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NCT03224507 · ADVERSE EVENTS

Adverse events

Monoclonal Antibody-Based Sequential Therapy for Deep Remission in Multiple Myeloma · Source last updated 2023-11-24

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

Adverse events occurred during the study; they are not necessarily caused by treatment. Serious events are not interchangeable with severe/grade 3–4 events. These safety populations may differ from efficacy populations.

Collection time frame
5 years
Other-event reporting threshold
5%

Risk of zero relates to arm that did not have enrollment since all participants were transplant eligible

Participants affected / participants at risk, as reported
Safety groupSerious eventsOther eventsDeaths
KRdD Followed by Auto-HCT

Cycle 1-Dexamethasone 40mg orally days 1/8/15/22; Lenalidomide 25mg orally days 1-21; Carfilzomib 20mg/m2 days 8/9 then 36mg/m2 venous days 15/16; Daratumumab 16mg/kg venous days 1/8/15/22 (KRd-Dara). Cycle 2 the same except Carfilzomib 36mg/m2 venous days 1/2/8/9/15/16. Cycles 3,4 the same but no Daratumumab Days 8 and 22. Dosage adjusted for last tolerated dose (LTD). Following induction therapy, auto-HCT is done (consolidation 1), then up to two 4-cycle blocks of KRd-Dara consolidation (consolidations 2 and 3). Minimum residual disease (MRD) checked after each phase. Patients with confirmed MRD(-) at or after consolidation 1 will not undergo maintenance and will be actively monitored for resurgence of MRD or clinical relapse. After consolidation if MRD+ patients will undergo standard of care lenalidomide maintenance. KRdD followed by auto-HCT: Dosages of each drug will vary depending on therapy type and cycle number. KRdD therapy will be followed by autologous hematopoietic cell transplantation and KRdD consolidation.

14 / 123123 / 12315 / 123
KRdD Only

Cycle 1-Dexamethasone 40mg orally days 1/8/15/22; Lenalidomide 25mg orally days 1-21; Carfilzomib 20mg/m2 days 8/9 then @ 36mg/m2 venous days 15/16; Daratumumab 16mg/kg venous days 1/8/15/22. Cycle 2 the same except Carfilzomib 36mg/m2 venous days 1/2/8/9/15/16. Cycles 3,4 the same but no Daratumumab Day 22. Dosage adjusted for last tolerated dose (LTD). Following induction therapy, Following induction therapy, patients will receive up to three 4-cycle blocks of KRd-Dara consolidation (consolidations 1, 2 and 3). Minimum residual disease (MRD) checked after each phase. Patients with confirmed MRD(-) at or after consolidation 1 will not undergo maintenance and will be actively monitored for resurgence of MRD or clinical relapse. After consolidation if MRD+ patients will undergo standard of care lenalidomide maintenance. KRdD only: Dosages of each drug will vary depending on therapy type and cycle number. KRdD therapy will not be followed by autologous hematopoietic cell transplantation but will proceed with KRdD consolidation.

0 / 00 / 00 / 0

Group identifiers: EG000: KRdD Followed by Auto-HCT · EG001: KRdD Only

Serious adverse events

Event terms and counts are source-reported; expand to read more. A reporting threshold may omit less frequent events.

  1. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      8
      num At Risk
      123
      num Events
      8
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    Lung Infection
  2. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Vascular disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      123
      num Events
      3
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    Thomboembolism
  3. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Cardiac disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      123
      num Events
      2
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    sudden death
  4. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      123
      num Events
      1
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    Viral pneumonia

Other reported adverse events

Event terms and counts are source-reported; expand to read more. A reporting threshold may omit less frequent events.

  1. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      51
      num At Risk
      123
      num Events
      51
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    Neutropenia
  2. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      34
      num At Risk
      123
      num Events
      34
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    Lymphopenia
  3. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      23
      num At Risk
      123
      num Events
      23
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    Anemia
  4. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    General disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      69
      num At Risk
      123
      num Events
      69
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    fatigue
  5. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Musculoskeletal and connective tissue disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      68
      num At Risk
      123
      num Events
      68
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    Bone pain
  6. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Skin and subcutaneous tissue disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      50
      num At Risk
      123
      num Events
      50
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    maculopapular rash
  7. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Gastrointestinal disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      49
      num At Risk
      123
      num Events
      49
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    Nausea
  8. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Gastrointestinal disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      48
      num At Risk
      123
      num Events
      48
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    constipation
  9. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      45
      num At Risk
      123
      num Events
      45
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    Upper respiratory tract infection
  10. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Gastrointestinal disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      43
      num At Risk
      123
      num Events
      43
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    diarrhea
  11. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    General disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      35
      num At Risk
      123
      num Events
      35
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    insomnia
  12. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    General disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      34
      num At Risk
      123
      num Events
      34
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    infusion-related reaction
Complete source fields
description
Risk of zero relates to arm that did not have enrollment since all participants were transplant eligible
event Groups
  1. deaths Num Affected
    15
    deaths Num At Risk
    123
    description
    Cycle 1-Dexamethasone 40mg orally days 1/8/15/22; Lenalidomide 25mg orally days 1-21; Carfilzomib 20mg/m2 days 8/9 then 36mg/m2 venous days 15/16; Daratumumab 16mg/kg venous days 1/8/15/22 (KRd-Dara). Cycle 2 the same except Carfilzomib 36mg/m2 venous days 1/2/8/9/15/16. Cycles 3,4 the same but no Daratumumab Days 8 and 22. Dosage adjusted for last tolerated dose (LTD). Following induction therapy, auto-HCT is done (consolidation 1), then up to two 4-cycle blocks of KRd-Dara consolidation (consolidations 2 and 3). Minimum residual disease (MRD) checked after each phase. Patients with confirmed MRD(-) at or after consolidation 1 will not undergo maintenance and will be actively monitored for resurgence of MRD or clinical relapse. After consolidation if MRD+ patients will undergo standard of care lenalidomide maintenance. KRdD followed by auto-HCT: Dosages of each drug will vary depending on therapy type and cycle number. KRdD therapy will be followed by autologous hematopoietic cell transplantation and KRdD consolidation.
    id
    EG000
    other Num Affected
    123
    other Num At Risk
    123
    serious Num Affected
    14
    serious Num At Risk
    123
    title
    KRdD Followed by Auto-HCT
  2. deaths Num Affected
    0
    deaths Num At Risk
    0
    description
    Cycle 1-Dexamethasone 40mg orally days 1/8/15/22; Lenalidomide 25mg orally days 1-21; Carfilzomib 20mg/m2 days 8/9 then @ 36mg/m2 venous days 15/16; Daratumumab 16mg/kg venous days 1/8/15/22. Cycle 2 the same except Carfilzomib 36mg/m2 venous days 1/2/8/9/15/16. Cycles 3,4 the same but no Daratumumab Day 22. Dosage adjusted for last tolerated dose (LTD). Following induction therapy, Following induction therapy, patients will receive up to three 4-cycle blocks of KRd-Dara consolidation (consolidations 1, 2 and 3). Minimum residual disease (MRD) checked after each phase. Patients with confirmed MRD(-) at or after consolidation 1 will not undergo maintenance and will be actively monitored for resurgence of MRD or clinical relapse. After consolidation if MRD+ patients will undergo standard of care lenalidomide maintenance. KRdD only: Dosages of each drug will vary depending on therapy type and cycle number. KRdD therapy will not be followed by autologous hematopoietic cell transplantation but will proceed with KRdD consolidation.
    id
    EG001
    other Num Affected
    0
    other Num At Risk
    0
    serious Num Affected
    0
    serious Num At Risk
    0
    title
    KRdD Only
frequency Threshold
5
other Events
  1. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      51
      num At Risk
      123
      num Events
      51
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    Neutropenia
  2. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      34
      num At Risk
      123
      num Events
      34
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    Lymphopenia
  3. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      23
      num At Risk
      123
      num Events
      23
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    Anemia
  4. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    General disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      69
      num At Risk
      123
      num Events
      69
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    fatigue
  5. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Musculoskeletal and connective tissue disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      68
      num At Risk
      123
      num Events
      68
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    Bone pain
  6. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Skin and subcutaneous tissue disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      50
      num At Risk
      123
      num Events
      50
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    maculopapular rash
  7. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Gastrointestinal disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      49
      num At Risk
      123
      num Events
      49
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    Nausea
  8. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Gastrointestinal disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      48
      num At Risk
      123
      num Events
      48
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    constipation
  9. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      45
      num At Risk
      123
      num Events
      45
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    Upper respiratory tract infection
  10. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Gastrointestinal disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      43
      num At Risk
      123
      num Events
      43
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    diarrhea
  11. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    General disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      35
      num At Risk
      123
      num Events
      35
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    insomnia
  12. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    General disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      34
      num At Risk
      123
      num Events
      34
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    infusion-related reaction
serious Events
  1. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      8
      num At Risk
      123
      num Events
      8
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    Lung Infection
  2. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Vascular disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      123
      num Events
      3
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    Thomboembolism
  3. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Cardiac disorders
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      123
      num Events
      2
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    sudden death
  4. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    CTCAE (4.0)
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      123
      num Events
      1
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      0
      num Events
      0
    term
    Viral pneumonia
time Frame
5 years

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Preserved source evidence · Not medical advice