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NCT01063907 · OUTCOME

To Establish the Safety, Tolerability, and RP2D (Phase 1); To Assess the Overall Response Rate in Subjects With Advanced Multiple Myeloma (Phase 2).

A Study of KW-2478 in Combination With Bortezomib in Subjects With Relapsed and/or Refractory Multiple Myeloma · Source last updated 2024-04-25

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

Measure
NUMBER
Unit
participants
Interval / dispersion
Not reported
Time frame
21 day cycle, up to 52 weeks

What was measured

The safety of KW-2478 was determined by reported TEAEs, observed DLTs, changes in PEs, vital sign measurements, ECGs, and laboratory analyses. The ORR, was defined as the best response over a specified number of cycles (calculated and summarized). Disease control rate (DCR) was defined as the best response over a specified number of cycles (calculated and summarized). Progression-free survival was defined as the time from the first day of treatment until the date of disease progression or death is first reported (calculated and summarized).

Analysis population: All subjects who received at least 1 dose, including a partial dose, of KW-2478 were evaluated for safety.

Groups in this outcome

Phase 1 & 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^2

The target population in both Phase 1 and 2 were adults (≥18 years) of either gender with a confirmed history of MM by IMWG criteria had relapsed or failed to respond to 1-3 prior MM regimens with an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2 and a life expectancy ≥ 3 months. Subjects had to have disease that could be evaluated by serum or urinary levels of M protein or serum free light chains in the absence of measurable M protein in serum or urine. The Phase 1 portion of the study was a standard 3+3 study design of KW-2478 (130 or 175 mg/m\^2) and Bortezomib (1.0 or 1.3 mg/m\^2) on Days 1, 4, 8, and 11 of a 21-day cycle utilizing four dose-escalation cohorts. The Phase 2 portion of the study was designed to determine the preliminary efficacy of KW 2478 and Bortezomib at the RP2D (KW-2478 175 mg/m\^2/Bortezomib 1.3 mg/m\^2).

Phase 1 Cohort 1: KW-2478 130 mg/m^2 and Bortezomib 1.0mg/m^2

Cohort 1: Both agents administered on Days 1, 4, 8, and 11 of a 21-day cycle with a standard 3+3 study design.

Phase 1 Cohort 2: KW-2478 130 mg/m^2 and Bortezomib 1.3mg/m^2

Cohort 2: Both agents administered on Days 1, 4, 8, and 11 of a 21-day cycle with a standard 3+3 study design.

Phase 1 Cohort 3: KW-2478 175 mg/m^2 and Bortezomib 1.0mg/m^2

Cohort 3: Both agents administered on Days 1, 4, 8, and 11 of a 21-day cycle with a standard 3+3 study design.

Phase 1 Cohort 4: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^2

Cohort 4: Both agents administered on Days 1, 4, 8, and 11 of a 21-day cycle with a standard 3+3 study design.

Phase 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^2

Phase 2: Both agents administered on Days 1, 4, 8, and 11 of a 21-day cycle designed to determine the preliminary efficacy of KW 2478 and Bortezomib at the RP2D (KW-2478 175 mg/m\^2/Bortezomib 1.3 mg/m\^2).

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

Analysis denominator · Participants

GroupSource count
Phase 1 & 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^295
Phase 1 Cohort 1: KW-2478 130 mg/m^2 and Bortezomib 1.0mg/m^23
Phase 1 Cohort 2: KW-2478 130 mg/m^2 and Bortezomib 1.3mg/m^23
Phase 1 Cohort 3: KW-2478 175 mg/m^2 and Bortezomib 1.0mg/m^23
Phase 1 Cohort 4: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^26
Phase 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^280

Reported measurements

Subjects with Any TEAE
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Phase 1 & 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^295Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 1: KW-2478 130 mg/m^2 and Bortezomib 1.0mg/m^23Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 2: KW-2478 130 mg/m^2 and Bortezomib 1.3mg/m^23Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 3: KW-2478 175 mg/m^2 and Bortezomib 1.0mg/m^23Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 4: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^26Not reportedNot reportedNot reportedNot reported
Phase 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^280Not reportedNot reportedNot reportedNot reported
Related TEAE
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Phase 1 & 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^288Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 1: KW-2478 130 mg/m^2 and Bortezomib 1.0mg/m^23Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 2: KW-2478 130 mg/m^2 and Bortezomib 1.3mg/m^23Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 3: KW-2478 175 mg/m^2 and Bortezomib 1.0mg/m^22Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 4: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^26Not reportedNot reportedNot reportedNot reported
Phase 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^274Not reportedNot reportedNot reportedNot reported
Moderate (CTCAE 2) TEAE
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Phase 1 & 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^222Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 1: KW-2478 130 mg/m^2 and Bortezomib 1.0mg/m^20Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 2: KW-2478 130 mg/m^2 and Bortezomib 1.3mg/m^20Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 3: KW-2478 175 mg/m^2 and Bortezomib 1.0mg/m^20Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 4: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^20Not reportedNot reportedNot reportedNot reported
Phase 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^222Not reportedNot reportedNot reportedNot reported
Severe (CTCAE 3) TEAE
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Phase 1 & 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^254Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 1: KW-2478 130 mg/m^2 and Bortezomib 1.0mg/m^23Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 2: KW-2478 130 mg/m^2 and Bortezomib 1.3mg/m^22Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 3: KW-2478 175 mg/m^2 and Bortezomib 1.0mg/m^22Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 4: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^25Not reportedNot reportedNot reportedNot reported
Phase 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^242Not reportedNot reportedNot reportedNot reported
Life Threatening TEAE
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Phase 1 & 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^213Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 1: KW-2478 130 mg/m^2 and Bortezomib 1.0mg/m^20Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 2: KW-2478 130 mg/m^2 and Bortezomib 1.3mg/m^21Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 3: KW-2478 175 mg/m^2 and Bortezomib 1.0mg/m^20Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 4: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^20Not reportedNot reportedNot reportedNot reported
Phase 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^212Not reportedNot reportedNot reportedNot reported
Serious Treatment-Emergent AE
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Phase 1 & 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^248Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 1: KW-2478 130 mg/m^2 and Bortezomib 1.0mg/m^22Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 2: KW-2478 130 mg/m^2 and Bortezomib 1.3mg/m^23Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 3: KW-2478 175 mg/m^2 and Bortezomib 1.0mg/m^23Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 4: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^24Not reportedNot reportedNot reportedNot reported
Phase 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^236Not reportedNot reportedNot reportedNot reported
Subjects with Any DLT
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Phase 1 & 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^21Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 1: KW-2478 130 mg/m^2 and Bortezomib 1.0mg/m^20Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 2: KW-2478 130 mg/m^2 and Bortezomib 1.3mg/m^20Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 3: KW-2478 175 mg/m^2 and Bortezomib 1.0mg/m^21Not reportedNot reportedNot reportedNot reported
Phase 1 Cohort 4: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^20Not reportedNot reportedNot reportedNot reported
Phase 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^20Not reportedNot reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        95
      2. group Id
        OG001
        value
        3
      3. group Id
        OG002
        value
        3
      4. group Id
        OG003
        value
        3
      5. group Id
        OG004
        value
        6
      6. group Id
        OG005
        value
        80
    title
    Subjects with Any TEAE
  2. categories
    1. measurements
      1. group Id
        OG000
        value
        88
      2. group Id
        OG001
        value
        3
      3. group Id
        OG002
        value
        3
      4. group Id
        OG003
        value
        2
      5. group Id
        OG004
        value
        6
      6. group Id
        OG005
        value
        74
    title
    Related TEAE
  3. categories
    1. measurements
      1. group Id
        OG000
        value
        22
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      6. group Id
        OG005
        value
        22
    title
    Moderate (CTCAE 2) TEAE
  4. categories
    1. measurements
      1. group Id
        OG000
        value
        54
      2. group Id
        OG001
        value
        3
      3. group Id
        OG002
        value
        2
      4. group Id
        OG003
        value
        2
      5. group Id
        OG004
        value
        5
      6. group Id
        OG005
        value
        42
    title
    Severe (CTCAE 3) TEAE
  5. categories
    1. measurements
      1. group Id
        OG000
        value
        13
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        1
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      6. group Id
        OG005
        value
        12
    title
    Life Threatening TEAE
  6. categories
    1. measurements
      1. group Id
        OG000
        value
        48
      2. group Id
        OG001
        value
        2
      3. group Id
        OG002
        value
        3
      4. group Id
        OG003
        value
        3
      5. group Id
        OG004
        value
        4
      6. group Id
        OG005
        value
        36
    title
    Serious Treatment-Emergent AE
  7. categories
    1. measurements
      1. group Id
        OG000
        value
        1
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        1
      5. group Id
        OG004
        value
        0
      6. group Id
        OG005
        value
        0
    title
    Subjects with Any DLT
denoms
  1. counts
    1. group Id
      OG000
      value
      95
    2. group Id
      OG001
      value
      3
    3. group Id
      OG002
      value
      3
    4. group Id
      OG003
      value
      3
    5. group Id
      OG004
      value
      6
    6. group Id
      OG005
      value
      80
    units
    Participants
description
The safety of KW-2478 was determined by reported TEAEs, observed DLTs, changes in PEs, vital sign measurements, ECGs, and laboratory analyses. The ORR, was defined as the best response over a specified number of cycles (calculated and summarized). Disease control rate (DCR) was defined as the best response over a specified number of cycles (calculated and summarized). Progression-free survival was defined as the time from the first day of treatment until the date of disease progression or death is first reported (calculated and summarized).
groups
  1. description
    The target population in both Phase 1 and 2 were adults (≥18 years) of either gender with a confirmed history of MM by IMWG criteria had relapsed or failed to respond to 1-3 prior MM regimens with an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2 and a life expectancy ≥ 3 months. Subjects had to have disease that could be evaluated by serum or urinary levels of M protein or serum free light chains in the absence of measurable M protein in serum or urine. The Phase 1 portion of the study was a standard 3+3 study design of KW-2478 (130 or 175 mg/m\^2) and Bortezomib (1.0 or 1.3 mg/m\^2) on Days 1, 4, 8, and 11 of a 21-day cycle utilizing four dose-escalation cohorts. The Phase 2 portion of the study was designed to determine the preliminary efficacy of KW 2478 and Bortezomib at the RP2D (KW-2478 175 mg/m\^2/Bortezomib 1.3 mg/m\^2).
    id
    OG000
    title
    Phase 1 & 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^2
  2. description
    Cohort 1: Both agents administered on Days 1, 4, 8, and 11 of a 21-day cycle with a standard 3+3 study design.
    id
    OG001
    title
    Phase 1 Cohort 1: KW-2478 130 mg/m^2 and Bortezomib 1.0mg/m^2
  3. description
    Cohort 2: Both agents administered on Days 1, 4, 8, and 11 of a 21-day cycle with a standard 3+3 study design.
    id
    OG002
    title
    Phase 1 Cohort 2: KW-2478 130 mg/m^2 and Bortezomib 1.3mg/m^2
  4. description
    Cohort 3: Both agents administered on Days 1, 4, 8, and 11 of a 21-day cycle with a standard 3+3 study design.
    id
    OG003
    title
    Phase 1 Cohort 3: KW-2478 175 mg/m^2 and Bortezomib 1.0mg/m^2
  5. description
    Cohort 4: Both agents administered on Days 1, 4, 8, and 11 of a 21-day cycle with a standard 3+3 study design.
    id
    OG004
    title
    Phase 1 Cohort 4: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^2
  6. description
    Phase 2: Both agents administered on Days 1, 4, 8, and 11 of a 21-day cycle designed to determine the preliminary efficacy of KW 2478 and Bortezomib at the RP2D (KW-2478 175 mg/m\^2/Bortezomib 1.3 mg/m\^2).
    id
    OG005
    title
    Phase 2: KW-2478 175 mg/m^2 and Bortezomib 1.3mg/m^2
param Type
NUMBER
population Description
All subjects who received at least 1 dose, including a partial dose, of KW-2478 were evaluated for safety.
reporting Status
POSTED
time Frame
21 day cycle, up to 52 weeks
title
To Establish the Safety, Tolerability, and RP2D (Phase 1); To Assess the Overall Response Rate in Subjects With Advanced Multiple Myeloma (Phase 2).
type
PRIMARY
unit Of Measure
participants

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Preserved source evidence · Not medical advice