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NCT02181413 · OUTCOME

Correlation Between MRD Status and Progression Free Survival (PFS)

A Study of Oral Ixazomib Citrate (MLN9708) Maintenance Therapy in Participants With Multiple Myeloma Following Autologous Stem Cell Transplant · Source last updated 2024-11-19

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

Measure
MEDIAN
Unit
months
Interval / dispersion
95% Confidence Interval
Time frame
From randomization up to 107 months

What was measured

PFS is defined as the time from the date of randomization to the date of first documentation of PD as evaluated by an IRC according to IMWG criteria, or death due to any cause, whichever occurred first, assessed for up to 107 months in this outcome measure.

Analysis population: ITT population was defined as all participants who were randomized and had post randomization data. Overall number analyzed is the number of participants with data available for analyses. Number analyzed indicates the number of participants available for analysis in the specified category.

Groups in this outcome

Placebo

Ixazomib citrate placebo-matching capsules, orally, once on Days 1, 8 and 15 in a 28-day cycle for Cycles 1 through 26 until progressive disease (PD), unacceptable toxicity, or discontinuation for alternate reasons.

Ixazomib Citrate

Ixazomib citrate 3 mg, capsules, orally, once, on Days 1, 8 and 15 in a 28-day cycle for Cycles 1 through 4. Ixazomib citrate 4 mg, capsules, orally, once, on Days 1, 8 and 15 in a 28-day cycle for Cycles 5 through 26 until PD, unacceptable toxicity, or discontinuation for alternate reasons. Participants who had any dose reductions due to AEs were not dose escalated.

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

Analysis denominator · Participants

GroupSource count
Placebo214
Ixazomib Citrate342

Reported measurements

MRD- at Study Entry

Analysis denominator · Participants

GroupSource count
Placebo75
Ixazomib Citrate117
Values in months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Placebo32.5Not reported19.32NAUpper limit of 95% CI was not estimable due to censoring.
Ixazomib Citrate38.6Not reported33.81NAUpper limit of 95% CI was not estimable due to censoring.
MRD+ at Study Entry

Analysis denominator · Participants

GroupSource count
Placebo139
Ixazomib Citrate225
Values in months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Placebo18.5Not reported15.7021.91Not reported
Ixazomib Citrate23.1Not reported20.2425.69Not reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    0.386
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.969
    estimate Comment
    Hazard ratio is based on an unadjusted Cox's proportional hazard regression model stratified by induction regimen, pre-induction ISS, and response after transplantation, comparing the hazard rate of Ixazomib arm over the hazard rate of Placebo arm.
    group Description
    MRD- at Study Entry
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.034
    p Value Comment
    P-value was based on log-rank test stratified by pre-induction regimen, ISS stage and response after transplantation.
    param Type
    Hazard Ratio (HR)
    param Value
    0.612
    statistical Method
    Log Rank
  2. ci Lower Limit
    0.539
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.920
    estimate Comment
    Hazard ratio is based on an unadjusted Cox's proportional hazard regression model stratified by induction regimen, pre-induction ISS, and response after transplantation, comparing the hazard rate of Ixazomib arm over the hazard rate of Placebo arm.
    group Description
    MRD+ at Study Entry
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.010
    p Value Comment
    P-value was based on log-rank test stratified by pre-induction regimen, ISS stage and response after transplantation.
    param Type
    Hazard Ratio (HR)
    param Value
    0.704
    statistical Method
    Log Rank
Complete source fields
analyses
  1. ci Lower Limit
    0.386
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.969
    estimate Comment
    Hazard ratio is based on an unadjusted Cox's proportional hazard regression model stratified by induction regimen, pre-induction ISS, and response after transplantation, comparing the hazard rate of Ixazomib arm over the hazard rate of Placebo arm.
    group Description
    MRD- at Study Entry
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.034
    p Value Comment
    P-value was based on log-rank test stratified by pre-induction regimen, ISS stage and response after transplantation.
    param Type
    Hazard Ratio (HR)
    param Value
    0.612
    statistical Method
    Log Rank
  2. ci Lower Limit
    0.539
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.920
    estimate Comment
    Hazard ratio is based on an unadjusted Cox's proportional hazard regression model stratified by induction regimen, pre-induction ISS, and response after transplantation, comparing the hazard rate of Ixazomib arm over the hazard rate of Placebo arm.
    group Description
    MRD+ at Study Entry
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.010
    p Value Comment
    P-value was based on log-rank test stratified by pre-induction regimen, ISS stage and response after transplantation.
    param Type
    Hazard Ratio (HR)
    param Value
    0.704
    statistical Method
    Log Rank
classes
  1. categories
    1. measurements
      1. comment
        Upper limit of 95% CI was not estimable due to censoring.
        group Id
        OG000
        lower Limit
        19.32
        upper Limit
        NA
        value
        32.5
      2. comment
        Upper limit of 95% CI was not estimable due to censoring.
        group Id
        OG001
        lower Limit
        33.81
        upper Limit
        NA
        value
        38.6
    denoms
    1. counts
      1. group Id
        OG000
        value
        75
      2. group Id
        OG001
        value
        117
      units
      Participants
    title
    MRD- at Study Entry
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        15.70
        upper Limit
        21.91
        value
        18.5
      2. group Id
        OG001
        lower Limit
        20.24
        upper Limit
        25.69
        value
        23.1
    denoms
    1. counts
      1. group Id
        OG000
        value
        139
      2. group Id
        OG001
        value
        225
      units
      Participants
    title
    MRD+ at Study Entry
denoms
  1. counts
    1. group Id
      OG000
      value
      214
    2. group Id
      OG001
      value
      342
    units
    Participants
description
PFS is defined as the time from the date of randomization to the date of first documentation of PD as evaluated by an IRC according to IMWG criteria, or death due to any cause, whichever occurred first, assessed for up to 107 months in this outcome measure.
dispersion Type
95% Confidence Interval
groups
  1. description
    Ixazomib citrate placebo-matching capsules, orally, once on Days 1, 8 and 15 in a 28-day cycle for Cycles 1 through 26 until progressive disease (PD), unacceptable toxicity, or discontinuation for alternate reasons.
    id
    OG000
    title
    Placebo
  2. description
    Ixazomib citrate 3 mg, capsules, orally, once, on Days 1, 8 and 15 in a 28-day cycle for Cycles 1 through 4. Ixazomib citrate 4 mg, capsules, orally, once, on Days 1, 8 and 15 in a 28-day cycle for Cycles 5 through 26 until PD, unacceptable toxicity, or discontinuation for alternate reasons. Participants who had any dose reductions due to AEs were not dose escalated.
    id
    OG001
    title
    Ixazomib Citrate
param Type
MEDIAN
population Description
ITT population was defined as all participants who were randomized and had post randomization data. Overall number analyzed is the number of participants with data available for analyses. Number analyzed indicates the number of participants available for analysis in the specified category.
reporting Status
POSTED
time Frame
From randomization up to 107 months
title
Correlation Between MRD Status and Progression Free Survival (PFS)
type
SECONDARY
unit Of Measure
months

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