author_facet Hudgens, Stacie
Gable, Jonathon
Kulke, Matthew H.
Bergsland, Emily
Anthony, Lowell Brian
Caplin, Martyn E.
Oberg, Kjell E.
Pavel, Marianne
Banks, Phillip
Yang, Qi Melissa
Lapuerta, Pablo
Hudgens, Stacie
Gable, Jonathon
Kulke, Matthew H.
Bergsland, Emily
Anthony, Lowell Brian
Caplin, Martyn E.
Oberg, Kjell E.
Pavel, Marianne
Banks, Phillip
Yang, Qi Melissa
Lapuerta, Pablo
author Hudgens, Stacie
Gable, Jonathon
Kulke, Matthew H.
Bergsland, Emily
Anthony, Lowell Brian
Caplin, Martyn E.
Oberg, Kjell E.
Pavel, Marianne
Banks, Phillip
Yang, Qi Melissa
Lapuerta, Pablo
spellingShingle Hudgens, Stacie
Gable, Jonathon
Kulke, Matthew H.
Bergsland, Emily
Anthony, Lowell Brian
Caplin, Martyn E.
Oberg, Kjell E.
Pavel, Marianne
Banks, Phillip
Yang, Qi Melissa
Lapuerta, Pablo
Journal of Clinical Oncology
Evaluation of meaningful change in bowel movement frequency for patients with carcinoid syndrome.
Cancer Research
Oncology
author_sort hudgens, stacie
spelling Hudgens, Stacie Gable, Jonathon Kulke, Matthew H. Bergsland, Emily Anthony, Lowell Brian Caplin, Martyn E. Oberg, Kjell E. Pavel, Marianne Banks, Phillip Yang, Qi Melissa Lapuerta, Pablo 0732-183X 1527-7755 American Society of Clinical Oncology (ASCO) Cancer Research Oncology http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e15132 <jats:p> e15132 </jats:p><jats:p> Background: Telotristat ethyl is a tryptophan hydroxylase inhibitor in development for the treatment of carcinoid syndrome (CS) in patients who receive somatostatin analog (SSA) therapy. In TELESTAR, a pivotal Phase 3 study, telotristat ethyl significantly reduced bowel movement (BM) frequency compared to placebo. The objective of this study was to psychometrically assess meaningful change in BM frequency using data collected within the TELESTAR study. Methods: An anchor-based approach consisted of mapping change from baseline in BM frequency to other patient reported assessments of change. These included the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core Questionnaire (EORTC QLQ-C30) Diarrhea Symptom responders, the EORTC GI.NET21 GI Symptom responders, and patient reported adequate relief at Week 12 (responders had a ≥ 10-point decrease in scores from Day 1 to Week 12). Parameters included within group mean change from baseline to Week 12, t-tests of the change (Wilcoxon Rank Sum for adequate relief), effect size (ES: calculated as the difference between mean on-treatment and baseline BM frequency, divided by the standard deviation of the baseline), and related confidence intervals. Results: There were 135 patients with CS, with a mean age of 63.6 years and mean baseline BM frequency of 5.7 BM/day. Anchor-based analyses indicated significant differences in BM frequency between adequate relief groups at Week 12 (ES: −1.58 vs. −0.79; p = 0.014), responders and non-responders on the EORTC QLQ-C30 Diarrhea Symptoms domain (ES: −1.24 vs. −0.59; p &lt; 0.0001), and responders and non-responders on the EORTC GI.NET21 GI Symptoms Domain (ES: −1.49 vs. −0.75; p = 0.0053). These corresponded to BM frequency reductions of 1.7–1.9 BM/day, or ≥ 30%. Conclusions: Results of this study indicated that patients with CS experienced clinically meaningful reductions in BM frequency of ≥ 30% over the course of 12 weeks. Clinical trial information: NCT01677910. </jats:p> Evaluation of meaningful change in bowel movement frequency for patients with carcinoid syndrome. Journal of Clinical Oncology
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title Evaluation of meaningful change in bowel movement frequency for patients with carcinoid syndrome.
title_unstemmed Evaluation of meaningful change in bowel movement frequency for patients with carcinoid syndrome.
title_full Evaluation of meaningful change in bowel movement frequency for patients with carcinoid syndrome.
title_fullStr Evaluation of meaningful change in bowel movement frequency for patients with carcinoid syndrome.
title_full_unstemmed Evaluation of meaningful change in bowel movement frequency for patients with carcinoid syndrome.
title_short Evaluation of meaningful change in bowel movement frequency for patients with carcinoid syndrome.
title_sort evaluation of meaningful change in bowel movement frequency for patients with carcinoid syndrome.
topic Cancer Research
Oncology
url http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e15132
publishDate 2017
physical e15132-e15132
description <jats:p> e15132 </jats:p><jats:p> Background: Telotristat ethyl is a tryptophan hydroxylase inhibitor in development for the treatment of carcinoid syndrome (CS) in patients who receive somatostatin analog (SSA) therapy. In TELESTAR, a pivotal Phase 3 study, telotristat ethyl significantly reduced bowel movement (BM) frequency compared to placebo. The objective of this study was to psychometrically assess meaningful change in BM frequency using data collected within the TELESTAR study. Methods: An anchor-based approach consisted of mapping change from baseline in BM frequency to other patient reported assessments of change. These included the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core Questionnaire (EORTC QLQ-C30) Diarrhea Symptom responders, the EORTC GI.NET21 GI Symptom responders, and patient reported adequate relief at Week 12 (responders had a ≥ 10-point decrease in scores from Day 1 to Week 12). Parameters included within group mean change from baseline to Week 12, t-tests of the change (Wilcoxon Rank Sum for adequate relief), effect size (ES: calculated as the difference between mean on-treatment and baseline BM frequency, divided by the standard deviation of the baseline), and related confidence intervals. Results: There were 135 patients with CS, with a mean age of 63.6 years and mean baseline BM frequency of 5.7 BM/day. Anchor-based analyses indicated significant differences in BM frequency between adequate relief groups at Week 12 (ES: −1.58 vs. −0.79; p = 0.014), responders and non-responders on the EORTC QLQ-C30 Diarrhea Symptoms domain (ES: −1.24 vs. −0.59; p &lt; 0.0001), and responders and non-responders on the EORTC GI.NET21 GI Symptoms Domain (ES: −1.49 vs. −0.75; p = 0.0053). These corresponded to BM frequency reductions of 1.7–1.9 BM/day, or ≥ 30%. Conclusions: Results of this study indicated that patients with CS experienced clinically meaningful reductions in BM frequency of ≥ 30% over the course of 12 weeks. Clinical trial information: NCT01677910. </jats:p>
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author Hudgens, Stacie, Gable, Jonathon, Kulke, Matthew H., Bergsland, Emily, Anthony, Lowell Brian, Caplin, Martyn E., Oberg, Kjell E., Pavel, Marianne, Banks, Phillip, Yang, Qi Melissa, Lapuerta, Pablo
author_facet Hudgens, Stacie, Gable, Jonathon, Kulke, Matthew H., Bergsland, Emily, Anthony, Lowell Brian, Caplin, Martyn E., Oberg, Kjell E., Pavel, Marianne, Banks, Phillip, Yang, Qi Melissa, Lapuerta, Pablo, Hudgens, Stacie, Gable, Jonathon, Kulke, Matthew H., Bergsland, Emily, Anthony, Lowell Brian, Caplin, Martyn E., Oberg, Kjell E., Pavel, Marianne, Banks, Phillip, Yang, Qi Melissa, Lapuerta, Pablo
author_sort hudgens, stacie
container_issue 15_suppl
container_start_page 0
container_title Journal of Clinical Oncology
container_volume 35
description <jats:p> e15132 </jats:p><jats:p> Background: Telotristat ethyl is a tryptophan hydroxylase inhibitor in development for the treatment of carcinoid syndrome (CS) in patients who receive somatostatin analog (SSA) therapy. In TELESTAR, a pivotal Phase 3 study, telotristat ethyl significantly reduced bowel movement (BM) frequency compared to placebo. The objective of this study was to psychometrically assess meaningful change in BM frequency using data collected within the TELESTAR study. Methods: An anchor-based approach consisted of mapping change from baseline in BM frequency to other patient reported assessments of change. These included the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core Questionnaire (EORTC QLQ-C30) Diarrhea Symptom responders, the EORTC GI.NET21 GI Symptom responders, and patient reported adequate relief at Week 12 (responders had a ≥ 10-point decrease in scores from Day 1 to Week 12). Parameters included within group mean change from baseline to Week 12, t-tests of the change (Wilcoxon Rank Sum for adequate relief), effect size (ES: calculated as the difference between mean on-treatment and baseline BM frequency, divided by the standard deviation of the baseline), and related confidence intervals. Results: There were 135 patients with CS, with a mean age of 63.6 years and mean baseline BM frequency of 5.7 BM/day. Anchor-based analyses indicated significant differences in BM frequency between adequate relief groups at Week 12 (ES: −1.58 vs. −0.79; p = 0.014), responders and non-responders on the EORTC QLQ-C30 Diarrhea Symptoms domain (ES: −1.24 vs. −0.59; p &lt; 0.0001), and responders and non-responders on the EORTC GI.NET21 GI Symptoms Domain (ES: −1.49 vs. −0.75; p = 0.0053). These corresponded to BM frequency reductions of 1.7–1.9 BM/day, or ≥ 30%. Conclusions: Results of this study indicated that patients with CS experienced clinically meaningful reductions in BM frequency of ≥ 30% over the course of 12 weeks. Clinical trial information: NCT01677910. </jats:p>
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spelling Hudgens, Stacie Gable, Jonathon Kulke, Matthew H. Bergsland, Emily Anthony, Lowell Brian Caplin, Martyn E. Oberg, Kjell E. Pavel, Marianne Banks, Phillip Yang, Qi Melissa Lapuerta, Pablo 0732-183X 1527-7755 American Society of Clinical Oncology (ASCO) Cancer Research Oncology http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e15132 <jats:p> e15132 </jats:p><jats:p> Background: Telotristat ethyl is a tryptophan hydroxylase inhibitor in development for the treatment of carcinoid syndrome (CS) in patients who receive somatostatin analog (SSA) therapy. In TELESTAR, a pivotal Phase 3 study, telotristat ethyl significantly reduced bowel movement (BM) frequency compared to placebo. The objective of this study was to psychometrically assess meaningful change in BM frequency using data collected within the TELESTAR study. Methods: An anchor-based approach consisted of mapping change from baseline in BM frequency to other patient reported assessments of change. These included the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core Questionnaire (EORTC QLQ-C30) Diarrhea Symptom responders, the EORTC GI.NET21 GI Symptom responders, and patient reported adequate relief at Week 12 (responders had a ≥ 10-point decrease in scores from Day 1 to Week 12). Parameters included within group mean change from baseline to Week 12, t-tests of the change (Wilcoxon Rank Sum for adequate relief), effect size (ES: calculated as the difference between mean on-treatment and baseline BM frequency, divided by the standard deviation of the baseline), and related confidence intervals. Results: There were 135 patients with CS, with a mean age of 63.6 years and mean baseline BM frequency of 5.7 BM/day. Anchor-based analyses indicated significant differences in BM frequency between adequate relief groups at Week 12 (ES: −1.58 vs. −0.79; p = 0.014), responders and non-responders on the EORTC QLQ-C30 Diarrhea Symptoms domain (ES: −1.24 vs. −0.59; p &lt; 0.0001), and responders and non-responders on the EORTC GI.NET21 GI Symptoms Domain (ES: −1.49 vs. −0.75; p = 0.0053). These corresponded to BM frequency reductions of 1.7–1.9 BM/day, or ≥ 30%. Conclusions: Results of this study indicated that patients with CS experienced clinically meaningful reductions in BM frequency of ≥ 30% over the course of 12 weeks. Clinical trial information: NCT01677910. </jats:p> Evaluation of meaningful change in bowel movement frequency for patients with carcinoid syndrome. Journal of Clinical Oncology
spellingShingle Hudgens, Stacie, Gable, Jonathon, Kulke, Matthew H., Bergsland, Emily, Anthony, Lowell Brian, Caplin, Martyn E., Oberg, Kjell E., Pavel, Marianne, Banks, Phillip, Yang, Qi Melissa, Lapuerta, Pablo, Journal of Clinical Oncology, Evaluation of meaningful change in bowel movement frequency for patients with carcinoid syndrome., Cancer Research, Oncology
title Evaluation of meaningful change in bowel movement frequency for patients with carcinoid syndrome.
title_full Evaluation of meaningful change in bowel movement frequency for patients with carcinoid syndrome.
title_fullStr Evaluation of meaningful change in bowel movement frequency for patients with carcinoid syndrome.
title_full_unstemmed Evaluation of meaningful change in bowel movement frequency for patients with carcinoid syndrome.
title_short Evaluation of meaningful change in bowel movement frequency for patients with carcinoid syndrome.
title_sort evaluation of meaningful change in bowel movement frequency for patients with carcinoid syndrome.
title_unstemmed Evaluation of meaningful change in bowel movement frequency for patients with carcinoid syndrome.
topic Cancer Research, Oncology
url http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e15132