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NCT04494425 · OUTCOME

Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Breast Module 45 (BR45) Scale Score at Week 58

Study of Trastuzumab Deruxtecan (T-DXd) vs Investigator's Choice Chemotherapy in HER2-low, Hormone Receptor Positive, Metastatic Breast Cancer · Source last updated 2026-03-04

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) and Week 58

What was measured

EORTC QLQ-BR45 is an updated version of the BR23. Self-administered instrument includes original 23-items yielding 5 multi-item scores (body image, sexual functioning, arm symptoms, breast symptoms, and systemic therapy side effects). Additional 22 items yield 4 additional multi-item scales (breast satisfaction, endocrine therapy symptoms, skin mucosis symptoms, and endocrine sexual symptoms). Single items assess sexual enjoyment, future perspective and being upset by hair loss. Items are scored on a 4-point verbal rating scale: 1: not at all, 2: a little, 3: quite a bit, and 4: very much; higher score: better level of functioning or greater degree of symptoms. Scores of these scales were averaged from scores of component items, transformed, and ranged from 0 to 100; higher scores for functioning scales or items indicate better functioning, whereas higher scores for symptom scales or items represent a higher level of symptoms. Baseline:last observed measurement prior to randomization.

Analysis population: The ITT population included all randomized participants. Only participants with data collected in specified categories are reported.

Groups in this outcome

T-DXd

Participants received T-DXd 5.4 mg/kg via IV infusion every 3 weeks until PD, unacceptable toxicity, withdrawal of consent, or another criterion for discontinuation was met.

Chemotherapy

Participants received Investigator's choice single-agent chemotherapy (capecitabine 1000 or 1250 mg/m\^2 orally twice daily for 2 weeks followed by a 1-week rest period in 3-week cycles, paclitaxel 80 mg/m\^2 via IV infusion qw in 3-week cycles or nab-paclitaxel 100 mg/m\^2 via IV infusion qw for 3 weeks followed by 1-week rest period in 4-week cycles) until PD, unacceptable toxicity, withdrawal of consent, or another criterion for discontinuation was met.

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

Analysis denominator · Participants

GroupSource count
T-DXd107
Chemotherapy80

Reported measurements

Body Image

Analysis denominator · Participants

GroupSource count
T-DXd107
Chemotherapy80
Values in score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
T-DXd-3.1223.585Not reportedNot reportedNot reported
Chemotherapy-5.4222.349Not reportedNot reportedNot reported
Sexual Functioning

Analysis denominator · Participants

GroupSource count
T-DXd107
Chemotherapy80
Values in score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
T-DXd-2.9612.708Not reportedNot reportedNot reported
Chemotherapy1.4614.081Not reportedNot reportedNot reported
Arm Symptoms

Analysis denominator · Participants

GroupSource count
T-DXd107
Chemotherapy80
Values in score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
T-DXd-5.3020.496Not reportedNot reportedNot reported
Chemotherapy-3.0618.540Not reportedNot reportedNot reported
Breast Symptoms

Analysis denominator · Participants

GroupSource count
T-DXd107
Chemotherapy80
Values in score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
T-DXd-2.4117.132Not reportedNot reportedNot reported
Chemotherapy-2.1912.631Not reportedNot reportedNot reported
Systemic Therapy Side Effects

Analysis denominator · Participants

GroupSource count
T-DXd107
Chemotherapy80
Values in score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
T-DXd5.6515.536Not reportedNot reportedNot reported
Chemotherapy3.9915.536Not reportedNot reportedNot reported
Breast Satisfaction

Analysis denominator · Participants

GroupSource count
T-DXd107
Chemotherapy78
Values in score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
T-DXd2.6530.982Not reportedNot reportedNot reported
Chemotherapy0.8531.428Not reportedNot reportedNot reported
Endocrine Therapy Symptoms

Analysis denominator · Participants

GroupSource count
T-DXd107
Chemotherapy80
Values in score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
T-DXd-0.1411.316Not reportedNot reportedNot reported
Chemotherapy0.1712.458Not reportedNot reportedNot reported
Skin Mucosis Symptoms

Analysis denominator · Participants

GroupSource count
T-DXd107
Chemotherapy80
Values in score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
T-DXd4.6714.721Not reportedNot reportedNot reported
Chemotherapy12.2218.232Not reportedNot reportedNot reported
Endocrine Sexual Symptoms

Analysis denominator · Participants

GroupSource count
T-DXd107
Chemotherapy79
Values in score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
T-DXd3.6620.831Not reportedNot reportedNot reported
Chemotherapy2.0015.969Not reportedNot reportedNot reported
Sexual Enjoyment

Analysis denominator · Participants

GroupSource count
T-DXd11
Chemotherapy12
Values in score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
T-DXd-3.0317.979Not reportedNot reportedNot reported
Chemotherapy0.0020.101Not reportedNot reportedNot reported
Future Perspective

Analysis denominator · Participants

GroupSource count
T-DXd107
Chemotherapy80
Values in score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
T-DXd8.7232.161Not reportedNot reportedNot reported
Chemotherapy11.2529.022Not reportedNot reportedNot reported
Being Upset By Hair Loss

Analysis denominator · Participants

GroupSource count
T-DXd27
Chemotherapy9
Values in score on a scale · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
T-DXd2.4734.500Not reportedNot reportedNot reported
Chemotherapy0.0040.825Not reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        23.585
        value
        -3.12
      2. group Id
        OG001
        spread
        22.349
        value
        -5.42
    denoms
    1. counts
      1. group Id
        OG000
        value
        107
      2. group Id
        OG001
        value
        80
      units
      Participants
    title
    Body Image
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        12.708
        value
        -2.96
      2. group Id
        OG001
        spread
        14.081
        value
        1.46
    denoms
    1. counts
      1. group Id
        OG000
        value
        107
      2. group Id
        OG001
        value
        80
      units
      Participants
    title
    Sexual Functioning
  3. categories
    1. measurements
      1. group Id
        OG000
        spread
        20.496
        value
        -5.30
      2. group Id
        OG001
        spread
        18.540
        value
        -3.06
    denoms
    1. counts
      1. group Id
        OG000
        value
        107
      2. group Id
        OG001
        value
        80
      units
      Participants
    title
    Arm Symptoms
  4. categories
    1. measurements
      1. group Id
        OG000
        spread
        17.132
        value
        -2.41
      2. group Id
        OG001
        spread
        12.631
        value
        -2.19
    denoms
    1. counts
      1. group Id
        OG000
        value
        107
      2. group Id
        OG001
        value
        80
      units
      Participants
    title
    Breast Symptoms
  5. categories
    1. measurements
      1. group Id
        OG000
        spread
        15.536
        value
        5.65
      2. group Id
        OG001
        spread
        15.536
        value
        3.99
    denoms
    1. counts
      1. group Id
        OG000
        value
        107
      2. group Id
        OG001
        value
        80
      units
      Participants
    title
    Systemic Therapy Side Effects
  6. categories
    1. measurements
      1. group Id
        OG000
        spread
        30.982
        value
        2.65
      2. group Id
        OG001
        spread
        31.428
        value
        0.85
    denoms
    1. counts
      1. group Id
        OG000
        value
        107
      2. group Id
        OG001
        value
        78
      units
      Participants
    title
    Breast Satisfaction
  7. categories
    1. measurements
      1. group Id
        OG000
        spread
        11.316
        value
        -0.14
      2. group Id
        OG001
        spread
        12.458
        value
        0.17
    denoms
    1. counts
      1. group Id
        OG000
        value
        107
      2. group Id
        OG001
        value
        80
      units
      Participants
    title
    Endocrine Therapy Symptoms
  8. categories
    1. measurements
      1. group Id
        OG000
        spread
        14.721
        value
        4.67
      2. group Id
        OG001
        spread
        18.232
        value
        12.22
    denoms
    1. counts
      1. group Id
        OG000
        value
        107
      2. group Id
        OG001
        value
        80
      units
      Participants
    title
    Skin Mucosis Symptoms
  9. categories
    1. measurements
      1. group Id
        OG000
        spread
        20.831
        value
        3.66
      2. group Id
        OG001
        spread
        15.969
        value
        2.00
    denoms
    1. counts
      1. group Id
        OG000
        value
        107
      2. group Id
        OG001
        value
        79
      units
      Participants
    title
    Endocrine Sexual Symptoms
  10. categories
    1. measurements
      1. group Id
        OG000
        spread
        17.979
        value
        -3.03
      2. group Id
        OG001
        spread
        20.101
        value
        0.00
    denoms
    1. counts
      1. group Id
        OG000
        value
        11
      2. group Id
        OG001
        value
        12
      units
      Participants
    title
    Sexual Enjoyment
  11. categories
    1. measurements
      1. group Id
        OG000
        spread
        32.161
        value
        8.72
      2. group Id
        OG001
        spread
        29.022
        value
        11.25
    denoms
    1. counts
      1. group Id
        OG000
        value
        107
      2. group Id
        OG001
        value
        80
      units
      Participants
    title
    Future Perspective
  12. categories
    1. measurements
      1. group Id
        OG000
        spread
        34.500
        value
        2.47
      2. group Id
        OG001
        spread
        40.825
        value
        0.00
    denoms
    1. counts
      1. group Id
        OG000
        value
        27
      2. group Id
        OG001
        value
        9
      units
      Participants
    title
    Being Upset By Hair Loss
denoms
  1. counts
    1. group Id
      OG000
      value
      107
    2. group Id
      OG001
      value
      80
    units
    Participants
description
EORTC QLQ-BR45 is an updated version of the BR23. Self-administered instrument includes original 23-items yielding 5 multi-item scores (body image, sexual functioning, arm symptoms, breast symptoms, and systemic therapy side effects). Additional 22 items yield 4 additional multi-item scales (breast satisfaction, endocrine therapy symptoms, skin mucosis symptoms, and endocrine sexual symptoms). Single items assess sexual enjoyment, future perspective and being upset by hair loss. Items are scored on a 4-point verbal rating scale: 1: not at all, 2: a little, 3: quite a bit, and 4: very much; higher score: better level of functioning or greater degree of symptoms. Scores of these scales were averaged from scores of component items, transformed, and ranged from 0 to 100; higher scores for functioning scales or items indicate better functioning, whereas higher scores for symptom scales or items represent a higher level of symptoms. Baseline:last observed measurement prior to randomization.
dispersion Type
Standard Deviation
groups
  1. description
    Participants received T-DXd 5.4 mg/kg via IV infusion every 3 weeks until PD, unacceptable toxicity, withdrawal of consent, or another criterion for discontinuation was met.
    id
    OG000
    title
    T-DXd
  2. description
    Participants received Investigator's choice single-agent chemotherapy (capecitabine 1000 or 1250 mg/m\^2 orally twice daily for 2 weeks followed by a 1-week rest period in 3-week cycles, paclitaxel 80 mg/m\^2 via IV infusion qw in 3-week cycles or nab-paclitaxel 100 mg/m\^2 via IV infusion qw for 3 weeks followed by 1-week rest period in 4-week cycles) until PD, unacceptable toxicity, withdrawal of consent, or another criterion for discontinuation was met.
    id
    OG001
    title
    Chemotherapy
param Type
MEAN
population Description
The ITT population included all randomized participants. Only participants with data collected in specified categories are reported.
reporting Status
POSTED
time Frame
Baseline (Day 1) and Week 58
title
Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Breast Module 45 (BR45) Scale Score at Week 58
type
SECONDARY
unit Of Measure
score on a scale

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Preserved source evidence · Not medical advice