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Avelumab in First-Line Maintenance Gastric Cancer (JAVELIN Gastric 100)

A Phase III Open-label, Multicenter Trial of Maintenance Therapy With Avelumab (MSB0010718C) Versus Continuation of First-line Chemotherapy in Subjects With Unresectable, Locally Advanced or Metastatic, Adenocarcinoma of the Stomach, or of the Gastro-esophageal Junction

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02625610
Enrollment
499
Registered
2015-12-09
Start date
2015-12-24
Completion date
2021-06-03
Last updated
2022-06-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Unresectable, Locally Advanced or Metastatic, Adenocarcinoma of the Stomach, or of the Gastro Esophageal Junction

Keywords

Avelumab, Cancer, Unresectable, Locally advanced, Metastatic, Adenocarcinoma of the stomach, Gastro-esophageal junction

Brief summary

The purpose of this study was to demonstrate superiority of treatment with avelumab versus continuation of first-line chemotherapy.

Interventions

DRUGLeucovorin

Induction Phase: Leucovorin was administered at a dose of 200 mg/m\^2 IV (or) Leucovorin 400 mg/m\^2 IV on Day 1 along with oxaliplatin and 5-FU every 2 weeks up to 12 weeks. Maintenance Phase: Participants were continued the same regimen of chemotherapy as they received during the Induction Phase until disease progression, significant clinical deterioration, unacceptable toxicity, or discontinuation.

DRUGAvelumab

Maintenance Phase: Intravenous (IV) infusion (10 mg/kg over 1 hour) once every 2 weeks.

DRUGOxaliplatin

Induction Phase: Oxaliplatin was administered at a dose of 85 mg per square meter (mg/m\^2) as a continuous intravenous (IV) infusion on Day 1 along with leucovorin followed by 5-Fluorouracil every 2 weeks up to 12 weeks (or) Oxaliplatin at 130 mg/m\^2 IV on Day 1 along with capecitabine twice daily for 2 weeks followed by a 1-week rest period given every 3 weeks up to 12 weeks. Maintenance Phase: Participants were continued the same regimen of chemotherapy as they received during the Induction Phase until disease progression, significant clinical deterioration, unacceptable toxicity, or discontinuation.

DRUG5-Fluorouracil

Induction Phase: 5-Fluorouracil was administered at a dose of 2600 mg/m\^2 IV continuous infusion over 24 hours on Day 1 (or) 5-FU at 400 mg/m\^2 IV push on Day 1 and 2400 mg/m\^2 IV continuous infusion over 46-48 hours (Days 1 and 2) along with oxaliplatin and leucovorin every 2 weeks up to 12 weeks. Maintenance Phase: Participants were continued the same regimen of chemotherapy as they received during the Induction Phase until disease progression, significant clinical deterioration, unacceptable toxicity, or discontinuation.

DRUGCapecitabine

Induction Phase: Capecitabine was administered at a dose of 1000 mg/m\^2 twice daily for 2 weeks followed by a 1-week rest period given every 3 weeks along with oxaliplatin up to 12 weeks. Maintenance Phase: Participants were continued the same regimen of chemotherapy as they received during the Induction Phase every 3 weeks until disease progression, significant clinical deterioration, unacceptable toxicity, or discontinuation.

OTHERBest supportive care

Treatment administered with the intent to maximize Quality of Life (QoL) without a specific antineoplastic regimen. These may include for example antibiotics, analgesics, antiemetics, thoracentesis, paracentesis, blood transfusions, nutritional support (including jejunostomy), and focal external-beam radiation for control of pain, cough, dyspnea, or bleeding. Best supportive care were administered per institutional guidelines and participants were visit the clinic every 3 weeks.

Sponsors

Merck KGaA, Darmstadt, Germany
CollaboratorINDUSTRY
EMD Serono Research & Development Institute, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Male or female participants greater than or equal to (\>=) 18 years * Disease must be measurable by Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) * Participants with histologically confirmed unresectable locally advanced or metastatic adenocarcinoma of the stomach or gastro-esophageal junction (GEJ) * Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 to 1 at trial entry * Estimated life expectancy of more than 12 weeks * Adequate haematological, hepatic and renal functions defined by the protocol * Negative blood pregnancy test at Screening for women of childbearing potential * Highly effective contraception for both male and female participants if the risk of conception exists * Other protocol defined inclusion criteria could apply

Exclusion criteria

* Prior therapy with any antibody or drug targeting T-cell coregulatory proteins * Concurrent anticancer treatment or immunosuppressive agents * Prior chemotherapy for unresectable locally advanced or metastatic adenocarcinoma of the stomach or gastro-esophageal junction (GEJ) * Tumor shown to be human epidermal growth factor 2 plus (HER2+) * Major surgery for any reason, except diagnostic biopsy, within 4 weeks of enrolment and/or if the participant has not fully recovered from the surgery within 4 weeks of enrolment * Participants receiving immunosuppressive agents (such as steroids) for any reason should be tapered off these drugs before initiation of the study treatment (with the exception of participants with adrenal insufficiency, who may continue corticosteroids at physiologic replacement dose, equivalent to \<= 10 mg prednisone daily) * All participants with brain metastases, except those meeting the following criteria: a. Brain metastases have been treated locally, have not been progressing at least 2 months after completion of therapy, and no steroid maintenance therapy is required, and b. No ongoing neurological symptoms that are related to the brain localization of the disease (sequelae that are a consequence of the treatment of the brain metastases are acceptable) * Previous malignant disease (other than gastric cancer) within the last 5 years with the exception of basal or squamous cell carcinoma of the skin or carcinoma in situ (bladder, cervical, colorectal, breast) * Prior organ transplantation, including allogeneic stem-cell transplantation * Significant acute or chronic infections * Active autoimmune disease that might deteriorate when receiving an immunostimulatory agent * Known severe hypersensitivity reactions to monoclonal antibodies, any history of anaphylaxis, or uncontrolled asthma (that is, 3 or more features of partially controlled asthma) * Persisting toxicity related to prior therapy except alopecia * Neuropathy Grade \> 3 * Pregnancy or lactation * Known alcohol or drug abuse * History of uncontrolled intercurrent illness including hypertension, active infection, diabetes * Clinically significant (i.e., active) cardiovascular disease * All other significant diseases might impair the participant's tolerance of study treatment * Any psychiatric condition that would prohibit the understanding or rendering of informed consent and that would limit compliance with study requirements * Vaccination with live or live/attenuated viruses within 55 days of the first dose of avelumab and while on trial is prohibited except for administration of inactivated vaccines * Legal incapacity or limited legal capacity * Participants will be excluded from the Induction Phase and the Maintenance Phase if administration of their chemotherapy would be inconsistent with the current local labelling (SmPC) (e.g., in regard to contraindications, warnings/precautions or special provisions) for that chemotherapy. Investigators should check updated labelling via relevant websites at the time of entry into the Induction Phase and the Maintenance Phase * Other protocol defined

Design outcomes

Primary

MeasureTime frameDescription
Overall Survival (OS)From randomization into maintenance phase up to 1276 daysOverall Survival was defined as the time from randomization to the date of death due to any cause. For participants who were still alive at the time of data analysis or who were lost to follow-up, OS time was censored at the date of last contact. OS was measured using Kaplan-Meier (KM) estimates.

Secondary

MeasureTime frameDescription
Best Overall Response (BOR) by Investigator AssessmentFrom randomization into maintenance phase up to 1276 daysBOR was determined by RECIST v1.1 per Investigator assessment and defined as best-confirmed response of any of following: complete response (CR), partial response (PR), stable disease (SD) and PD recorded from date of randomization until disease progression or recurrence. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in SLD of all lesions. SD: Neither sufficient increase to qualify for PD nor sufficient shrinkage to qualify for PR. PD is defined as at least a 20% increase in the SLD, taking as reference the smallest SLD recorded from baseline or appearance of 1 or more new lesions. PR or CR confirmed at a subsequent tumor assessment, not sooner than 5 weeks after initial documentation or at an assessment later than the next assessment after the initial documentation of PR or CR. SD confirmed at least 6 weeks after randomization. Confirmed PD equal to progression \<=2 weeks after date of randomization.
Objective Response Rate (ORR) by Investigator AssessmentFrom randomization into maintenance phase up to 1276 daysThe ORR defined as the percentage of all randomized participants with a confirmed best overall response (BOR) of partial response (PR),or complete response (CR) according to RECIST v1.1 and as per Investigator assessment. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30 percent (%) reduction from baseline in sum of longest diameter (SLD) of all lesions.
Change From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Baseline, Week 3/4, Week 7, Week 13, Week 19, Week 25, Week 31, Week 37, Week 43, Week 49, Week 55, Week 61, Week 67, End of Treatment ( EOT up to 148 weeks) and Safety Follow-up (Up to 152.3 Weeks)EQ-5D-5L is comprised of the following 5 participant-reported dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The responses are used to derive overall composite health state index score, with scores ranging from -0.594 to 1. A higher score indicates better health state.
Change From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Baseline, Week 3/4, Week 7, Week 13, Week 19, Week 25, Week 31, Week 37, Week 43, Week 49, Week 55, Week 61, Week 67, End of Treatment ( EOT up to 148 weeks) and Safety Follow-up (Up to 152.3 Weeks)EQ-5D-5L is comprised of the following 5 participant-reported dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The responses are used to derive overall score using a visual analog scale (VAS) that ranged from 0 to 100 millimeter (mm), where 0 is the worst health you can imagine and 100 is the best health you can imagine.
Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Baseline, Week 3/4, Week 7, Week 13, Week 19, Week 25, Week 31, Week 37, Week 43, Week 49, Week 55, Week 61, Week 67, End of Treatment ( EOT up to 148 weeks) and Safety Follow-up (Up to 152.3 Weeks)European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) is a 30-question tool used to assess the overall quality of life (QoL) in cancer participants. It consisted of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, role, cognitive, emotional, social), and 9 symptom scales/items (Fatigue, nausea and vomiting, pain, dyspnoea, sleep disturbance, appetite loss, constipation, diarrhea, financial impact. The EORTC QLQ-C30 GHS/QoL score ranges from 0 to 100; High score indicates better GHS/QoL. Score 0 represents: very poor physical condition and QoL. Score 100 represents: excellent overall physical condition and QoL.
Progression Free Survival (PFS) by Independent Review Committee (IRC)From randomization into maintenance phase up to 1276 daysThe PFS time was defined as the time from date of randomization until date of the first documentation of progressive disease (PD) or death due to any cause (whichever occurs first). PFS was assessed as per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) as per IRC. PD was defined as at least a 20 percent (%) increase in the sum of longest diameter (SLD), taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. PFS was measured using Kaplan-Meier (KM) estimates.
Maintenance Phase: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs According to National Cancer Institute-Common Terminology Criteria for Adverse Events Version 4.03 (NCI-CTCAE v4.03)From randomization into maintenance phase up to 1276 daysAdverse event (AE) was defined as any untoward medical occurrence in a participant, which does not necessarily have causal relationship with treatment. A serious AE was defined as an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged in participant hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. The term TEAE is defined as AEs starting or worsening after the first intake of the study drug. TEAEs included both serious TEAEs and non-serious TEAEs. Number of participants with TEAEs and serious TEAEs were reported.
Maintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology ValuesFrom baseline up to 1276 daysBlood samples were collected for the analysis of following hematology parameters: lymphocyte count, neutrophil count, white blood cells, platelet count, lipase, serum amylase, creatinine phosphokinase and creatinine. The hematology parameters were graded according to National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 4.03. Grade 1: mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences. An increase is defined as an increase in CTCAE grade relative to Baseline grade. Data for worst-case (Grade 4) post Baseline is presented. Only those participants with increase to grade 4 have been presented.
Maintenance Phase: Number of Participants With Potentially Clinically Significant Abnormalities in Vital SignsFrom randomization into maintenance phase up to 1276 daysVital signs assessment included Systolic blood pressure (SBP), Diastolic blood pressure (DBP) and Pulse Rate (PR). Number of Participants with any potentially clinically significant abnormalities in vital signs were reported. Clinical significance was determined by the investigator.
Maintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesFrom randomization into maintenance phase up to 1276 daysECG parameters included heart rate, pulse rate intervals, QRS interval, QT interval corrected based on Fridericia's formula (QTcF) intervals and QTcB intervals. Clinical significance was determined by the investigator. Number of participants with potentially clinically significant ECG abnormalities were reported.
Maintenance Phase: Number of Participants With Shift in Eastern Cooperative Oncology Group (ECOG) Performance Status Score to 1 or Higher Than 1From randomization into maintenance phase up to 1276 daysECOG PS score is widely used by doctors and researchers to assess how a participants' disease is progressing, and is used to assess how the disease affects the daily living abilities of the participant, and determine appropriate treatment and prognosis. The score ranges from Grade 0 to Grade 5, where Grade 0 = Fully active, able to carry on all pre-disease performance without restriction, Grade 1 = Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature (like light house work, office work), Grade 2 = Ambulatory and capable of all self-care but unable to carry out any work activities, Grade 3 = Capable of only limited self-care, confined to bed or chair more than 50% of waking hours and Grade 4 = Completely disabled. Cannot carry on any self-care. Totally confined to bed or chair, Grade 5 = Death. Number of participants with shift in ECOG PS Score to 1 or Higher Than 1 were reported.
Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Baseline, Week 3/4, Week 7, Week 13, Week 19, Week 25, Week 31, Week 37, Week 43, Week 49, Week 55, Week 61, Week 67, End of Treatment ( EOT up to 148 weeks) and Safety Follow-up (Up to 152.3 Weeks)European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) supplements the EORTC QLQ-C30 to assess symptoms and treatment-related side effects commonly reported in participants. There are 22 questions which comprise 5 scales (dysphagia, pain, reflux symptom, dietary restrictions, and anxiety) and 4 single items (dry mouth, hair loss, taste, body image). Most questions use 4-point scale (1 'Not at all' to 4 'Very much'; 1 question was a yes or no answer). A linear transformation was used to standardize all scores and single-items to a scale of 0 to 100; higher score=better level of functioning or greater degree of symptoms.

Countries

Australia, Brazil, Canada, France, Germany, Hungary, Italy, Japan, Romania, Russia, South Korea, Spain, Taiwan, Thailand, Turkey (Türkiye), United Kingdom, United States

Participant flow

Pre-assignment details

Overall, 1284 participants were screened for this study. Of which 799 participants received at least 1 dose in the Induction Phase, 499 participants were randomized into maintenance phase of the study.

Participants by arm

ArmCount
Chemotherapy + Best Supportive Care (BSC)
Oxaliplatin was administered at a dose of 85 mg per square meter (mg/m\^2) as a continuous intravenous (IV) infusion on Day 1 along with leucovorin at a dose of 200 mg/m\^2 or 400 mg/m\^2 on Day 1 followed by 5-Fluorouracil at a dose of 2600 mg/m\^2 IV continuous infusion over 24 hours on Day 1 or at 400 mg/m\^2 IV push on Day 1 and 2400 mg/m\^2 IV continuous infusion over 46-48 hours (Day 1 and 2) every 2 weeks up to 12 weeks (or) Oxaliplatin at 130 mg/m\^2 IV on Day 1 along with capecitabine at a dose of 1000 mg/m\^2 twice daily for 2 weeks followed by a 1-week rest period given every 3 weeks for up to 12 weeks in Induction phase. In Maintenance Phase, participants continued the same regimen of oxaliplatin-fluoropyrimidine doublet chemotherapy (oxaliplatin + 5FU/Leucovorin (LV) or oxaliplatin + capecitabine) as they received during the Induction Phase until disease progression, significant clinical deterioration, unacceptable toxicity, or discontinuation. Participants who were not deemed eligible to receive chemotherapy at the dose and schedule specified above received BSC alone once every 3 weeks. BSC was defined as treatment administered with the intent to maximize quality of life without a specific antineoplastic regimen and was based on Investigator's discretion.
250
Avelumab
Oxaliplatin was administered at a dose of 85 mg per square meter (mg/m\^2) as a continuous intravenous (IV) infusion on Day 1 along with leucovorin at a dose of 200 mg/m\^2 or 400 mg/m\^2 on Day 1 followed by 5-Fluorouracil at a dose of 2600 mg/m\^2 IV continuous infusion over 24 hours on Day 1 or at 400 mg/m\^2 IV push on Day 1 and 2400 mg/m\^2 IV continuous infusion over 46-48 hours (Day 1 and 2) every 2 weeks up to 12 weeks (or) Oxaliplatin at 130 mg/m\^2 IV on Day 1 along with capecitabine at a dose of 1000 mg/m\^2 twice daily for 2 weeks followed by a 1-week rest period given every 3 weeks for up to 12 weeks in Induction phase. In Maintenance phase, participants received avelumab as a 1-hour intravenous (IV) infusion at 10 milligrams per kilogram (mg/kg) once every 2-week treatment cycle until progressive disease or unacceptable toxicity or discontinuation.
249
Total499

Baseline characteristics

CharacteristicTotalAvelumabChemotherapy + Best Supportive Care (BSC)
Age, Continuous60.7 Years
STANDARD_DEVIATION 11.36
60.7 Years
STANDARD_DEVIATION 11.03
60.6 Years
STANDARD_DEVIATION 11.7
Ethnicity (NIH/OMB)
Hispanic or Latino
34 Participants19 Participants15 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
433 Participants220 Participants213 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
32 Participants10 Participants22 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
2 Participants0 Participants2 Participants
Race/Ethnicity, Customized
Asian
120 Participants61 Participants59 Participants
Race/Ethnicity, Customized
Black or African American
4 Participants2 Participants2 Participants
Race/Ethnicity, Customized
Missing
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Native Hawaiian or other Pacific Islander
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Not collected at this site
34 Participants12 Participants22 Participants
Race/Ethnicity, Customized
Other
6 Participants3 Participants3 Participants
Race/Ethnicity, Customized
White
332 Participants171 Participants161 Participants
Sex: Female, Male
Female
168 Participants85 Participants83 Participants
Sex: Female, Male
Male
331 Participants164 Participants167 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
13 / 23816 / 243
other
Total, other adverse events
203 / 238191 / 243
serious
Total, serious adverse events
75 / 23889 / 243

Outcome results

Primary

Overall Survival (OS)

Overall Survival was defined as the time from randomization to the date of death due to any cause. For participants who were still alive at the time of data analysis or who were lost to follow-up, OS time was censored at the date of last contact. OS was measured using Kaplan-Meier (KM) estimates.

Time frame: From randomization into maintenance phase up to 1276 days

Population: Full analysis set included all randomized participants included in treatment arm to which they were randomized.

ArmMeasureValue (MEDIAN)
Chemotherapy + Best Supportive Care (BSC)Overall Survival (OS)10.9 months
AvelumabOverall Survival (OS)10.4 months
p-value: 0.177995% CI: [0.74, 1.11]Log Rank
Secondary

Best Overall Response (BOR) by Investigator Assessment

BOR was determined by RECIST v1.1 per Investigator assessment and defined as best-confirmed response of any of following: complete response (CR), partial response (PR), stable disease (SD) and PD recorded from date of randomization until disease progression or recurrence. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in SLD of all lesions. SD: Neither sufficient increase to qualify for PD nor sufficient shrinkage to qualify for PR. PD is defined as at least a 20% increase in the SLD, taking as reference the smallest SLD recorded from baseline or appearance of 1 or more new lesions. PR or CR confirmed at a subsequent tumor assessment, not sooner than 5 weeks after initial documentation or at an assessment later than the next assessment after the initial documentation of PR or CR. SD confirmed at least 6 weeks after randomization. Confirmed PD equal to progression \<=2 weeks after date of randomization.

Time frame: From randomization into maintenance phase up to 1276 days

Population: Full analysis set included all randomized participants included in treatment arm to which they were randomized.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Chemotherapy + Best Supportive Care (BSC)Best Overall Response (BOR) by Investigator AssessmentComplete response5 Participants
Chemotherapy + Best Supportive Care (BSC)Best Overall Response (BOR) by Investigator AssessmentPartial response31 Participants
Chemotherapy + Best Supportive Care (BSC)Best Overall Response (BOR) by Investigator AssessmentStable disease117 Participants
Chemotherapy + Best Supportive Care (BSC)Best Overall Response (BOR) by Investigator AssessmentNoncomplete response/non progressive disease11 Participants
Chemotherapy + Best Supportive Care (BSC)Best Overall Response (BOR) by Investigator AssessmentProgressive disease58 Participants
Chemotherapy + Best Supportive Care (BSC)Best Overall Response (BOR) by Investigator AssessmentNon evaluable28 Participants
AvelumabBest Overall Response (BOR) by Investigator AssessmentProgressive disease85 Participants
AvelumabBest Overall Response (BOR) by Investigator AssessmentComplete response8 Participants
AvelumabBest Overall Response (BOR) by Investigator AssessmentNoncomplete response/non progressive disease10 Participants
AvelumabBest Overall Response (BOR) by Investigator AssessmentPartial response25 Participants
AvelumabBest Overall Response (BOR) by Investigator AssessmentNon evaluable29 Participants
AvelumabBest Overall Response (BOR) by Investigator AssessmentStable disease92 Participants
Secondary

Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)

European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) is a 30-question tool used to assess the overall quality of life (QoL) in cancer participants. It consisted of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, role, cognitive, emotional, social), and 9 symptom scales/items (Fatigue, nausea and vomiting, pain, dyspnoea, sleep disturbance, appetite loss, constipation, diarrhea, financial impact. The EORTC QLQ-C30 GHS/QoL score ranges from 0 to 100; High score indicates better GHS/QoL. Score 0 represents: very poor physical condition and QoL. Score 100 represents: excellent overall physical condition and QoL.

Time frame: Baseline, Week 3/4, Week 7, Week 13, Week 19, Week 25, Week 31, Week 37, Week 43, Week 49, Week 55, Week 61, Week 67, End of Treatment ( EOT up to 148 weeks) and Safety Follow-up (Up to 152.3 Weeks)

Population: Health-related quality of life (HRQoL) analysis set included randomized participants who had 1 Maintenance Phase Baseline HRQoL assessment and had at least 1 post-Maintenance Phase Baseline HRQoL questionnaire completed. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number Analyzed signified those participants who were evaluable for the specified category at given time points.

ArmMeasureGroupValue (MEAN)Dispersion
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 3/41.30 units on a scaleStandard Deviation 15.486
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 7-1.44 units on a scaleStandard Deviation 14.905
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 13-2.50 units on a scaleStandard Deviation 15.424
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 19-5.85 units on a scaleStandard Deviation 18.363
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 25-4.43 units on a scaleStandard Deviation 15.407
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 31-3.09 units on a scaleStandard Deviation 19.902
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 37-1.39 units on a scaleStandard Deviation 22.186
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 43-1.19 units on a scaleStandard Deviation 12.167
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 491.52 units on a scaleStandard Deviation 9.731
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 550.00 units on a scaleStandard Deviation 11.785
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 61-5.00 units on a scaleStandard Deviation 13.944
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 670.00 units on a scaleStandard Deviation 9.129
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)End Of Treatment-11.54 units on a scaleStandard Deviation 23.46
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Safety Follow-Up-7.51 units on a scaleStandard Deviation 19.475
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 612.38 units on a scaleStandard Deviation 15.622
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 3/40.85 units on a scaleStandard Deviation 15.021
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 433.33 units on a scaleStandard Deviation 18.518
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 7-1.01 units on a scaleStandard Deviation 16.967
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)End Of Treatment-11.67 units on a scaleStandard Deviation 21.409
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 130.24 units on a scaleStandard Deviation 17.637
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 494.01 units on a scaleStandard Deviation 15.907
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 191.37 units on a scaleStandard Deviation 18.611
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 674.90 units on a scaleStandard Deviation 18.413
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 250.41 units on a scaleStandard Deviation 16.204
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 554.00 units on a scaleStandard Deviation 15.426
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 311.85 units on a scaleStandard Deviation 16.938
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Safety Follow-Up-9.29 units on a scaleStandard Deviation 24.881
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score up to Safety Follow-up (Up to 152.3 Weeks)Week 371.77 units on a scaleStandard Deviation 19.293
Secondary

Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)

European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) supplements the EORTC QLQ-C30 to assess symptoms and treatment-related side effects commonly reported in participants. There are 22 questions which comprise 5 scales (dysphagia, pain, reflux symptom, dietary restrictions, and anxiety) and 4 single items (dry mouth, hair loss, taste, body image). Most questions use 4-point scale (1 'Not at all' to 4 'Very much'; 1 question was a yes or no answer). A linear transformation was used to standardize all scores and single-items to a scale of 0 to 100; higher score=better level of functioning or greater degree of symptoms.

Time frame: Baseline, Week 3/4, Week 7, Week 13, Week 19, Week 25, Week 31, Week 37, Week 43, Week 49, Week 55, Week 61, Week 67, End of Treatment ( EOT up to 148 weeks) and Safety Follow-up (Up to 152.3 Weeks)

Population: Health-related quality of life (HRQoL) analysis set included randomized participants who had 1 Maintenance Phase Baseline HRQoL assessment and had at least 1 post-Maintenance Phase Baseline HRQoL questionnaire completed. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number Analyzed signified those participants who were evaluable for the specified category at given time points.

ArmMeasureGroupValue (MEAN)Dispersion
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 314.01 units on a scaleStandard Deviation 19.111
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 610.00 units on a scaleStandard Deviation 15.713
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 43-4.76 units on a scaleStandard Deviation 14.265
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 49-3.03 units on a scaleStandard Deviation 8.736
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 550.00 units on a scaleStandard Deviation 13.608
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia: Week 3/40.76 units on a scaleStandard Deviation 13.371
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 72.84 units on a scaleStandard Deviation 15.258
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 131.60 units on a scaleStandard Deviation 14.09
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 19-0.58 units on a scaleStandard Deviation 15.772
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 25-1.39 units on a scaleStandard Deviation 10.465
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 310.82 units on a scaleStandard Deviation 14.755
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 37-7.19 units on a scaleStandard Deviation 17.977
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 67-1.85 units on a scaleStandard Deviation 10.924
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia End Of Treatment7.27 units on a scaleStandard Deviation 25.134
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Safety Follow-Up9.39 units on a scaleStandard Deviation 21.467
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 3/41.51 units on a scaleStandard Deviation 13.013
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 72.53 units on a scaleStandard Deviation 15.351
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 132.96 units on a scaleStandard Deviation 14.585
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 193.22 units on a scaleStandard Deviation 14.152
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 37-4.90 units on a scaleStandard Deviation 19.777
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 431.79 units on a scaleStandard Deviation 18.251
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 491.52 units on a scaleStandard Deviation 5.025
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 550.00 units on a scaleStandard Deviation 19.543
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 613.33 units on a scaleStandard Deviation 9.501
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 670.00 units on a scaleStandard Deviation 12.91
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain End Of Treatment9.25 units on a scaleStandard Deviation 20.853
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Safety Follow-Up8.22 units on a scaleStandard Deviation 18.011
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 3/41.04 units on a scaleStandard Deviation 14.197
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 70.31 units on a scaleStandard Deviation 14.695
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 130.99 units on a scaleStandard Deviation 14.098
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 191.75 units on a scaleStandard Deviation 17.032
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 250.69 units on a scaleStandard Deviation 14.648
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 31-2.06 units on a scaleStandard Deviation 14.791
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 37-6.54 units on a scaleStandard Deviation 18.864
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 43-3.17 units on a scaleStandard Deviation 15.364
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 491.01 units on a scaleStandard Deviation 9.236
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 552.22 units on a scaleStandard Deviation 4.969
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 616.67 units on a scaleStandard Deviation 9.938
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 677.41 units on a scaleStandard Deviation 13.456
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux End of Treatment3.43 units on a scaleStandard Deviation 19.529
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Safety Follow-up1.56 units on a scaleStandard Deviation 20.254
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 3/40.73 units on a scaleStandard Deviation 16.279
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 70.98 units on a scaleStandard Deviation 16.123
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 131.02 units on a scaleStandard Deviation 14.234
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 19-2.34 units on a scaleStandard Deviation 16.648
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 25-2.08 units on a scaleStandard Deviation 18.208
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 31-2.47 units on a scaleStandard Deviation 15.814
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 37-8.82 units on a scaleStandard Deviation 21.943
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 43-4.76 units on a scaleStandard Deviation 18.115
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 490.76 units on a scaleStandard Deviation 11.459
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 553.33 units on a scaleStandard Deviation 15.138
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 610.00 units on a scaleStandard Deviation 15.59
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 671.39 units on a scaleStandard Deviation 13.351
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions EOT8.27 units on a scaleStandard Deviation 20.898
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Safety Follow-up7.04 units on a scaleStandard Deviation 24.055
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 3/4-0.28 units on a scaleStandard Deviation 16.15
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 7-1.30 units on a scaleStandard Deviation 16.947
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 25-1.56 units on a scaleStandard Deviation 13.789
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 13-0.86 units on a scaleStandard Deviation 20.685
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 19-1.56 units on a scaleStandard Deviation 21.561
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 25-2.78 units on a scaleStandard Deviation 23.78
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 314.12 units on a scaleStandard Deviation 23.7
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 37-3.92 units on a scaleStandard Deviation 20.765
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 43-3.97 units on a scaleStandard Deviation 22.48
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 490.00 units on a scaleStandard Deviation 12.172
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 552.22 units on a scaleStandard Deviation 9.296
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 61-4.44 units on a scaleStandard Deviation 12.669
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 679.26 units on a scaleStandard Deviation 16.355
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety End of Treatment4.58 units on a scaleStandard Deviation 21.868
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Safety Follow-Up5.48 units on a scaleStandard Deviation 24.116
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 49-2.06 units on a scaleStandard Deviation 16.317
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions EOT10.01 units on a scaleStandard Deviation 22.055
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 611.06 units on a scaleStandard Deviation 12.123
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 55-3.56 units on a scaleStandard Deviation 19.699
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 43-2.59 units on a scaleStandard Deviation 13.27
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 67-1.96 units on a scaleStandard Deviation 24.918
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 491.23 units on a scaleStandard Deviation 13.195
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 61-6.35 units on a scaleStandard Deviation 12.944
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Safety Follow-up11.59 units on a scaleStandard Deviation 25.05
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia: Week 3/40.60 units on a scaleStandard Deviation 15.227
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 670.00 units on a scaleStandard Deviation 19.245
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 71.34 units on a scaleStandard Deviation 13.453
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 43-1.11 units on a scaleStandard Deviation 24.474
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 130.65 units on a scaleStandard Deviation 12.781
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux End of Treatment4.73 units on a scaleStandard Deviation 20.455
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 191.52 units on a scaleStandard Deviation 14.307
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 3/4-4.06 units on a scaleStandard Deviation 18.03
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 251.69 units on a scaleStandard Deviation 14.852
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Safety Follow-up2.90 units on a scaleStandard Deviation 19.212
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 314.39 units on a scaleStandard Deviation 20.877
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 25-1.55 units on a scaleStandard Deviation 17.54
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 37-0.67 units on a scaleStandard Deviation 14.683
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 3/40.13 units on a scaleStandard Deviation 15.438
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 671.31 units on a scaleStandard Deviation 17.516
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 49-6.17 units on a scaleStandard Deviation 17.792
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia End Of Treatment8.21 units on a scaleStandard Deviation 22.633
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 7-0.27 units on a scaleStandard Deviation 15.516
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Safety Follow-Up7.25 units on a scaleStandard Deviation 19.417
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 7-1.20 units on a scaleStandard Deviation 20.58
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 3/4-0.04 units on a scaleStandard Deviation 13.465
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 130.00 units on a scaleStandard Deviation 14.023
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 72.60 units on a scaleStandard Deviation 15.21
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety End of Treatment5.89 units on a scaleStandard Deviation 23.939
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 130.16 units on a scaleStandard Deviation 13.523
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 19-0.63 units on a scaleStandard Deviation 11.993
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 19-0.51 units on a scaleStandard Deviation 14.088
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 310.97 units on a scaleStandard Deviation 18.564
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 13-2.83 units on a scaleStandard Deviation 16.3
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 37-1.26 units on a scaleStandard Deviation 12.346
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 25-1.55 units on a scaleStandard Deviation 15.434
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 43-1.94 units on a scaleStandard Deviation 14.129
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 55-4.00 units on a scaleStandard Deviation 20
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 49-0.62 units on a scaleStandard Deviation 12.853
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 310.39 units on a scaleStandard Deviation 14.88
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 55-1.00 units on a scaleStandard Deviation 10.012
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 19-1.68 units on a scaleStandard Deviation 19.22
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 61-1.59 units on a scaleStandard Deviation 13.596
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 37-3.28 units on a scaleStandard Deviation 15.014
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Week 67-0.49 units on a scaleStandard Deviation 15.721
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Dysphagia Week 550.89 units on a scaleStandard Deviation 13.194
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain End Of Treatment9.45 units on a scaleStandard Deviation 22.96
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 43-3.89 units on a scaleStandard Deviation 13.443
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Pain Safety Follow-Up10.99 units on a scaleStandard Deviation 20.931
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 25-1.69 units on a scaleStandard Deviation 14.562
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 3/40.12 units on a scaleStandard Deviation 13.571
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 49-5.25 units on a scaleStandard Deviation 12.043
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 70.50 units on a scaleStandard Deviation 17.807
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 61-4.76 units on a scaleStandard Deviation 24.488
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 13-1.09 units on a scaleStandard Deviation 15.753
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 55-6.00 units on a scaleStandard Deviation 12.62
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 19-1.68 units on a scaleStandard Deviation 15.377
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 31-0.52 units on a scaleStandard Deviation 24.119
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 251.69 units on a scaleStandard Deviation 19.77
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 61-5.56 units on a scaleStandard Deviation 12.999
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 31-1.29 units on a scaleStandard Deviation 18.339
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Safety Follow-Up4.99 units on a scaleStandard Deviation 26.234
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 37-4.38 units on a scaleStandard Deviation 17.773
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Eating Restrictions Week 67-2.45 units on a scaleStandard Deviation 19.712
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Reflux Week 43-5.56 units on a scaleStandard Deviation 16.699
AvelumabChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Specific (EORTC QLQ-STO22 ) Questionnaire Scores up to Safety Follow-up (Up to 152.3 Weeks)Anxiety Week 37-1.01 units on a scaleStandard Deviation 27.409
Secondary

Change From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)

EQ-5D-5L is comprised of the following 5 participant-reported dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The responses are used to derive overall composite health state index score, with scores ranging from -0.594 to 1. A higher score indicates better health state.

Time frame: Baseline, Week 3/4, Week 7, Week 13, Week 19, Week 25, Week 31, Week 37, Week 43, Week 49, Week 55, Week 61, Week 67, End of Treatment ( EOT up to 148 weeks) and Safety Follow-up (Up to 152.3 Weeks)

Population: Health-related quality of life (HRQoL) analysis set included randomized participants who had 1 Maintenance Phase Baseline HRQoL assessment and had at least 1 post-Maintenance Phase Baseline HRQoL questionnaire completed. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number Analyzed signified those participants who were evaluable for the specified category at given time points.

ArmMeasureGroupValue (MEAN)Dispersion
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 3/4-0.002 Units on ScaleStandard Deviation 0.1242
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 7-0.032 Units on ScaleStandard Deviation 0.1644
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 13-0.053 Units on ScaleStandard Deviation 0.1733
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 19-0.039 Units on ScaleStandard Deviation 0.1934
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 25-0.049 Units on ScaleStandard Deviation 0.1797
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 31-0.023 Units on ScaleStandard Deviation 0.1619
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 37-0.035 Units on ScaleStandard Deviation 0.1505
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 43-0.046 Units on ScaleStandard Deviation 0.136
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 49-0.100 Units on ScaleStandard Deviation 0.1796
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 55-0.164 Units on ScaleStandard Deviation 0.2056
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 61-0.091 Units on ScaleStandard Deviation 0.2229
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 67-0.076 Units on ScaleStandard Deviation 0.2347
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)End Of Treatment-0.125 Units on ScaleStandard Deviation 0.2432
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Safety Follow-Up-0.062 Units on ScaleStandard Deviation 0.2391
AvelumabChange From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 610.031 Units on ScaleStandard Deviation 0.1364
AvelumabChange From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 3/40.004 Units on ScaleStandard Deviation 0.161
AvelumabChange From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 430.058 Units on ScaleStandard Deviation 0.199
AvelumabChange From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 7-0.009 Units on ScaleStandard Deviation 0.1588
AvelumabChange From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)End Of Treatment-0.138 Units on ScaleStandard Deviation 0.2461
AvelumabChange From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 13-0.017 Units on ScaleStandard Deviation 0.1599
AvelumabChange From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 490.026 Units on ScaleStandard Deviation 0.1936
AvelumabChange From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 19-0.011 Units on ScaleStandard Deviation 0.1556
AvelumabChange From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 670.039 Units on ScaleStandard Deviation 0.1954
AvelumabChange From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 250.014 Units on ScaleStandard Deviation 0.1518
AvelumabChange From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 550.028 Units on ScaleStandard Deviation 0.2067
AvelumabChange From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 310.013 Units on ScaleStandard Deviation 0.1665
AvelumabChange From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Safety Follow-Up-0.099 Units on ScaleStandard Deviation 0.1942
AvelumabChange From Baseline in European Quality of Life 5-dimensions (EQ-5D-5L) Health Outcome Questionnaire Through Composite Index Score up to Safety Follow-up (Up to 152.3 Weeks)Week 370.013 Units on ScaleStandard Deviation 0.2234
Secondary

Change From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)

EQ-5D-5L is comprised of the following 5 participant-reported dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The responses are used to derive overall score using a visual analog scale (VAS) that ranged from 0 to 100 millimeter (mm), where 0 is the worst health you can imagine and 100 is the best health you can imagine.

Time frame: Baseline, Week 3/4, Week 7, Week 13, Week 19, Week 25, Week 31, Week 37, Week 43, Week 49, Week 55, Week 61, Week 67, End of Treatment ( EOT up to 148 weeks) and Safety Follow-up (Up to 152.3 Weeks)

Population: Health-related quality of life (HRQoL) analysis set included randomized participants who had 1 Maintenance Phase Baseline HRQoL assessment and had at least 1 post-Maintenance Phase Baseline HRQoL questionnaire completed. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number Analyzed signified those participants who were evaluable for the specified category at given time points.

ArmMeasureGroupValue (MEAN)Dispersion
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 3/40.9 MillimeterStandard Deviation 13.94
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 7-0.5 MillimeterStandard Deviation 13.59
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 13-3.2 MillimeterStandard Deviation 12.83
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 19-3.5 MillimeterStandard Deviation 16.39
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 25-4.5 MillimeterStandard Deviation 15.66
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 31-2.3 MillimeterStandard Deviation 13.14
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 37-1.7 MillimeterStandard Deviation 11.78
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 43-4.4 MillimeterStandard Deviation 11.92
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 49-2.9 MillimeterStandard Deviation 8.95
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 55-9.4 MillimeterStandard Deviation 16.32
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 61-6.4 MillimeterStandard Deviation 18.09
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 67-7.3 MillimeterStandard Deviation 17.1
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)End Of Treatment-12.2 MillimeterStandard Deviation 22.39
Chemotherapy + Best Supportive Care (BSC)Change From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Safety Follow-Up-8.0 MillimeterStandard Deviation 19.24
AvelumabChange From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 613.5 MillimeterStandard Deviation 16.15
AvelumabChange From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 3/40.6 MillimeterStandard Deviation 13.11
AvelumabChange From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 433.2 MillimeterStandard Deviation 15.34
AvelumabChange From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 7-2.1 MillimeterStandard Deviation 14.09
AvelumabChange From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)End Of Treatment-10.3 MillimeterStandard Deviation 20.84
AvelumabChange From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 13-0.7 MillimeterStandard Deviation 13.41
AvelumabChange From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 492.1 MillimeterStandard Deviation 13.04
AvelumabChange From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 19-0.1 MillimeterStandard Deviation 14.93
AvelumabChange From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 674.9 MillimeterStandard Deviation 17.31
AvelumabChange From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 25-1.4 MillimeterStandard Deviation 15.76
AvelumabChange From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 553.4 MillimeterStandard Deviation 16.52
AvelumabChange From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 311.4 MillimeterStandard Deviation 17.61
AvelumabChange From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Safety Follow-Up-9.6 MillimeterStandard Deviation 20.3
AvelumabChange From Baseline in European Quality of Life 5-dimensions Health Outcome Questionnaire Through Visual Analogue Scale up to Safety Follow-up (Up to 152.3 Weeks)Week 370.9 MillimeterStandard Deviation 20.39
Secondary

Maintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology Values

Blood samples were collected for the analysis of following hematology parameters: lymphocyte count, neutrophil count, white blood cells, platelet count, lipase, serum amylase, creatinine phosphokinase and creatinine. The hematology parameters were graded according to National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 4.03. Grade 1: mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences. An increase is defined as an increase in CTCAE grade relative to Baseline grade. Data for worst-case (Grade 4) post Baseline is presented. Only those participants with increase to grade 4 have been presented.

Time frame: From baseline up to 1276 days

Population: Safety-Maintenance Analysis (SMA) Set included all participants who were administered any dose of the maintenance phase study medication or participants randomized to the chemotherapy arm who are designated to receive BSC only. Participants included in the treatment arm according to study treatment actually received.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology Valueslymphocyte count decreased0 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology Valuesneutrophil count decreased6 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology Valueswhite blood cells decreased2 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology Valuesplatelet count decreased1 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology Valueslipase increased6 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology Valuesserum amylase increased3 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology Valuescreatinine phosphokinase increased0 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology Valuescreatinine increased0 Participants
AvelumabMaintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology Valuescreatinine increased1 Participants
AvelumabMaintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology Valueslymphocyte count decreased1 Participants
AvelumabMaintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology Valueslipase increased8 Participants
AvelumabMaintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology Valuesneutrophil count decreased1 Participants
AvelumabMaintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology Valuescreatinine phosphokinase increased2 Participants
AvelumabMaintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology Valueswhite blood cells decreased0 Participants
AvelumabMaintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology Valuesserum amylase increased2 Participants
AvelumabMaintenance Phase: Number of Participants With Grade Change From Baseline to Worst On-Treatment Grade 4 Hematology Valuesplatelet count decreased0 Participants
Secondary

Maintenance Phase: Number of Participants With Potentially Clinically Significant Abnormalities in Vital Signs

Vital signs assessment included Systolic blood pressure (SBP), Diastolic blood pressure (DBP) and Pulse Rate (PR). Number of Participants with any potentially clinically significant abnormalities in vital signs were reported. Clinical significance was determined by the investigator.

Time frame: From randomization into maintenance phase up to 1276 days

Population: Safety-Maintenance Analysis Set included all participants who were administered any dose of the maintenance phase study medication or participants randomized to the chemotherapy arm who are designated to receive BSC only. Participants included in the treatment arm according to study treatment actually received.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Potentially Clinically Significant Abnormalities in Vital SignsIncreased in Systolic blood pressure57 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Potentially Clinically Significant Abnormalities in Vital SignsDecreased in Systolic blood pressure43 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Potentially Clinically Significant Abnormalities in Vital SignsIncreased in Diastolic blood pressure14 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Potentially Clinically Significant Abnormalities in Vital SignsDecreased in Diastolic blood pressure21 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Potentially Clinically Significant Abnormalities in Vital SignsIncreased in pulse rate46 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Potentially Clinically Significant Abnormalities in Vital SignsDecreased in pulse rate32 Participants
AvelumabMaintenance Phase: Number of Participants With Potentially Clinically Significant Abnormalities in Vital SignsIncreased in pulse rate48 Participants
AvelumabMaintenance Phase: Number of Participants With Potentially Clinically Significant Abnormalities in Vital SignsIncreased in Systolic blood pressure62 Participants
AvelumabMaintenance Phase: Number of Participants With Potentially Clinically Significant Abnormalities in Vital SignsDecreased in Diastolic blood pressure26 Participants
AvelumabMaintenance Phase: Number of Participants With Potentially Clinically Significant Abnormalities in Vital SignsDecreased in Systolic blood pressure69 Participants
AvelumabMaintenance Phase: Number of Participants With Potentially Clinically Significant Abnormalities in Vital SignsDecreased in pulse rate30 Participants
AvelumabMaintenance Phase: Number of Participants With Potentially Clinically Significant Abnormalities in Vital SignsIncreased in Diastolic blood pressure24 Participants
Secondary

Maintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Abnormalities

ECG parameters included heart rate, pulse rate intervals, QRS interval, QT interval corrected based on Fridericia's formula (QTcF) intervals and QTcB intervals. Clinical significance was determined by the investigator. Number of participants with potentially clinically significant ECG abnormalities were reported.

Time frame: From randomization into maintenance phase up to 1276 days

Population: Safety-Maintenance Analysis Set included all participants who were administered any dose of the maintenance phase study medication or participants randomized to the chemotherapy arm who are designated to receive BSC only. Participants included in the treatment arm according to study treatment actually received.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesDecreased heart rate0 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesIncreased heart rate2 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesIncreased Pulse Rate interval1 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesIncreased QRS interval5 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesQTcF interval greater than (>)450milisecond (ms)less than or equal to(<=)480ms9 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesQTcF interval: > 480 ms <= 500 ms2 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesQTcF interval: > 500 ms3 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesQTcB Interval: > 450 msec <= 480 msec19 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesQTcB Interval: > 480 msec <= 500 msec2 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesQTcB Interval: > 500 msec5 Participants
AvelumabMaintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesQTcB Interval: > 450 msec <= 480 msec18 Participants
AvelumabMaintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesDecreased heart rate1 Participants
AvelumabMaintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesQTcF interval: > 480 ms <= 500 ms3 Participants
AvelumabMaintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesIncreased heart rate2 Participants
AvelumabMaintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesQTcB Interval: > 500 msec3 Participants
AvelumabMaintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesIncreased Pulse Rate interval3 Participants
AvelumabMaintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesQTcF interval: > 500 ms1 Participants
AvelumabMaintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesIncreased QRS interval8 Participants
AvelumabMaintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesQTcB Interval: > 480 msec <= 500 msec2 Participants
AvelumabMaintenance Phase: Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) AbnormalitiesQTcF interval greater than (>)450milisecond (ms)less than or equal to(<=)480ms9 Participants
Secondary

Maintenance Phase: Number of Participants With Shift in Eastern Cooperative Oncology Group (ECOG) Performance Status Score to 1 or Higher Than 1

ECOG PS score is widely used by doctors and researchers to assess how a participants' disease is progressing, and is used to assess how the disease affects the daily living abilities of the participant, and determine appropriate treatment and prognosis. The score ranges from Grade 0 to Grade 5, where Grade 0 = Fully active, able to carry on all pre-disease performance without restriction, Grade 1 = Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature (like light house work, office work), Grade 2 = Ambulatory and capable of all self-care but unable to carry out any work activities, Grade 3 = Capable of only limited self-care, confined to bed or chair more than 50% of waking hours and Grade 4 = Completely disabled. Cannot carry on any self-care. Totally confined to bed or chair, Grade 5 = Death. Number of participants with shift in ECOG PS Score to 1 or Higher Than 1 were reported.

Time frame: From randomization into maintenance phase up to 1276 days

Population: Safety-Maintenance Analysis Set included all participants who were administered any dose of the maintenance phase study medication or participants randomized to the chemotherapy arm who are designated to receive BSC only. Participants included in the treatment arm according to study treatment actually received.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Shift in Eastern Cooperative Oncology Group (ECOG) Performance Status Score to 1 or Higher Than 1140 Participants
AvelumabMaintenance Phase: Number of Participants With Shift in Eastern Cooperative Oncology Group (ECOG) Performance Status Score to 1 or Higher Than 1144 Participants
Secondary

Maintenance Phase: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs According to National Cancer Institute-Common Terminology Criteria for Adverse Events Version 4.03 (NCI-CTCAE v4.03)

Adverse event (AE) was defined as any untoward medical occurrence in a participant, which does not necessarily have causal relationship with treatment. A serious AE was defined as an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged in participant hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. The term TEAE is defined as AEs starting or worsening after the first intake of the study drug. TEAEs included both serious TEAEs and non-serious TEAEs. Number of participants with TEAEs and serious TEAEs were reported.

Time frame: From randomization into maintenance phase up to 1276 days

Population: Safety-Maintenance Analysis Set included all participants who were administered any dose of the maintenance phase study medication or participants randomized to the chemotherapy arm who are designated to receive BSC only. Participants included in the treatment arm according to study treatment actually received.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs According to National Cancer Institute-Common Terminology Criteria for Adverse Events Version 4.03 (NCI-CTCAE v4.03)Any TEAEs214 Participants
Chemotherapy + Best Supportive Care (BSC)Maintenance Phase: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs According to National Cancer Institute-Common Terminology Criteria for Adverse Events Version 4.03 (NCI-CTCAE v4.03)Any Serious TEAE75 Participants
AvelumabMaintenance Phase: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs According to National Cancer Institute-Common Terminology Criteria for Adverse Events Version 4.03 (NCI-CTCAE v4.03)Any TEAEs223 Participants
AvelumabMaintenance Phase: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs According to National Cancer Institute-Common Terminology Criteria for Adverse Events Version 4.03 (NCI-CTCAE v4.03)Any Serious TEAE89 Participants
Secondary

Objective Response Rate (ORR) by Investigator Assessment

The ORR defined as the percentage of all randomized participants with a confirmed best overall response (BOR) of partial response (PR),or complete response (CR) according to RECIST v1.1 and as per Investigator assessment. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30 percent (%) reduction from baseline in sum of longest diameter (SLD) of all lesions.

Time frame: From randomization into maintenance phase up to 1276 days

Population: Full analysis set included all randomized participants included in treatment arm to which they were randomized.

ArmMeasureValue (NUMBER)
Chemotherapy + Best Supportive Care (BSC)Objective Response Rate (ORR) by Investigator Assessment14.4 percentage of participants
AvelumabObjective Response Rate (ORR) by Investigator Assessment13.3 percentage of participants
95% CI: [0.55, 1.51]
Secondary

Progression Free Survival (PFS) by Independent Review Committee (IRC)

The PFS time was defined as the time from date of randomization until date of the first documentation of progressive disease (PD) or death due to any cause (whichever occurs first). PFS was assessed as per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) as per IRC. PD was defined as at least a 20 percent (%) increase in the sum of longest diameter (SLD), taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. PFS was measured using Kaplan-Meier (KM) estimates.

Time frame: From randomization into maintenance phase up to 1276 days

Population: Full analysis set included all randomized participants included in treatment arm to which they were randomized.

ArmMeasureValue (MEDIAN)
Chemotherapy + Best Supportive Care (BSC)Progression Free Survival (PFS) by Independent Review Committee (IRC)4.4 months
AvelumabProgression Free Survival (PFS) by Independent Review Committee (IRC)3.2 months
95% CI: [0.85, 1.28]

Source: ClinicalTrials.gov · Data processed: Mar 5, 2026