) once every 3 weeks until disease progression or unacceptable toxicity.
    id
    OG000
    title
    Tislelizumab + Chemotherapy
  2. description
    Participants received placebo intravenously with investigator's choice of chemotherapy once every 3 weeks for up to six treatment cycles. Thereafter, participants continued treatment with placebo with optional maintenance capecitabine (only permitted for participants who initially received capecitabine and oxaliplatin) once every 3 weeks until disease progression or unacceptable toxicity.
    id
    OG001
    title
    Placebo + Chemotherapy
param Type
LEAST_SQUARES_MEAN
population Description
Participants in the ITT Analysis Set who completed the EORTC QLQ-C30 at baseline; participants with available data at baseline and the relevant postbaseline visit are included in the analysis at each time point.
reporting Status
POSTED
time Frame
Baseline and Cycles 4 and 6
title
Change From Baseline in EORTC QLQ-C30 Fatigue Score
type
SECONDARY
unit Of Measure
score on a scale

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Preserved source evidence · Not medical advice