Participants With Treatment Emergent Adverse Events (TEAE)
A Study of Durvalumab in Combination With Lenalidomide With and Without Dexamethasone in Adults With Newly Diagnosed Multiple Myeloma · Source last updated 2023-10-06
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 84 (the longer of 90 days after discontinuing treatment with DURVA, or 28 days after the last dose of LEN or dex)
What was measured
An AE is any noxious, unintended, or untoward medical occurrence that may appear or worsen during the course of a study. A TEAE includes AEs between the first dose date of either study drug and 90 days after the last dose of study drug. A serious AE is any AE occurring at any dose that: • Results in death; • Is life-threatening; • Requires or prolongs existing inpatient hospitalization; • Results in persistent or significant disability/incapacity; • Is a congenital anomaly/birth defect; • Constitutes an important medical event. The Investigator assessed the relationship of each AE to study drug and graded the severity according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE, Version 4.03): - Grade 1 = Mild - Grade 2 = Moderate (some limitation in activity; no/minimal medical intervention required) - Grade 3 = Severe (limitation in activity; medical intervention required) - Grade 4 = Life-threatening - Grade 5 = Death
Analysis population: Safety population. The Safety Population is defined as all enrolled subjects who receive at least 1 dose of the study medications.
Groups in this outcome
Cohort A: High Risk, TNE
High risk, transplant non-eligible \[TNE\], newly diagnosed multiple myeloma (NDMM) participants who were administered • Intravenous (IV) durvalumab at 1500 mg on Day 1 of each 28-day cycle • Oral lenalidomide (LEN) 25 mg/day (adjust per the creatinine clearance \[CrCl\] value) on Days 1 to 21 of each 28-day treatment cycle • Oral dexamethasone (dex) 40 mg/day (≤ 75 years old) or 20 mg/day (\> 75 years old) on Days 1, 8, 15, and 22 of each 28-day cycle.
Cohort B: >=65 Years Old, TNE
\>= 65 years old, transplant non-eligible \[TNE\], newly diagnosed multiple myeloma (NDMM) participants who were not high risk were administered • Intravenous (IV) durvalumab at 1500 mg on Day 1 of each 28-day cycle • Oral lenalidomide (LEN) 25 mg/day (adjust per the creatinine clearance \[CrCl\] value) on Days 1 to 21 of each 28-day treatment cycle • Oral dexamethasone (dex) 40 mg/day (≤ 75 years old) or 20 mg/day (\> 75 years old) on Days 1, 8, 15, and 22 of each 28-day cycle, up to 12 cycles.
Cohort C: High Risk, Post-transplant
High risk, post-transplant NDMM participants were administered the following as maintenance therapy: • Intravenous (IV) durvalumab at 1500 mg on Day 1 of each 28-day cycle • Oral lenalidomide (LEN) 10 mg/day on Days 1 to 21 of each 28-day treatment cycle.
Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.
Analysis denominator · Participants
Group
Source count
Cohort A: High Risk, TNE
25
Cohort B: >=65 Years Old, TNE
10
Cohort C: High Risk, Post-transplant
21
Reported measurements
>= 1 TEAE
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
24
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
9
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
18
Not reported
Not reported
Not reported
Not reported
>=1 treatment-related TEAE
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
22
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
8
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
17
Not reported
Not reported
Not reported
Not reported
>=1 related to DURVA
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
16
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
4
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
15
Not reported
Not reported
Not reported
Not reported
>=1 related to LEN
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
22
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
8
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
15
Not reported
Not reported
Not reported
Not reported
>=1 related to dex
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
16
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
6
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
NA
Not reported
Not reported
Not reported
Dexamethasone not administered to Cohort C
>=1 TEAE of severity grade 3 or 4
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
19
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
8
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
7
Not reported
Not reported
Not reported
Not reported
>=1 severity 3/4, related to study drug
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
13
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
8
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
6
Not reported
Not reported
Not reported
Not reported
>=1 severity 3/4, related to DURVA
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
7
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
4
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
4
Not reported
Not reported
Not reported
Not reported
>=1 severity 3/4, related to LEN
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
11
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
8
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
4
Not reported
Not reported
Not reported
Not reported
>=1 severity 3/4, related to dex
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
5
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
2
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
NA
Not reported
Not reported
Not reported
Dexamethasone not administered to Cohort C
>=1 Grade 5 TEAE (Death)
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
1
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
0
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
1
Not reported
Not reported
Not reported
Not reported
>=1 Grade 5 TEAE related to study drug
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
0
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
0
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
1
Not reported
Not reported
Not reported
Not reported
>=1 Grade 5 TEAE related to DURVA
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
0
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
0
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
1
Not reported
Not reported
Not reported
Not reported
>=1 Grade 5 TEAE related to LEN
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
0
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
0
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
0
Not reported
Not reported
Not reported
Not reported
>=1 Grade 5 TEAE related to dex
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
0
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
0
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
NA
Not reported
Not reported
Not reported
Dexamethasone not administered to Cohort C
>=1 Serious TEAE
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
12
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
6
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
4
Not reported
Not reported
Not reported
Not reported
>=1 Serious TEAE related to study drug
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
8
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
4
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
4
Not reported
Not reported
Not reported
Not reported
>=1 Serious TEAE related to DURVA
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
5
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
1
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
4
Not reported
Not reported
Not reported
Not reported
>=1 Serious TEAE related to LEN
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
6
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
3
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
2
Not reported
Not reported
Not reported
Not reported
>=1 Serious TEAE related to dex
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
5
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
1
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
NA
Not reported
Not reported
Not reported
Dexamethasone not administered to Cohort C
>=1 TEAE leading to discontinuation of study drug
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
3
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
0
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
1
Not reported
Not reported
Not reported
Not reported
>= TEAE leading to discontinuation of DURVA
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
2
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
0
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
1
Not reported
Not reported
Not reported
Not reported
>= TEAE leading to discontinuation of LEN
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
3
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
0
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
0
Not reported
Not reported
Not reported
Not reported
>= TEAE leading to discontinuation of dex
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
2
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
0
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
NA
Not reported
Not reported
Not reported
Dexamethasone not administered to Cohort C
>=1 leading to delay/reduction/interruption drug
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
14
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
7
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
6
Not reported
Not reported
Not reported
Not reported
>=1 leading to dose delay of DURVA
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
10
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
3
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
4
Not reported
Not reported
Not reported
Not reported
>=1 leading to infusion interruption of DURVA
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
0
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
0
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
1
Not reported
Not reported
Not reported
Not reported
>=1 leading to dose reduction of LEN
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
2
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
2
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
3
Not reported
Not reported
Not reported
Not reported
>=1 leading to interruption of LEN
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
13
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
5
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
5
Not reported
Not reported
Not reported
Not reported
>=1 leading to dose reduction of dex
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
1
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
3
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
NA
Not reported
Not reported
Not reported
Dexamethasone not administered to Cohort C
>=1 leading to interruption of dex
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Cohort A: High Risk, TNE
9
Not reported
Not reported
Not reported
Not reported
Cohort B: >=65 Years Old, TNE
3
Not reported
Not reported
Not reported
Not reported
Cohort C: High Risk, Post-transplant
NA
Not reported
Not reported
Not reported
Dexamethasone not administered to Cohort C
Complete source fields
classes
categories
measurements
group Id
OG000
value
24
group Id
OG001
value
9
group Id
OG002
value
18
title
>= 1 TEAE
categories
measurements
group Id
OG000
value
22
group Id
OG001
value
8
group Id
OG002
value
17
title
>=1 treatment-related TEAE
categories
measurements
group Id
OG000
value
16
group Id
OG001
value
4
group Id
OG002
value
15
title
>=1 related to DURVA
categories
measurements
group Id
OG000
value
22
group Id
OG001
value
8
group Id
OG002
value
15
title
>=1 related to LEN
categories
measurements
group Id
OG000
value
16
group Id
OG001
value
6
comment
Dexamethasone not administered to Cohort C
group Id
OG002
value
NA
title
>=1 related to dex
categories
measurements
group Id
OG000
value
19
group Id
OG001
value
8
group Id
OG002
value
7
title
>=1 TEAE of severity grade 3 or 4
categories
measurements
group Id
OG000
value
13
group Id
OG001
value
8
group Id
OG002
value
6
title
>=1 severity 3/4, related to study drug
categories
measurements
group Id
OG000
value
7
group Id
OG001
value
4
group Id
OG002
value
4
title
>=1 severity 3/4, related to DURVA
categories
measurements
group Id
OG000
value
11
group Id
OG001
value
8
group Id
OG002
value
4
title
>=1 severity 3/4, related to LEN
categories
measurements
group Id
OG000
value
5
group Id
OG001
value
2
comment
Dexamethasone not administered to Cohort C
group Id
OG002
value
NA
title
>=1 severity 3/4, related to dex
categories
measurements
group Id
OG000
value
1
group Id
OG001
value
0
group Id
OG002
value
1
title
>=1 Grade 5 TEAE (Death)
categories
measurements
group Id
OG000
value
0
group Id
OG001
value
0
group Id
OG002
value
1
title
>=1 Grade 5 TEAE related to study drug
denoms
counts
group Id
OG000
value
25
group Id
OG001
value
10
group Id
OG002
value
21
units
Participants
description
An AE is any noxious, unintended, or untoward medical occurrence that may appear or worsen during the course of a study. A TEAE includes AEs between the first dose date of either study drug and 90 days after the last dose of study drug. A serious AE is any AE occurring at any dose that: • Results in death; • Is life-threatening; • Requires or prolongs existing inpatient hospitalization; • Results in persistent or significant disability/incapacity; • Is a congenital anomaly/birth defect; • Constitutes an important medical event. The Investigator assessed the relationship of each AE to study drug and graded the severity according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE, Version 4.03): - Grade 1 = Mild - Grade 2 = Moderate (some limitation in activity; no/minimal medical intervention required) - Grade 3 = Severe (limitation in activity; medical intervention required) - Grade 4 = Life-threatening - Grade 5 = Death
groups
description
High risk, transplant non-eligible \[TNE\], newly diagnosed multiple myeloma (NDMM) participants who were administered • Intravenous (IV) durvalumab at 1500 mg on Day 1 of each 28-day cycle • Oral lenalidomide (LEN) 25 mg/day (adjust per the creatinine clearance \[CrCl\] value) on Days 1 to 21 of each 28-day treatment cycle • Oral dexamethasone (dex) 40 mg/day (≤ 75 years old) or 20 mg/day (\> 75 years old) on Days 1, 8, 15, and 22 of each 28-day cycle.
id
OG000
title
Cohort A: High Risk, TNE
description
\>= 65 years old, transplant non-eligible \[TNE\], newly diagnosed multiple myeloma (NDMM) participants who were not high risk were administered • Intravenous (IV) durvalumab at 1500 mg on Day 1 of each 28-day cycle • Oral lenalidomide (LEN) 25 mg/day (adjust per the creatinine clearance \[CrCl\] value) on Days 1 to 21 of each 28-day treatment cycle • Oral dexamethasone (dex) 40 mg/day (≤ 75 years old) or 20 mg/day (\> 75 years old) on Days 1, 8, 15, and 22 of each 28-day cycle, up to 12 cycles.
id
OG001
title
Cohort B: >=65 Years Old, TNE
description
High risk, post-transplant NDMM participants were administered the following as maintenance therapy: • Intravenous (IV) durvalumab at 1500 mg on Day 1 of each 28-day cycle • Oral lenalidomide (LEN) 10 mg/day on Days 1 to 21 of each 28-day treatment cycle.
id
OG002
title
Cohort C: High Risk, Post-transplant
param Type
COUNT_OF_PARTICIPANTS
population Description
Safety population. The Safety Population is defined as all enrolled subjects who receive at least 1 dose of the study medications.
reporting Status
POSTED
time Frame
Day 1 up to Week 84 (the longer of 90 days after discontinuing treatment with DURVA, or 28 days after the last dose of LEN or dex)
title
Participants With Treatment Emergent Adverse Events (TEAE)