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NCT03783442 · OUTCOME

Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire - Oesophageal Cancer 18 Question Module (QLQ-OES18) Dysphagia, Eating, Reflux, Pain, and Index Scores

A Study of Tislelizumab (BGB-A317) in Combination With Chemotherapy as First Line Treatment in Participants With Advanced Esophageal Squamous Cell Carcinoma · Source last updated 2025-07-29

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, Cycle 6 (Week 15)

What was measured

The EORTC-QLQ-OES18 is the specific esophageal symptoms module of the QLQ-C30. QLQ-OES18 is comprised of 18 questions grouped into 4 multi-item subscales: Dysphagia (3 items), Eating (4 items), Reflux (2 items), and Pain (3 items) and 6 single item subscales (trouble swallowing saliva, choking, dry mouth, taste, coughing, and talking). Participants indicate the extent to which they have experienced symptoms on a scale from 1 (Not at all) to 4 (Very much). Scores are calculated as the average of the items that contribute to the scale, then transformed to a scale from 0 to 100. The OES18 index score is calculated as the average of the 4 multi-item subscales and 6 single-item subscales. Higher scores indicate a higher level of symptomatology or problems.

Analysis population: Participants in the ITT Analysis Set who completed the EORTC QLQ-OES18 at Baseline and at least one post-baseline measurement.

Groups in this outcome

Tislelizumab + Chemotherapy

Participants received tislelizumab 200 mg administered IV on Day 1 of each 3-week treatment cycle together with an investigator-chosen chemotherapy doublet until unacceptable toxicity, disease progression or withdrawal for other reasons.

Placebo + Chemotherapy

Participants received placebo administered IV on Day 1 of each 3-week treatment cycle together with an investigator-chosen chemotherapy doublet until unacceptable toxicity, disease progression or withdrawal for other reasons.

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 + Chemotherapy310
Placebo + Chemotherapy309

Reported measurements

Dysphagia
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Tislelizumab + Chemotherapy-0.5Not reported-4.73.7Not reported
Placebo + Chemotherapy-4.9Not reported-9.4-0.5Not reported
Eating
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Tislelizumab + Chemotherapy-0.9Not reported-3.11.3Not reported
Placebo + Chemotherapy-1.5Not reported-3.80.9Not reported
Reflux
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Tislelizumab + Chemotherapy-1.3Not reported-3.20.7Not reported
Placebo + Chemotherapy0.2Not reported-1.92.2Not reported
Pain
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Tislelizumab + Chemotherapy-5.2Not reported-6.7-3.7Not reported
Placebo + Chemotherapy-3.3Not reported-4.9-1.8Not reported
Index Score
Values in score on a scale · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Tislelizumab + Chemotherapy-1.0Not reported-2.20.3Not reported
Placebo + Chemotherapy-0.6Not reported-1.90.7Not reported

Source statistical analyses

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

  1. ci Lower Limit
    -1.4
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    10.3
    estimate Comment
    Based on a mixed effect model analysis with QLQ-OES18 scores until cycle 18 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 EORTC QLQ-OES18 Dysphagia Score at Cycle 6
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.1372
    param Type
    Least Squares (LS) Mean Difference
    param Value
    4.4
    statistical Comment
    Two-sided p-value estimated from a mixed effect model
    statistical Method
    Mixed Models Analysis
  2. ci Lower Limit
    -2.5
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.7
    estimate Comment
    Based on a mixed effect model analysis with QLQ-OES18 scores until cycle 18 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 EORTC QLQ-OES18 Eating Score at Cycle 6
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.7130
    param Type
    LS Mean Difference
    param Value
    0.6
    statistical Comment
    Two-sided p-value estimated from a mixed effect model
    statistical Method
    Mixed Models Analysis
  3. ci Lower Limit
    -4.1
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.3
    estimate Comment
    Based on a mixed effect model analysis with QLQ-OES18 scores until cycle 18 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 EORTC QLQ-OES18 Reflux Score at Cycle 6
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.3001
    param Type
    LS Mean Difference
    param Value
    -1.4
    statistical Comment
    Two-sided p-value estimated from a mixed effect model
    statistical Method
    Mixed Models Analysis
  4. ci Lower Limit
    -3.9
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.2
    estimate Comment
    Based on a mixed effect model analysis with QLQ-OES18 scores until cycle 18 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 EORTC QLQ-OES18 Pain Score at Cycle 6
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    OTHER
    param Type
    LS Mean Difference
    param Value
    -1.9
  5. ci Lower Limit
    -2.1
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.4
    estimate Comment
    Based on a mixed effect model analysis with QLQ-OES18 scores until cycle 18 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 EORTC QLQ-OES18 Index Score at Cycle 6
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    OTHER
    param Type
    LS Mean Difference
    param Value
    -0.4
Complete source fields
analyses
  1. ci Lower Limit
    -1.4
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    10.3
    estimate Comment
    Based on a mixed effect model analysis with QLQ-OES18 scores until cycle 18 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 EORTC QLQ-OES18 Dysphagia Score at Cycle 6
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.1372
    param Type
    Least Squares (LS) Mean Difference
    param Value
    4.4
    statistical Comment
    Two-sided p-value estimated from a mixed effect model
    statistical Method
    Mixed Models Analysis
  2. ci Lower Limit
    -2.5
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.7
    estimate Comment
    Based on a mixed effect model analysis with QLQ-OES18 scores until cycle 18 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 EORTC QLQ-OES18 Eating Score at Cycle 6
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.7130
    param Type
    LS Mean Difference
    param Value
    0.6
    statistical Comment
    Two-sided p-value estimated from a mixed effect model
    statistical Method
    Mixed Models Analysis
  3. ci Lower Limit
    -4.1
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.3
    estimate Comment
    Based on a mixed effect model analysis with QLQ-OES18 scores until cycle 18 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 EORTC QLQ-OES18 Reflux Score at Cycle 6
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.3001
    param Type
    LS Mean Difference
    param Value
    -1.4
    statistical Comment
    Two-sided p-value estimated from a mixed effect model
    statistical Method
    Mixed Models Analysis
  4. ci Lower Limit
    -3.9
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.2
    estimate Comment
    Based on a mixed effect model analysis with QLQ-OES18 scores until cycle 18 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 EORTC QLQ-OES18 Pain Score at Cycle 6
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    OTHER
    param Type
    LS Mean Difference
    param Value
    -1.9
  5. ci Lower Limit
    -2.1
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.4
    estimate Comment
    Based on a mixed effect model analysis with QLQ-OES18 scores until cycle 18 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 EORTC QLQ-OES18 Index Score at Cycle 6
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    OTHER
    param Type
    LS Mean Difference
    param Value
    -0.4
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        -4.7
        upper Limit
        3.7
        value
        -0.5
      2. group Id
        OG001
        lower Limit
        -9.4
        upper Limit
        -0.5
        value
        -4.9
    title
    Dysphagia
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        -3.1
        upper Limit
        1.3
        value
        -0.9
      2. group Id
        OG001
        lower Limit
        -3.8
        upper Limit
        0.9
        value
        -1.5
    title
    Eating
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        -3.2
        upper Limit
        0.7
        value
        -1.3
      2. group Id
        OG001
        lower Limit
        -1.9
        upper Limit
        2.2
        value
        0.2
    title
    Reflux
  4. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        -6.7
        upper Limit
        -3.7
        value
        -5.2
      2. group Id
        OG001
        lower Limit
        -4.9
        upper Limit
        -1.8
        value
        -3.3
    title
    Pain
  5. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        -2.2
        upper Limit
        0.3
        value
        -1.0
      2. group Id
        OG001
        lower Limit
        -1.9
        upper Limit
        0.7
        value
        -0.6
    title
    Index Score
denoms
  1. counts
    1. group Id
      OG000
      value
      310
    2. group Id
      OG001
      value
      309
    units
    Participants
description
The EORTC-QLQ-OES18 is the specific esophageal symptoms module of the QLQ-C30. QLQ-OES18 is comprised of 18 questions grouped into 4 multi-item subscales: Dysphagia (3 items), Eating (4 items), Reflux (2 items), and Pain (3 items) and 6 single item subscales (trouble swallowing saliva, choking, dry mouth, taste, coughing, and talking). Participants indicate the extent to which they have experienced symptoms on a scale from 1 (Not at all) to 4 (Very much). Scores are calculated as the average of the items that contribute to the scale, then transformed to a scale from 0 to 100. The OES18 index score is calculated as the average of the 4 multi-item subscales and 6 single-item subscales. Higher scores indicate a higher level of symptomatology or problems.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants received tislelizumab 200 mg administered IV on Day 1 of each 3-week treatment cycle together with an investigator-chosen chemotherapy doublet until unacceptable toxicity, disease progression or withdrawal for other reasons.
    id
    OG000
    title
    Tislelizumab + Chemotherapy
  2. description
    Participants received placebo administered IV on Day 1 of each 3-week treatment cycle together with an investigator-chosen chemotherapy doublet until unacceptable toxicity, disease progression or withdrawal for other reasons.
    id
    OG001
    title
    Placebo + Chemotherapy
param Type
LEAST_SQUARES_MEAN
population Description
Participants in the ITT Analysis Set who completed the EORTC QLQ-OES18 at Baseline and at least one post-baseline measurement.
reporting Status
POSTED
time Frame
Baseline, Cycle 6 (Week 15)
title
Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire - Oesophageal Cancer 18 Question Module (QLQ-OES18) Dysphagia, Eating, Reflux, Pain, and Index Scores
type
SECONDARY
unit Of Measure
score on a scale

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Preserved source evidence · Not medical advice