Trial Outcomes & Findings for Trial of Romidepsin and Bortezomib for Multiple Myeloma (NCT NCT00765102)

NCT ID: NCT00765102

Last Updated: 2019-11-25

Results Overview

Complete Response: disappearance of monoclonal protein from blood and urine, and disappearance of soft tissue plasmacytomas, \<5% plasmas cells in marrow and no increase of lytic bone lesions. Very Good Partial Response: disappearance of plasmacytomas, no increase of lytic bone lesions, serum and urine M-protein not detectable by immunofixation, other. Partial Response: \>=50% decrease in serum monoclonal protein, and in soft tissue plasmacytomas, no increase of lytic bone lesions, other. Minimal Response (MR): ≥ 25% to ≤ 49% decrease in serum monoclonal protein, and in size of plasmacytomas, no increase of lytic bone lesions, other. Stable Disease: Less than MR, but not PD Progressive Disease(PD):\>25% increase in serum monoclonal paraprotein, or \>25% plasma cells in marrow, or \>25% increase in 24-hour urinary light chain excretion or increase in existing lytic bone lesions or soft tissue plasmacytomas or new bone lesions or soft tissue plasmacytomas, or hypercalcemia.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

32 participants

Primary outcome timeframe

up to 8 months

Results posted on

2019-11-25

Participant Flow

Stratum 1 (bortezomib resistant) had 19 participants. Stratum 2 (non-bortezomib resistant) had 13 participants.

Participant milestones

Participant milestones
Measure
Romidepsin + Bortezomib
Romidepsin was given as an infusion on Days 1, 8 and 15 of each 28-day cycle. Bortezomib was administered twice a week for two consecutive weeks (Days 1, 4, 8 and 11) followed by a 17-day rest period. Patients were treated to a maximum response plus two additional cycles or a maximum of eight cycles.
Overall Study
STARTED
32
Overall Study
COMPLETED
1
Overall Study
NOT COMPLETED
31

Reasons for withdrawal

Reasons for withdrawal
Measure
Romidepsin + Bortezomib
Romidepsin was given as an infusion on Days 1, 8 and 15 of each 28-day cycle. Bortezomib was administered twice a week for two consecutive weeks (Days 1, 4, 8 and 11) followed by a 17-day rest period. Patients were treated to a maximum response plus two additional cycles or a maximum of eight cycles.
Overall Study
Progressive disease
18
Overall Study
Adverse Event
6
Overall Study
Physician Decision
4
Overall Study
Withdrawal by Subject
2
Overall Study
Protocol Violation
1

Baseline Characteristics

Trial of Romidepsin and Bortezomib for Multiple Myeloma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Romidepsin + Bortezomib
n=32 Participants
Romidepsin was given as an infusion on Days 1, 8 and 15 of each 28-day cycle. Bortezomib was administered twice a week for two consecutive weeks (Days 1, 4, 8 and 11) followed by a 17-day rest period. Patients were treated to a maximum response plus two additional cycles or a maximum of eight cycles.
Age, Continuous
63.7 years
STANDARD_DEVIATION 8.11 • n=5 Participants
Sex: Female, Male
Female
18 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
2 participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
2 participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
2 participants
n=5 Participants
Race/Ethnicity, Customized
White
24 participants
n=5 Participants
Race/Ethnicity, Customized
Other
2 participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
Status 0
12 participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
Status 1
14 participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
Status 2
6 participants
n=5 Participants

PRIMARY outcome

Timeframe: up to 8 months

Population: Intent-to-Treat (ITT) population of patients defined as all patients who receive at least one dose of romidepsin and bortezomib. However efficacy data was not analyzed due to the early termination of the study.

Complete Response: disappearance of monoclonal protein from blood and urine, and disappearance of soft tissue plasmacytomas, \<5% plasmas cells in marrow and no increase of lytic bone lesions. Very Good Partial Response: disappearance of plasmacytomas, no increase of lytic bone lesions, serum and urine M-protein not detectable by immunofixation, other. Partial Response: \>=50% decrease in serum monoclonal protein, and in soft tissue plasmacytomas, no increase of lytic bone lesions, other. Minimal Response (MR): ≥ 25% to ≤ 49% decrease in serum monoclonal protein, and in size of plasmacytomas, no increase of lytic bone lesions, other. Stable Disease: Less than MR, but not PD Progressive Disease(PD):\>25% increase in serum monoclonal paraprotein, or \>25% plasma cells in marrow, or \>25% increase in 24-hour urinary light chain excretion or increase in existing lytic bone lesions or soft tissue plasmacytomas or new bone lesions or soft tissue plasmacytomas, or hypercalcemia.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: up to 9 months

Population: Safety population of participants who took at least one dose of drug.

Counts of participants with TEAEs, and subset by relation to drug, grade of severity, serious, TEAEs leading to discontinuation or leading to death. AEs were graded for severity according to the National Cancer Institute Common Terminology Criteria (NCI CTCAE), V 3.0: Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe (prevents normal everyday activities); Grade 4: Life-threatening or disabling; Grade 5: Death.

Outcome measures

Outcome measures
Measure
Romidepsin + Bortezomib
n=32 Participants
Romidepsin was given as an infusion on Days 1, 8 and 15 of each 28-day cycle. Bortezomib was administered twice a week for two consecutive weeks (Days 1, 4, 8 and 11) followed by a 17-day rest period. Patients were treated to a maximum response plus two additional cycles or a maximum of eight cycles.
Romidepsin 10 mg/m^2 + Bortezomib
Each patient enrolled in the PK portion underwent one PK sampling period on Day 1 of Cycle 1, following the administration of Bortezomib and 1-hour IV infusion of romidepsin 10mg/m\^2.
Participants With Treatment-emergent Adverse Events (TEAEs)
At least 1 TEAE
32 participants
Participants With Treatment-emergent Adverse Events (TEAEs)
At least 1 drug-related TEAE
30 participants
Participants With Treatment-emergent Adverse Events (TEAEs)
At least 1 Romidepsin-related TEAE
28 participants
Participants With Treatment-emergent Adverse Events (TEAEs)
At least 1 Bortezomib-related TEAE
30 participants
Participants With Treatment-emergent Adverse Events (TEAEs)
At least 1 >=Grade 3 TEAE
28 participants
Participants With Treatment-emergent Adverse Events (TEAEs)
At least 1 Grade 4 TEAE
5 participants
Participants With Treatment-emergent Adverse Events (TEAEs)
At least 1 serious TEAE
14 participants
Participants With Treatment-emergent Adverse Events (TEAEs)
At least 1 TEAE leading to discontinuation
6 participants
Participants With Treatment-emergent Adverse Events (TEAEs)
At least 1 TEAE leading to death
2 participants

SECONDARY outcome

Timeframe: Day 1 (cycle 1): 1 hour prior to romidepsin administration, 0.25, 0.5, 1, 2, 3, 4, 6, and 24 hours after initiation of romidepsin infusion

Population: A subset of participants from the lead investigator's site had PK samples taken.

AUC (0 - ∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞) of Romidepsin based on plasma samples.

Outcome measures

Outcome measures
Measure
Romidepsin + Bortezomib
n=6 Participants
Romidepsin was given as an infusion on Days 1, 8 and 15 of each 28-day cycle. Bortezomib was administered twice a week for two consecutive weeks (Days 1, 4, 8 and 11) followed by a 17-day rest period. Patients were treated to a maximum response plus two additional cycles or a maximum of eight cycles.
Romidepsin 10 mg/m^2 + Bortezomib
n=5 Participants
Each patient enrolled in the PK portion underwent one PK sampling period on Day 1 of Cycle 1, following the administration of Bortezomib and 1-hour IV infusion of romidepsin 10mg/m\^2.
Area Under the Concentration-time Curve From Time 0 Extrapolated to Infinity (AUC0-∞)
1209.1 ng*hr/mL
Geometric Coefficient of Variation 29.4
1149.5 ng*hr/mL
Geometric Coefficient of Variation 22.2

SECONDARY outcome

Timeframe: Day 1 (cycle 1): 1 hour prior to romidepsin administration, 0.25, 0.5, 1, 2, 3, 4, 6, and 24 hours after initiation of romidepsin infusion

Population: A subset of participants from the lead investigator's site had PK samples taken.

Maximum observed concentration of Romidepsin

Outcome measures

Outcome measures
Measure
Romidepsin + Bortezomib
n=6 Participants
Romidepsin was given as an infusion on Days 1, 8 and 15 of each 28-day cycle. Bortezomib was administered twice a week for two consecutive weeks (Days 1, 4, 8 and 11) followed by a 17-day rest period. Patients were treated to a maximum response plus two additional cycles or a maximum of eight cycles.
Romidepsin 10 mg/m^2 + Bortezomib
n=5 Participants
Each patient enrolled in the PK portion underwent one PK sampling period on Day 1 of Cycle 1, following the administration of Bortezomib and 1-hour IV infusion of romidepsin 10mg/m\^2.
Maximum Observed Concentration (Cmax)
913.9 ng/mL
Geometric Coefficient of Variation 21.4
1002.7 ng/mL
Geometric Coefficient of Variation 20.6

SECONDARY outcome

Timeframe: Day 1 (cycle 1): 1 hour prior to romidepsin administration, 0.25, 0.5, 1, 2, 3, 4, 6, and 24 hours after initiation of romidepsin infusion

Population: A subset of participants from the lead investigator's site had PK samples taken.

Time to maximum observed concentration of Romidepsin

Outcome measures

Outcome measures
Measure
Romidepsin + Bortezomib
n=6 Participants
Romidepsin was given as an infusion on Days 1, 8 and 15 of each 28-day cycle. Bortezomib was administered twice a week for two consecutive weeks (Days 1, 4, 8 and 11) followed by a 17-day rest period. Patients were treated to a maximum response plus two additional cycles or a maximum of eight cycles.
Romidepsin 10 mg/m^2 + Bortezomib
n=5 Participants
Each patient enrolled in the PK portion underwent one PK sampling period on Day 1 of Cycle 1, following the administration of Bortezomib and 1-hour IV infusion of romidepsin 10mg/m\^2.
Time to Maximum Observed Concentration (Tmax)
1.04 hr
Interval 0.6 to 1.1
0.58 hr
Interval 0.53 to 0.67

SECONDARY outcome

Timeframe: Day 1 (cycle 1): 1 hour prior to romidepsin administration, 0.25, 0.5, 1, 2, 3, 4, 6, and 24 hours after initiation of romidepsin infusion

Population: A subset of participants from the lead investigator's site had PK samples taken.

Terminal half-life of Romidepsin

Outcome measures

Outcome measures
Measure
Romidepsin + Bortezomib
n=6 Participants
Romidepsin was given as an infusion on Days 1, 8 and 15 of each 28-day cycle. Bortezomib was administered twice a week for two consecutive weeks (Days 1, 4, 8 and 11) followed by a 17-day rest period. Patients were treated to a maximum response plus two additional cycles or a maximum of eight cycles.
Romidepsin 10 mg/m^2 + Bortezomib
n=5 Participants
Each patient enrolled in the PK portion underwent one PK sampling period on Day 1 of Cycle 1, following the administration of Bortezomib and 1-hour IV infusion of romidepsin 10mg/m\^2.
Terminal Half-life (t1/2)
4.1 hr
Geometric Coefficient of Variation 11.0
3.6 hr
Geometric Coefficient of Variation 41.7

SECONDARY outcome

Timeframe: Day 1 (cycle 1): 1 hour prior to romidepsin administration, 0.25, 0.5, 1, 2, 3, 4, 6, and 24 hours after initiation of romidepsin infusion

Population: A subset of participants from the lead investigator's site had PK samples taken.

Total clearance of Romidepsin

Outcome measures

Outcome measures
Measure
Romidepsin + Bortezomib
n=6 Participants
Romidepsin was given as an infusion on Days 1, 8 and 15 of each 28-day cycle. Bortezomib was administered twice a week for two consecutive weeks (Days 1, 4, 8 and 11) followed by a 17-day rest period. Patients were treated to a maximum response plus two additional cycles or a maximum of eight cycles.
Romidepsin 10 mg/m^2 + Bortezomib
n=5 Participants
Each patient enrolled in the PK portion underwent one PK sampling period on Day 1 of Cycle 1, following the administration of Bortezomib and 1-hour IV infusion of romidepsin 10mg/m\^2.
Total Clearance (CL)
11.3 L/hr
Geometric Coefficient of Variation 26.9
16.4 L/hr
Geometric Coefficient of Variation 31.5

SECONDARY outcome

Timeframe: Day 1 (cycle 1): 1 hour prior to romidepsin administration, 0.25, 0.5, 1, 2, 3, 4, 6, and 24 hours after initiation of romidepsin infusion

Population: A subset of participants from the lead investigator's site had PK samples taken.

Total volume of distribution of Romidepsin

Outcome measures

Outcome measures
Measure
Romidepsin + Bortezomib
n=6 Participants
Romidepsin was given as an infusion on Days 1, 8 and 15 of each 28-day cycle. Bortezomib was administered twice a week for two consecutive weeks (Days 1, 4, 8 and 11) followed by a 17-day rest period. Patients were treated to a maximum response plus two additional cycles or a maximum of eight cycles.
Romidepsin 10 mg/m^2 + Bortezomib
n=5 Participants
Each patient enrolled in the PK portion underwent one PK sampling period on Day 1 of Cycle 1, following the administration of Bortezomib and 1-hour IV infusion of romidepsin 10mg/m\^2.
Total Volume of Distribution (Vz)
66.5 L
Geometric Coefficient of Variation 23.4
85.9 L
Geometric Coefficient of Variation 66.8

SECONDARY outcome

Timeframe: up to month 8

Population: Intent to treat population. Analysis was not performed due to early termination of the study.

Time to progression of disease is defined as the time from initiation of therapy to progressive disease as assessed by the investigator. Progressive Disease(PD):\>25% increase in serum monoclonal paraprotein, or \>25% plasma cells in marrow, or \>25% increase in 24-hour urinary light chain excretion or increase in existing lytic bone lesions or soft tissue plasmacytomas or new bone lesions or soft tissue plasmacytomas, or hypercalcemia. Disease progression for participants relapsing from a complete response: reappearance of serum or urinary paraprotein on imunofixation, \>= 5% plasma cells in the bone marrow aspirate or biopsy, increase in existing lytic bone lesions or soft tissue plasmacytomas or new bone lesions or soft tissue plasmacytomas, development of hypercalcemia.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: up to month 8

Population: Intent to treat population. However efficacy data was not analyzed due to the early termination of the study.

The time to the first response is defined as the time from the initiation of therapy to the first evidence of a confirmed response (complete response, very good partial response, partial response or minimal response). Complete Response: disappearance of monoclonal protein from blood and urine, and disappearance of soft tissue plasmacytomas, \<5% plasmas cells in marrow and no increase of lytic bone lesions. Very Good Partial Response: disappearance of plasmacytomas, no increase of lytic bone lesions, serum and urine M-protein not detectable by immunofixation, other. Partial Response: \>=50% decrease in serum monoclonal protein, and in soft tissue plasmacytomas, no increase of lytic bone lesions, other. Minimal Response (MR): ≥ 25% to ≤ 49% decrease in serum monoclonal protein, and in size of plasmacytomas, no increase of lytic bone lesions, other.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: up to month 8

Population: Intent to treat population. However efficacy data was not analyzed due to the early termination of the study.

Duration of response is defined as the time from first response to progressive disease as assessed by the investigator. Progressive Disease(PD):\>25% increase in serum monoclonal paraprotein, or \>25% plasma cells in marrow, or \>25% increase in 24-hour urinary light chain excretion or increase in existing lytic bone lesions or soft tissue plasmacytomas or new bone lesions or soft tissue plasmacytomas, or hypercalcemia. Disease progression for participants relapsing from a complete response: reappearance of serum or urinary paraprotein on imunofixation, \>= 5% plasma cells in the bone marrow aspirate or biopsy, increase in existing lytic bone lesions or soft tissue plasmacytomas or new bone lesions or soft tissue plasmacytomas, development of hypercalcemia.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: up to month 8

Population: Intent to treat population. However efficacy data was not analyzed due to the early termination of the study.

Progression-free survival is the time from initiation of therapy to progressive disease, removal from study for any reason, death from any cause, or the last follow-up visit, whichever occurs first. Progressive Disease(PD):\>25% increase in serum monoclonal paraprotein, or \>25% plasma cells in marrow, or \>25% increase in 24-hour urinary light chain excretion or increase in existing lytic bone lesions or soft tissue plasmacytomas or new bone lesions or soft tissue plasmacytomas, or hypercalcemia. Disease progression for participants relapsing from a complete response: reappearance of serum or urinary paraprotein on imunofixation, \>= 5% plasma cells in the bone marrow aspirate or biopsy, increase in existing lytic bone lesions or soft tissue plasmacytomas or new bone lesions or soft tissue plasmacytomas, development of hypercalcemia.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: up to month 8

Population: Intent to treat population. However efficacy data was not analyzed due to the early termination of the study.

Overall survival is the time from initiation of therapy to death from any cause.

Outcome measures

Outcome data not reported

Adverse Events

Romidepsin + Bortezomib

Serious events: 14 serious events
Other events: 32 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Romidepsin + Bortezomib
n=32 participants at risk
Romidepsin was given as an infusion on Days 1, 8 and 15 of each 28-day cycle. Bortezomib was administered twice a week for two consecutive weeks (Days 1, 4, 8 and 11) followed by a 17-day rest period. Patients were treated to a maximum response plus two additional cycles or a maximum of eight cycles.
Blood and lymphatic system disorders
Febrile neutropenia
3.1%
1/32 • up to 9 months
Blood and lymphatic system disorders
Thrombocytopenia
3.1%
1/32 • up to 9 months
Gastrointestinal disorders
Vomiting
3.1%
1/32 • up to 9 months
General disorders
Asthenia
6.2%
2/32 • up to 9 months
General disorders
Pyrexia
3.1%
1/32 • up to 9 months
Immune system disorders
Hypersensitivity
3.1%
1/32 • up to 9 months
Infections and infestations
Pneumonia
6.2%
2/32 • up to 9 months
Infections and infestations
Pneumonia primary atypical
3.1%
1/32 • up to 9 months
Infections and infestations
Pneumonia staphylococcal
3.1%
1/32 • up to 9 months
Infections and infestations
Sepsis
6.2%
2/32 • up to 9 months
Infections and infestations
Septic shock
6.2%
2/32 • up to 9 months
Infections and infestations
Urosepsis
3.1%
1/32 • up to 9 months
Injury, poisoning and procedural complications
Subdural haematoma
6.2%
2/32 • up to 9 months
Investigations
Electrocardiogram T wave inversion
3.1%
1/32 • up to 9 months
Investigations
Electrocardiogram QT prolongation
3.1%
1/32 • up to 9 months
Metabolism and nutrition disorders
Dehydration
3.1%
1/32 • up to 9 months
Metabolism and nutrition disorders
Hypercalcaemia
6.2%
2/32 • up to 9 months
Metabolism and nutrition disorders
Hypokalemia
3.1%
1/32 • up to 9 months
Metabolism and nutrition disorders
Malnutrition
3.1%
1/32 • up to 9 months
Nervous system disorders
Headache
3.1%
1/32 • up to 9 months
Nervous system disorders
Hemiparesis
3.1%
1/32 • up to 9 months
Renal and urinary disorders
Renal failure acute
6.2%
2/32 • up to 9 months
Respiratory, thoracic and mediastinal disorders
Acute respiratory distress syndrome
3.1%
1/32 • up to 9 months
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
3.1%
1/32 • up to 9 months
Respiratory, thoracic and mediastinal disorders
Asthma
3.1%
1/32 • up to 9 months
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
3.1%
1/32 • up to 9 months
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
3.1%
1/32 • up to 9 months
Vascular disorders
Hypotension
3.1%
1/32 • up to 9 months
Vascular disorders
Venous thrombosis
3.1%
1/32 • up to 9 months

Other adverse events

Other adverse events
Measure
Romidepsin + Bortezomib
n=32 participants at risk
Romidepsin was given as an infusion on Days 1, 8 and 15 of each 28-day cycle. Bortezomib was administered twice a week for two consecutive weeks (Days 1, 4, 8 and 11) followed by a 17-day rest period. Patients were treated to a maximum response plus two additional cycles or a maximum of eight cycles.
Blood and lymphatic system disorders
Anaemia
40.6%
13/32 • up to 9 months
Blood and lymphatic system disorders
Leukopenia
6.2%
2/32 • up to 9 months
Blood and lymphatic system disorders
Neutropenia
40.6%
13/32 • up to 9 months
Blood and lymphatic system disorders
Thrombocytopenia
65.6%
21/32 • up to 9 months
Gastrointestinal disorders
Abdominal pain
6.2%
2/32 • up to 9 months
Gastrointestinal disorders
Aphthous stomatitis
6.2%
2/32 • up to 9 months
Gastrointestinal disorders
Constipation
31.2%
10/32 • up to 9 months
Gastrointestinal disorders
Diarrhoea
28.1%
9/32 • up to 9 months
Gastrointestinal disorders
Nausea
50.0%
16/32 • up to 9 months
Gastrointestinal disorders
Vomiting
28.1%
9/32 • up to 9 months
General disorders
Asthenia
6.2%
2/32 • up to 9 months
General disorders
Fatigue
43.8%
14/32 • up to 9 months
General disorders
Infusion site erythema
6.2%
2/32 • up to 9 months
General disorders
Malaise
6.2%
2/32 • up to 9 months
General disorders
Oedema peripheral
9.4%
3/32 • up to 9 months
General disorders
Pain
6.2%
2/32 • up to 9 months
General disorders
Pyrexia
25.0%
8/32 • up to 9 months
Infections and infestations
Sinusitis
6.2%
2/32 • up to 9 months
Infections and infestations
Upper respiratory tract infection
6.2%
2/32 • up to 9 months
Infections and infestations
Urinary tract infection
12.5%
4/32 • up to 9 months
Investigations
White blood cell count decreased
6.2%
2/32 • up to 9 months
Metabolism and nutrition disorders
Anorexia
9.4%
3/32 • up to 9 months
Metabolism and nutrition disorders
Hypercalcaemia
12.5%
4/32 • up to 9 months
Metabolism and nutrition disorders
Hypokalaemia
12.5%
4/32 • up to 9 months
Metabolism and nutrition disorders
Hypomagnesaemia
12.5%
4/32 • up to 9 months
Metabolism and nutrition disorders
Hyponatraemia
6.2%
2/32 • up to 9 months
Metabolism and nutrition disorders
Hypophosphataemia
6.2%
2/32 • up to 9 months
Musculoskeletal and connective tissue disorders
Arthralgia
9.4%
3/32 • up to 9 months
Musculoskeletal and connective tissue disorders
Muscle spasms
6.2%
2/32 • up to 9 months
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
12.5%
4/32 • up to 9 months
Musculoskeletal and connective tissue disorders
Pain in extremity
9.4%
3/32 • up to 9 months
Nervous system disorders
Dizziness
9.4%
3/32 • up to 9 months
Nervous system disorders
Dysgeusia
9.4%
3/32 • up to 9 months
Nervous system disorders
Headache
31.2%
10/32 • up to 9 months
Nervous system disorders
Neuropathy
9.4%
3/32 • up to 9 months
Nervous system disorders
Neuropathy peripheral
6.2%
2/32 • up to 9 months
Renal and urinary disorders
Renal failure
12.5%
4/32 • up to 9 months
Respiratory, thoracic and mediastinal disorders
Cough
18.8%
6/32 • up to 9 months
Respiratory, thoracic and mediastinal disorders
Dyspnoea
9.4%
3/32 • up to 9 months
Respiratory, thoracic and mediastinal disorders
Hypoxia
6.2%
2/32 • up to 9 months
Skin and subcutaneous tissue disorders
Pruritus
6.2%
2/32 • up to 9 months
Skin and subcutaneous tissue disorders
Rash macular
6.2%
2/32 • up to 9 months
Vascular disorders
Flushing
6.2%
2/32 • up to 9 months
Vascular disorders
Hypertension
6.2%
2/32 • up to 9 months

Additional Information

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Celgene Corporation

Phone: 1-888-260-1599

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