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NCT01393964 · OUTCOME

Number of Participants With Worst Toxicity Grade Renal and Liver Function Laboratory Tests

Study of Elotuzumab in Combination With Lenalidomide and Dexamethasone in Subjects With Multiple Myeloma and Various Levels of Renal Function · Source last updated 2017-08-03

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
From first dose (Day 1) to last dose plus 60 days (Assessed up to July 2016, approximately 54 months)

What was measured

NCI CTCAE, version 3.0 was used to measure toxicity scale. Lower Limits of Normal (LLN). Upper Limits of Normal (ULN). Alanine transaminase (ALT); Aspartate aminotransferase (AST); Alkaline phosphatase (ALP). ALT Grade (Gr)1:\>1.0 to 2.5\*ULN; Gr 2: \>2.5 to 5.0\*ULN; Gr 3: \>5.0 to 20.0\*ULN; Gr 4: \>20.0\*ULN. AST Gr 1: \>1.0 to 2.5\*ULN; Gr 2: \>2.5 to 5.0\*ULN; Gr 3: \>5.0 to 20.0\*ULN; Gr 4: \>20.0\*ULN. Total bilirubin Gr 1: \>1.0 to 1.5\*ULN; Gr 2: \>1.5 to 3.0\*ULN; Gr 3: \>3.0 to 10..0\*ULN; Gr 4: \>10.0.0\*ULN. ALP (U/L) Gr1:\>1.0 to 2.5\*ULN, Gr2:\>2.5 to 5.0\*ULN, Gr3:\>5.0 to 20.0\*ULN, Gr4:\>20.0\*ULN. Albumin (low) Gr 1:\<LLN to 3 grams per deciliter (g/dL); Gr 2: \<3.0 - 2.0 g/L; Gr 3: \< 2 g/dL. Creatinine Gr 1: \>1 - 1.5\*baseline (BL)to \>ULN - 1.5\*ULN; Gr 2: \>1.5 - 3.0\*BL to \> 1.5 - 3.0\*ULN; Gr 3: \>3.0\*BL to \> 3.0 - 6.0\*ULN; Gr 4: \>6.0\*ULN.

Analysis population: All participants who received at least one dose of study treatment (at least one dose of any drug) were summarized.

Groups in this outcome

Elotuzumab + LD in Normal Renal Function (NRF) Participants

LD=Combination of lenalidomide and dexamethasone. Elotuzumab + LD were administered in 28 day cycles: Elotuzumab 10 mg/kg intravenous (IV) was administered on Day 1 only for Cycle 1, weekly (Days 1, 8, 15, 22) for Cycles 2 and 3, and every 2 weeks (Q2W) beginning with Cycle 4 and thereafter until disease progression, discontinuation due to unacceptable toxicity, or other protocol-specified reasons. Lenalidomide dosing was based on creatinine clearance (CrCl) calculated using the Cockcroft-Gault (C-G) formula based on Day 1 creatinine and Day 1 weight measured at each cycle. Dexamethasone was administered weekly as a 40mg oral dose (po) on weeks without elotuzumab; and as a split dose of 28 mg po 3 to 24 hours before and 8 mg IV at least 45 minutes before the start of the elotuzumab infusion on weeks with elotuzumab. C-G Creatinine Clearance CrCl Method was used to determine renal function. NRF =CrCl ≥ 90 milliliters per minute (mL/min).

Elotuzumab + LD in Severe Renal Impairment (SRI) Participants

Elotuzumab + LD were administered in 28 day cycles: Elotuzumab 10 mg/kg IV was administered on Day 1 only for Cycle 1, weekly for Cycles 2 and 3, and Q2W beginning with Cycle 4 and thereafter until disease progression, discontinuation due to unacceptable toxicity, or other protocol-specified reasons. Lenalidomide dosing was based on CrCl calculated using the C-G formula based on Day 1 creatinine and Day 1 weight measured at each cycle. Dexamethasone was administered weekly PO as 40mg dose on weeks without elotuzumab; and as a split dose of 28 mg PO 3 to 24 hours before and 8 mg IV at least 45 minutes before the start of the elotuzumab infusion on weeks with elotuzumab. C-G CrCl Method was used to determine renal function. SRI= estimated CrCl \< 30 ml/min but no dialysis.

Elotuzumab + LD in End Stage Renal Disease (ESRD) Participants

Elotuzumab + LD were administered in 28 day cycles: Elotuzumab 10 mg/kg intravenous (IV) was administered on Day 1 only for Cycle 1, weekly for Cycles 2 and 3, Q2W beginning with Cycle 4 and thereafter until disease progression, discontinuation due to unacceptable toxicity, or other protocol-specified reasons. Lenalidomide dosing was based on CrCl calculated using the C-G formula based on Day 1 creatinine and Day 1 weight measured at each cycle. Dexamethasone was administered weekly as a 40mg PO dose on weeks without elotuzumab; and as a split dose of 28 mg PO 3 to 24 hours before and 8 mg IV at least 45 minutes before the start of the elotuzumab infusion on weeks with elotuzumab. C-G CrCl Method was used to determine renal function. ESRD= requires hemodialysis.

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

Analysis denominator · Participants

GroupSource count
Elotuzumab + LD in Normal Renal Function (NRF) Participants8
Elotuzumab + LD in Severe Renal Impairment (SRI) Participants9
Elotuzumab + LD in End Stage Renal Disease (ESRD) Participants9

Reported measurements

ALP Any Grade
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Elotuzumab + LD in Normal Renal Function (NRF) Participants0Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in Severe Renal Impairment (SRI) Participants3Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in End Stage Renal Disease (ESRD) Participants7Not reportedNot reportedNot reportedNot reported
ALP Grade 3-4
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Elotuzumab + LD in Normal Renal Function (NRF) Participants0Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in Severe Renal Impairment (SRI) Participants0Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in End Stage Renal Disease (ESRD) Participants0Not reportedNot reportedNot reportedNot reported
AST Any Grade
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Elotuzumab + LD in Normal Renal Function (NRF) Participants3Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in Severe Renal Impairment (SRI) Participants2Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in End Stage Renal Disease (ESRD) Participants5Not reportedNot reportedNot reportedNot reported
AST Grade 3-4
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Elotuzumab + LD in Normal Renal Function (NRF) Participants0Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in Severe Renal Impairment (SRI) Participants0Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in End Stage Renal Disease (ESRD) Participants0Not reportedNot reportedNot reportedNot reported
ALT Any Grade
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Elotuzumab + LD in Normal Renal Function (NRF) Participants2Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in Severe Renal Impairment (SRI) Participants5Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in End Stage Renal Disease (ESRD) Participants5Not reportedNot reportedNot reportedNot reported
ALT Grade 3-4
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Elotuzumab + LD in Normal Renal Function (NRF) Participants0Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in Severe Renal Impairment (SRI) Participants0Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in End Stage Renal Disease (ESRD) Participants0Not reportedNot reportedNot reportedNot reported
Bilirubin Any Grade
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Elotuzumab + LD in Normal Renal Function (NRF) Participants1Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in Severe Renal Impairment (SRI) Participants1Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in End Stage Renal Disease (ESRD) Participants2Not reportedNot reportedNot reportedNot reported
Bilirubin Grade 3-4
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Elotuzumab + LD in Normal Renal Function (NRF) Participants0Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in Severe Renal Impairment (SRI) Participants0Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in End Stage Renal Disease (ESRD) Participants0Not reportedNot reportedNot reportedNot reported
Creatinine Any Grade
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Elotuzumab + LD in Normal Renal Function (NRF) Participants0Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in Severe Renal Impairment (SRI) Participants9Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in End Stage Renal Disease (ESRD) Participants9Not reportedNot reportedNot reportedNot reported
Creatinine Grade 3-4
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Elotuzumab + LD in Normal Renal Function (NRF) Participants0Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in Severe Renal Impairment (SRI) Participants2Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in End Stage Renal Disease (ESRD) Participants9Not reportedNot reportedNot reportedNot reported
Albumin Any Grade
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Elotuzumab + LD in Normal Renal Function (NRF) Participants2Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in Severe Renal Impairment (SRI) Participants7Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in End Stage Renal Disease (ESRD) Participants7Not reportedNot reportedNot reportedNot reported
Albumin Grade 3-4
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Elotuzumab + LD in Normal Renal Function (NRF) Participants0Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in Severe Renal Impairment (SRI) Participants0Not reportedNot reportedNot reportedNot reported
Elotuzumab + LD in End Stage Renal Disease (ESRD) Participants0Not reportedNot reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        3
      3. group Id
        OG002
        value
        7
    title
    ALP Any Grade
  2. categories
    1. measurements
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
    title
    ALP Grade 3-4
  3. categories
    1. measurements
      1. group Id
        OG000
        value
        3
      2. group Id
        OG001
        value
        2
      3. group Id
        OG002
        value
        5
    title
    AST Any Grade
  4. categories
    1. measurements
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
    title
    AST Grade 3-4
  5. categories
    1. measurements
      1. group Id
        OG000
        value
        2
      2. group Id
        OG001
        value
        5
      3. group Id
        OG002
        value
        5
    title
    ALT Any Grade
  6. categories
    1. measurements
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
    title
    ALT Grade 3-4
  7. categories
    1. measurements
      1. group Id
        OG000
        value
        1
      2. group Id
        OG001
        value
        1
      3. group Id
        OG002
        value
        2
    title
    Bilirubin Any Grade
  8. categories
    1. measurements
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
    title
    Bilirubin Grade 3-4
  9. categories
    1. measurements
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        9
      3. group Id
        OG002
        value
        9
    title
    Creatinine Any Grade
  10. categories
    1. measurements
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        2
      3. group Id
        OG002
        value
        9
    title
    Creatinine Grade 3-4
  11. categories
    1. measurements
      1. group Id
        OG000
        value
        2
      2. group Id
        OG001
        value
        7
      3. group Id
        OG002
        value
        7
    title
    Albumin Any Grade
  12. categories
    1. measurements
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
    title
    Albumin Grade 3-4
denoms
  1. counts
    1. group Id
      OG000
      value
      8
    2. group Id
      OG001
      value
      9
    3. group Id
      OG002
      value
      9
    units
    Participants
description
NCI CTCAE, version 3.0 was used to measure toxicity scale. Lower Limits of Normal (LLN). Upper Limits of Normal (ULN). Alanine transaminase (ALT); Aspartate aminotransferase (AST); Alkaline phosphatase (ALP). ALT Grade (Gr)1:\>1.0 to 2.5\*ULN; Gr 2: \>2.5 to 5.0\*ULN; Gr 3: \>5.0 to 20.0\*ULN; Gr 4: \>20.0\*ULN. AST Gr 1: \>1.0 to 2.5\*ULN; Gr 2: \>2.5 to 5.0\*ULN; Gr 3: \>5.0 to 20.0\*ULN; Gr 4: \>20.0\*ULN. Total bilirubin Gr 1: \>1.0 to 1.5\*ULN; Gr 2: \>1.5 to 3.0\*ULN; Gr 3: \>3.0 to 10..0\*ULN; Gr 4: \>10.0.0\*ULN. ALP (U/L) Gr1:\>1.0 to 2.5\*ULN, Gr2:\>2.5 to 5.0\*ULN, Gr3:\>5.0 to 20.0\*ULN, Gr4:\>20.0\*ULN. Albumin (low) Gr 1:\<LLN to 3 grams per deciliter (g/dL); Gr 2: \<3.0 - 2.0 g/L; Gr 3: \< 2 g/dL. Creatinine Gr 1: \>1 - 1.5\*baseline (BL)to \>ULN - 1.5\*ULN; Gr 2: \>1.5 - 3.0\*BL to \> 1.5 - 3.0\*ULN; Gr 3: \>3.0\*BL to \> 3.0 - 6.0\*ULN; Gr 4: \>6.0\*ULN.
groups
  1. description
    LD=Combination of lenalidomide and dexamethasone. Elotuzumab + LD were administered in 28 day cycles: Elotuzumab 10 mg/kg intravenous (IV) was administered on Day 1 only for Cycle 1, weekly (Days 1, 8, 15, 22) for Cycles 2 and 3, and every 2 weeks (Q2W) beginning with Cycle 4 and thereafter until disease progression, discontinuation due to unacceptable toxicity, or other protocol-specified reasons. Lenalidomide dosing was based on creatinine clearance (CrCl) calculated using the Cockcroft-Gault (C-G) formula based on Day 1 creatinine and Day 1 weight measured at each cycle. Dexamethasone was administered weekly as a 40mg oral dose (po) on weeks without elotuzumab; and as a split dose of 28 mg po 3 to 24 hours before and 8 mg IV at least 45 minutes before the start of the elotuzumab infusion on weeks with elotuzumab. C-G Creatinine Clearance CrCl Method was used to determine renal function. NRF =CrCl ≥ 90 milliliters per minute (mL/min).
    id
    OG000
    title
    Elotuzumab + LD in Normal Renal Function (NRF) Participants
  2. description
    Elotuzumab + LD were administered in 28 day cycles: Elotuzumab 10 mg/kg IV was administered on Day 1 only for Cycle 1, weekly for Cycles 2 and 3, and Q2W beginning with Cycle 4 and thereafter until disease progression, discontinuation due to unacceptable toxicity, or other protocol-specified reasons. Lenalidomide dosing was based on CrCl calculated using the C-G formula based on Day 1 creatinine and Day 1 weight measured at each cycle. Dexamethasone was administered weekly PO as 40mg dose on weeks without elotuzumab; and as a split dose of 28 mg PO 3 to 24 hours before and 8 mg IV at least 45 minutes before the start of the elotuzumab infusion on weeks with elotuzumab. C-G CrCl Method was used to determine renal function. SRI= estimated CrCl \< 30 ml/min but no dialysis.
    id
    OG001
    title
    Elotuzumab + LD in Severe Renal Impairment (SRI) Participants
  3. description
    Elotuzumab + LD were administered in 28 day cycles: Elotuzumab 10 mg/kg intravenous (IV) was administered on Day 1 only for Cycle 1, weekly for Cycles 2 and 3, Q2W beginning with Cycle 4 and thereafter until disease progression, discontinuation due to unacceptable toxicity, or other protocol-specified reasons. Lenalidomide dosing was based on CrCl calculated using the C-G formula based on Day 1 creatinine and Day 1 weight measured at each cycle. Dexamethasone was administered weekly as a 40mg PO dose on weeks without elotuzumab; and as a split dose of 28 mg PO 3 to 24 hours before and 8 mg IV at least 45 minutes before the start of the elotuzumab infusion on weeks with elotuzumab. C-G CrCl Method was used to determine renal function. ESRD= requires hemodialysis.
    id
    OG002
    title
    Elotuzumab + LD in End Stage Renal Disease (ESRD) Participants
param Type
NUMBER
population Description
All participants who received at least one dose of study treatment (at least one dose of any drug) were summarized.
reporting Status
POSTED
time Frame
From first dose (Day 1) to last dose plus 60 days (Assessed up to July 2016, approximately 54 months)
title
Number of Participants With Worst Toxicity Grade Renal and Liver Function Laboratory Tests
type
SECONDARY
unit Of Measure
participants

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Preserved source evidence · Not medical advice