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NCT01080391 · OUTCOME

Overall Response Rate

Study Comparing Carfilzomib, Lenalidomide, and Dexamethasone (CRd) vs Lenalidomide and Dexamethasone (Rd) in Subjects With Relapsed Multiple Myeloma · Source last updated 2022-09-21

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

Measure
NUMBER
Unit
percentage of participants
Interval / dispersion
95% Confidence Interval
Time frame
From randomization through the data cutoff date of 16 June 2014. Median follow-up time was approximately 31 months.

What was measured

Overall response rate is defined as the percentage of participants who achieved either a confirmed stringent complete response (sCR), complete response (CR), very good partial response (VGPR), or partial response (PR) as their best response based on the Independent Review Committee (IRC) assessed response outcome. Response was determined using the International Myeloma Working Group - Uniform Response Criteria (IMWG-URC).

Analysis population: ITT analysis set comprised of all randomized participants

Groups in this outcome

Lenalidomide and Dexamethasone (Rd)

Participants received their randomized study treatment in 28-day cycles until disease progression or unacceptable toxicity. Lenalidomide 25 mg was administered orally on days 1 to 21 and dexamethasone 40 mg was administered orally or intravenously on days 1, 8, 15, and 22.

Carfilzomib, Lenalidomide, and Dexamethasone (CRd)

Participants received their randomized study treatment in 28-day cycles until disease progression or unacceptable toxicity. Carfilzomib 20 mg/m² was administered intravenously (IV) on days 1 and 2 of cycle 1, then escalated to 27 mg/m² on Days 8, 9, 15, and 16 of cycle 1 and continuing on days 1, 2, 8, 9, 15, and 16 of cycle 2 through cycle 12 and then from cycle 13 through cycle 18, 27 mg/m² on days 1, 2, 15, and 16. Lenalidomide 25 mg was administered orally on days 1 to 21 of every cycle. Dexamethasone 40 mg was administered orally or IV on days 1, 8, 15, and 22 of every cycle.

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

Analysis denominator · Participants

GroupSource count
Lenalidomide and Dexamethasone (Rd)396
Carfilzomib, Lenalidomide, and Dexamethasone (CRd)396

Reported measurements

Source class 1
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Lenalidomide and Dexamethasone (Rd)66.7Not reported61.871.3Not reported
Carfilzomib, Lenalidomide, and Dexamethasone (CRd)87.1Not reported83.490.3Not reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    2.411
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    5.001
    estimate Comment
    The odds ratio and 95% CI were estimated using the Mantel-Haenszel method.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    < 0.0001
    param Type
    Odds Ratio (OR)
    param Value
    3.472
    statistical Comment
    Cochran-Mantel Haenszel chi-square test with β2 macroglobulin level, prior bortezomib, and prior lenalidomide as stratification factors.
    statistical Method
    Cochran-Mantel Haenszel chi-square test
Complete source fields
analyses
  1. ci Lower Limit
    2.411
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    5.001
    estimate Comment
    The odds ratio and 95% CI were estimated using the Mantel-Haenszel method.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    < 0.0001
    param Type
    Odds Ratio (OR)
    param Value
    3.472
    statistical Comment
    Cochran-Mantel Haenszel chi-square test with β2 macroglobulin level, prior bortezomib, and prior lenalidomide as stratification factors.
    statistical Method
    Cochran-Mantel Haenszel chi-square test
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        61.8
        upper Limit
        71.3
        value
        66.7
      2. group Id
        OG001
        lower Limit
        83.4
        upper Limit
        90.3
        value
        87.1
denoms
  1. counts
    1. group Id
      OG000
      value
      396
    2. group Id
      OG001
      value
      396
    units
    Participants
description
Overall response rate is defined as the percentage of participants who achieved either a confirmed stringent complete response (sCR), complete response (CR), very good partial response (VGPR), or partial response (PR) as their best response based on the Independent Review Committee (IRC) assessed response outcome. Response was determined using the International Myeloma Working Group - Uniform Response Criteria (IMWG-URC).
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants received their randomized study treatment in 28-day cycles until disease progression or unacceptable toxicity. Lenalidomide 25 mg was administered orally on days 1 to 21 and dexamethasone 40 mg was administered orally or intravenously on days 1, 8, 15, and 22.
    id
    OG000
    title
    Lenalidomide and Dexamethasone (Rd)
  2. description
    Participants received their randomized study treatment in 28-day cycles until disease progression or unacceptable toxicity. Carfilzomib 20 mg/m² was administered intravenously (IV) on days 1 and 2 of cycle 1, then escalated to 27 mg/m² on Days 8, 9, 15, and 16 of cycle 1 and continuing on days 1, 2, 8, 9, 15, and 16 of cycle 2 through cycle 12 and then from cycle 13 through cycle 18, 27 mg/m² on days 1, 2, 15, and 16. Lenalidomide 25 mg was administered orally on days 1 to 21 of every cycle. Dexamethasone 40 mg was administered orally or IV on days 1, 8, 15, and 22 of every cycle.
    id
    OG001
    title
    Carfilzomib, Lenalidomide, and Dexamethasone (CRd)
param Type
NUMBER
population Description
ITT analysis set comprised of all randomized participants
reporting Status
POSTED
time Frame
From randomization through the data cutoff date of 16 June 2014. Median follow-up time was approximately 31 months.
title
Overall Response Rate
type
SECONDARY
unit Of Measure
percentage of participants

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Preserved source evidence · Not medical advice