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NCT01335685 · OUTCOME

Observed Accumulation Ratio for AUCtau (Rac) (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
MEAN
Unit
ratio
Interval / dispersion
Standard Deviation
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

What was measured

Accumulation ratio for AUCtau (Rac) was calculated as area under the curve from time zero to end of dosing interval (AUCtau) on Day 14 divided by area under the curve from time zero to end of dosing interval (AUCtau) on Day 1.

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 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 mg0
Arm C: Ixazomib 4.0 mg0
Arm D: Ixazomib 4.0 mg0
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 ratio · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Arm A: Ixazomib 3.0 mg4.0191.1349Not reportedNot reportedNot reported
Arm A: Ixazomib 3.7 mg4.120NANot reportedNot reportedStandard deviation was not estimable for 1 participant.
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 mg2
Arm B: Ixazomib 4.0 mg12
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 ratio · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Arm B: Ixazomib 3.0 mg1.700NANot reportedNot reportedStandard deviation was not estimable for 2 participants.
Arm B: Ixazomib 4.0 mg2.2880.6246Not reportedNot reportedNot reported
Arm B: Ixazomib 5.5 mg1.970NANot reportedNot reportedStandard deviation was not estimable for 1 participant.
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 ratio · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Arm C: Ixazomib 3.0 mg2.6320.6732Not reportedNot reportedNot reported
Arm C: Ixazomib 4.0 mg2.560NANot reportedNot reportedStandard deviation was not estimable for 2 participants.
Arm D: Ixazomib 4.0 mg2.5400.2061Not reportedNot reportedNot reported
Complete source fields
classes
  1. 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
        0
      7. group Id
        OG006
        value
        0
      8. group Id
        OG007
        value
        0
      units
      Participants
    title
    Cycle 1, Day 1
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        1.1349
        value
        4.019
      2. comment
        Standard deviation was not estimable for 1 participant.
        group Id
        OG001
        spread
        NA
        value
        4.120
    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. comment
        Standard deviation was not estimable for 2 participants.
        group Id
        OG002
        spread
        NA
        value
        1.700
      2. group Id
        OG003
        spread
        0.6246
        value
        2.288
      3. comment
        Standard deviation was not estimable for 1 participant.
        group Id
        OG004
        spread
        NA
        value
        1.970
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        2
      4. group Id
        OG003
        value
        12
      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
        spread
        0.6732
        value
        2.632
      2. comment
        Standard deviation was not estimable for 2 participants.
        group Id
        OG006
        spread
        NA
        value
        2.560
      3. group Id
        OG007
        spread
        0.2061
        value
        2.540
    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
description
Accumulation ratio for AUCtau (Rac) was calculated as area under the curve from time zero to end of dosing interval (AUCtau) on Day 14 divided by area under the curve from time zero to end of dosing interval (AUCtau) on Day 1.
dispersion Type
Standard Deviation
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
MEAN
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
Observed Accumulation Ratio for AUCtau (Rac) (Phase 1)
type
SECONDARY
unit Of Measure
ratio

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Preserved source evidence · Not medical advice