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NCT01897714 · OUTCOME

Number of Patients With Treatment Emergent Adverse Events (TEAEs)

Safety and Efficacy of Melflufen and Dexamethasone in Relapsed and/or Relapsed-Refractory Multiple Myeloma Patients · Source last updated 2020-10-23

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
From the first dose of study drug up to and including the actual EOT date of 29 October 2019; up to a maximum of approximately 76 months.

What was measured

An adverse event (AE) was any untoward medical occurrence in a study patient administered an investigational product and that does not necessarily have a causal relationship with this treatment. A serious adverse event (SAE) was defined as any AE, occurring at any dose, that met any one or more of the following criteria: is fatal or immediately life-threatening; results in persistent or significant disability/incapacity; constitutes a congenital anomaly/birth defect; is medically significant; requires inpatient hospitalization or prolongation of existing hospitalization; or other important medical event. TEAEs were defined as AEs that started or worsened on or after the first dose of study drug (overall reference start date) up to and including the actual EOT date. TESAEs = Treatment emergent serious adverse events.

Analysis population: The Safety Analysis Set included all patients who received at least 1 dose, or part thereof, of study drug.

Groups in this outcome

Phase I: Melflufen 15 mg + Dexamethasone

Patients were treated with 15 mg melflufen as IV infusion on Day 1 and 40 mg dexamethasone oral tablet or IV infusion on Days 1, 8 and 15 of each 21-day treatment cycle. Patients could continue receiving treatment for up to 8 cycles or until they experienced unacceptable toxicity, disease progression, withdrew consent, and/or the study drug was discontinued at the discretion of the Investigator.

Phase I: Melflufen 25 mg + Dexamethasone

Patients were treated with 25 mg melflufen as IV infusion on Day 1 and 40 mg dexamethasone oral tablet or IV infusion on Days 1, 8 and 15 of each 21-day treatment cycle. Patients could continue receiving treatment for up to 8 cycles or until they experienced unacceptable toxicity, disease progression, withdrew consent, and/or the study drug was discontinued at the discretion of the Investigator.

Phase I: Melflufen 40 mg + Dexamethasone

Patients were treated with 40 mg melflufen as IV infusion on Day 1 and 40 mg dexamethasone oral tablet or IV infusion on Days 1, 8 and 15 of each 21-day treatment cycle. Patients could continue receiving treatment for up to 8 cycles or until they experienced unacceptable toxicity, disease progression, withdrew consent, and/or the study drug was discontinued at the discretion of the Investigator.

Phase I: Melflufen 55 mg + Dexamethasone

Patients were treated with 55 mg melflufen as IV infusion on Day 1 and 40 mg dexamethasone oral tablet or IV infusion on Days 1, 8 and 15 of each 21-day treatment cycle. Patients could continue receiving treatment for up to 8 cycles or until they experienced unacceptable toxicity, disease progression, withdrew consent, and/or the study drug was discontinued at the discretion of the Investigator.

Phase I + II: Melflufen 40 mg + Dexamethasone

Patients were treated with 40 mg melflufen as IV infusion on Day 1 and 40 mg dexamethasone oral tablet or IV infusion on Days 1, 8 and 15 of each 21-day or 28-day treatment cycle. Patients could continue receiving treatment for up to 8 cycles or until they experienced unacceptable toxicity, disease progression, withdrew consent, and/or the study drug was discontinued at the discretion of the Investigator. In Protocol amendment 4, the cycle of melflufen was increased from 21 to 28 days. For any patients on the 28-day treatment schedule, an additional dose of 40 mg dexamethasone was administered on Day 22 of each cycle.

Phase II: Melflufen 40 mg (Single Agent)

Patients were treated with 40 mg melflufen as IV infusion on Day 1 of each 28-day treatment cycle. Dexamethasone was not administered as an antitumor compound. However, all patients were treated with 8 mg dexamethasone as an antiemetic on Days 1 and 2, and an optional 4 mg dexamethasone as an antiemetic on Days 3 and 4 of the same 28-day cycle, unless the Investigator decided to switch a patient to a combination regimen. Patients could continue receiving treatment for up to 8 cycles or until they experienced unacceptable toxicity, disease progression, withdrew consent, and/or the study drug was discontinued at the discretion of the Investigator.

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

Analysis denominator · Participants

GroupSource count
Phase I: Melflufen 15 mg + Dexamethasone4
Phase I: Melflufen 25 mg + Dexamethasone7
Phase I: Melflufen 40 mg + Dexamethasone6
Phase I: Melflufen 55 mg + Dexamethasone6
Phase I + II: Melflufen 40 mg + Dexamethasone45
Phase II: Melflufen 40 mg (Single Agent)13

Reported measurements

TEAEs (including both serious and non-serious AEs)

Analysis denominator · Participants

GroupSource count
Phase I: Melflufen 15 mg + Dexamethasone4
Phase I: Melflufen 25 mg + Dexamethasone7
Phase I: Melflufen 40 mg + Dexamethasone6
Phase I: Melflufen 55 mg + Dexamethasone6
Phase I + II: Melflufen 40 mg + Dexamethasone45
Phase II: Melflufen 40 mg (Single Agent)13
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Phase I: Melflufen 15 mg + Dexamethasone4Not reportedNot reportedNot reportedNot reported
Phase I: Melflufen 25 mg + Dexamethasone7Not reportedNot reportedNot reportedNot reported
Phase I: Melflufen 40 mg + Dexamethasone6Not reportedNot reportedNot reportedNot reported
Phase I: Melflufen 55 mg + Dexamethasone6Not reportedNot reportedNot reportedNot reported
Phase I + II: Melflufen 40 mg + Dexamethasone45Not reportedNot reportedNot reportedNot reported
Phase II: Melflufen 40 mg (Single Agent)13Not reportedNot reportedNot reportedNot reported
TEAEs leading to death

Analysis denominator · Participants

GroupSource count
Phase I: Melflufen 15 mg + Dexamethasone4
Phase I: Melflufen 25 mg + Dexamethasone7
Phase I: Melflufen 40 mg + Dexamethasone6
Phase I: Melflufen 55 mg + Dexamethasone6
Phase I + II: Melflufen 40 mg + Dexamethasone45
Phase II: Melflufen 40 mg (Single Agent)13
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Phase I: Melflufen 15 mg + Dexamethasone0Not reportedNot reportedNot reportedNot reported
Phase I: Melflufen 25 mg + Dexamethasone1Not reportedNot reportedNot reportedNot reported
Phase I: Melflufen 40 mg + Dexamethasone0Not reportedNot reportedNot reportedNot reported
Phase I: Melflufen 55 mg + Dexamethasone0Not reportedNot reportedNot reportedNot reported
Phase I + II: Melflufen 40 mg + Dexamethasone3Not reportedNot reportedNot reportedNot reported
Phase II: Melflufen 40 mg (Single Agent)0Not reportedNot reportedNot reportedNot reported
TESAEs

Analysis denominator · Participants

GroupSource count
Phase I: Melflufen 15 mg + Dexamethasone4
Phase I: Melflufen 25 mg + Dexamethasone7
Phase I: Melflufen 40 mg + Dexamethasone6
Phase I: Melflufen 55 mg + Dexamethasone6
Phase I + II: Melflufen 40 mg + Dexamethasone45
Phase II: Melflufen 40 mg (Single Agent)13
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Phase I: Melflufen 15 mg + Dexamethasone3Not reportedNot reportedNot reportedNot reported
Phase I: Melflufen 25 mg + Dexamethasone4Not reportedNot reportedNot reportedNot reported
Phase I: Melflufen 40 mg + Dexamethasone2Not reportedNot reportedNot reportedNot reported
Phase I: Melflufen 55 mg + Dexamethasone4Not reportedNot reportedNot reportedNot reported
Phase I + II: Melflufen 40 mg + Dexamethasone17Not reportedNot reportedNot reportedNot reported
Phase II: Melflufen 40 mg (Single Agent)9Not reportedNot reportedNot reportedNot reported
DLT TEAEs

Analysis denominator · Participants

GroupSource count
Phase I: Melflufen 15 mg + Dexamethasone4
Phase I: Melflufen 25 mg + Dexamethasone7
Phase I: Melflufen 40 mg + Dexamethasone6
Phase I: Melflufen 55 mg + Dexamethasone6
Phase I + II: Melflufen 40 mg + Dexamethasone0
Phase II: Melflufen 40 mg (Single Agent)0
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Phase I: Melflufen 15 mg + Dexamethasone0Not reportedNot reportedNot reportedNot reported
Phase I: Melflufen 25 mg + Dexamethasone0Not reportedNot reportedNot reportedNot reported
Phase I: Melflufen 40 mg + Dexamethasone0Not reportedNot reportedNot reportedNot reported
Phase I: Melflufen 55 mg + Dexamethasone4Not reportedNot reportedNot reportedNot reported
TEAEs related to melflufen and/or dexamethasone

Analysis denominator · Participants

GroupSource count
Phase I: Melflufen 15 mg + Dexamethasone4
Phase I: Melflufen 25 mg + Dexamethasone7
Phase I: Melflufen 40 mg + Dexamethasone6
Phase I: Melflufen 55 mg + Dexamethasone6
Phase I + II: Melflufen 40 mg + Dexamethasone45
Phase II: Melflufen 40 mg (Single Agent)13
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Phase I: Melflufen 15 mg + Dexamethasone4Not reportedNot reportedNot reportedNot reported
Phase I: Melflufen 25 mg + Dexamethasone7Not reportedNot reportedNot reportedNot reported
Phase I: Melflufen 40 mg + Dexamethasone6Not reportedNot reportedNot reportedNot reported
Phase I: Melflufen 55 mg + Dexamethasone6Not reportedNot reportedNot reportedNot reported
Phase I + II: Melflufen 40 mg + Dexamethasone45Not reportedNot reportedNot reportedNot reported
Phase II: Melflufen 40 mg (Single Agent)13Not reportedNot reportedNot reportedNot reported
TESAEs related to melflufen and/or dexamethasone

Analysis denominator · Participants

GroupSource count
Phase I: Melflufen 15 mg + Dexamethasone4
Phase I: Melflufen 25 mg + Dexamethasone7
Phase I: Melflufen 40 mg + Dexamethasone6
Phase I: Melflufen 55 mg + Dexamethasone6
Phase I + II: Melflufen 40 mg + Dexamethasone45
Phase II: Melflufen 40 mg (Single Agent)13
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Phase I: Melflufen 15 mg + Dexamethasone3Not reportedNot reportedNot reportedNot reported
Phase I: Melflufen 25 mg + Dexamethasone4Not reportedNot reportedNot reportedNot reported
Phase I: Melflufen 40 mg + Dexamethasone2Not reportedNot reportedNot reportedNot reported
Phase I: Melflufen 55 mg + Dexamethasone4Not reportedNot reportedNot reportedNot reported
Phase I + II: Melflufen 40 mg + Dexamethasone17Not reportedNot reportedNot reportedNot reported
Phase II: Melflufen 40 mg (Single Agent)9Not reportedNot reportedNot reportedNot reported
Complete source fields
calculate Pct
false
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        4
      2. group Id
        OG001
        value
        7
      3. group Id
        OG002
        value
        6
      4. group Id
        OG003
        value
        6
      5. group Id
        OG004
        value
        45
      6. group Id
        OG005
        value
        13
    denoms
    1. counts
      1. group Id
        OG000
        value
        4
      2. group Id
        OG001
        value
        7
      3. group Id
        OG002
        value
        6
      4. group Id
        OG003
        value
        6
      5. group Id
        OG004
        value
        45
      6. group Id
        OG005
        value
        13
      units
      Participants
    title
    TEAEs (including both serious and non-serious AEs)
  2. 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
        3
      6. group Id
        OG005
        value
        0
    denoms
    1. counts
      1. group Id
        OG000
        value
        4
      2. group Id
        OG001
        value
        7
      3. group Id
        OG002
        value
        6
      4. group Id
        OG003
        value
        6
      5. group Id
        OG004
        value
        45
      6. group Id
        OG005
        value
        13
      units
      Participants
    title
    TEAEs leading to death
  3. categories
    1. measurements
      1. group Id
        OG000
        value
        3
      2. group Id
        OG001
        value
        4
      3. group Id
        OG002
        value
        2
      4. group Id
        OG003
        value
        4
      5. group Id
        OG004
        value
        17
      6. group Id
        OG005
        value
        9
    denoms
    1. counts
      1. group Id
        OG000
        value
        4
      2. group Id
        OG001
        value
        7
      3. group Id
        OG002
        value
        6
      4. group Id
        OG003
        value
        6
      5. group Id
        OG004
        value
        45
      6. group Id
        OG005
        value
        13
      units
      Participants
    title
    TESAEs
  4. categories
    1. measurements
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        4
    denoms
    1. counts
      1. group Id
        OG000
        value
        4
      2. group Id
        OG001
        value
        7
      3. group Id
        OG002
        value
        6
      4. group Id
        OG003
        value
        6
      5. group Id
        OG004
        value
        0
      6. group Id
        OG005
        value
        0
      units
      Participants
    title
    DLT TEAEs
  5. categories
    1. measurements
      1. group Id
        OG000
        value
        4
      2. group Id
        OG001
        value
        7
      3. group Id
        OG002
        value
        6
      4. group Id
        OG003
        value
        6
      5. group Id
        OG004
        value
        45
      6. group Id
        OG005
        value
        13
    denoms
    1. counts
      1. group Id
        OG000
        value
        4
      2. group Id
        OG001
        value
        7
      3. group Id
        OG002
        value
        6
      4. group Id
        OG003
        value
        6
      5. group Id
        OG004
        value
        45
      6. group Id
        OG005
        value
        13
      units
      Participants
    title
    TEAEs related to melflufen and/or dexamethasone
  6. categories
    1. measurements
      1. group Id
        OG000
        value
        3
      2. group Id
        OG001
        value
        4
      3. group Id
        OG002
        value
        2
      4. group Id
        OG003
        value
        4
      5. group Id
        OG004
        value
        17
      6. group Id
        OG005
        value
        9
    denoms
    1. counts
      1. group Id
        OG000
        value
        4
      2. group Id
        OG001
        value
        7
      3. group Id
        OG002
        value
        6
      4. group Id
        OG003
        value
        6
      5. group Id
        OG004
        value
        45
      6. group Id
        OG005
        value
        13
      units
      Participants
    title
    TESAEs related to melflufen and/or dexamethasone
denoms
  1. counts
    1. group Id
      OG000
      value
      4
    2. group Id
      OG001
      value
      7
    3. group Id
      OG002
      value
      6
    4. group Id
      OG003
      value
      6
    5. group Id
      OG004
      value
      45
    6. group Id
      OG005
      value
      13
    units
    Participants
description
An adverse event (AE) was any untoward medical occurrence in a study patient administered an investigational product and that does not necessarily have a causal relationship with this treatment. A serious adverse event (SAE) was defined as any AE, occurring at any dose, that met any one or more of the following criteria: is fatal or immediately life-threatening; results in persistent or significant disability/incapacity; constitutes a congenital anomaly/birth defect; is medically significant; requires inpatient hospitalization or prolongation of existing hospitalization; or other important medical event. TEAEs were defined as AEs that started or worsened on or after the first dose of study drug (overall reference start date) up to and including the actual EOT date. TESAEs = Treatment emergent serious adverse events.
groups
  1. description
    Patients were treated with 15 mg melflufen as IV infusion on Day 1 and 40 mg dexamethasone oral tablet or IV infusion on Days 1, 8 and 15 of each 21-day treatment cycle. Patients could continue receiving treatment for up to 8 cycles or until they experienced unacceptable toxicity, disease progression, withdrew consent, and/or the study drug was discontinued at the discretion of the Investigator.
    id
    OG000
    title
    Phase I: Melflufen 15 mg + Dexamethasone
  2. description
    Patients were treated with 25 mg melflufen as IV infusion on Day 1 and 40 mg dexamethasone oral tablet or IV infusion on Days 1, 8 and 15 of each 21-day treatment cycle. Patients could continue receiving treatment for up to 8 cycles or until they experienced unacceptable toxicity, disease progression, withdrew consent, and/or the study drug was discontinued at the discretion of the Investigator.
    id
    OG001
    title
    Phase I: Melflufen 25 mg + Dexamethasone
  3. description
    Patients were treated with 40 mg melflufen as IV infusion on Day 1 and 40 mg dexamethasone oral tablet or IV infusion on Days 1, 8 and 15 of each 21-day treatment cycle. Patients could continue receiving treatment for up to 8 cycles or until they experienced unacceptable toxicity, disease progression, withdrew consent, and/or the study drug was discontinued at the discretion of the Investigator.
    id
    OG002
    title
    Phase I: Melflufen 40 mg + Dexamethasone
  4. description
    Patients were treated with 55 mg melflufen as IV infusion on Day 1 and 40 mg dexamethasone oral tablet or IV infusion on Days 1, 8 and 15 of each 21-day treatment cycle. Patients could continue receiving treatment for up to 8 cycles or until they experienced unacceptable toxicity, disease progression, withdrew consent, and/or the study drug was discontinued at the discretion of the Investigator.
    id
    OG003
    title
    Phase I: Melflufen 55 mg + Dexamethasone
  5. description
    Patients were treated with 40 mg melflufen as IV infusion on Day 1 and 40 mg dexamethasone oral tablet or IV infusion on Days 1, 8 and 15 of each 21-day or 28-day treatment cycle. Patients could continue receiving treatment for up to 8 cycles or until they experienced unacceptable toxicity, disease progression, withdrew consent, and/or the study drug was discontinued at the discretion of the Investigator. In Protocol amendment 4, the cycle of melflufen was increased from 21 to 28 days. For any patients on the 28-day treatment schedule, an additional dose of 40 mg dexamethasone was administered on Day 22 of each cycle.
    id
    OG004
    title
    Phase I + II: Melflufen 40 mg + Dexamethasone
  6. description
    Patients were treated with 40 mg melflufen as IV infusion on Day 1 of each 28-day treatment cycle. Dexamethasone was not administered as an antitumor compound. However, all patients were treated with 8 mg dexamethasone as an antiemetic on Days 1 and 2, and an optional 4 mg dexamethasone as an antiemetic on Days 3 and 4 of the same 28-day cycle, unless the Investigator decided to switch a patient to a combination regimen. Patients could continue receiving treatment for up to 8 cycles or until they experienced unacceptable toxicity, disease progression, withdrew consent, and/or the study drug was discontinued at the discretion of the Investigator.
    id
    OG005
    title
    Phase II: Melflufen 40 mg (Single Agent)
param Type
COUNT_OF_PARTICIPANTS
population Description
The Safety Analysis Set included all patients who received at least 1 dose, or part thereof, of study drug.
reporting Status
POSTED
time Frame
From the first dose of study drug up to and including the actual EOT date of 29 October 2019; up to a maximum of approximately 76 months.
title
Number of Patients With Treatment Emergent Adverse Events (TEAEs)
type
SECONDARY
unit Of Measure
Participants

Download exact source JSON → · Snapshot ctgov-results-25a395029948b04d52b1253f

Preserved source evidence · Not medical advice