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NCT00932698 · OUTCOME

Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Ixazomib

Study of Oral Ixazomib in Adult Participants With Relapsed and/or Refractory (RR) Multiple Myeloma · Source last updated 2019-08-07

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
MEDIAN
Unit
hours
Interval / dispersion
Full Range
Time frame
Cycle 1, Days 1 and 11: Predose and at multiple time points (Up to 264 hours) postdose

Analysis population: PK population was defined as all participants who had sufficient dosing data and ixazomib concentration-time data to permit calculation of ixazomib PK parameters. Number analyzed is the number of participants with data available for analysis at the given time-point.

Groups in this outcome

Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^2

Ixazomib 0.24 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months (Up to 220 days).

Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^2

Ixazomib 0.48 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months (Up to 270 days).

Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^2

Ixazomib 0.8 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months (Up to 137 days).

Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^2

Ixazomib 1.2 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months (Up to 1436 days).

Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^2

Ixazomib 1.68 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months (Up to 456 days).

Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^2

Ixazomib 2.0 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months (Up to 1621 days).

Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^2

Ixazomib 2.23 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months (Up to 2434 days).

Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^2

Ixazomib 2.0 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months, Participants must also be refractory to their most recent therapy as evidenced by PD while on therapy or within 60 days after their last dose of therapy (Up to 1621 days).

Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^2

Ixazomib 2.0 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months. Participants with relapsed or refractory disease after \>=1 prior therapy but have relapsed after previous Velcade exposure and were not treated with any other proteasome inhibitors (Up to 1573 days).

Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^2

Ixazomib 2.0 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determine the participant would benefit from therapy beyond 12 months. Participants with relapsed or refractory disease after \>=1 prior therapy which must include thalidomide (or lenalidomide) and corticosteroid, but who never received a proteasome inhibitor.

Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^2

Ixazomib 2.0 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months. Participants who previously received carfilzomib and had relapsed or refractory disease (Up to 123 days).

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

Analysis denominator · Participants

GroupSource count
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^23
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^23
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^22
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^22
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^23
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^26
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^23
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^217
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^29
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^26
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^21

Reported measurements

Day 1

Analysis denominator · Participants

GroupSource count
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^23
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^22
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^22
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^22
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^23
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^26
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^23
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^214
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^29
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^26
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^21
Values in hours · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^21.000Not reported0.572.00Not reported
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^21.000Not reported0.501.50Not reported
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^20.775Not reported0.551.00Not reported
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^20.775Not reported0.501.05Not reported
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^21.000Not reported1.002.02Not reported
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^21.000Not reported0.251.08Not reported
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^21.000Not reported0.721.08Not reported
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^21.000Not reported0.522.00Not reported
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^20.617Not reported0.503.97Not reported
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^20.525Not reported0.251.05Not reported
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^21.000Not reported1.001.00Not reported
Day 11

Analysis denominator · Participants

GroupSource count
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^23
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^23
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^22
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^22
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^23
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^25
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^22
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^214
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^27
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^25
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^21
Values in hours · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^21.100Not reported1.054.07Not reported
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^21.000Not reported0.501.17Not reported
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^21.275Not reported0.552.00Not reported
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^20.500Not reported0.500.50Not reported
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^21.000Not reported0.571.05Not reported
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^20.667Not reported0.501.50Not reported
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^20.832Not reported0.531.13Not reported
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^21.010Not reported0.5023.60Not reported
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^20.583Not reported0.501.03Not reported
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^21.500Not reported0.621.53Not reported
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^21.500Not reported1.51.5Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.57
        upper Limit
        2.00
        value
        1.000
      2. group Id
        OG001
        lower Limit
        0.50
        upper Limit
        1.50
        value
        1.000
      3. group Id
        OG002
        lower Limit
        0.55
        upper Limit
        1.00
        value
        0.775
      4. group Id
        OG003
        lower Limit
        0.50
        upper Limit
        1.05
        value
        0.775
      5. group Id
        OG004
        lower Limit
        1.00
        upper Limit
        2.02
        value
        1.000
      6. group Id
        OG005
        lower Limit
        0.25
        upper Limit
        1.08
        value
        1.000
      7. group Id
        OG006
        lower Limit
        0.72
        upper Limit
        1.08
        value
        1.000
      8. group Id
        OG007
        lower Limit
        0.52
        upper Limit
        2.00
        value
        1.000
      9. group Id
        OG008
        lower Limit
        0.50
        upper Limit
        3.97
        value
        0.617
      10. group Id
        OG009
        lower Limit
        0.25
        upper Limit
        1.05
        value
        0.525
      11. group Id
        OG010
        lower Limit
        1.00
        upper Limit
        1.00
        value
        1.000
    denoms
    1. counts
      1. group Id
        OG000
        value
        3
      2. group Id
        OG001
        value
        2
      3. group Id
        OG002
        value
        2
      4. group Id
        OG003
        value
        2
      5. group Id
        OG004
        value
        3
      6. group Id
        OG005
        value
        6
      7. group Id
        OG006
        value
        3
      8. group Id
        OG007
        value
        14
      9. group Id
        OG008
        value
        9
      10. group Id
        OG009
        value
        6
      11. group Id
        OG010
        value
        1
      units
      Participants
    title
    Day 1
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        1.05
        upper Limit
        4.07
        value
        1.100
      2. group Id
        OG001
        lower Limit
        0.50
        upper Limit
        1.17
        value
        1.000
      3. group Id
        OG002
        lower Limit
        0.55
        upper Limit
        2.00
        value
        1.275
      4. group Id
        OG003
        lower Limit
        0.50
        upper Limit
        0.50
        value
        0.500
      5. group Id
        OG004
        lower Limit
        0.57
        upper Limit
        1.05
        value
        1.000
      6. group Id
        OG005
        lower Limit
        0.50
        upper Limit
        1.50
        value
        0.667
      7. group Id
        OG006
        lower Limit
        0.53
        upper Limit
        1.13
        value
        0.832
      8. group Id
        OG007
        lower Limit
        0.50
        upper Limit
        23.60
        value
        1.010
      9. group Id
        OG008
        lower Limit
        0.50
        upper Limit
        1.03
        value
        0.583
      10. group Id
        OG009
        lower Limit
        0.62
        upper Limit
        1.53
        value
        1.500
      11. group Id
        OG010
        lower Limit
        1.5
        upper Limit
        1.5
        value
        1.500
    denoms
    1. counts
      1. group Id
        OG000
        value
        3
      2. group Id
        OG001
        value
        3
      3. group Id
        OG002
        value
        2
      4. group Id
        OG003
        value
        2
      5. group Id
        OG004
        value
        3
      6. group Id
        OG005
        value
        5
      7. group Id
        OG006
        value
        2
      8. group Id
        OG007
        value
        14
      9. group Id
        OG008
        value
        7
      10. group Id
        OG009
        value
        5
      11. group Id
        OG010
        value
        1
      units
      Participants
    title
    Day 11
denoms
  1. counts
    1. group Id
      OG000
      value
      3
    2. group Id
      OG001
      value
      3
    3. group Id
      OG002
      value
      2
    4. group Id
      OG003
      value
      2
    5. group Id
      OG004
      value
      3
    6. group Id
      OG005
      value
      6
    7. group Id
      OG006
      value
      3
    8. group Id
      OG007
      value
      17
    9. group Id
      OG008
      value
      9
    10. group Id
      OG009
      value
      6
    11. group Id
      OG010
      value
      1
    units
    Participants
dispersion Type
Full Range
groups
  1. description
    Ixazomib 0.24 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months (Up to 220 days).
    id
    OG000
    title
    Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^2
  2. description
    Ixazomib 0.48 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months (Up to 270 days).
    id
    OG001
    title
    Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^2
  3. description
    Ixazomib 0.8 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months (Up to 137 days).
    id
    OG002
    title
    Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^2
  4. description
    Ixazomib 1.2 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months (Up to 1436 days).
    id
    OG003
    title
    Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^2
  5. description
    Ixazomib 1.68 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months (Up to 456 days).
    id
    OG004
    title
    Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^2
  6. description
    Ixazomib 2.0 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months (Up to 1621 days).
    id
    OG005
    title
    Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^2
  7. description
    Ixazomib 2.23 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months (Up to 2434 days).
    id
    OG006
    title
    Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^2
  8. description
    Ixazomib 2.0 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months, Participants must also be refractory to their most recent therapy as evidenced by PD while on therapy or within 60 days after their last dose of therapy (Up to 1621 days).
    id
    OG007
    title
    Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^2
  9. description
    Ixazomib 2.0 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months. Participants with relapsed or refractory disease after \>=1 prior therapy but have relapsed after previous Velcade exposure and were not treated with any other proteasome inhibitors (Up to 1573 days).
    id
    OG008
    title
    Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^2
  10. description
    Ixazomib 2.0 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determine the participant would benefit from therapy beyond 12 months. Participants with relapsed or refractory disease after \>=1 prior therapy which must include thalidomide (or lenalidomide) and corticosteroid, but who never received a proteasome inhibitor.
    id
    OG009
    title
    Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^2
  11. description
    Ixazomib 2.0 mg/m\^2, capsule, orally, on Days 1, 4, 8 and 11 during a 21-day treatment cycle until progressive disease (PD) or unacceptable toxicity up to 12 months unless the investigator and sponsor determined the participant would benefit from therapy beyond 12 months. Participants who previously received carfilzomib and had relapsed or refractory disease (Up to 123 days).
    id
    OG010
    title
    Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^2
param Type
MEDIAN
population Description
PK population was defined as all participants who had sufficient dosing data and ixazomib concentration-time data to permit calculation of ixazomib PK parameters. Number analyzed is the number of participants with data available for analysis at the given time-point.
reporting Status
POSTED
time Frame
Cycle 1, Days 1 and 11: Predose and at multiple time points (Up to 264 hours) postdose
title
Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Ixazomib
type
SECONDARY
unit Of Measure
hours

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Preserved source evidence · Not medical advice