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NCT01832727 · OUTCOME

Participants With Treatment-Emergent Adverse Events (TEAEs) During Phase 1b and 2

Phase 1b/2, Multicenter, Open-label Study of Oprozomib and Dexamethasone in Patients With Relapsed and/or Refractory Multiple Myeloma · Source last updated 2020-07-13

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

Measure
COUNT_OF_PARTICIPANTS
Unit
Participants
Interval / dispersion
Not reported
Time frame
Day 1 up to Week 282

What was measured

AE defined as any untoward medical occurrence in a clinical trial participant. Treatment-emergent adverse events were defined as adverse events that start on or after the first day of study treatment and within 30 days of the last day of study treatment. An adverse event that was present before the first administration of study treatment and subsequently worsens in severity during treatment was also considered to be treatment-emergent. Serious AE defined as AE that is fatal, life threatening, requires in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or other significant medical hazard. Severity of AEs assessed according to Common Terminology Criteria for Adverse Events (CTCAE, v4.03) based on the general guideline: Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4: Life-threatening or disabling; Grade 5: Death related to AE. IP=investigational product

Analysis population: Safety population

Groups in this outcome

Cohort 180 mg 5/14 Schedule (Phase 1b)

Oprozomib 180 mg treatment once daily for 5 consecutive days bimonthly (days 1, 2, 3, 4, and 5 of a 14-day cycle) with 20 mg dexamethasone once daily on days 1, 2, 8, and 9 (referred to as the 5/14 schedule). Treatment was administered in 14-day cycles until disease progression, unacceptable toxicity, or study treatment discontinuation for any reason.

Cohort 210 mg 5/14 Schedule (Phase 1b)

Oprozomib 210 mg treatment once daily for 5 consecutive days bimonthly (days 1, 2, 3, 4, and 5 of a 14-day cycle) with 20 mg dexamethasone once daily on days 1, 2, 8, and 9 (referred to as the 5/14 schedule). Treatment was administered in 14-day cycles until disease progression, unacceptable toxicity, or study treatment discontinuation for any reason. This was the first cohort to enroll participants into the 5/14 schedule. The Cohort Safety Review Committee (CSRC) reviewed safety data and made dose adjustments for oprozomib in 30 mg increments for all cohorts.

Cohort 150/180 mg 5/14 Schedule (Phase 1b)

Oprozomib 150 mg once daily treatment for 5 consecutive days (days 1, 2, 3, 4, and 5 of a 14-day cycle) followed by a step-up in oprozomib once daily dose to 180 mg starting in cycle 2 and moving forward. Dexamethasone 20 mg once daily was administered on days 1, 2, 8, and 9 of each 14-day cycle. Treatment was administered in 14-day cycles until disease progression, unacceptable toxicity, or study treatment discontinuation for any reason.

Cohort 210 mg 2/7 Schedule (Phase 1b)

Oprozomib 210 mg once daily on Days 1, 2, 8, and 9 of a 14-day treatment cycle in combination with 20 mg dexamethasone once daily on Days 1, 2, 8, and 9 of a 14-day cycle. Treatment was administered in 14-day cycles until disease progression, unacceptable toxicity, or study treatment discontinuation for any reason. This was the first cohort to enroll participants into the 2/7 schedule. The Cohort Safety Review Committee (CSRC) reviewed safety data and made dose adjustments for oprozomib in 30 mg increments for all cohorts.

Cohort 240 mg 2/7 Schedule (Phase 1b)

Oprozomib 240 mg once daily on Days 1, 2, 8, and 9 of a 14-day treatment cycle in combination with 20 mg dexamethasone once daily on Days 1, 2, 8, and 9 of a 14-day cycle. Treatment was administered in 14-day cycles until disease progression, unacceptable toxicity, or study treatment discontinuation for any reason.

Cohort 270 mg 2/7 Schedule (Phase 1b)

Oprozomib 270 mg once daily on Days 1, 2, 8, and 9 of a 14-day treatment cycle in combination with 20 mg dexamethasone once daily on Days 1, 2, 8, and 9 of a 14-day cycle. Treatment was administered in 14-day cycles until disease progression, unacceptable toxicity, or study treatment discontinuation for any reason.

Cohort 300 mg 2/7 Schedule (Phase 1b)

Oprozomib 300 mg once daily on Days 1, 2, 8, and 9 of a 14-day treatment cycle in combination with 20 mg dexamethasone once daily on Days 1, 2, 8, and 9 of a 14-day cycle. Treatment was administered in 14-day cycles until disease progression, unacceptable toxicity, or study treatment discontinuation for any reason.

Cohort 330 mg 2/7 Schedule (Phase 1b)

Oprozomib 330 mg once daily on Days 1, 2, 8, and 9 of a 14-day treatment cycle in combination with 20 mg dexamethasone once daily on Days 1, 2, 8, and 9 of a 14-day cycle. Treatment was administered in 14-day cycles until disease progression, unacceptable toxicity, or study treatment discontinuation for any reason.

Phase 2 300 mg 2/7 Schedule

The Cohort Safety Review Committee (CSRC) determined this dose as the recommended phase 2 dose (RP2D). Oprozomib 300 mg once daily on Days 1, 2, 8, and 9 of a 14-day treatment cycle in combination with 20 mg dexamethasone once daily on Days 1, 2, 8, and 9 of a 14-day cycle. Treatment was administered in 14-day cycles until disease progression, unacceptable toxicity, or study treatment discontinuation for any reason.

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

Analysis denominator · Participants

GroupSource count
Cohort 180 mg 5/14 Schedule (Phase 1b)9
Cohort 210 mg 5/14 Schedule (Phase 1b)7
Cohort 150/180 mg 5/14 Schedule (Phase 1b)3
Cohort 210 mg 2/7 Schedule (Phase 1b)4
Cohort 240 mg 2/7 Schedule (Phase 1b)4
Cohort 270 mg 2/7 Schedule (Phase 1b)6
Cohort 300 mg 2/7 Schedule (Phase 1b)8
Cohort 330 mg 2/7 Schedule (Phase 1b)6
Phase 2 300 mg 2/7 Schedule18

Reported measurements

>=1 TEAE
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Cohort 180 mg 5/14 Schedule (Phase 1b)9Not reportedNot reportedNot reportedNot reported
Cohort 210 mg 5/14 Schedule (Phase 1b)7Not reportedNot reportedNot reportedNot reported
Cohort 150/180 mg 5/14 Schedule (Phase 1b)3Not reportedNot reportedNot reportedNot reported
Cohort 210 mg 2/7 Schedule (Phase 1b)4Not reportedNot reportedNot reportedNot reported
Cohort 240 mg 2/7 Schedule (Phase 1b)4Not reportedNot reportedNot reportedNot reported
Cohort 270 mg 2/7 Schedule (Phase 1b)6Not reportedNot reportedNot reportedNot reported
Cohort 300 mg 2/7 Schedule (Phase 1b)8Not reportedNot reportedNot reportedNot reported
Cohort 330 mg 2/7 Schedule (Phase 1b)6Not reportedNot reportedNot reportedNot reported
Phase 2 300 mg 2/7 Schedule18Not reportedNot reportedNot reportedNot reported
Grade >=3 (severe)
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Cohort 180 mg 5/14 Schedule (Phase 1b)8Not reportedNot reportedNot reportedNot reported
Cohort 210 mg 5/14 Schedule (Phase 1b)5Not reportedNot reportedNot reportedNot reported
Cohort 150/180 mg 5/14 Schedule (Phase 1b)2Not reportedNot reportedNot reportedNot reported
Cohort 210 mg 2/7 Schedule (Phase 1b)3Not reportedNot reportedNot reportedNot reported
Cohort 240 mg 2/7 Schedule (Phase 1b)3Not reportedNot reportedNot reportedNot reported
Cohort 270 mg 2/7 Schedule (Phase 1b)5Not reportedNot reportedNot reportedNot reported
Cohort 300 mg 2/7 Schedule (Phase 1b)6Not reportedNot reportedNot reportedNot reported
Cohort 330 mg 2/7 Schedule (Phase 1b)5Not reportedNot reportedNot reportedNot reported
Phase 2 300 mg 2/7 Schedule16Not reportedNot reportedNot reportedNot reported
Serious AE
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Cohort 180 mg 5/14 Schedule (Phase 1b)4Not reportedNot reportedNot reportedNot reported
Cohort 210 mg 5/14 Schedule (Phase 1b)2Not reportedNot reportedNot reportedNot reported
Cohort 150/180 mg 5/14 Schedule (Phase 1b)2Not reportedNot reportedNot reportedNot reported
Cohort 210 mg 2/7 Schedule (Phase 1b)2Not reportedNot reportedNot reportedNot reported
Cohort 240 mg 2/7 Schedule (Phase 1b)1Not reportedNot reportedNot reportedNot reported
Cohort 270 mg 2/7 Schedule (Phase 1b)1Not reportedNot reportedNot reportedNot reported
Cohort 300 mg 2/7 Schedule (Phase 1b)3Not reportedNot reportedNot reportedNot reported
Cohort 330 mg 2/7 Schedule (Phase 1b)0Not reportedNot reportedNot reportedNot reported
Phase 2 300 mg 2/7 Schedule9Not reportedNot reportedNot reportedNot reported
Leading to discontinuation of IP
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Cohort 180 mg 5/14 Schedule (Phase 1b)4Not reportedNot reportedNot reportedNot reported
Cohort 210 mg 5/14 Schedule (Phase 1b)6Not reportedNot reportedNot reportedNot reported
Cohort 150/180 mg 5/14 Schedule (Phase 1b)1Not reportedNot reportedNot reportedNot reported
Cohort 210 mg 2/7 Schedule (Phase 1b)0Not reportedNot reportedNot reportedNot reported
Cohort 240 mg 2/7 Schedule (Phase 1b)1Not reportedNot reportedNot reportedNot reported
Cohort 270 mg 2/7 Schedule (Phase 1b)1Not reportedNot reportedNot reportedNot reported
Cohort 300 mg 2/7 Schedule (Phase 1b)2Not reportedNot reportedNot reportedNot reported
Cohort 330 mg 2/7 Schedule (Phase 1b)1Not reportedNot reportedNot reportedNot reported
Phase 2 300 mg 2/7 Schedule11Not reportedNot reportedNot reportedNot reported
Fatal AE
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Cohort 180 mg 5/14 Schedule (Phase 1b)0Not reportedNot reportedNot reportedNot reported
Cohort 210 mg 5/14 Schedule (Phase 1b)1Not reportedNot reportedNot reportedNot reported
Cohort 150/180 mg 5/14 Schedule (Phase 1b)0Not reportedNot reportedNot reportedNot reported
Cohort 210 mg 2/7 Schedule (Phase 1b)0Not reportedNot reportedNot reportedNot reported
Cohort 240 mg 2/7 Schedule (Phase 1b)1Not reportedNot reportedNot reportedNot reported
Cohort 270 mg 2/7 Schedule (Phase 1b)0Not reportedNot reportedNot reportedNot reported
Cohort 300 mg 2/7 Schedule (Phase 1b)0Not reportedNot reportedNot reportedNot reported
Cohort 330 mg 2/7 Schedule (Phase 1b)0Not reportedNot reportedNot reportedNot reported
Phase 2 300 mg 2/7 Schedule0Not reportedNot reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        9
      2. group Id
        OG001
        value
        7
      3. group Id
        OG002
        value
        3
      4. group Id
        OG003
        value
        4
      5. group Id
        OG004
        value
        4
      6. group Id
        OG005
        value
        6
      7. group Id
        OG006
        value
        8
      8. group Id
        OG007
        value
        6
      9. group Id
        OG008
        value
        18
    title
    >=1 TEAE
  2. categories
    1. measurements
      1. group Id
        OG000
        value
        8
      2. group Id
        OG001
        value
        5
      3. group Id
        OG002
        value
        2
      4. group Id
        OG003
        value
        3
      5. group Id
        OG004
        value
        3
      6. group Id
        OG005
        value
        5
      7. group Id
        OG006
        value
        6
      8. group Id
        OG007
        value
        5
      9. group Id
        OG008
        value
        16
    title
    Grade >=3 (severe)
  3. categories
    1. measurements
      1. group Id
        OG000
        value
        4
      2. group Id
        OG001
        value
        2
      3. group Id
        OG002
        value
        2
      4. group Id
        OG003
        value
        2
      5. group Id
        OG004
        value
        1
      6. group Id
        OG005
        value
        1
      7. group Id
        OG006
        value
        3
      8. group Id
        OG007
        value
        0
      9. group Id
        OG008
        value
        9
    title
    Serious AE
  4. categories
    1. measurements
      1. group Id
        OG000
        value
        4
      2. group Id
        OG001
        value
        6
      3. group Id
        OG002
        value
        1
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        1
      6. group Id
        OG005
        value
        1
      7. group Id
        OG006
        value
        2
      8. group Id
        OG007
        value
        1
      9. group Id
        OG008
        value
        11
    title
    Leading to discontinuation of IP
  5. categories
    1. measurements
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        1
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        1
      6. group Id
        OG005
        value
        0
      7. group Id
        OG006
        value
        0
      8. group Id
        OG007
        value
        0
      9. group Id
        OG008
        value
        0
    title
    Fatal AE
denoms
  1. counts
    1. group Id
      OG000
      value
      9
    2. group Id
      OG001
      value
      7
    3. group Id
      OG002
      value
      3
    4. group Id
      OG003
      value
      4
    5. group Id
      OG004
      value
      4
    6. group Id
      OG005
      value
      6
    7. group Id
      OG006
      value
      8
    8. group Id
      OG007
      value
      6
    9. group Id
      OG008
      value
      18
    units
    Participants
description
AE defined as any untoward medical occurrence in a clinical trial participant. Treatment-emergent adverse events were defined as adverse events that start on or after the first day of study treatment and within 30 days of the last day of study treatment. An adverse event that was present before the first administration of study treatment and subsequently worsens in severity during treatment was also considered to be treatment-emergent. Serious AE defined as AE that is fatal, life threatening, requires in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or other significant medical hazard. Severity of AEs assessed according to Common Terminology Criteria for Adverse Events (CTCAE, v4.03) based on the general guideline: Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4: Life-threatening or disabling; Grade 5: Death related to AE. IP=investigational product
groups
  1. description
    Oprozomib 180 mg treatment once daily for 5 consecutive days bimonthly (days 1, 2, 3, 4, and 5 of a 14-day cycle) with 20 mg dexamethasone once daily on days 1, 2, 8, and 9 (referred to as the 5/14 schedule). Treatment was administered in 14-day cycles until disease progression, unacceptable toxicity, or study treatment discontinuation for any reason.
    id
    OG000
    title
    Cohort 180 mg 5/14 Schedule (Phase 1b)
  2. description
    Oprozomib 210 mg treatment once daily for 5 consecutive days bimonthly (days 1, 2, 3, 4, and 5 of a 14-day cycle) with 20 mg dexamethasone once daily on days 1, 2, 8, and 9 (referred to as the 5/14 schedule). Treatment was administered in 14-day cycles until disease progression, unacceptable toxicity, or study treatment discontinuation for any reason. This was the first cohort to enroll participants into the 5/14 schedule. The Cohort Safety Review Committee (CSRC) reviewed safety data and made dose adjustments for oprozomib in 30 mg increments for all cohorts.
    id
    OG001
    title
    Cohort 210 mg 5/14 Schedule (Phase 1b)
  3. description
    Oprozomib 150 mg once daily treatment for 5 consecutive days (days 1, 2, 3, 4, and 5 of a 14-day cycle) followed by a step-up in oprozomib once daily dose to 180 mg starting in cycle 2 and moving forward. Dexamethasone 20 mg once daily was administered on days 1, 2, 8, and 9 of each 14-day cycle. Treatment was administered in 14-day cycles until disease progression, unacceptable toxicity, or study treatment discontinuation for any reason.
    id
    OG002
    title
    Cohort 150/180 mg 5/14 Schedule (Phase 1b)
  4. description
    Oprozomib 210 mg once daily on Days 1, 2, 8, and 9 of a 14-day treatment cycle in combination with 20 mg dexamethasone once daily on Days 1, 2, 8, and 9 of a 14-day cycle. Treatment was administered in 14-day cycles until disease progression, unacceptable toxicity, or study treatment discontinuation for any reason. This was the first cohort to enroll participants into the 2/7 schedule. The Cohort Safety Review Committee (CSRC) reviewed safety data and made dose adjustments for oprozomib in 30 mg increments for all cohorts.
    id
    OG003
    title
    Cohort 210 mg 2/7 Schedule (Phase 1b)
  5. description
    Oprozomib 240 mg once daily on Days 1, 2, 8, and 9 of a 14-day treatment cycle in combination with 20 mg dexamethasone once daily on Days 1, 2, 8, and 9 of a 14-day cycle. Treatment was administered in 14-day cycles until disease progression, unacceptable toxicity, or study treatment discontinuation for any reason.
    id
    OG004
    title
    Cohort 240 mg 2/7 Schedule (Phase 1b)
  6. description
    Oprozomib 270 mg once daily on Days 1, 2, 8, and 9 of a 14-day treatment cycle in combination with 20 mg dexamethasone once daily on Days 1, 2, 8, and 9 of a 14-day cycle. Treatment was administered in 14-day cycles until disease progression, unacceptable toxicity, or study treatment discontinuation for any reason.
    id
    OG005
    title
    Cohort 270 mg 2/7 Schedule (Phase 1b)
  7. description
    Oprozomib 300 mg once daily on Days 1, 2, 8, and 9 of a 14-day treatment cycle in combination with 20 mg dexamethasone once daily on Days 1, 2, 8, and 9 of a 14-day cycle. Treatment was administered in 14-day cycles until disease progression, unacceptable toxicity, or study treatment discontinuation for any reason.
    id
    OG006
    title
    Cohort 300 mg 2/7 Schedule (Phase 1b)
  8. description
    Oprozomib 330 mg once daily on Days 1, 2, 8, and 9 of a 14-day treatment cycle in combination with 20 mg dexamethasone once daily on Days 1, 2, 8, and 9 of a 14-day cycle. Treatment was administered in 14-day cycles until disease progression, unacceptable toxicity, or study treatment discontinuation for any reason.
    id
    OG007
    title
    Cohort 330 mg 2/7 Schedule (Phase 1b)
  9. description
    The Cohort Safety Review Committee (CSRC) determined this dose as the recommended phase 2 dose (RP2D). Oprozomib 300 mg once daily on Days 1, 2, 8, and 9 of a 14-day treatment cycle in combination with 20 mg dexamethasone once daily on Days 1, 2, 8, and 9 of a 14-day cycle. Treatment was administered in 14-day cycles until disease progression, unacceptable toxicity, or study treatment discontinuation for any reason.
    id
    OG008
    title
    Phase 2 300 mg 2/7 Schedule
param Type
COUNT_OF_PARTICIPANTS
population Description
Safety population
reporting Status
POSTED
time Frame
Day 1 up to Week 282
title
Participants With Treatment-Emergent Adverse Events (TEAEs) During Phase 1b and 2
type
PRIMARY
unit Of Measure
Participants

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Preserved source evidence · Not medical advice