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NCT01335685 · OUTCOME

Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Ixazomib (Phase 1)

Study of Oral Ixazomib in Combination With Melphalan and Prednisone in Participants With Newly Diagnosed Multiple Myeloma · Source last updated 2018-01-23

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
Pre-dose on Day 1 and at multiple timepoints (up to 8 hours) on Day 11 for Arm A, Day 15 for Arm B and Day 29 for Arms C and D

Analysis population: The PK population consisted of all participants who had sufficient dosing data and ixazomib concentration-time data to permit calculation of ixazomib PK parameters.

Groups in this outcome

Arm A: Ixazomib 3.0 mg

Ixazomib 3.0 mg, capsules, orally, on Days 1, 4, 8, 11, 22, 25, 29, 32 plus melphalan 9 mg/m\^2, tablets, orally on Days 1 to 4 and prednisone 60 mg/m\^2, tablets, orally on Days 1 to 4 in 42-day cycle for up to 9 cycles in induction phase followed by ixazomib at dose last tolerated in induction, orally, on Days 1, 8, 15 in 28-day cycle for up to 12 cycles or until disease progression or unacceptable toxicity if deriving benefit in maintenance phase (up to 23 maintenance cycles; overall up to 32 cycles \[34 months\]).

Arm A: Ixazomib 3.7 mg

Ixazomib 3.7 mg, capsules, orally, on Days 1, 4, 8, 11, 22, 25, 29, 32 plus melphalan 9 mg/m\^2, tablets, orally on Days 1 to 4 and prednisone 60 mg/m\^2, tablets, orally on Days 1 to 4 in 42-day cycle for up 9 cycles in induction phase followed by ixazomib at dose last tolerated in induction, orally, on Days 1, 8, 15 in 28-day cycle up to 12 cycles or until disease progression or unacceptable toxicity if deriving benefit in maintenance phase (up to 10 maintenance cycles; overall up to 19 cycles \[21 months\]).

Arm B: Ixazomib 3.0 mg

Ixazomib 3.0 mg, capsules, orally, on Days 1, 8, 15 plus melphalan 6 mg/m\^2, tablets, orally on Days 1 to 4 and prednisone 60 mg/m\^2, tablets, orally on Days 1-4 in 28-day cycle for up to 13 cycles in induction phase followed by ixazomib at dose last tolerated in induction, orally, on Days 1, 8, 15 in 28-day cycle up to 12 cycles or until disease progression or unacceptable toxicity if deriving benefit in maintenance phase (up to 15 maintenance cycles; overall up to 27 cycles \[25 months\]).

Arm B: Ixazomib 4.0 mg

Ixazomib 4.0 mg, capsules, orally, on Days 1, 8, 15 cycle plus melphalan 6 mg/m\^2, tablets, orally on Days 1 to 4 and prednisone 60 mg/m\^2, tablets, orally on Days 1-4 in 28-day cycle for up to 13 cycles in induction phase followed by ixazomib at dose last tolerated in induction, orally, on Days 1, 8, 15 in 28-day cycle up to 12 cycles or until disease progression or unacceptable toxicity if deriving benefit in maintenance phase (up to 49 maintenance cycles; overall up to 61 cycles \[58 months\]).

Arm B: Ixazomib 5.5 mg

Ixazomib 5.5 mg, capsules, orally, on Days 1, 8, 15 plus melphalan 6 mg/m\^2, tablets orally on Days 1 to 4 and prednisone 60 mg/m\^2, tablets, orally on Days 1-4 in 28-day cycle for up to 13 cycles in induction phase followed by ixazomib at dose last tolerated in induction, orally, on Days 1, 8, 15 in 28-day cycle up to 12 cycles or until disease progression or unacceptable toxicity if deriving benefit in maintenance phase (up to 12 maintenance cycles; overall up to 24 cycles \[24 months\]).

Arm C: Ixazomib 3.0 mg

Ixazomib 3.0 mg, capsules, orally, on Days 1, 8, 15, 22, and 29 plus melphalan 9 mg/m\^2, tablets orally on Days 1 to 4 and prednisone 60 mg/m\^2, tablets, orally on Days 1 to 4 in 42-day cycle for up to 9 cycles in induction phase followed by ixazomib at dose last tolerated in induction, orally, on Days 1, 8, 15 in 28-day cycle up to 12 cycles or until disease progression or unacceptable toxicity if deriving benefit in maintenance phase (up to 30 maintenance cycles; overall up to 39 cycles \[40 months\]).

Arm C: Ixazomib 4.0 mg

Ixazomib 4.0 mg, capsules, orally, on Days 1, 8, 15, 22, and 29 plus melphalan 9 mg/m\^2, tablets, orally on Days 1 to 4 and prednisone 60 mg/m\^2, tablets, orally on Days 1 to 4 in 42-day cycle for up to 9 cycles in induction phase followed by ixazomib at dose last tolerated in induction, orally, on Days 1, 8, 15 in 28-day cycle up to 12 cycles or until disease progression or unacceptable toxicity if deriving benefit in maintenance phase (up to 12 maintenance cycles; overall up to 21 cycles \[24 months\]).

Arm D: Ixazomib 4.0 mg

Ixazomib 4.0 mg, capsules, orally, on Days 1, 8, 22, and 29 plus melphalan 9 mg/m\^2, tablets, orally on Days 1 to 4 and prednisone 60 mg/m\^2, tablets, orally, on Days 1 to 4 in 42-day cycle for up to 9 cycles in induction phase followed by ixazomib at dose last tolerated in induction, orally, on Days 1, 8, 15 in 28-day cycle up to 12 cycles or until disease progression or unacceptable toxicity if deriving benefit in maintenance phase (up to 28 maintenance cycles; overall up to 37 cycles \[38 months\]).

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

Analysis denominator · Participants

GroupSource count
Arm A: Ixazomib 3.0 mg7
Arm A: Ixazomib 3.7 mg1
Arm B: Ixazomib 3.0 mg3
Arm B: Ixazomib 4.0 mg20
Arm B: Ixazomib 5.5 mg4
Arm C: Ixazomib 3.0 mg6
Arm C: Ixazomib 4.0 mg4
Arm D: Ixazomib 4.0 mg5

Reported measurements

Cycle 1, Day 1

Analysis denominator · Participants

GroupSource count
Arm A: Ixazomib 3.0 mg7
Arm A: Ixazomib 3.7 mg1
Arm B: Ixazomib 3.0 mg2
Arm B: Ixazomib 4.0 mg18
Arm B: Ixazomib 5.5 mg4
Arm C: Ixazomib 3.0 mg6
Arm C: Ixazomib 4.0 mg4
Arm D: Ixazomib 4.0 mg5
Values in hours · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Arm A: Ixazomib 3.0 mg1.020Not reported0.6174.000Not reported
Arm A: Ixazomib 3.7 mg0.517Not reported0.5170.517Not reported
Arm B: Ixazomib 3.0 mg1.750Not reported1.4702.030Not reported
Arm B: Ixazomib 4.0 mg1.000Not reported0.5002.170Not reported
Arm B: Ixazomib 5.5 mg1.302Not reported0.5334.000Not reported
Arm C: Ixazomib 3.0 mg1.560Not reported0.4834.000Not reported
Arm C: Ixazomib 4.0 mg1.282Not reported0.5004.000Not reported
Arm D: Ixazomib 4.0 mg0.567Not reported0.4172.150Not reported
Cycle 1, Day 11

Analysis denominator · Participants

GroupSource count
Arm A: Ixazomib 3.0 mg7
Arm A: Ixazomib 3.7 mg1
Arm B: Ixazomib 3.0 mg0
Arm B: Ixazomib 4.0 mg0
Arm B: Ixazomib 5.5 mg0
Arm C: Ixazomib 3.0 mg0
Arm C: Ixazomib 4.0 mg0
Arm D: Ixazomib 4.0 mg0
Values in hours · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Arm A: Ixazomib 3.0 mg1.050Not reported0.5004.000Not reported
Arm A: Ixazomib 3.7 mg8.000Not reported8.0008.000Not reported
Cycle 1, Day 15

Analysis denominator · Participants

GroupSource count
Arm A: Ixazomib 3.0 mg0
Arm A: Ixazomib 3.7 mg0
Arm B: Ixazomib 3.0 mg3
Arm B: Ixazomib 4.0 mg14
Arm B: Ixazomib 5.5 mg1
Arm C: Ixazomib 3.0 mg0
Arm C: Ixazomib 4.0 mg0
Arm D: Ixazomib 4.0 mg0
Values in hours · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Arm B: Ixazomib 3.0 mg0.833Not reported0.5832.000Not reported
Arm B: Ixazomib 4.0 mg1.000Not reported0.5004.000Not reported
Arm B: Ixazomib 5.5 mg0.500Not reported0.5000.500Not reported
Cycle 1, Day 29

Analysis denominator · Participants

GroupSource count
Arm A: Ixazomib 3.0 mg0
Arm A: Ixazomib 3.7 mg0
Arm B: Ixazomib 3.0 mg0
Arm B: Ixazomib 4.0 mg0
Arm B: Ixazomib 5.5 mg0
Arm C: Ixazomib 3.0 mg5
Arm C: Ixazomib 4.0 mg2
Arm D: Ixazomib 4.0 mg4
Values in hours · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Arm C: Ixazomib 3.0 mg1.500Not reported0.5004.030Not reported
Arm C: Ixazomib 4.0 mg1.275Not reported0.5502.000Not reported
Arm D: Ixazomib 4.0 mg0.760Not reported0.3001.430Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.617
        upper Limit
        4.000
        value
        1.020
      2. group Id
        OG001
        lower Limit
        0.517
        upper Limit
        0.517
        value
        0.517
      3. group Id
        OG002
        lower Limit
        1.470
        upper Limit
        2.030
        value
        1.750
      4. group Id
        OG003
        lower Limit
        0.500
        upper Limit
        2.170
        value
        1.000
      5. group Id
        OG004
        lower Limit
        0.533
        upper Limit
        4.000
        value
        1.302
      6. group Id
        OG005
        lower Limit
        0.483
        upper Limit
        4.000
        value
        1.560
      7. group Id
        OG006
        lower Limit
        0.500
        upper Limit
        4.000
        value
        1.282
      8. group Id
        OG007
        lower Limit
        0.417
        upper Limit
        2.150
        value
        0.567
    denoms
    1. counts
      1. group Id
        OG000
        value
        7
      2. group Id
        OG001
        value
        1
      3. group Id
        OG002
        value
        2
      4. group Id
        OG003
        value
        18
      5. group Id
        OG004
        value
        4
      6. group Id
        OG005
        value
        6
      7. group Id
        OG006
        value
        4
      8. group Id
        OG007
        value
        5
      units
      Participants
    title
    Cycle 1, Day 1
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.500
        upper Limit
        4.000
        value
        1.050
      2. group Id
        OG001
        lower Limit
        8.000
        upper Limit
        8.000
        value
        8.000
    denoms
    1. counts
      1. group Id
        OG000
        value
        7
      2. group Id
        OG001
        value
        1
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      6. group Id
        OG005
        value
        0
      7. group Id
        OG006
        value
        0
      8. group Id
        OG007
        value
        0
      units
      Participants
    title
    Cycle 1, Day 11
  3. categories
    1. measurements
      1. group Id
        OG002
        lower Limit
        0.583
        upper Limit
        2.000
        value
        0.833
      2. group Id
        OG003
        lower Limit
        0.500
        upper Limit
        4.000
        value
        1.000
      3. group Id
        OG004
        lower Limit
        0.500
        upper Limit
        0.500
        value
        0.500
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        3
      4. group Id
        OG003
        value
        14
      5. group Id
        OG004
        value
        1
      6. group Id
        OG005
        value
        0
      7. group Id
        OG006
        value
        0
      8. group Id
        OG007
        value
        0
      units
      Participants
    title
    Cycle 1, Day 15
  4. categories
    1. measurements
      1. group Id
        OG005
        lower Limit
        0.500
        upper Limit
        4.030
        value
        1.500
      2. group Id
        OG006
        lower Limit
        0.550
        upper Limit
        2.000
        value
        1.275
      3. group Id
        OG007
        lower Limit
        0.300
        upper Limit
        1.430
        value
        0.760
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      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
        5
      7. group Id
        OG006
        value
        2
      8. group Id
        OG007
        value
        4
      units
      Participants
    title
    Cycle 1, Day 29
denoms
  1. counts
    1. group Id
      OG000
      value
      7
    2. group Id
      OG001
      value
      1
    3. group Id
      OG002
      value
      3
    4. group Id
      OG003
      value
      20
    5. group Id
      OG004
      value
      4
    6. group Id
      OG005
      value
      6
    7. group Id
      OG006
      value
      4
    8. group Id
      OG007
      value
      5
    units
    Participants
dispersion Type
Full Range
groups
  1. description
    Ixazomib 3.0 mg, capsules, orally, on Days 1, 4, 8, 11, 22, 25, 29, 32 plus melphalan 9 mg/m\^2, tablets, orally on Days 1 to 4 and prednisone 60 mg/m\^2, tablets, orally on Days 1 to 4 in 42-day cycle for up to 9 cycles in induction phase followed by ixazomib at dose last tolerated in induction, orally, on Days 1, 8, 15 in 28-day cycle for up to 12 cycles or until disease progression or unacceptable toxicity if deriving benefit in maintenance phase (up to 23 maintenance cycles; overall up to 32 cycles \[34 months\]).
    id
    OG000
    title
    Arm A: Ixazomib 3.0 mg
  2. description
    Ixazomib 3.7 mg, capsules, orally, on Days 1, 4, 8, 11, 22, 25, 29, 32 plus melphalan 9 mg/m\^2, tablets, orally on Days 1 to 4 and prednisone 60 mg/m\^2, tablets, orally on Days 1 to 4 in 42-day cycle for up 9 cycles in induction phase followed by ixazomib at dose last tolerated in induction, orally, on Days 1, 8, 15 in 28-day cycle up to 12 cycles or until disease progression or unacceptable toxicity if deriving benefit in maintenance phase (up to 10 maintenance cycles; overall up to 19 cycles \[21 months\]).
    id
    OG001
    title
    Arm A: Ixazomib 3.7 mg
  3. description
    Ixazomib 3.0 mg, capsules, orally, on Days 1, 8, 15 plus melphalan 6 mg/m\^2, tablets, orally on Days 1 to 4 and prednisone 60 mg/m\^2, tablets, orally on Days 1-4 in 28-day cycle for up to 13 cycles in induction phase followed by ixazomib at dose last tolerated in induction, orally, on Days 1, 8, 15 in 28-day cycle up to 12 cycles or until disease progression or unacceptable toxicity if deriving benefit in maintenance phase (up to 15 maintenance cycles; overall up to 27 cycles \[25 months\]).
    id
    OG002
    title
    Arm B: Ixazomib 3.0 mg
  4. description
    Ixazomib 4.0 mg, capsules, orally, on Days 1, 8, 15 cycle plus melphalan 6 mg/m\^2, tablets, orally on Days 1 to 4 and prednisone 60 mg/m\^2, tablets, orally on Days 1-4 in 28-day cycle for up to 13 cycles in induction phase followed by ixazomib at dose last tolerated in induction, orally, on Days 1, 8, 15 in 28-day cycle up to 12 cycles or until disease progression or unacceptable toxicity if deriving benefit in maintenance phase (up to 49 maintenance cycles; overall up to 61 cycles \[58 months\]).
    id
    OG003
    title
    Arm B: Ixazomib 4.0 mg
  5. description
    Ixazomib 5.5 mg, capsules, orally, on Days 1, 8, 15 plus melphalan 6 mg/m\^2, tablets orally on Days 1 to 4 and prednisone 60 mg/m\^2, tablets, orally on Days 1-4 in 28-day cycle for up to 13 cycles in induction phase followed by ixazomib at dose last tolerated in induction, orally, on Days 1, 8, 15 in 28-day cycle up to 12 cycles or until disease progression or unacceptable toxicity if deriving benefit in maintenance phase (up to 12 maintenance cycles; overall up to 24 cycles \[24 months\]).
    id
    OG004
    title
    Arm B: Ixazomib 5.5 mg
  6. description
    Ixazomib 3.0 mg, capsules, orally, on Days 1, 8, 15, 22, and 29 plus melphalan 9 mg/m\^2, tablets orally on Days 1 to 4 and prednisone 60 mg/m\^2, tablets, orally on Days 1 to 4 in 42-day cycle for up to 9 cycles in induction phase followed by ixazomib at dose last tolerated in induction, orally, on Days 1, 8, 15 in 28-day cycle up to 12 cycles or until disease progression or unacceptable toxicity if deriving benefit in maintenance phase (up to 30 maintenance cycles; overall up to 39 cycles \[40 months\]).
    id
    OG005
    title
    Arm C: Ixazomib 3.0 mg
  7. description
    Ixazomib 4.0 mg, capsules, orally, on Days 1, 8, 15, 22, and 29 plus melphalan 9 mg/m\^2, tablets, orally on Days 1 to 4 and prednisone 60 mg/m\^2, tablets, orally on Days 1 to 4 in 42-day cycle for up to 9 cycles in induction phase followed by ixazomib at dose last tolerated in induction, orally, on Days 1, 8, 15 in 28-day cycle up to 12 cycles or until disease progression or unacceptable toxicity if deriving benefit in maintenance phase (up to 12 maintenance cycles; overall up to 21 cycles \[24 months\]).
    id
    OG006
    title
    Arm C: Ixazomib 4.0 mg
  8. description
    Ixazomib 4.0 mg, capsules, orally, on Days 1, 8, 22, and 29 plus melphalan 9 mg/m\^2, tablets, orally on Days 1 to 4 and prednisone 60 mg/m\^2, tablets, orally, on Days 1 to 4 in 42-day cycle for up to 9 cycles in induction phase followed by ixazomib at dose last tolerated in induction, orally, on Days 1, 8, 15 in 28-day cycle up to 12 cycles or until disease progression or unacceptable toxicity if deriving benefit in maintenance phase (up to 28 maintenance cycles; overall up to 37 cycles \[38 months\]).
    id
    OG007
    title
    Arm D: Ixazomib 4.0 mg
param Type
MEDIAN
population Description
The PK population consisted of all participants who had sufficient dosing data and ixazomib concentration-time data to permit calculation of ixazomib PK parameters.
reporting Status
POSTED
time Frame
Pre-dose on Day 1 and at multiple timepoints (up to 8 hours) on Day 11 for Arm A, Day 15 for Arm B and Day 29 for Arms C and D
title
Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Ixazomib (Phase 1)
type
SECONDARY
unit Of Measure
hours

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Preserved source evidence · Not medical advice