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NCT03859427 · FLOW

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A Study Comparing Once-weekly vs Twice-weekly Carfilzomib in Combination With Lenalidomide and Dexamethasone in Subjects With Relapsed or Refractory Multiple Myeloma · Source last updated 2024-08-13

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

groups
  1. description
    Carfilzomib was administered twice-weekly intravenously as a 10 ± 5 minute infusion using an infusion pump on Days 1, 2, 8, 9, 15, and 16 of each 28-day cycle. The dose was 20 mg/m\^2 on Days 1 and 2 of Cycle 1 and 27 mg/m\^2 beginning on Day 8 of Cycle 1 and thereafter. Participants also received lenalidomide 25 mg daily orally on Days 1 to 21 of each cycle and dexamethasone 40 mg weekly orally or intravenously. Participants were treated for up to 12 28-day cycles.
    id
    FG000
    title
    Twice-weekly Kyprolis (Carfilzomib) + Lenalidomide + Dexamethsone (KRd) 20/27 mg/m^2
  2. description
    Carfilzomib was administered once-weekly intravenously as a 30 ± 5 minute infusion using an infusion pump on Days 1, 8, and 15 of each 28-day cycle. The dose was 20 mg/m\^2 on Day 1 of Cycle 1 and 56 mg/m\^2 beginning on Day 8 of Cycle 1 and thereafter. Participants also received lenalidomide 25 mg daily orally on Days 1 to 21 of each cycle and dexamethasone 40 mg weekly orally or intravenously. Participants were treated for up to 12 28-day cycles.
    id
    FG001
    title
    Once-weekly KRd 20/56 mg/m^2
periods
  1. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        4
      2. group Id
        FG001
        num Subjects
        7
      type
      Withdrawal by Subject
    2. reasons
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        3
      type
      Decision by sponsor
    3. reasons
      1. group Id
        FG000
        num Subjects
        3
      2. group Id
        FG001
        num Subjects
        2
      type
      Lost to Follow-up
    4. reasons
      1. group Id
        FG000
        num Subjects
        22
      2. group Id
        FG001
        num Subjects
        25
      type
      Death
    milestones
    1. achievements
      1. group Id
        FG000
        num Subjects
        226
      2. group Id
        FG001
        num Subjects
        228
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        226
      2. group Id
        FG001
        num Subjects
        228
      type
      Received Carfilzomib
    3. achievements
      1. group Id
        FG000
        num Subjects
        152
      2. group Id
        FG001
        num Subjects
        150
      type
      Completed 12 Cycles Carfilzomib
    4. achievements
      1. group Id
        FG000
        num Subjects
        226
      2. group Id
        FG001
        num Subjects
        228
      type
      Received Lenalidomide
    5. achievements
      1. group Id
        FG000
        num Subjects
        226
      2. group Id
        FG001
        num Subjects
        228
      type
      Received Dexamethasone
    6. achievements
      1. group Id
        FG000
        num Subjects
        231
      2. group Id
        FG001
        num Subjects
        223
      comment
      Participants were analyzed according to the treatment arm corresponding to the actual treatment received.
      type
      Safety Population
    7. achievements
      1. group Id
        FG000
        num Subjects
        197
      2. group Id
        FG001
        num Subjects
        191
      type
      COMPLETED
    8. achievements
      1. group Id
        FG000
        num Subjects
        29
      2. group Id
        FG001
        num Subjects
        37
      type
      NOT COMPLETED
    title
    Overall Study
pre Assignment Details
Participants with relapsed or refractory multiple myeloma were randomized in a 1:1 ratio to receive once-weekly or twice-weekly carfilzomib. Randomization was stratified by original International Staging System (ISS) stage at the time of study entry (stage 1 or 2 versus stage 3), prior lenalidomide treatment (yes versus no), prior proteasome inhibitor treatment (yes versus no), and prior anti-CD38 exposure (yes versus no).
recruitment Details
Participants were enrolled at 80 study centers in Europe, Japan, and the United States, and participated from 08 May 2019 to 31 March 2023.
Complete source fields
groups
  1. description
    Carfilzomib was administered twice-weekly intravenously as a 10 ± 5 minute infusion using an infusion pump on Days 1, 2, 8, 9, 15, and 16 of each 28-day cycle. The dose was 20 mg/m\^2 on Days 1 and 2 of Cycle 1 and 27 mg/m\^2 beginning on Day 8 of Cycle 1 and thereafter. Participants also received lenalidomide 25 mg daily orally on Days 1 to 21 of each cycle and dexamethasone 40 mg weekly orally or intravenously. Participants were treated for up to 12 28-day cycles.
    id
    FG000
    title
    Twice-weekly Kyprolis (Carfilzomib) + Lenalidomide + Dexamethsone (KRd) 20/27 mg/m^2
  2. description
    Carfilzomib was administered once-weekly intravenously as a 30 ± 5 minute infusion using an infusion pump on Days 1, 8, and 15 of each 28-day cycle. The dose was 20 mg/m\^2 on Day 1 of Cycle 1 and 56 mg/m\^2 beginning on Day 8 of Cycle 1 and thereafter. Participants also received lenalidomide 25 mg daily orally on Days 1 to 21 of each cycle and dexamethasone 40 mg weekly orally or intravenously. Participants were treated for up to 12 28-day cycles.
    id
    FG001
    title
    Once-weekly KRd 20/56 mg/m^2
periods
  1. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        4
      2. group Id
        FG001
        num Subjects
        7
      type
      Withdrawal by Subject
    2. reasons
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        3
      type
      Decision by sponsor
    3. reasons
      1. group Id
        FG000
        num Subjects
        3
      2. group Id
        FG001
        num Subjects
        2
      type
      Lost to Follow-up
    4. reasons
      1. group Id
        FG000
        num Subjects
        22
      2. group Id
        FG001
        num Subjects
        25
      type
      Death
    milestones
    1. achievements
      1. group Id
        FG000
        num Subjects
        226
      2. group Id
        FG001
        num Subjects
        228
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        226
      2. group Id
        FG001
        num Subjects
        228
      type
      Received Carfilzomib
    3. achievements
      1. group Id
        FG000
        num Subjects
        152
      2. group Id
        FG001
        num Subjects
        150
      type
      Completed 12 Cycles Carfilzomib
    4. achievements
      1. group Id
        FG000
        num Subjects
        226
      2. group Id
        FG001
        num Subjects
        228
      type
      Received Lenalidomide
    5. achievements
      1. group Id
        FG000
        num Subjects
        226
      2. group Id
        FG001
        num Subjects
        228
      type
      Received Dexamethasone
    6. achievements
      1. group Id
        FG000
        num Subjects
        231
      2. group Id
        FG001
        num Subjects
        223
      comment
      Participants were analyzed according to the treatment arm corresponding to the actual treatment received.
      type
      Safety Population
    7. achievements
      1. group Id
        FG000
        num Subjects
        197
      2. group Id
        FG001
        num Subjects
        191
      type
      COMPLETED
    8. achievements
      1. group Id
        FG000
        num Subjects
        29
      2. group Id
        FG001
        num Subjects
        37
      type
      NOT COMPLETED
    title
    Overall Study
pre Assignment Details
Participants with relapsed or refractory multiple myeloma were randomized in a 1:1 ratio to receive once-weekly or twice-weekly carfilzomib. Randomization was stratified by original International Staging System (ISS) stage at the time of study entry (stage 1 or 2 versus stage 3), prior lenalidomide treatment (yes versus no), prior proteasome inhibitor treatment (yes versus no), and prior anti-CD38 exposure (yes versus no).
recruitment Details
Participants were enrolled at 80 study centers in Europe, Japan, and the United States, and participated from 08 May 2019 to 31 March 2023.

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Preserved source evidence · Not medical advice