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NCT01559935 · ADVERSE EVENTS

Adverse events

Carfilzomib, Clarithromycin (Biaxin®), Lenalidomide (Revlimid®), and Dexamethasone (Decadron®) [Car-BiRD] Therapy for Subjects With Multiple Myeloma · Source last updated 2026-08-19

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

Adverse events occurred during the study; they are not necessarily caused by treatment. Serious events are not interchangeable with severe/grade 3–4 events. These safety populations may differ from efficacy populations.

Collection time frame
Not reported
Other-event reporting threshold
5%

Collection of adverse events is ongoing as 28 participants are still on trial. For the Car Phase, every adverse event not present at baseline was reported. For the BiRD and Maintenance phases, adverse events were only reported if it was a new occurrence (not present in the previous phase) or if the grade of the event increased. Grading was done using the CTCAE 4.0.

Participants affected / participants at risk, as reported
Safety groupSerious eventsOther eventsDeaths
Car-BiRD Therapy

Carfilzomib, Clarithromycin (Biaxin®), Lenalidomide (Revlimid®), and Dexamethasone (Decadron®) \[Car-BiRD\] Car Phase: carfilzomib: 45 mg/m2 IV on days 1, 2, 8, 9, 15 and 16 of each 28 day cycles. Dexamethasone: 20 mg orally on days 1, 2, 8, 9, 15 and 16 of a 28 day cycle, while receiving carfilzomib. BiRD Phase: Clarithromycin: 500 mg twice a day for each 28 day cycle of BiRD treatment. BiRD begins after carfilzomib treatment has been completed. Lenalidomide: 25 mg orally days 1-21 for each 28 day cycle of BiRD treatment. BiRD begins after carfilzomib treatment has been completed. Dexamethasone: 40 mg orally on days 1, 8, 15 and 22 of each 28 day cycle of BiRD treatment. BiRD begins after carfilzomib treatment has been completed. Maintenance Phase: Lenalidomide: 10 mg orally on days 1-21 or each 28 day cycle of maintenance. Maintenance begins after BiRD treatment has been completed.

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Group identifiers: EG000: Car-BiRD Therapy

Serious adverse events

Event terms and counts are source-reported; expand to read more. A reporting threshold may omit less frequent events.

  1. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Respiratory, thoracic and mediastinal disorders
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      72
      num Events
      2
    term
    dyspnea
  2. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Vascular disorders
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      72
      num Events
      3
    term
    fever
  3. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Infections and infestations
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      72
      num Events
      2
    term
    abnominal infection
  4. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Infections and infestations
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      72
      num Events
      4
    term
    lung infection
  5. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Infections and infestations
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      72
      num Events
      2
    term
    URI
  6. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Infections and infestations
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      72
      num Events
      2
    term
    UTI
  7. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Musculoskeletal and connective tissue disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      72
      num Events
      1
    term
    femur fracture
  8. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Musculoskeletal and connective tissue disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      72
      num Events
      1
    term
    spinal fracture
  9. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Cardiac disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      72
      num Events
      1
    term
    atrial fibrilation
  10. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Cardiac disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      72
      num Events
      1
    term
    massive heart attack
  11. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Nervous system disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      72
      num Events
      1
    term
    syncope
  12. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Injury, poisoning and procedural complications
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      72
      num Events
      1
    term
    fall

Other reported adverse events

Event terms and counts are source-reported; expand to read more. A reporting threshold may omit less frequent events.

  1. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Blood and lymphatic system disorders
    stats
    1. group Id
      EG000
      num Affected
      52
      num At Risk
      72
    term
    anemia
  2. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Blood and lymphatic system disorders
    stats
    1. group Id
      EG000
      num Affected
      64
      num At Risk
      72
    term
    thrombocytopenia
  3. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Blood and lymphatic system disorders
    stats
    1. group Id
      EG000
      num Affected
      13
      num At Risk
      72
    term
    neutropenia
  4. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Blood and lymphatic system disorders
    stats
    1. group Id
      EG000
      num Affected
      25
      num At Risk
      72
    term
    leukopenia
  5. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Blood and lymphatic system disorders
    stats
    1. group Id
      EG000
      num Affected
      69
      num At Risk
      72
    term
    lymphopenia
  6. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Gastrointestinal disorders
    stats
    1. group Id
      EG000
      num Affected
      13
      num At Risk
      72
    term
    dyspepsia
  7. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Gastrointestinal disorders
    stats
    1. group Id
      EG000
      num Affected
      18
      num At Risk
      72
    term
    constipation
  8. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Gastrointestinal disorders
    stats
    1. group Id
      EG000
      num Affected
      17
      num At Risk
      72
    term
    nausea
  9. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Gastrointestinal disorders
    stats
    1. group Id
      EG000
      num Affected
      6
      num At Risk
      72
    term
    anorexia
  10. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Gastrointestinal disorders
    stats
    1. group Id
      EG000
      num Affected
      25
      num At Risk
      72
    term
    diarhhea
  11. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Gastrointestinal disorders
    stats
    1. group Id
      EG000
      num Affected
      8
      num At Risk
      72
    term
    vomiting
  12. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Gastrointestinal disorders
    stats
    1. group Id
      EG000
      num Affected
      7
      num At Risk
      72
    term
    flatulance
Complete source fields
description
Collection of adverse events is ongoing as 28 participants are still on trial. For the Car Phase, every adverse event not present at baseline was reported. For the BiRD and Maintenance phases, adverse events were only reported if it was a new occurrence (not present in the previous phase) or if the grade of the event increased. Grading was done using the CTCAE 4.0.
event Groups
  1. deaths Num Affected
    1
    deaths Num At Risk
    72
    description
    Carfilzomib, Clarithromycin (Biaxin®), Lenalidomide (Revlimid®), and Dexamethasone (Decadron®) \[Car-BiRD\] Car Phase: carfilzomib: 45 mg/m2 IV on days 1, 2, 8, 9, 15 and 16 of each 28 day cycles. Dexamethasone: 20 mg orally on days 1, 2, 8, 9, 15 and 16 of a 28 day cycle, while receiving carfilzomib. BiRD Phase: Clarithromycin: 500 mg twice a day for each 28 day cycle of BiRD treatment. BiRD begins after carfilzomib treatment has been completed. Lenalidomide: 25 mg orally days 1-21 for each 28 day cycle of BiRD treatment. BiRD begins after carfilzomib treatment has been completed. Dexamethasone: 40 mg orally on days 1, 8, 15 and 22 of each 28 day cycle of BiRD treatment. BiRD begins after carfilzomib treatment has been completed. Maintenance Phase: Lenalidomide: 10 mg orally on days 1-21 or each 28 day cycle of maintenance. Maintenance begins after BiRD treatment has been completed.
    id
    EG000
    other Num Affected
    72
    other Num At Risk
    72
    serious Num Affected
    26
    serious Num At Risk
    72
    title
    Car-BiRD Therapy
frequency Threshold
5
other Events
  1. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Blood and lymphatic system disorders
    stats
    1. group Id
      EG000
      num Affected
      52
      num At Risk
      72
    term
    anemia
  2. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Blood and lymphatic system disorders
    stats
    1. group Id
      EG000
      num Affected
      64
      num At Risk
      72
    term
    thrombocytopenia
  3. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Blood and lymphatic system disorders
    stats
    1. group Id
      EG000
      num Affected
      13
      num At Risk
      72
    term
    neutropenia
  4. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Blood and lymphatic system disorders
    stats
    1. group Id
      EG000
      num Affected
      25
      num At Risk
      72
    term
    leukopenia
  5. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Blood and lymphatic system disorders
    stats
    1. group Id
      EG000
      num Affected
      69
      num At Risk
      72
    term
    lymphopenia
  6. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Gastrointestinal disorders
    stats
    1. group Id
      EG000
      num Affected
      13
      num At Risk
      72
    term
    dyspepsia
  7. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Gastrointestinal disorders
    stats
    1. group Id
      EG000
      num Affected
      18
      num At Risk
      72
    term
    constipation
  8. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Gastrointestinal disorders
    stats
    1. group Id
      EG000
      num Affected
      17
      num At Risk
      72
    term
    nausea
  9. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Gastrointestinal disorders
    stats
    1. group Id
      EG000
      num Affected
      6
      num At Risk
      72
    term
    anorexia
  10. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Gastrointestinal disorders
    stats
    1. group Id
      EG000
      num Affected
      25
      num At Risk
      72
    term
    diarhhea
  11. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Gastrointestinal disorders
    stats
    1. group Id
      EG000
      num Affected
      8
      num At Risk
      72
    term
    vomiting
  12. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    Car phase
    organ System
    Gastrointestinal disorders
    stats
    1. group Id
      EG000
      num Affected
      7
      num At Risk
      72
    term
    flatulance
serious Events
  1. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Respiratory, thoracic and mediastinal disorders
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      72
      num Events
      2
    term
    dyspnea
  2. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Vascular disorders
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      72
      num Events
      3
    term
    fever
  3. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Infections and infestations
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      72
      num Events
      2
    term
    abnominal infection
  4. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Infections and infestations
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      72
      num Events
      4
    term
    lung infection
  5. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Infections and infestations
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      72
      num Events
      2
    term
    URI
  6. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Infections and infestations
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      72
      num Events
      2
    term
    UTI
  7. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Musculoskeletal and connective tissue disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      72
      num Events
      1
    term
    femur fracture
  8. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Musculoskeletal and connective tissue disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      72
      num Events
      1
    term
    spinal fracture
  9. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Cardiac disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      72
      num Events
      1
    term
    atrial fibrilation
  10. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Cardiac disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      72
      num Events
      1
    term
    massive heart attack
  11. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Nervous system disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      72
      num Events
      1
    term
    syncope
  12. assessment Type
    SYSTEMATIC_ASSESSMENT
    notes
    car phase
    organ System
    Injury, poisoning and procedural complications
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      72
      num Events
      1
    term
    fall

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