Pancreatic Neoplasms
Conditions
Keywords
Pancreatic Neoplasms, Pancreatic Cancer, Locally advanced pacriatic cancer, nab-Paclitaxel, Abraxane, Gemcitabine, ABI-007
Brief summary
This clinical study is in subjects who are 18 years old or older with locally advanced pancreatic cancer who have not received prior treatment for their pancreatic cancer. The study treats all subjects with nab-Paclitaxel plus gemcitabine for approximately 6 months of treatment. Subjects who complete the treatment will choose, with their treating physicians, what additional treatment should be given: more nab-Paclitaxel plus gemcitabine, Chemoradiation therapy, or surgery to treat the locally advanced pancreatic cancer.
Detailed description
This is an international, non-randomized, open-label, multi-center, Phase 2 study in subjects who are 18 years old or older with locally advanced pancreatic cancer who have not received prior treatment for their pancreatic cancer. All subjects will be treated with nab-paclitaxel plus gemcitabine for 6 cycles followed by an Investigator's Choice of continuation of treatment with nab-paclitaxel plus gemcitabine, chemoradiation therapy, or surgery. Safety assessments by laboratory testing and physical exams will be conducted through-out the study. Efficacy assessments by physical exam will be preformed through-out the study and tumor imaging will be conducted approximately every 2 months. Subjects will be considered active study participants from enrollment up to, but not including, survival follow-up period.
Interventions
Surgical intervention
Sponsors
Study design
Eligibility
Inclusion criteria
* Non- metastasis, unresectable, adenocarcinoma pancreatic cancer patients * No prior anticancer therapy for pancreatic cancer •≥ 18 years of age with a performance status of 0 or 1•Adequate complete blood counts, hepatic function, and renal function * Signed informed Consent
Exclusion criteria
* Active bacterial, viral, or fungal infection * Infection with hepatitis B or C, or history of human immunodeficiency virus (HIV) infection, or receiving immunosuppressive or myelosuppressive * Subjects with sensory neuropathy, ascites, or plastic biliary stent. * Serious medical risk factors involving any of the major organ systems, or serious psychiatric disorders (including but not limited to connective tissue disorders, lung disease, and cardiac or seizure disorders) * Women who are pregnant or breast feeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Kaplan-Meier Estimates for Time to Treatment Failure (TTF) | Day 1 of study treatment up to 28.75 months; (maximum time for the last tumor assessment) | TTF was defined as the time after the first dose of study therapy to discontinuation of study therapy due to disease progression, death by any cause, or the start of a new non-protocol-defined anticancer therapy/surgery. If a participant does not progress, die or start a new non-protocol-defined anticancer therapy, the participant was censored on the last tumor assessment date. Tumor evaluations of CT or MRI scans were assessed by the investigative sites and response determined according to Response Evaluation Criteria in Solid Tumors (RECIST) guidelines, version 1.1. The definition for progressive disease (PD) was \>= 20% increase in the sum of diameters of target lesions from nadir, and the sum showed an absolute increase of \>= 5 mm; the progression of a non-target lesion or the appearance of any new lesions is also considered progression. Median and its 90% confidence interval (CI) of TTF were estimated using the method of Brookmeyer and Crowley. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall Response Rate (ORR): Percentage of Participants With Complete (CR) or Partial Response (PR) According to RECIST Version 1.1 | Day 1 of study treatment up to the end of investigator choice period plus 28 days; up to 76.9 weeks | ORR was defined as the percentage of participants that achieved a combined incidence of complete (CR) and partial response (PR) using RECIST 1.1 guidelines as assessed by the investigator. Assessments after new non-protocol-defined anticancer therapy are excluded. For participants who had resectable surgery in Investigator Choice period, assessments after surgical intervention are excluded. RECIST 1.1 Definition: * CR: disappearance of all target and non-target lesions; any pathological lymph nodes (target or non-target) must have reduction in short axis to \< 10 mm and no new lesions diagnosed. * PR: a \>= 30% decrease in the sum of diameters of target lesions from baseline; no evidence of progression in any of the non-target lesions diagnosed at baseline; and no new lesions diagnosed. The two-sided 90% binomial confidence intervals (CIs) were estimated by Wilson score method |
| Kaplan-Meier Estimate of Progression-Free Survival (PFS) | Day 1 of study treatment up to 28.75 months (maximum time for the last tumor assessment) | Progression-free Survival (PFS) was defined as the time from the date of the first dose to the date of disease progression or death (by any cause), whichever is earlier. The analysis day was calculated from enrollment date for one participant who was not treated. Participants who have no disease progression or have not died were censored to last tumor assessment date with progression-free. The definition for progressive disease (PD) was at least a 20% increase in the sum of diameters of target lesions from nadir; the sum must also demonstrate an absolute increase of \>= 5 mm; the progression of a non-target lesion or the appearance of any new lesions is also considered progression. Median and its 90% confidence interval of PFS were estimated using the method of Brookmeyer and Crowley. |
| Kaplan-Meier Estimates for Overall Survival (OS) | Day 1 of study treatment up to 31.34 months (maximum time for survival follow-up) | Overall survival was defined as the time from the date of first dose of study therapy to the date of death (by any cause). Participants who were alive at the end of study or clinical data cut were censored on the last known time that the participant was alive or the clinical cutoff date, whichever was earlier. Median and its 90% confidence interval of OS were estimated using the method of Brookmeyer and Crowley |
| Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales | Baseline (Day -1), Day 1 of each cycle, for up to 19 cycles each cycle consisting of 28 days and the 28-day follow-up visit | The European Organization for Research and Treatment of Cancer Quality-of-Life questionnaire (EORTC QLQ-C30) is a validated health-related quality of life (HRQoL) measure. The EORTC QLQ-C30 is composed of both multi-item scales and single-item measures, including 5 functional scales, 3 symptom scales, 6 single symptom items, and 1 global health status / quality of life scale. No item occurs in more than one scale. All reported measures are transformed to a 0 - 100 scale. In the Global Health Status and 5 functional scales, 0 = worst possible quality of life/health status and 100 = best possible quality of life/health status. The best score on treatment is the best score from all post-baseline visits and is compared to the baseline to get the following responder categories. Responder categories: - Improved: \>=10 increase from baseline - Stable: neither increase nor decrease \>10 - Worsened: \>=10 decrease from baseline |
| Disease Control Rate (DCR): Percentage of Participants With Complete (CR) or Partial Response (PR), or Stable Disease (SD) for ≥ 16 Weeks According to RECIST Version 1.1 | Day 1 of study treatment up to the end of investigator choice period plus 28 days; up to 76.9 weeks | DCR was defined as the percentage of participants with a CR or PR or SD from of date of first treatment to 16 weeks. Tumor assessments after start of non-protocol-defined anticancer therapy were excluded. RECIST 1.1 Definition: * CR: disappearance of all target and non-target lesions; any pathological lymph nodes (target or non-target) must have reduction in short axis to \< 10 mm and no new lesions diagnosed. * PR: a \>= 30% decrease in the sum of diameters of target lesions from baseline; no evidence of progression in any of the non-target lesions diagnosed at baseline; and no new lesions diagnosed. * SD: neither sufficient shrinkage to qualify for PR nor sufficient increase of lesions to qualify for PD. The two-sided 90% binomial confidence intervals (CIs) were estimated by Wilson score method. |
| Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales | Baseline (Day -1), Day 1 of each cycle, for up to 19 cycles each cycle consisting of 28 days and the 28-day follow-up visit | The EORTC pancreatic cancer module is a validated tool intended for patients at all disease stages undergoing surgical resection, palliative surgical intervention, endoscopic palliation or palliative chemotherapy. The module includes 26 questions, organized into 7 scales and 10 individual item scores. All reported measures are transformed to a 0 to 100 scale. Six summary scales reported are: - Pancreatic Pain - Digestive Symptoms - Altered Bowel Habits - Hepatic Scale - Body Image - Sexuality Scores of 0 = optimal health state and 100 = worst possible health state. The best score on treatment is the best score from all post-baseline visits and is compared to the baseline. Responder categories: - Improved: \>=MID decrease from baseline - Stable: no increase or decrease \>MID - Worsened: \>=MID increase from baseline MID = half the baseline standard deviation |
| Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Satisfaction With Health Care Scale | Baseline (Day -1), Day 1 of each cycle, for up to 19 cycles each cycle consisting of 28 days and the 28-day follow-up visit | The EORTC pancreatic cancer module is a validated tool intended for patients at all disease stages undergoing surgical resection, palliative surgical intervention, endoscopic palliation or palliative chemotherapy. The module includes 26 questions, organized into 7 scales and 10 individual item scores. The summary scale for Satisfaction with Health Care is reported. All reported measures are transformed to a 0 to 100 scale. Scores of 0 = not satisfied, worst possible health state and 100 = extremely satisfied, best possible health state. The best score on treatment is the best score from all post-baseline visits and is compared to the baseline to get the following responder categories. Responder categories: - Improved: \>=MID increase from baseline - Stable: no increase or decrease \>MID - Worsened: \>=MID decrease from baseline MID = half the baseline standard deviation |
| Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Baseline (Day -1), Day 1 of each cycle, for up to 19 cycles each cycle consisting of 28 days and the 28-day follow-up visit | The EORTC pancreatic cancer module is a validated tool intended for patients at all disease stages undergoing surgical resection, palliative surgical intervention, endoscopic palliation or palliative chemotherapy. The module includes 26 questions, organized into 7 scales and 10 individual item scores. The 10 individual item scores are reported. All reported measures are transformed to a 0 to 100 scale. Scores of 0 = best possible health state and 100 = worst possible health state. The best score on treatment is the best score from all post-baseline visits and is compared to the baseline to get the following responder categories. Responder categories: - Improved: \>=MID decrease from baseline - Stable: no increase or decrease \>MID - Worsened: \>=MID increase from baseline MID = half the baseline standard deviation |
| Participants With Treatment Emergent Adverse Events (TEAEs) | Day 1 of study drug up to end of the study; up to 31.3 months | TEAEs are defined as any adverse event (AE) that begin or worsen on or after the start of study drug or procedure of the study period through the maximum duration of the period plus 28 days. The severity of AEs was graded based on National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE), Version 4.0 and the scale: Grade 1 = Mild Grade 2 = Moderate Grade 3 = Severe Grade 4 = Life threatening Grade 5 = Death. Relation to study drug was determined by the investigator. A treatment-related TEAE is defined as TEAE which was considered to be related to one or both of the study drugs and reported as 'Suspected' on the case report form. AEs with a missing relationship were treated as 'treatment-related' in data summaries. IP (investigational product) refers to nab-Paclitaxel and/or Gemcitabine. Related TEAE refers to relation to study drug (IP). |
| Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Baseline (Day -1), Day 1 of each cycle, for up to 19 cycles each cycle consisting of 28 days and the 28-day follow-up visit | The European Organization for Research and Treatment of Cancer Quality-of-Life questionnaire (EORTC QLQ-C30) is a validated health-related quality of life (HRQoL) measure. The EORTC QLQ-C30 is composed of both multi-item scales and single-item measures, including 5 functional scales, 3 symptom scales, 6 single symptom items, and 1 global health status / quality of life scale. No item occurs in more than one scale. All reported measures are transformed to a 0 to 100 scale. In the symptom scales and single symptom items, 0 = optimal health state and 100 = worst possible health state. The best score on treatment is the best score from all post-baseline visits and is compared to the baseline to get the following responder categories. Responder categories: - Improved: \>=10 decrease from baseline - Stable: neither increase nor decrease \>10 - Worsened: \>=10 increase from baseline |
Countries
Canada, France, Italy, Spain, United States
Participant flow
Pre-assignment details
152 patients were screened and 107 participants enrolled.
Participants by arm
| Arm | Count |
|---|---|
| Nab-Paclitaxel Plus Gemcitabine In the Induction period, nab-paclitaxel 125 mg/m\^2 intravenous (IV) infusion was administered over approximately 30-45 minutes on Days 1, 8, and 15, followed by gemcitabine 1000 mg/m\^2 IV infusion over approximately 30 minutes on Days 1, 8, and 15 of each 28-day cycle. For participants who completed 6 cycles of nab-paclitaxel and gemcitabine without disease progression or unacceptable toxicities, the Investigator then determined the best option for the participant in the Investigator's Choice Period: - Continuation of nab-paclitaxel and gemcitabine therapy to disease progression or unacceptable toxicity OR - Chemoradiation therapy consisting of the concurrent use of capecitabine or gemcitabine with radiation according to institutional practice OR - Surgical intervention | 107 |
| Total | 107 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Induction Period | Adverse Event | 22 | 0 |
| Induction Period | Death | 1 | 0 |
| Induction Period | Enrolled But Not Treated | 1 | 0 |
| Induction Period | Noncompliance with Study Drug | 1 | 0 |
| Induction Period | Other | 1 | 0 |
| Induction Period | Physician Decision | 4 | 0 |
| Induction Period | Progressive Disease | 8 | 0 |
| Induction Period | Protocol Violation | 2 | 0 |
| Induction Period | Symptomatic Deterioration | 2 | 0 |
| Induction Period | Withdrawal by Subject | 3 | 0 |
| Investigator's Choice | Adverse Event | 0 | 3 |
| Investigator's Choice | Noncompliance With Study Drug | 0 | 1 |
| Investigator's Choice | Other | 0 | 1 |
| Investigator's Choice | Progressive Disease | 0 | 3 |
| Investigator's Choice | Symptomatic Deterioration | 0 | 1 |
| Investigator's Choice | Unresectable Surgery | 0 | 1 |
Baseline characteristics
| Characteristic | Nab-Paclitaxel Plus Gemcitabine |
|---|---|
| Age, Continuous | 65.0 years |
| Age, Customized >=65 - 75 years | 50 Participants |
| Age, Customized <65 years | 44 Participants |
| Age, Customized >75 years | 13 Participants |
| Baseline Albumin | 39.0 g/L |
| Baseline Neutrophil - to - Lymphocyte Ratio (NLR) <= 5 | 91 Participants |
| Baseline Neutrophil - to - Lymphocyte Ratio (NLR) > 5 | 14 Participants |
| Baseline Neutrophil - to - Lymphocyte Ratio (NLR) Missing | 2 Participants |
| Carbohydrate Antigen 19-9 (CA19-9) | 243.3 U/mL |
| Eastern Cooperative Oncology Group (ECOG) Performance Status Grade 0 | 50 Participants |
| Eastern Cooperative Oncology Group (ECOG) Performance Status Grade 1 | 57 Participants |
| Eastern Cooperative Oncology Group (ECOG) Performance Status Grade 2 | 0 Participants |
| Eastern Cooperative Oncology Group (ECOG) Performance Status Grade 3 | 0 Participants |
| Eastern Cooperative Oncology Group (ECOG) Performance Status Grade 4 | 0 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 1 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 78 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 28 Participants |
| Number of Target Lesions | 1.0 lesions |
| Physician Assessment of Peripheral Neuropathy Grade 0 | 101 Participants |
| Physician Assessment of Peripheral Neuropathy Grade 1 | 6 Participants |
| Physician Assessment of Peripheral Neuropathy Grade 2 | 0 Participants |
| Physician Assessment of Peripheral Neuropathy Grade 3 | 0 Participants |
| Physician Assessment of Peripheral Neuropathy Grade 4 | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 3 Participants |
| Race (NIH/OMB) Black or African American | 2 Participants |
| Race (NIH/OMB) More than one race | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 30 Participants |
| Race (NIH/OMB) White | 72 Participants |
| Sex: Female, Male Female | 59 Participants |
| Sex: Female, Male Male | 48 Participants |
| Sum of Longest Diameter of Target Lesions | 44.0 mm |
| Time from Primary Diagnosis to First Dose | 27.0 days |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 42 / 106 | 67 / 106 |
| other Total, other adverse events | 104 / 106 | 104 / 106 |
| serious Total, serious adverse events | 38 / 106 | 39 / 106 |
Outcome results
Kaplan-Meier Estimates for Time to Treatment Failure (TTF)
TTF was defined as the time after the first dose of study therapy to discontinuation of study therapy due to disease progression, death by any cause, or the start of a new non-protocol-defined anticancer therapy/surgery. If a participant does not progress, die or start a new non-protocol-defined anticancer therapy, the participant was censored on the last tumor assessment date. Tumor evaluations of CT or MRI scans were assessed by the investigative sites and response determined according to Response Evaluation Criteria in Solid Tumors (RECIST) guidelines, version 1.1. The definition for progressive disease (PD) was \>= 20% increase in the sum of diameters of target lesions from nadir, and the sum showed an absolute increase of \>= 5 mm; the progression of a non-target lesion or the appearance of any new lesions is also considered progression. Median and its 90% confidence interval (CI) of TTF were estimated using the method of Brookmeyer and Crowley.
Time frame: Day 1 of study treatment up to 28.75 months; (maximum time for the last tumor assessment)
Population: Intent to treat population was defined as all participants enrolled into the study.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Nab-Paclitaxel Plus Gemcitabine | Kaplan-Meier Estimates for Time to Treatment Failure (TTF) | 9.0 months |
Disease Control Rate (DCR): Percentage of Participants With Complete (CR) or Partial Response (PR), or Stable Disease (SD) for ≥ 16 Weeks According to RECIST Version 1.1
DCR was defined as the percentage of participants with a CR or PR or SD from of date of first treatment to 16 weeks. Tumor assessments after start of non-protocol-defined anticancer therapy were excluded. RECIST 1.1 Definition: * CR: disappearance of all target and non-target lesions; any pathological lymph nodes (target or non-target) must have reduction in short axis to \< 10 mm and no new lesions diagnosed. * PR: a \>= 30% decrease in the sum of diameters of target lesions from baseline; no evidence of progression in any of the non-target lesions diagnosed at baseline; and no new lesions diagnosed. * SD: neither sufficient shrinkage to qualify for PR nor sufficient increase of lesions to qualify for PD. The two-sided 90% binomial confidence intervals (CIs) were estimated by Wilson score method.
Time frame: Day 1 of study treatment up to the end of investigator choice period plus 28 days; up to 76.9 weeks
Population: Intent to treat population was defined as all participants enrolled into the study.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Nab-Paclitaxel Plus Gemcitabine | Disease Control Rate (DCR): Percentage of Participants With Complete (CR) or Partial Response (PR), or Stable Disease (SD) for ≥ 16 Weeks According to RECIST Version 1.1 | 77.6 percentage of participants |
Kaplan-Meier Estimate of Progression-Free Survival (PFS)
Progression-free Survival (PFS) was defined as the time from the date of the first dose to the date of disease progression or death (by any cause), whichever is earlier. The analysis day was calculated from enrollment date for one participant who was not treated. Participants who have no disease progression or have not died were censored to last tumor assessment date with progression-free. The definition for progressive disease (PD) was at least a 20% increase in the sum of diameters of target lesions from nadir; the sum must also demonstrate an absolute increase of \>= 5 mm; the progression of a non-target lesion or the appearance of any new lesions is also considered progression. Median and its 90% confidence interval of PFS were estimated using the method of Brookmeyer and Crowley.
Time frame: Day 1 of study treatment up to 28.75 months (maximum time for the last tumor assessment)
Population: Intent to treat population was defined as all participants who were enrolled into the study.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Nab-Paclitaxel Plus Gemcitabine | Kaplan-Meier Estimate of Progression-Free Survival (PFS) | 10.9 months |
Kaplan-Meier Estimates for Overall Survival (OS)
Overall survival was defined as the time from the date of first dose of study therapy to the date of death (by any cause). Participants who were alive at the end of study or clinical data cut were censored on the last known time that the participant was alive or the clinical cutoff date, whichever was earlier. Median and its 90% confidence interval of OS were estimated using the method of Brookmeyer and Crowley
Time frame: Day 1 of study treatment up to 31.34 months (maximum time for survival follow-up)
Population: Intent to treat population was defined as all participants who were enrolled into the study.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Nab-Paclitaxel Plus Gemcitabine | Kaplan-Meier Estimates for Overall Survival (OS) | 18.8 months |
Overall Response Rate (ORR): Percentage of Participants With Complete (CR) or Partial Response (PR) According to RECIST Version 1.1
ORR was defined as the percentage of participants that achieved a combined incidence of complete (CR) and partial response (PR) using RECIST 1.1 guidelines as assessed by the investigator. Assessments after new non-protocol-defined anticancer therapy are excluded. For participants who had resectable surgery in Investigator Choice period, assessments after surgical intervention are excluded. RECIST 1.1 Definition: * CR: disappearance of all target and non-target lesions; any pathological lymph nodes (target or non-target) must have reduction in short axis to \< 10 mm and no new lesions diagnosed. * PR: a \>= 30% decrease in the sum of diameters of target lesions from baseline; no evidence of progression in any of the non-target lesions diagnosed at baseline; and no new lesions diagnosed. The two-sided 90% binomial confidence intervals (CIs) were estimated by Wilson score method
Time frame: Day 1 of study treatment up to the end of investigator choice period plus 28 days; up to 76.9 weeks
Population: Intent to treat population was defined as all participants who were enrolled into the study.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Nab-Paclitaxel Plus Gemcitabine | Overall Response Rate (ORR): Percentage of Participants With Complete (CR) or Partial Response (PR) According to RECIST Version 1.1 | 39.3 percentage of participants |
Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales
The European Organization for Research and Treatment of Cancer Quality-of-Life questionnaire (EORTC QLQ-C30) is a validated health-related quality of life (HRQoL) measure. The EORTC QLQ-C30 is composed of both multi-item scales and single-item measures, including 5 functional scales, 3 symptom scales, 6 single symptom items, and 1 global health status / quality of life scale. No item occurs in more than one scale. All reported measures are transformed to a 0 - 100 scale. In the Global Health Status and 5 functional scales, 0 = worst possible quality of life/health status and 100 = best possible quality of life/health status. The best score on treatment is the best score from all post-baseline visits and is compared to the baseline to get the following responder categories. Responder categories: - Improved: \>=10 increase from baseline - Stable: neither increase nor decrease \>10 - Worsened: \>=10 decrease from baseline
Time frame: Baseline (Day -1), Day 1 of each cycle, for up to 19 cycles each cycle consisting of 28 days and the 28-day follow-up visit
Population: Intent to treat population was defined as all participants enrolled into the study with both baseline and post baseline values.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales | Global Health Status: Improved | 43 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales | Global Health Status: Stable | 34 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales | Global Health Status: Worsened | 18 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales | Physical Functioning Scale: Improved | 20 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales | Physical Functioning Scale: Stable | 66 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales | Physical Functioning Scale: Worsened | 9 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales | Role Functioning Scale: Improved | 36 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales | Role Functioning Scale: Stable | 46 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales | Role Functioning Scale: Worsened | 13 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales | Emotional Functioning Scale: Improved | 50 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales | Emotional Functioning Scale: Stable | 40 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales | Emotional Functioning Scale: Worsened | 5 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales | Cognitive Functioning Scale: Improved | 33 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales | Cognitive Functioning Scale: Stable | 51 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales | Cognitive Functioning Scale: Worsened | 11 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales | Social Functioning Scale: Improved | 38 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales | Social Functioning Scale: Stable | 43 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Global Health Status and 5 Functioning Scales | Social Functioning Scale: Worsened | 14 Participants |
Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items
The European Organization for Research and Treatment of Cancer Quality-of-Life questionnaire (EORTC QLQ-C30) is a validated health-related quality of life (HRQoL) measure. The EORTC QLQ-C30 is composed of both multi-item scales and single-item measures, including 5 functional scales, 3 symptom scales, 6 single symptom items, and 1 global health status / quality of life scale. No item occurs in more than one scale. All reported measures are transformed to a 0 to 100 scale. In the symptom scales and single symptom items, 0 = optimal health state and 100 = worst possible health state. The best score on treatment is the best score from all post-baseline visits and is compared to the baseline to get the following responder categories. Responder categories: - Improved: \>=10 decrease from baseline - Stable: neither increase nor decrease \>10 - Worsened: \>=10 increase from baseline
Time frame: Baseline (Day -1), Day 1 of each cycle, for up to 19 cycles each cycle consisting of 28 days and the 28-day follow-up visit
Population: Intent to treat population was defined as all participants enrolled into the study with both baseline and post baseline values.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom Scale-Fatigue: Improved | 46 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom Scale-Fatigue: Stable | 24 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom Scale-Fatigue: Worsened | 25 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Scale-Nausea+Vomiting: Improved | 29 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Scale-Nausea+Vomiting: Stable | 64 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Scale-Nausea+Vomiting: Worsened | 2 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom Scale-Pain: Improved | 62 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom Scale-Pain: Stable | 29 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom Scale-Pain: Worsened | 4 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom - Dyspnoea: Improved | 12 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom - Dyspnoea: Stable | 74 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom - Dyspnoea: Worsened | 9 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom - Insomnia: Improved | 53 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom - Insomnia: Stable | 35 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom - Insomnia: Worsened | 7 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom - Appetite loss: Improved | 48 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom - Appetite loss: Stable | 39 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom - Appetite loss: Worsened | 8 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom - Constipation: Improved | 46 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom - Constipation: Stable | 45 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom - Constipation: Worsened | 4 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom - Diarrhoea: Improved | 18 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom - Diarrhoea: Stable | 69 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom - Diarrhoea: Worsened | 8 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom - Financial difficulties: Improved | 17 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom - Financial difficulties: stable: | 74 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Symptom Scales and Single Symptom Items | Symptom - Financial difficulties: Worsened | 4 Participants |
Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores
The EORTC pancreatic cancer module is a validated tool intended for patients at all disease stages undergoing surgical resection, palliative surgical intervention, endoscopic palliation or palliative chemotherapy. The module includes 26 questions, organized into 7 scales and 10 individual item scores. The 10 individual item scores are reported. All reported measures are transformed to a 0 to 100 scale. Scores of 0 = best possible health state and 100 = worst possible health state. The best score on treatment is the best score from all post-baseline visits and is compared to the baseline to get the following responder categories. Responder categories: - Improved: \>=MID decrease from baseline - Stable: no increase or decrease \>MID - Worsened: \>=MID increase from baseline MID = half the baseline standard deviation
Time frame: Baseline (Day -1), Day 1 of each cycle, for up to 19 cycles each cycle consisting of 28 days and the 28-day follow-up visit
Population: Intent to treat population was defined as all participants enrolled into the study with both baseline and post baseline values.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Abdominal Bloating: Improved | 50 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Abdominal Bloating: Stable | 42 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Abdominal Bloating: Worsened | 3 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Taste Changes: Improved | 20 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Taste Changes: Stable | 54 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Taste Changes: Worsened | 21 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Indigestion: Improved | 41 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Indigestion: Stable | 47 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Indigestion: Worsened | 7 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Flatulence: Improved | 47 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Flatulence: Stable | 37 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Flatulence: Worsened | 11 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Weight Loss: Improved | 36 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Weight Loss: Stable | 56 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Weight Loss: Worsened | 3 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Limb Weakness: Improved | 22 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Limb Weakness: Stable | 55 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Limb Weakness: Worsened | 18 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Dry Mouth: Improved | 37 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Dry Mouth: Stable | 45 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Dry Mouth: Worsened | 13 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Treatment Side-Effects: Improved | 8 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Treatment Side-Effects: Stable | 48 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Treatment Side-Effects: Worsened | 39 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Worry About Future Health: Improved | 42 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Worry About Future Health: Stable | 45 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Worry About Future Health: Worsened | 8 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Limits on Activity Planning: Improved | 42 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Limits on Activity Planning: Stable | 42 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): 10 Individual Item Scores | Limits on Activity Planning: Worsened | 11 Participants |
Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Satisfaction With Health Care Scale
The EORTC pancreatic cancer module is a validated tool intended for patients at all disease stages undergoing surgical resection, palliative surgical intervention, endoscopic palliation or palliative chemotherapy. The module includes 26 questions, organized into 7 scales and 10 individual item scores. The summary scale for Satisfaction with Health Care is reported. All reported measures are transformed to a 0 to 100 scale. Scores of 0 = not satisfied, worst possible health state and 100 = extremely satisfied, best possible health state. The best score on treatment is the best score from all post-baseline visits and is compared to the baseline to get the following responder categories. Responder categories: - Improved: \>=MID increase from baseline - Stable: no increase or decrease \>MID - Worsened: \>=MID decrease from baseline MID = half the baseline standard deviation
Time frame: Baseline (Day -1), Day 1 of each cycle, for up to 19 cycles each cycle consisting of 28 days and the 28-day follow-up visit
Population: Intent to treat population was defined as all participants enrolled into the study with both baseline and post baseline values.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Satisfaction With Health Care Scale | Satisfaction with Health Care Scale: Improved | 42 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Satisfaction With Health Care Scale | Satisfaction with Health Care Scale: Stable | 40 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Satisfaction With Health Care Scale | Satisfaction with Health Care Scale: Worsened | 13 Participants |
Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales
The EORTC pancreatic cancer module is a validated tool intended for patients at all disease stages undergoing surgical resection, palliative surgical intervention, endoscopic palliation or palliative chemotherapy. The module includes 26 questions, organized into 7 scales and 10 individual item scores. All reported measures are transformed to a 0 to 100 scale. Six summary scales reported are: - Pancreatic Pain - Digestive Symptoms - Altered Bowel Habits - Hepatic Scale - Body Image - Sexuality Scores of 0 = optimal health state and 100 = worst possible health state. The best score on treatment is the best score from all post-baseline visits and is compared to the baseline. Responder categories: - Improved: \>=MID decrease from baseline - Stable: no increase or decrease \>MID - Worsened: \>=MID increase from baseline MID = half the baseline standard deviation
Time frame: Baseline (Day -1), Day 1 of each cycle, for up to 19 cycles each cycle consisting of 28 days and the 28-day follow-up visit
Population: Intent to treat population was defined as all participants enrolled into the study with both baseline and post baseline values.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales | Pancreatic Pain Scale: Improved | 62 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales | Pancreatic Pain Scale: Stable | 33 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales | Pancreatic Pain Scale: Worsened | 0 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales | Digestive Symptom Scale: Improved | 49 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales | Digestive Symptom Scale: Stable | 36 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales | Digestive Symptom Scale: Worsened | 10 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales | Altered Bowel Habits Scale: Improved | 28 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales | Altered Bowel Habits Scale: Stable | 53 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales | Altered Bowel Habits Scale: Worsened | 14 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales | Hepatic Scale: Improved | 25 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales | Hepatic Scale: Stable | 66 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales | Hepatic Scale: Worsened | 4 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales | Body Image Scale: Improved | 22 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales | Body Image Scale: Stable | 50 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales | Body Image Scale: Worsened | 23 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales | Sexuality Scale: Improved | 31 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales | Sexuality Scale: Stable | 51 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participant Counts in Response Categories Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire For Pancreatic Cancer (EORTC-QLQ PAN26): Six Summary Scales | Sexuality Scale: Worsened | 13 Participants |
Participants With Treatment Emergent Adverse Events (TEAEs)
TEAEs are defined as any adverse event (AE) that begin or worsen on or after the start of study drug or procedure of the study period through the maximum duration of the period plus 28 days. The severity of AEs was graded based on National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE), Version 4.0 and the scale: Grade 1 = Mild Grade 2 = Moderate Grade 3 = Severe Grade 4 = Life threatening Grade 5 = Death. Relation to study drug was determined by the investigator. A treatment-related TEAE is defined as TEAE which was considered to be related to one or both of the study drugs and reported as 'Suspected' on the case report form. AEs with a missing relationship were treated as 'treatment-related' in data summaries. IP (investigational product) refers to nab-Paclitaxel and/or Gemcitabine. Related TEAE refers to relation to study drug (IP).
Time frame: Day 1 of study drug up to end of the study; up to 31.3 months
Population: The Treated population consists of all participants who received at least 1 dose of nab-paclitaxel or gemcitabine.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Nab-Paclitaxel Plus Gemcitabine | Participants With Treatment Emergent Adverse Events (TEAEs) | >= 1 TEAE | 105 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 related TEAE | 102 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 TEAE of severity grade 3 or higher | 85 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 related TEAE of severity grade 3 or higher | 72 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 serious TEAE | 38 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participants With Treatment Emergent Adverse Events (TEAEs) | >= 1 related serious TEAE | 14 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 TEAE leading to discontinuation of IP | 25 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 related TEAE leading to discontinuation of IP | 15 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 TEAE leading to dose reduction of IP | 69 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 related TEAE leading to dose reduction of IP | 68 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 TEAE leading to interruption of IP | 66 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 related TEAE leading to interruption of IP | 48 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participants With Treatment Emergent Adverse Events (TEAEs) | >= TEAE leading to death | 2 Participants |
| Nab-Paclitaxel Plus Gemcitabine | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 related TEAE leading to death | 0 Participants |
| Nab-Paclitaxel Plus Gemcitabine (Overall) | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 TEAE leading to interruption of IP | 68 Participants |
| Nab-Paclitaxel Plus Gemcitabine (Overall) | Participants With Treatment Emergent Adverse Events (TEAEs) | >= 1 TEAE | 105 Participants |
| Nab-Paclitaxel Plus Gemcitabine (Overall) | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 related TEAE leading to discontinuation of IP | 18 Participants |
| Nab-Paclitaxel Plus Gemcitabine (Overall) | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 related TEAE | 103 Participants |
| Nab-Paclitaxel Plus Gemcitabine (Overall) | Participants With Treatment Emergent Adverse Events (TEAEs) | >= TEAE leading to death | 2 Participants |
| Nab-Paclitaxel Plus Gemcitabine (Overall) | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 TEAE of severity grade 3 or higher | 90 Participants |
| Nab-Paclitaxel Plus Gemcitabine (Overall) | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 TEAE leading to dose reduction of IP | 72 Participants |
| Nab-Paclitaxel Plus Gemcitabine (Overall) | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 related TEAE of severity grade 3 or higher | 75 Participants |
| Nab-Paclitaxel Plus Gemcitabine (Overall) | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 related TEAE leading to interruption of IP | 50 Participants |
| Nab-Paclitaxel Plus Gemcitabine (Overall) | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 serious TEAE | 39 Participants |
| Nab-Paclitaxel Plus Gemcitabine (Overall) | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 related TEAE leading to dose reduction of IP | 71 Participants |
| Nab-Paclitaxel Plus Gemcitabine (Overall) | Participants With Treatment Emergent Adverse Events (TEAEs) | >= 1 related serious TEAE | 14 Participants |
| Nab-Paclitaxel Plus Gemcitabine (Overall) | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 related TEAE leading to death | 0 Participants |
| Nab-Paclitaxel Plus Gemcitabine (Overall) | Participants With Treatment Emergent Adverse Events (TEAEs) | >=1 TEAE leading to discontinuation of IP | 28 Participants |