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NCT02990338 · OUTCOME

Percentage of Participants With Best Overall Response (BOR) as Per Independent Response Committee

Multinational Clinical Study Comparing Isatuximab, Pomalidomide, and Dexamethasone to Pomalidomide and Dexamethasone in Refractory or Relapsed and Refractory Multiple Myeloma Patients · Source last updated 2025-01-17

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

Measure
NUMBER
Unit
percentage of participants
Interval / dispersion
Not reported
Time frame
From the date of randomization until disease progression, or death, initiation of further anti-myeloma treatment or data cut-off whichever comes first (maximum duration 76.7 weeks)

What was measured

BOR:best sequential response from start of treatment until disease progression, death, initiation of further anti-myeloma treatment/data cut-off, whichever comes first. Ordering of evaluations from best to worse was: sCR,CR,VGPR,PR, minimal response (MR), stable disease (SD), PD, and not evaluable.CR: negative immunofixation on serum and urine, disappearance of any soft tissue plasmacytomas,\<5% plasma cells in bone marrow aspirates. sCR:CR as defined previously plus normal FLC ratio (0.26 to 1.65), absence of clonal cells in bone marrow biopsy. VGPR: serum and urine M-protein detectable by immunofixation,\>=90% reduction in serum M-protein plus urine M-protein level \<100mg/24h,\>=90% decrease in SPD compared to baseline in soft tissue plasmacytoma. PR: \>=50% reduction of serum M-protein and reduction in 24h urinary M-protein by \>=90%/\<200mg/24h. MR:\>=25% but \<=49% reduction in serum M-protein and reduction in 24h urine M-protein by 50-89%. SD: Not meeting criteria for CR,VGPR,PR,MR/PD.

Analysis population: Analysis was performed on ITT population.

Groups in this outcome

Pd (Pomalidomide + Dexamethasone)

Participants received pomalidomide 4 mg PO on Days 1 to 21 of each 28-day treatment cycle plus dexamethasone 40 mg (participants \>= 75 years of age received 20 mg dexamethasone) PO on Days 1, 8, 15 and 22 of each 28-day treatment cycle until disease progression or unacceptable toxicity or participant's wish to discontinue study treatment, or any other reason, whichever comes first (maximum exposure: 73.7 weeks).

IPd (Isatuximab + Pomalidomide + Dexamethasone)

Participants received isatuximab 10 mg/kg IV infusion on Days 1, 8, 15, and 22 at Cycle 1, and then on Days 1 and 15 of subsequent cycles plus pomalidomide 4 mg PO on Days 1 to 21 of each 28-day treatment cycle and dexamethasone 40 mg (participants \>= 75 years of age received 20 mg dexamethasone), PO or IV on Day 1, 8, 15, 22 of each 28-day treatment cycle until disease progression or unacceptable toxicity or participant's wish to discontinue study treatment, or any other reason, whichever comes first (maximum exposure: 76.7 weeks).

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

Analysis denominator · Participants

GroupSource count
Pd (Pomalidomide + Dexamethasone)153
IPd (Isatuximab + Pomalidomide + Dexamethasone)154

Reported measurements

Stringent complete response
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Pd (Pomalidomide + Dexamethasone)0.7Not reportedNot reportedNot reportedNot reported
IPd (Isatuximab + Pomalidomide + Dexamethasone)0Not reportedNot reportedNot reportedNot reported
Complete response
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Pd (Pomalidomide + Dexamethasone)1.3Not reportedNot reportedNot reportedNot reported
IPd (Isatuximab + Pomalidomide + Dexamethasone)4.5Not reportedNot reportedNot reportedNot reported
Very good partial response
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Pd (Pomalidomide + Dexamethasone)6.5Not reportedNot reportedNot reportedNot reported
IPd (Isatuximab + Pomalidomide + Dexamethasone)27.3Not reportedNot reportedNot reportedNot reported
Partial response
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Pd (Pomalidomide + Dexamethasone)26.8Not reportedNot reportedNot reportedNot reported
IPd (Isatuximab + Pomalidomide + Dexamethasone)28.6Not reportedNot reportedNot reportedNot reported
Minimal response
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Pd (Pomalidomide + Dexamethasone)11.1Not reportedNot reportedNot reportedNot reported
IPd (Isatuximab + Pomalidomide + Dexamethasone)6.5Not reportedNot reportedNot reportedNot reported
Stable disease
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Pd (Pomalidomide + Dexamethasone)29.4Not reportedNot reportedNot reportedNot reported
IPd (Isatuximab + Pomalidomide + Dexamethasone)21.4Not reportedNot reportedNot reportedNot reported
Progressive Disease
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Pd (Pomalidomide + Dexamethasone)9.2Not reportedNot reportedNot reportedNot reported
IPd (Isatuximab + Pomalidomide + Dexamethasone)3.9Not reportedNot reportedNot reportedNot reported
Not evaluable
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Pd (Pomalidomide + Dexamethasone)10.5Not reportedNot reportedNot reportedNot reported
IPd (Isatuximab + Pomalidomide + Dexamethasone)4.5Not reportedNot reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        0.7
      2. group Id
        OG001
        value
        0
    title
    Stringent complete response
  2. categories
    1. measurements
      1. group Id
        OG000
        value
        1.3
      2. group Id
        OG001
        value
        4.5
    title
    Complete response
  3. categories
    1. measurements
      1. group Id
        OG000
        value
        6.5
      2. group Id
        OG001
        value
        27.3
    title
    Very good partial response
  4. categories
    1. measurements
      1. group Id
        OG000
        value
        26.8
      2. group Id
        OG001
        value
        28.6
    title
    Partial response
  5. categories
    1. measurements
      1. group Id
        OG000
        value
        11.1
      2. group Id
        OG001
        value
        6.5
    title
    Minimal response
  6. categories
    1. measurements
      1. group Id
        OG000
        value
        29.4
      2. group Id
        OG001
        value
        21.4
    title
    Stable disease
  7. categories
    1. measurements
      1. group Id
        OG000
        value
        9.2
      2. group Id
        OG001
        value
        3.9
    title
    Progressive Disease
  8. categories
    1. measurements
      1. group Id
        OG000
        value
        10.5
      2. group Id
        OG001
        value
        4.5
    title
    Not evaluable
denoms
  1. counts
    1. group Id
      OG000
      value
      153
    2. group Id
      OG001
      value
      154
    units
    Participants
description
BOR:best sequential response from start of treatment until disease progression, death, initiation of further anti-myeloma treatment/data cut-off, whichever comes first. Ordering of evaluations from best to worse was: sCR,CR,VGPR,PR, minimal response (MR), stable disease (SD), PD, and not evaluable.CR: negative immunofixation on serum and urine, disappearance of any soft tissue plasmacytomas,\<5% plasma cells in bone marrow aspirates. sCR:CR as defined previously plus normal FLC ratio (0.26 to 1.65), absence of clonal cells in bone marrow biopsy. VGPR: serum and urine M-protein detectable by immunofixation,\>=90% reduction in serum M-protein plus urine M-protein level \<100mg/24h,\>=90% decrease in SPD compared to baseline in soft tissue plasmacytoma. PR: \>=50% reduction of serum M-protein and reduction in 24h urinary M-protein by \>=90%/\<200mg/24h. MR:\>=25% but \<=49% reduction in serum M-protein and reduction in 24h urine M-protein by 50-89%. SD: Not meeting criteria for CR,VGPR,PR,MR/PD.
groups
  1. description
    Participants received pomalidomide 4 mg PO on Days 1 to 21 of each 28-day treatment cycle plus dexamethasone 40 mg (participants \>= 75 years of age received 20 mg dexamethasone) PO on Days 1, 8, 15 and 22 of each 28-day treatment cycle until disease progression or unacceptable toxicity or participant's wish to discontinue study treatment, or any other reason, whichever comes first (maximum exposure: 73.7 weeks).
    id
    OG000
    title
    Pd (Pomalidomide + Dexamethasone)
  2. description
    Participants received isatuximab 10 mg/kg IV infusion on Days 1, 8, 15, and 22 at Cycle 1, and then on Days 1 and 15 of subsequent cycles plus pomalidomide 4 mg PO on Days 1 to 21 of each 28-day treatment cycle and dexamethasone 40 mg (participants \>= 75 years of age received 20 mg dexamethasone), PO or IV on Day 1, 8, 15, 22 of each 28-day treatment cycle until disease progression or unacceptable toxicity or participant's wish to discontinue study treatment, or any other reason, whichever comes first (maximum exposure: 76.7 weeks).
    id
    OG001
    title
    IPd (Isatuximab + Pomalidomide + Dexamethasone)
param Type
NUMBER
population Description
Analysis was performed on ITT population.
reporting Status
POSTED
time Frame
From the date of randomization until disease progression, or death, initiation of further anti-myeloma treatment or data cut-off whichever comes first (maximum duration 76.7 weeks)
title
Percentage of Participants With Best Overall Response (BOR) as Per Independent Response Committee
type
SECONDARY
unit Of Measure
percentage of participants

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Preserved source evidence · Not medical advice