NCT01903811 · OUTCOME
Best Overall Response - Partial Response (PR), Very Good Partial Response (VGPR), Unconfirmed PR (uPR), Stable Disease (SD) Progression (PROG)
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 date of registration to date of best response while on study treatment
What was measured
Per International Uniform Response Criteria for Multiple Myeloma PR- ≥ 50% reduction in size of soft tissue plasmacytomas \& plasma cells; ≥ 50% decrease in serum \& reduction in urine M protein ≥ 90% or to \< 200 mg/24hr or ≥ 50% decrease in difference in uninvolved \& involved serum free light chain levels; VGPR- PR + Serum and urine M proteins detectable by immunofixation but not on electrophoresis or ≥ 90% reduction in serum M protein \& urine M protein \< 100 mg/24 hrs; uPR- 1 objective status of PR, but confirmation studies are not done, or do not meet the requirements necessary to confirm response; SD- does not meet criteria for sCR, CR, VGPR, PR or PROG; PROG- new or increase in size of existing bone lesions or soft tissue plasmacytomas/ development of hypercalcemia attributable solely to MM/ ≥ 25% increase from baseline/ lowest response level of either serum or Urine M protein, difference in involved \& uninvolved serum free light chain level or bone marrow plasma cell percentage.
Analysis population: This population includes eligible and analyzable patients who had a follow-up response assessment.
Groups in this outcome
Arm I (Dexamethasone, Low-dose Carfilzomib)
Patients receive 20 mg dexamethasone IV and low-dose (27 mg/m\^2) carfilzomib IV over 2-10 minutes on days 1, 2, 8, 9, 15, and 16. (Note that course 1 is given at a reduced dose of 20 mg/m\^2.) Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. Patients with progression cross-over to Arm II. Carfilzomib: Given IV Dexamethasone: Given IV Laboratory Biomarker Analysis: Correlative studies
Arm II (Dexamethasone, High-dose Carfilzomib)
Patients receive 20 mg dexamethasone IV and high-dose (56 mg/m\^2) carfilzomib IV over 30 minutes on days 1, 2, 8, 9, 15, and 16. (Note that course 1 is given at a reduced dose of 20 mg/m\^2 over 2-10 minutes.) Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. Carfilzomib: Given IV Dexamethasone: Given IV Laboratory Biomarker Analysis: Correlative studies
| Group | Source count |
|---|---|
| Arm I (Dexamethasone, Low-dose Carfilzomib) | 59 |
| Arm II (Dexamethasone, High-dose Carfilzomib) | 53 |
Reported measurements
Very Good Partial Response (VGPR)
| Group | Value | Spread | Lower | Upper | Comment |
|---|---|---|---|---|---|
| Arm I (Dexamethasone, Low-dose Carfilzomib) | 5 | Not reported | Not reported | Not reported | Not reported |
| Arm II (Dexamethasone, High-dose Carfilzomib) | 14 | Not reported | Not reported | Not reported | Not reported |
Partial Response (PR)
| Group | Value | Spread | Lower | Upper | Comment |
|---|---|---|---|---|---|
| Arm I (Dexamethasone, Low-dose Carfilzomib) | 18 | Not reported | Not reported | Not reported | Not reported |
| Arm II (Dexamethasone, High-dose Carfilzomib) | 11 | Not reported | Not reported | Not reported | Not reported |
Unconfirmed Partial Response (uPR)
| Group | Value | Spread | Lower | Upper | Comment |
|---|---|---|---|---|---|
| Arm I (Dexamethasone, Low-dose Carfilzomib) | 0 | Not reported | Not reported | Not reported | Not reported |
| Arm II (Dexamethasone, High-dose Carfilzomib) | 2 | Not reported | Not reported | Not reported | Not reported |
Stable Disease (SD)
| Group | Value | Spread | Lower | Upper | Comment |
|---|---|---|---|---|---|
| Arm I (Dexamethasone, Low-dose Carfilzomib) | 24 | Not reported | Not reported | Not reported | Not reported |
| Arm II (Dexamethasone, High-dose Carfilzomib) | 19 | Not reported | Not reported | Not reported | Not reported |
Progressive Disease
| Group | Value | Spread | Lower | Upper | Comment |
|---|---|---|---|---|---|
| Arm I (Dexamethasone, Low-dose Carfilzomib) | 12 | Not reported | Not reported | Not reported | Not reported |
| Arm II (Dexamethasone, High-dose Carfilzomib) | 7 | Not reported | Not reported | Not reported | Not reported |
Source statistical analyses
- group Description
- Compare the rate of confirmed PR or better between treatment arms.
- group Ids
- OG000
- OG001
- non Inferiority Type
- SUPERIORITY
- p Value
- 0.1130
- statistical Method
- Cochran-Mantel-Haenszel
Complete source fields
- analyses
- group Description
- Compare the rate of confirmed PR or better between treatment arms.
- group Ids
- OG000
- OG001
- non Inferiority Type
- SUPERIORITY
- p Value
- 0.1130
- statistical Method
- Cochran-Mantel-Haenszel
- classes
- categories
- measurements
- group Id
- OG000
- value
- 5
- group Id
- OG001
- value
- 14
- title
- Very Good Partial Response (VGPR)
- categories
- measurements
- group Id
- OG000
- value
- 18
- group Id
- OG001
- value
- 11
- title
- Partial Response (PR)
- categories
- measurements
- group Id
- OG000
- value
- 0
- group Id
- OG001
- value
- 2
- title
- Unconfirmed Partial Response (uPR)
- categories
- measurements
- group Id
- OG000
- value
- 24
- group Id
- OG001
- value
- 19
- title
- Stable Disease (SD)
- categories
- measurements
- group Id
- OG000
- value
- 12
- group Id
- OG001
- value
- 7
- title
- Progressive Disease
- denoms
- counts
- group Id
- OG000
- value
- 59
- group Id
- OG001
- value
- 53
- units
- Participants
- description
- Per International Uniform Response Criteria for Multiple Myeloma PR- ≥ 50% reduction in size of soft tissue plasmacytomas \& plasma cells; ≥ 50% decrease in serum \& reduction in urine M protein ≥ 90% or to \< 200 mg/24hr or ≥ 50% decrease in difference in uninvolved \& involved serum free light chain levels; VGPR- PR + Serum and urine M proteins detectable by immunofixation but not on electrophoresis or ≥ 90% reduction in serum M protein \& urine M protein \< 100 mg/24 hrs; uPR- 1 objective status of PR, but confirmation studies are not done, or do not meet the requirements necessary to confirm response; SD- does not meet criteria for sCR, CR, VGPR, PR or PROG; PROG- new or increase in size of existing bone lesions or soft tissue plasmacytomas/ development of hypercalcemia attributable solely to MM/ ≥ 25% increase from baseline/ lowest response level of either serum or Urine M protein, difference in involved \& uninvolved serum free light chain level or bone marrow plasma cell percentage.
- groups
- description
- Patients receive 20 mg dexamethasone IV and low-dose (27 mg/m\^2) carfilzomib IV over 2-10 minutes on days 1, 2, 8, 9, 15, and 16. (Note that course 1 is given at a reduced dose of 20 mg/m\^2.) Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. Patients with progression cross-over to Arm II. Carfilzomib: Given IV Dexamethasone: Given IV Laboratory Biomarker Analysis: Correlative studies
- id
- OG000
- title
- Arm I (Dexamethasone, Low-dose Carfilzomib)
- description
- Patients receive 20 mg dexamethasone IV and high-dose (56 mg/m\^2) carfilzomib IV over 30 minutes on days 1, 2, 8, 9, 15, and 16. (Note that course 1 is given at a reduced dose of 20 mg/m\^2 over 2-10 minutes.) Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. Carfilzomib: Given IV Dexamethasone: Given IV Laboratory Biomarker Analysis: Correlative studies
- id
- OG001
- title
- Arm II (Dexamethasone, High-dose Carfilzomib)
- param Type
- COUNT_OF_PARTICIPANTS
- population Description
- This population includes eligible and analyzable patients who had a follow-up response assessment.
- reporting Status
- POSTED
- time Frame
- From date of registration to date of best response while on study treatment
- title
- Best Overall Response - Partial Response (PR), Very Good Partial Response (VGPR), Unconfirmed PR (uPR), Stable Disease (SD) Progression (PROG)
- type
- SECONDARY
- unit Of Measure
- Participants
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Preserved source evidence · Not medical advice
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