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NCT03029234 · OUTCOME

Duration of Overall Response (DOR)

Carfilzomib in Combination With Dexamethasone (Kd) in Chinese Patients With Relapsed & Refractory Multiple Myeloma · Source last updated 2022-05-25

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
Response was assessed every 28 days until disease progression; the data cut-off date was 15 March 2019; median follow-up time for progression assessed by independent review committee and by investigators were 12.8 months and 13.1 months, respectively.

What was measured

Duration of response (DOR) is defined as the time from first evidence of PR or better to disease progression (PD) or death due to any cause per the IMWG-URC criteria. PD: * Increase of 25% from lowest response value in any of the following: * Serum M-component (absolute increase ≥ 0.5 g/dL) and/or * Urine M-component (absolute increase ≥ 200 mg/24 hours) * In patients without measurable serum and urine M-protein levels: the difference between involved and uninvolved FLC levels (absolute increase \>10 mg/dL) * Definite development of new or increase in size of existing bone lesions or soft tissue plasmacytomas * Development of hypercalcemia attributed solely to the plasma cell proliferative disorder. DOR was analyzed using the Kaplan-Meier method; Participants with no documented progression or death were censored at the date of their last disease assessment. DOR was determined based on both investigator and independent review committee response assessments.

Analysis population: Safety population participants who achieved an overall response (best response of PR or better)

Groups in this outcome

Carfilzomib With Dexamethasone

Participants received carfilzomib administered by intravenous (IV) infusion on days 1, 2, 8, 9, 15, and 16 of each 28-day cycle (20 mg/m² on days 1 and 2 of cycle 1 and 27 mg/m² thereafter). Participants also received 20 mg dexamethasone IV or orally on days 1, 2, 8, 9, 15, 16, 22, and 23. Participants received treatment until disease progression, unacceptable toxicity, initiation of new antimyeloma therapy, withdrawal of consent, subject noncompliance, or intercurrent illness or worsening of a chronic condition, whichever occurred first.

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

Analysis denominator · Participants

GroupSource count
Carfilzomib With Dexamethasone44

Reported measurements

Independent Review Committee Assessment

Analysis denominator · Participants

GroupSource count
Carfilzomib With Dexamethasone44
Values in months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Carfilzomib With Dexamethasone12.2Not reported7.4NACould not be estimated due to the low number of events at the analysis cut-off date
Investigator Assessment

Analysis denominator · Participants

GroupSource count
Carfilzomib With Dexamethasone43
Values in months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Carfilzomib With Dexamethasone9.7Not reported7.4NACould not be estimated due to the low number of events at the analysis cut-off date
Complete source fields
classes
  1. categories
    1. measurements
      1. comment
        Could not be estimated due to the low number of events at the analysis cut-off date
        group Id
        OG000
        lower Limit
        7.4
        upper Limit
        NA
        value
        12.2
    denoms
    1. counts
      1. group Id
        OG000
        value
        44
      units
      Participants
    title
    Independent Review Committee Assessment
  2. categories
    1. measurements
      1. comment
        Could not be estimated due to the low number of events at the analysis cut-off date
        group Id
        OG000
        lower Limit
        7.4
        upper Limit
        NA
        value
        9.7
    denoms
    1. counts
      1. group Id
        OG000
        value
        43
      units
      Participants
    title
    Investigator Assessment
denoms
  1. counts
    1. group Id
      OG000
      value
      44
    units
    Participants
description
Duration of response (DOR) is defined as the time from first evidence of PR or better to disease progression (PD) or death due to any cause per the IMWG-URC criteria. PD: * Increase of 25% from lowest response value in any of the following: * Serum M-component (absolute increase ≥ 0.5 g/dL) and/or * Urine M-component (absolute increase ≥ 200 mg/24 hours) * In patients without measurable serum and urine M-protein levels: the difference between involved and uninvolved FLC levels (absolute increase \>10 mg/dL) * Definite development of new or increase in size of existing bone lesions or soft tissue plasmacytomas * Development of hypercalcemia attributed solely to the plasma cell proliferative disorder. DOR was analyzed using the Kaplan-Meier method; Participants with no documented progression or death were censored at the date of their last disease assessment. DOR was determined based on both investigator and independent review committee response assessments.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants received carfilzomib administered by intravenous (IV) infusion on days 1, 2, 8, 9, 15, and 16 of each 28-day cycle (20 mg/m² on days 1 and 2 of cycle 1 and 27 mg/m² thereafter). Participants also received 20 mg dexamethasone IV or orally on days 1, 2, 8, 9, 15, 16, 22, and 23. Participants received treatment until disease progression, unacceptable toxicity, initiation of new antimyeloma therapy, withdrawal of consent, subject noncompliance, or intercurrent illness or worsening of a chronic condition, whichever occurred first.
    id
    OG000
    title
    Carfilzomib With Dexamethasone
param Type
MEDIAN
population Description
Safety population participants who achieved an overall response (best response of PR or better)
reporting Status
POSTED
time Frame
Response was assessed every 28 days until disease progression; the data cut-off date was 15 March 2019; median follow-up time for progression assessed by independent review committee and by investigators were 12.8 months and 13.1 months, respectively.
title
Duration of Overall Response (DOR)
type
SECONDARY
unit Of Measure
months

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Preserved source evidence · Not medical advice