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NCT02939183 · OUTCOME

Maximum Tolerated Dose (MTD) of Each Formulation of Oprozomib in Combination With Pomolidomide and Dexamethasone

Phase 1b Study Evaluating OPomD in Relapsed or Refractory Multiple Myeloma · Source last updated 2024-09-26

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

Measure
NUMBER
Unit
mg/day
Interval / dispersion
Not reported
Time frame
Day 1 to Day 28 of cycle 1, where each cycle was 28 days

What was measured

The MTD was the dose with the highest posterior probability of having a DLT rate within the target toxicity interval (15% to 25%), while the posterior probability of excessive/unacceptable toxicity (\>25% to 100%) is \<40%. DLTs were graded using CTCAE version 4.03 and included the below, if judged by the investigator/medical monitor to be possibly related to study treatment: Non-hematologic DLTs were any ≥ Grade 3 toxicity, except: Grade 3 asymptomatic electrolyte abnormalities (except hypophosphatemia \> 24 hours); Grade 3 nausea, vomiting and diarrhea \< 3 days; Grade 3 fatigue \< 14 days; ≥ Grade 3 hyperglycemia/toxicity due to dexamethasone; ≥ Grade 3 rash due to pomalidomide. Hematologic DLTs included: Grade 4 neutropenia if absolute neutrophil count \< 0.5 x 10\^9/L ≥ 7 days; febrile neutropenia; Grade 4 thrombocytopenia ≥ 7 days; Grade ≥ 3 with ≥ Grade 2 bleeding/requiring platelet transfusion.

Analysis population: DLT-evaluable participants in Part 2 who received the following during the 28-day DLT window: all planned doses of oprozomib, a minimum of 17 of 21 planned doses of pomalidomide, and a minimum of 6 of 8 planned doses of dexamethasone.

Groups in this outcome

All Doses Oprozomib IR + Pomalidomide + Dexamethasone

Participants who received oprozomib IR in a 2/7 schedule in combination with pomalidomide and dexamethasone in Part 2. Doses of oprozomib IR administered were 150 mg/day (N=4), 200 mg/day (N=8), 225 mg/day (N=10), and 250 mg/day (N=8).

All Doses Oprozomib GR + Pomalidomide + Dexamethasone

Participants who received oprozomib GR in a 2/7 schedule in combination with pomalidomide and dexamethasone in Part 2. Doses of oprozomib GR administered were 150 mg/day (N=4), and 200 mg/day (N=5).

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

Analysis denominator · Participants

GroupSource count
All Doses Oprozomib IR + Pomalidomide + Dexamethasone30
All Doses Oprozomib GR + Pomalidomide + Dexamethasone9

Reported measurements

Source class 1
Values in mg/day · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
All Doses Oprozomib IR + Pomalidomide + Dexamethasone250Not reportedNot reportedNot reportedNot reported
All Doses Oprozomib GR + Pomalidomide + DexamethasoneNANot reportedNot reportedNot reportedThe MTD for oprozomib GR in combination with pomalidomide and dexamethasone was not determined due to too few DLTs.
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        250
      2. comment
        The MTD for oprozomib GR in combination with pomalidomide and dexamethasone was not determined due to too few DLTs.
        group Id
        OG001
        value
        NA
denoms
  1. counts
    1. group Id
      OG000
      value
      30
    2. group Id
      OG001
      value
      9
    units
    Participants
description
The MTD was the dose with the highest posterior probability of having a DLT rate within the target toxicity interval (15% to 25%), while the posterior probability of excessive/unacceptable toxicity (\>25% to 100%) is \<40%. DLTs were graded using CTCAE version 4.03 and included the below, if judged by the investigator/medical monitor to be possibly related to study treatment: Non-hematologic DLTs were any ≥ Grade 3 toxicity, except: Grade 3 asymptomatic electrolyte abnormalities (except hypophosphatemia \> 24 hours); Grade 3 nausea, vomiting and diarrhea \< 3 days; Grade 3 fatigue \< 14 days; ≥ Grade 3 hyperglycemia/toxicity due to dexamethasone; ≥ Grade 3 rash due to pomalidomide. Hematologic DLTs included: Grade 4 neutropenia if absolute neutrophil count \< 0.5 x 10\^9/L ≥ 7 days; febrile neutropenia; Grade 4 thrombocytopenia ≥ 7 days; Grade ≥ 3 with ≥ Grade 2 bleeding/requiring platelet transfusion.
groups
  1. description
    Participants who received oprozomib IR in a 2/7 schedule in combination with pomalidomide and dexamethasone in Part 2. Doses of oprozomib IR administered were 150 mg/day (N=4), 200 mg/day (N=8), 225 mg/day (N=10), and 250 mg/day (N=8).
    id
    OG000
    title
    All Doses Oprozomib IR + Pomalidomide + Dexamethasone
  2. description
    Participants who received oprozomib GR in a 2/7 schedule in combination with pomalidomide and dexamethasone in Part 2. Doses of oprozomib GR administered were 150 mg/day (N=4), and 200 mg/day (N=5).
    id
    OG001
    title
    All Doses Oprozomib GR + Pomalidomide + Dexamethasone
param Type
NUMBER
population Description
DLT-evaluable participants in Part 2 who received the following during the 28-day DLT window: all planned doses of oprozomib, a minimum of 17 of 21 planned doses of pomalidomide, and a minimum of 6 of 8 planned doses of dexamethasone.
reporting Status
POSTED
time Frame
Day 1 to Day 28 of cycle 1, where each cycle was 28 days
title
Maximum Tolerated Dose (MTD) of Each Formulation of Oprozomib in Combination With Pomolidomide and Dexamethasone
type
PRIMARY
unit Of Measure
mg/day

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

Preserved source evidence · Not medical advice