Trial Outcomes & Findings for A Study of Efficacy of Treatment With Bortezomib (in Combination With Doxorubicin and Dexamethasone) in Previously Untreated Patients With Multiple Myeloma (NCT NCT00872521)

NCT ID: NCT00872521

Last Updated: 2014-05-16

Results Overview

International Myeloma Working Group (IMWG) criteria - CR: negative immunofixation on the serum and urine, no soft tissue plasmacytomas and \<5% plasma cells in the bone marrow; sCR: CR+normal free light chain ratio, no clonal cells in bone marrow by immunohistochemistry or immunofluorescence; VGPR: serum and urine M-protein detected by immunofixation but not electrophoresis, \>90% in serum M-protein+urine, M-protein level \<100 mg/24hour; PR: ≥50% decrease of serum and M-protein, 24 hour urinary M-protein decrease by ≥90% or \<200 mg/24hour

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

107 participants

Primary outcome timeframe

84 days

Results posted on

2014-05-16

Participant Flow

The participants were enrolled at multiple sites in Australia

107 participants were enrolled and they all received the study treatment.

Participant milestones

Participant milestones
Measure
1q21 Amplified
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Not Amplified
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Completed PAD Induction
STARTED
26
72
9
Completed PAD Induction
COMPLETED
21
68
9
Completed PAD Induction
NOT COMPLETED
5
4
0
Primary Endpoint Analysis
STARTED
21
68
9
Primary Endpoint Analysis
COMPLETED
20
63
8
Primary Endpoint Analysis
NOT COMPLETED
1
5
1
Completed 3-month Follow up
STARTED
20
63
8
Completed 3-month Follow up
COMPLETED
20
60
8
Completed 3-month Follow up
NOT COMPLETED
0
3
0
Secondary Endpoint Analysis
STARTED
20
60
8
Secondary Endpoint Analysis
COMPLETED
20
58
7
Secondary Endpoint Analysis
NOT COMPLETED
0
2
1

Reasons for withdrawal

Reasons for withdrawal
Measure
1q21 Amplified
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Not Amplified
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Completed PAD Induction
Patient choice
0
1
0
Completed PAD Induction
Disease progression
0
2
0
Completed PAD Induction
Adverse Event
4
0
0
Completed PAD Induction
Death
1
1
0
Primary Endpoint Analysis
Other
1
2
0
Primary Endpoint Analysis
Patient choice
0
1
0
Primary Endpoint Analysis
Efficacy data unavailable
0
2
0
Primary Endpoint Analysis
Patient response missing
0
0
1
Completed 3-month Follow up
Other
0
2
0
Completed 3-month Follow up
Physician Decision
0
1
0
Secondary Endpoint Analysis
Efficacy data unavailable
0
2
1

Baseline Characteristics

A Study of Efficacy of Treatment With Bortezomib (in Combination With Doxorubicin and Dexamethasone) in Previously Untreated Patients With Multiple Myeloma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
1q21 Amplified
n=26 Participants
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Not Amplified
n=72 Participants
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
n=9 Participants
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Total
n=107 Participants
Total of all reporting groups
Age, Continuous
58.0 Years
STANDARD_DEVIATION 7.6 • n=5 Participants
58.1 Years
STANDARD_DEVIATION 10.1 • n=7 Participants
55.6 Years
STANDARD_DEVIATION 8.1 • n=5 Participants
57.9 Years
STANDARD_DEVIATION 9.3 • n=4 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
26 Participants
n=7 Participants
4 Participants
n=5 Participants
39 Participants
n=4 Participants
Sex: Female, Male
Male
17 Participants
n=5 Participants
46 Participants
n=7 Participants
5 Participants
n=5 Participants
68 Participants
n=4 Participants
Race/Ethnicity, Customized
White
23 Participants
n=5 Participants
63 Participants
n=7 Participants
8 Participants
n=5 Participants
94 Participants
n=4 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
3 Participants
n=4 Participants
Race/Ethnicity, Customized
Mauritian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race/Ethnicity, Customized
Indian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race/Ethnicity, Customized
Middle Eastern
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Race/Ethnicity, Customized
South American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race/Ethnicity, Customized
Appears White
1 Participants
n=5 Participants
4 Participants
n=7 Participants
0 Participants
n=5 Participants
5 Participants
n=4 Participants
Race/Ethnicity, Customized
Missing race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 84 days

Population: Intent-to-treat (ITT) population- All enrolled participants who proceeded to receive Day 1 of Cycle 1 of PAD induction.

International Myeloma Working Group (IMWG) criteria - CR: negative immunofixation on the serum and urine, no soft tissue plasmacytomas and \<5% plasma cells in the bone marrow; sCR: CR+normal free light chain ratio, no clonal cells in bone marrow by immunohistochemistry or immunofluorescence; VGPR: serum and urine M-protein detected by immunofixation but not electrophoresis, \>90% in serum M-protein+urine, M-protein level \<100 mg/24hour; PR: ≥50% decrease of serum and M-protein, 24 hour urinary M-protein decrease by ≥90% or \<200 mg/24hour

Outcome measures

Outcome measures
Measure
1q21 Not Amplified
n=63 Participants
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Amplified
n=20 Participants
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
n=8 Participants
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Total
n=91 Participants
Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Overall Response Rate (ORR): Number of Participants Who Are Responders (Had Stringent Complete Response [sCR], CR, Very Good Partial Response [VGPR] or Partial Response [PR]) After 4 Cycles of Bortezomib, Doxorubicin and Dexamethasone (PAD) Induction
Non Responder
8 Participants
0 Participants
1 Participants
9 Participants
Overall Response Rate (ORR): Number of Participants Who Are Responders (Had Stringent Complete Response [sCR], CR, Very Good Partial Response [VGPR] or Partial Response [PR]) After 4 Cycles of Bortezomib, Doxorubicin and Dexamethasone (PAD) Induction
Responder
55 Participants
20 Participants
7 Participants
82 Participants
Overall Response Rate (ORR): Number of Participants Who Are Responders (Had Stringent Complete Response [sCR], CR, Very Good Partial Response [VGPR] or Partial Response [PR]) After 4 Cycles of Bortezomib, Doxorubicin and Dexamethasone (PAD) Induction
Total
63 Participants
20 Participants
8 Participants
91 Participants

SECONDARY outcome

Timeframe: 84 days

Population: Intent-to-treat (ITT) population - All participants who were screened and received at least one dose of PAD

Number of participants who achieved stringent complete response (sCR), complete response (CR), very good partial response (VGPR), partial response (PR) and stable disease (SD).

Outcome measures

Outcome measures
Measure
1q21 Not Amplified
n=63 Participants
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Amplified
n=20 Participants
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
n=8 Participants
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Total
n=91 Participants
Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Disease Response After 4 Cycles of Bortezomib, Doxorubicin and Dexamethasone (PAD) Induction
stringent complete response (sCR)
5 Particiipants
3 Particiipants
1 Particiipants
9 Particiipants
Disease Response After 4 Cycles of Bortezomib, Doxorubicin and Dexamethasone (PAD) Induction
complete response (CR)
6 Particiipants
3 Particiipants
0 Particiipants
9 Particiipants
Disease Response After 4 Cycles of Bortezomib, Doxorubicin and Dexamethasone (PAD) Induction
Very Good Partial Response (VGPR)
15 Particiipants
3 Particiipants
3 Particiipants
21 Particiipants
Disease Response After 4 Cycles of Bortezomib, Doxorubicin and Dexamethasone (PAD) Induction
Partial Response (PR)
29 Particiipants
11 Particiipants
3 Particiipants
43 Particiipants
Disease Response After 4 Cycles of Bortezomib, Doxorubicin and Dexamethasone (PAD) Induction
Stable Disease (SD)
8 Particiipants
0 Particiipants
1 Particiipants
9 Particiipants
Disease Response After 4 Cycles of Bortezomib, Doxorubicin and Dexamethasone (PAD) Induction
Total
63 Particiipants
20 Particiipants
8 Particiipants
91 Particiipants

SECONDARY outcome

Timeframe: 3-months following ASCT

Population: Intent-to-treat (ITT) population - All participants who were screened and received at least one dose of PAD

Responders are the number of participants who achieved stringent complete response (sCR)/ complete response (CR), very good partial response (VGPR) or partial response (PR) following PAD induction.

Outcome measures

Outcome measures
Measure
1q21 Not Amplified
n=58 Participants
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Amplified
n=20 Participants
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
n=7 Participants
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Total
n=85 Participants
Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Overall Response Rate (ORR) to Bortezomib, Doxorubicin and Dexamethasone (PAD) Induction 3-months Following Autologous Stem Cell Transplant (ASCT).
Non Responder
4 Participants
0 Participants
0 Participants
4 Participants
Overall Response Rate (ORR) to Bortezomib, Doxorubicin and Dexamethasone (PAD) Induction 3-months Following Autologous Stem Cell Transplant (ASCT).
Responder
54 Participants
20 Participants
7 Participants
81 Participants
Overall Response Rate (ORR) to Bortezomib, Doxorubicin and Dexamethasone (PAD) Induction 3-months Following Autologous Stem Cell Transplant (ASCT).
Total
58 Participants
20 Participants
7 Participants
85 Participants

SECONDARY outcome

Timeframe: 3-months after ASCT

Population: Intent-to-treat (ITT) population - All participants who were screened and received at least one dose of PAD

Number of participants who achieved stringent complete response (sCR), complete response (CR), very good partial response (VGPR), partial response (PR), stable disease (SD) and relapse as per IMWG criteria.

Outcome measures

Outcome measures
Measure
1q21 Not Amplified
n=58 Participants
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Amplified
n=20 Participants
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
n=7 Participants
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Total
n=85 Participants
Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Disease Response 3-months After Autologous Stem Cell Transplant (ASCT)
stringent complete response (sCR)
6 Participants
5 Participants
3 Participants
14 Participants
Disease Response 3-months After Autologous Stem Cell Transplant (ASCT)
complete response (CR)
8 Participants
3 Participants
0 Participants
11 Participants
Disease Response 3-months After Autologous Stem Cell Transplant (ASCT)
Very Good Partial Response (VGPR)
21 Participants
7 Participants
1 Participants
29 Participants
Disease Response 3-months After Autologous Stem Cell Transplant (ASCT)
Partial Response (PR)
19 Participants
5 Participants
3 Participants
27 Participants
Disease Response 3-months After Autologous Stem Cell Transplant (ASCT)
Stable Disease (SD)
3 Participants
0 Participants
0 Participants
3 Participants
Disease Response 3-months After Autologous Stem Cell Transplant (ASCT)
Relapse
1 Participants
0 Participants
0 Participants
1 Participants
Disease Response 3-months After Autologous Stem Cell Transplant (ASCT)
Total
58 Participants
20 Participants
7 Participants
85 Participants

SECONDARY outcome

Timeframe: 2 years after Day 1 Cycle 1 of PAD

Population: Intent-to-treat (ITT) population - All participants who were screened and received at least one dose of PAD

Percentage of participants who did not have any of the following events: Death, Disease progression, Relapse, Cardiovascular accidents, Deep vein thrombosis, Pulmonary embolism, Fracture, Acute renal failure, Nervous system disorders 2 years after Day 1 Cycle 1 of bortezomib, doxorubicin and dexamethasone (PAD).

Outcome measures

Outcome measures
Measure
1q21 Not Amplified
n=58 Participants
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Amplified
n=20 Participants
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Total
Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Event Free Survival (EFS)
75.0 Percentage of participants
69.6 Percentage of participants

SECONDARY outcome

Timeframe: 2 years after Day 1 Cycle 1 of PAD

Population: Intent-to-treat (ITT) population - All participants who were screened and received at least one dose of PAD

Percentage of participants who had no event of death 2 years after Day 1 Cycle 1 of bortezomib, doxorubicin and dexamethasone (PAD).

Outcome measures

Outcome measures
Measure
1q21 Not Amplified
n=58 Participants
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Amplified
n=20 Participants
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Total
Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Overall Survival
93.8 Percentage of participants
86.4 Percentage of participants

SECONDARY outcome

Timeframe: Up to 2 years

Population: Intent-to-treat (ITT) population - All participants who were screened and received at least one dose of PAD

The AQoL is a multi-attribute utility health-related quality of life (HRQoL) instrument. It combines the 4 dimensions of independent living, relationships, senses and mental health into a single utility score. The AQoL instrument scores between 1 (best HRQoL) and -0.04 (worst possible HRQoL).

Outcome measures

Outcome measures
Measure
1q21 Not Amplified
n=42 Participants
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Amplified
n=19 Participants
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
n=8 Participants
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Total
n=69 Participants
Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Assessment of Quality of Life (AQoL) Scores
0.0516596 Scores on a scale
Standard Deviation 0.2769184
0.0068695 Scores on a scale
Standard Deviation 0.3366162
0.1267145 Scores on a scale
Standard Deviation 0.1839149
0.0480281 Scores on a scale
Standard Deviation 0.2844673

SECONDARY outcome

Timeframe: 84 days

Population: Intent-to-treat (ITT) population - All participants who were screened and received at least one dose of PAD. The ORR was imputed, with those who discontinued treatment or who had efficacy data unavailable being coded as Non-Responders.

Number of participants who are responders and nonresponders after 4 cycles of bortezomib, doxorubicin and dexamethasone (PAD) induction stratified by protein expression (p53).

Outcome measures

Outcome measures
Measure
1q21 Not Amplified
n=75 Participants
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Amplified
n=14 Participants
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Total
Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Overall Response Rate (ORR) Stratified by Protein Expression (p53)
p53 Non Responder
14 Participants
3 Participants
Overall Response Rate (ORR) Stratified by Protein Expression (p53)
p53 Responder
61 Participants
11 Participants

SECONDARY outcome

Timeframe: 84 days

Population: Intent-to-treat (ITT) population - All participants who were screened and received at least one dose of PAD. The ORR was imputed, with those who discontinued treatment or who had efficacy data unavailable being coded as Non-Responders.

Number of participants who are responders and nonresponders after 4 cycles of bortezomib, doxorubicin and dexamethasone (PAD) induction stratified by protein expression (Cyclin D1).

Outcome measures

Outcome measures
Measure
1q21 Not Amplified
n=59 Participants
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Amplified
n=25 Participants
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Total
Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Overall Response Rate (ORR) Stratified by Protein Expression (Cyclin D1).
Cyclin D1 Non Responder
11 Participants
5 Participants
Overall Response Rate (ORR) Stratified by Protein Expression (Cyclin D1).
Cyclin D1 Responder
48 Participants
20 Participants

SECONDARY outcome

Timeframe: 84 days

Population: Intent-to-treat (ITT) population - All participants who were screened and received at least one dose of PAD. The ORR was imputed, with those who discontinued treatment or who had efficacy data unavailable being coded as Non-Responders.

Number of participants who are responders and nonresponders after 4 cycles of bortezomib, doxorubicin and dexamethasone (PAD) induction stratified by protein expression (bcl-2)

Outcome measures

Outcome measures
Measure
1q21 Not Amplified
n=12 Participants
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Amplified
n=77 Participants
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Total
Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Overall Response Rate (ORR) Stratified by Protein Expression (Bcl-2)
bcl-2 Non Responder
2 Participants
15 Participants
Overall Response Rate (ORR) Stratified by Protein Expression (Bcl-2)
bcl-2 Responder
10 Participants
62 Participants

SECONDARY outcome

Timeframe: 84 days

Population: Intent-to-treat (ITT) population - All participants who were screened and received at least one dose of PAD. The ORR was imputed, with those who discontinued treatment or who had efficacy data unavailable being coded as Non-Responders.

Number of participants who are responders and nonresponders after 4 cycles of bortezomib, doxorubicin and dexamethasone (PAD) induction stratified by protein expression (FGFR3)

Outcome measures

Outcome measures
Measure
1q21 Not Amplified
n=78 Participants
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Amplified
n=11 Participants
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Total
Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Overall Response Rate (ORR) Stratified by Protein Expression (FGFR3)
FGFR3 Non Responder
14 Participants
2 Participants
Overall Response Rate (ORR) Stratified by Protein Expression (FGFR3)
FGFR3 Responder
64 Participants
8 Participants

SECONDARY outcome

Timeframe: 2 years after Day 1 Cycle 1 of PAD

Population: Intent-to-treat (ITT) population - All participants who were screened and received at least one dose of PAD. The OS was not imputed.

Percentage of participants who had no event of death 2 years after Day 1 Cycle 1 of bortezomib, doxorubicin and dexamethasone (PAD) stratified by protein expression (p53).

Outcome measures

Outcome measures
Measure
1q21 Not Amplified
n=65 Participants
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Amplified
n=13 Participants
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Total
Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Overall Survival (OS) Stratified by Protein Expression (p53).
90.7 Percentage of participants
92.3 Percentage of participants

SECONDARY outcome

Timeframe: 2 years after Day 1 Cycle 1 of PAD

Population: Intent-to-treat (ITT) population - All participants who were screened and received at least one dose of PAD. The OS was not imputed.

Percentage of participants who had no event of death 2 years after Day 1 Cycle 1 of bortezomib, doxorubicin and dexamethasone (PAD) stratified by protein expression (Cyclin D1).

Outcome measures

Outcome measures
Measure
1q21 Not Amplified
n=49 Participants
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Amplified
n=24 Participants
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Total
Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Overall Survival (OS) Stratified by Protein Expression (Cyclin D1)
89.8 Percentage of participants
95.8 Percentage of participants

SECONDARY outcome

Timeframe: 2 years after Day 1 Cycle 1 of PAD

Population: Intent-to-treat (ITT) population - All participants who were screened and received at least one dose of PAD. The OS was not imputed.

Percentage of participants who had no event of death 2 years after Day 1 Cycle 1 of bortezomib, doxorubicin and dexamethasone (PAD) stratified by protein expression (bcl-2).

Outcome measures

Outcome measures
Measure
1q21 Not Amplified
n=12 Participants
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Amplified
n=66 Participants
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Total
Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Overall Survival (OS) Stratified by Protein Expression (Bcl-2)
91.7 Percentage of participants
90.9 Percentage of participants

SECONDARY outcome

Timeframe: 2 years after Day 1 Cycle 1 of PAD

Population: Intent-to-treat (ITT) population - All participants who were screened and received at least one dose of PAD. The OS was not imputed.

Percentage of participants who had no event of death 2 years after Day 1 Cycle 1 of bortezomib, doxorubicin and dexamethasone (PAD) stratified by protein expression (FGFR3).

Outcome measures

Outcome measures
Measure
1q21 Not Amplified
n=67 Participants
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Amplified
n=11 Participants
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Total
Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Overall Survival (OS) Stratified by Protein Expression (FGFR3)
92.5 Percentage of participants
81.8 Percentage of participants

Adverse Events

1q21 Amplified

Serious events: 15 serious events
Other events: 26 other events
Deaths: 0 deaths

1q21 Not Amplified

Serious events: 30 serious events
Other events: 72 other events
Deaths: 0 deaths

Failed/Missing Test

Serious events: 5 serious events
Other events: 9 other events
Deaths: 0 deaths

Total

Serious events: 50 serious events
Other events: 107 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
1q21 Amplified
n=26 participants at risk
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Not Amplified
n=72 participants at risk
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
n=9 participants at risk
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Total
n=107 participants at risk
Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Blood and lymphatic system disorders
Anaemia
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
11.1%
1/9 • 2 years
1.9%
2/107 • 2 years
Blood and lymphatic system disorders
Febrile Neutropenia
3.8%
1/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
1.9%
2/107 • 2 years
Cardiac disorders
Atrial Fibrillation
0.00%
0/26 • 2 years
2.8%
2/72 • 2 years
0.00%
0/9 • 2 years
1.9%
2/107 • 2 years
Cardiac disorders
Cardiac Amyloidosis
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Cardiac disorders
Cardiac Failure
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Cardiac disorders
Cardiac Failure Congestive
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Cardiac disorders
Cardiomyopathy
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Cardiac disorders
Ventricular Arrhythmia
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Endocrine disorders
Hyperthyroidism
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Gastrointestinal disorders
Abdominal Pain
0.00%
0/26 • 2 years
2.8%
2/72 • 2 years
0.00%
0/9 • 2 years
1.9%
2/107 • 2 years
Gastrointestinal disorders
Abdominal Strangulated Hernia
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Gastrointestinal disorders
Constipation
0.00%
0/26 • 2 years
8.3%
6/72 • 2 years
0.00%
0/9 • 2 years
5.6%
6/107 • 2 years
Gastrointestinal disorders
Diarrhoea
0.00%
0/26 • 2 years
4.2%
3/72 • 2 years
0.00%
0/9 • 2 years
2.8%
3/107 • 2 years
Gastrointestinal disorders
Large Intestinal Obstruction
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Gastrointestinal disorders
Mouth Ulceration
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Gastrointestinal disorders
Nausea
0.00%
0/26 • 2 years
6.9%
5/72 • 2 years
0.00%
0/9 • 2 years
4.7%
5/107 • 2 years
Gastrointestinal disorders
Vomiting
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
General disorders
Chest Pain
0.00%
0/26 • 2 years
2.8%
2/72 • 2 years
0.00%
0/9 • 2 years
1.9%
2/107 • 2 years
General disorders
Fatigue
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
General disorders
Gait Disturbance
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
General disorders
Oedema
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
General disorders
Pyrexia
7.7%
2/26 • 2 years
6.9%
5/72 • 2 years
22.2%
2/9 • 2 years
8.4%
9/107 • 2 years
Infections and infestations
Cellulitis
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Infections and infestations
Device Related Infection
3.8%
1/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
1.9%
2/107 • 2 years
Infections and infestations
H1N1 Influenza
7.7%
2/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
1.9%
2/107 • 2 years
Infections and infestations
Herpes Zoster
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
11.1%
1/9 • 2 years
1.9%
2/107 • 2 years
Infections and infestations
Herpes Zoster Ophthalmic
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Infections and infestations
Infection
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Infections and infestations
Influenza
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Infections and infestations
Lower Respiratory Tract Infection
0.00%
0/26 • 2 years
6.9%
5/72 • 2 years
0.00%
0/9 • 2 years
4.7%
5/107 • 2 years
Infections and infestations
Pneumonia
7.7%
2/26 • 2 years
8.3%
6/72 • 2 years
22.2%
2/9 • 2 years
9.3%
10/107 • 2 years
Infections and infestations
Pneumonia Viral
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Infections and infestations
Sinusitis
7.7%
2/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
1.9%
2/107 • 2 years
Infections and infestations
Streptococcal Infection
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Infections and infestations
Urinary Tract Infection
0.00%
0/26 • 2 years
2.8%
2/72 • 2 years
0.00%
0/9 • 2 years
1.9%
2/107 • 2 years
Injury, poisoning and procedural complications
Fall
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Injury, poisoning and procedural complications
Overdose
0.00%
0/26 • 2 years
0.00%
0/72 • 2 years
11.1%
1/9 • 2 years
0.93%
1/107 • 2 years
Injury, poisoning and procedural complications
Urinary Retention Postoperative
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Investigations
Blood Creatine Increased
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Investigations
Blood Sodium Decreased
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Investigations
Cardioactive Drug Level Increased
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Investigations
Chest X-Ray Abnormal
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Metabolism and nutrition disorders
Decreased Appetite
7.7%
2/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
1.9%
2/107 • 2 years
Metabolism and nutrition disorders
Dehydration
7.7%
2/26 • 2 years
6.9%
5/72 • 2 years
0.00%
0/9 • 2 years
6.5%
7/107 • 2 years
Musculoskeletal and connective tissue disorders
Back Pain
11.5%
3/26 • 2 years
4.2%
3/72 • 2 years
0.00%
0/9 • 2 years
5.6%
6/107 • 2 years
Musculoskeletal and connective tissue disorders
Muscle Spasms
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Musculoskeletal and connective tissue disorders
Muscular Weakness
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Musculoskeletal and connective tissue disorders
Musculoskeletal Chest Pain
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Musculoskeletal and connective tissue disorders
Musculoskeletal Pain
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate Cancer
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Nervous system disorders
Autonomic Neuropathy
0.00%
0/26 • 2 years
2.8%
2/72 • 2 years
0.00%
0/9 • 2 years
1.9%
2/107 • 2 years
Nervous system disorders
Cerebrovascular Accident
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Nervous system disorders
Dizziness
3.8%
1/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
1.9%
2/107 • 2 years
Nervous system disorders
Facial Palsy
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Nervous system disorders
Neuralgia
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Nervous system disorders
Neuropathy Peripheral
3.8%
1/26 • 2 years
2.8%
2/72 • 2 years
0.00%
0/9 • 2 years
2.8%
3/107 • 2 years
Nervous system disorders
Presyncope
0.00%
0/26 • 2 years
2.8%
2/72 • 2 years
0.00%
0/9 • 2 years
1.9%
2/107 • 2 years
Nervous system disorders
Syncope
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Psychiatric disorders
Delirium
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Renal and urinary disorders
Renal Failure Acute
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Renal and urinary disorders
Urinary Retention
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Respiratory, thoracic and mediastinal disorders
Dyspnoea
7.7%
2/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
1.9%
2/107 • 2 years
Respiratory, thoracic and mediastinal disorders
Pulmonary Embolism
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Skin and subcutaneous tissue disorders
Acute Febrile Neutrophilic Dermatosis
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Skin and subcutaneous tissue disorders
Rash
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Surgical and medical procedures
Pain Management
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Vascular disorders
Circulatory Collapse
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Vascular disorders
Hypotension
3.8%
1/26 • 2 years
0.00%
0/72 • 2 years
0.00%
0/9 • 2 years
0.93%
1/107 • 2 years
Vascular disorders
Orthostatic Hypotension
0.00%
0/26 • 2 years
1.4%
1/72 • 2 years
11.1%
1/9 • 2 years
1.9%
2/107 • 2 years

Other adverse events

Other adverse events
Measure
1q21 Amplified
n=26 participants at risk
Participants with 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
1q21 Not Amplified
n=72 participants at risk
Participants without 1q21 amplification. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Failed/Missing Test
n=9 participants at risk
Participants who failed 1q21 test/had missing results for 1q21 test. Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Total
n=107 participants at risk
Four 21-day cycles of bortezomib 1.3 mg/m2 intravenous (IV) on Days 1, 4, 8 and 11; plus doxorubicin 20 mg/m2 IV on Days 1 and 4; and dexamethasone 20 mg oral on Days 1, 2, 4, 5, 8, 9, 11 and 12.
Blood and lymphatic system disorders
Anaemia
30.8%
8/26 • 2 years
20.8%
15/72 • 2 years
33.3%
3/9 • 2 years
24.3%
26/107 • 2 years
Blood and lymphatic system disorders
Neutropenia
23.1%
6/26 • 2 years
16.7%
12/72 • 2 years
0.00%
0/9 • 2 years
16.8%
18/107 • 2 years
Eye disorders
Vision Blurred
7.7%
2/26 • 2 years
8.3%
6/72 • 2 years
22.2%
2/9 • 2 years
9.3%
10/107 • 2 years
Gastrointestinal disorders
Abdominal Pain
7.7%
2/26 • 2 years
6.9%
5/72 • 2 years
11.1%
1/9 • 2 years
7.5%
8/107 • 2 years
Gastrointestinal disorders
Constipation
65.4%
17/26 • 2 years
58.3%
42/72 • 2 years
66.7%
6/9 • 2 years
60.7%
65/107 • 2 years
Gastrointestinal disorders
Diarrhoea
34.6%
9/26 • 2 years
36.1%
26/72 • 2 years
33.3%
3/9 • 2 years
35.5%
38/107 • 2 years
Gastrointestinal disorders
Dyspepsia
11.5%
3/26 • 2 years
12.5%
9/72 • 2 years
11.1%
1/9 • 2 years
12.1%
13/107 • 2 years
Gastrointestinal disorders
Gastrooesophageal Reflux Disease
15.4%
4/26 • 2 years
9.7%
7/72 • 2 years
0.00%
0/9 • 2 years
10.3%
11/107 • 2 years
Gastrointestinal disorders
Nausea
38.5%
10/26 • 2 years
50.0%
36/72 • 2 years
55.6%
5/9 • 2 years
47.7%
51/107 • 2 years
Gastrointestinal disorders
Reflux Gastritis
3.8%
1/26 • 2 years
6.9%
5/72 • 2 years
0.00%
0/9 • 2 years
5.6%
6/107 • 2 years
Gastrointestinal disorders
Vomiting
3.8%
1/26 • 2 years
20.8%
15/72 • 2 years
11.1%
1/9 • 2 years
15.9%
17/107 • 2 years
General disorders
Chest Pain
3.8%
1/26 • 2 years
11.1%
8/72 • 2 years
0.00%
0/9 • 2 years
8.4%
9/107 • 2 years
General disorders
Fatigue
26.9%
7/26 • 2 years
41.7%
30/72 • 2 years
44.4%
4/9 • 2 years
38.3%
41/107 • 2 years
General disorders
Mucosal Inflammation
7.7%
2/26 • 2 years
9.7%
7/72 • 2 years
11.1%
1/9 • 2 years
9.3%
10/107 • 2 years
General disorders
Oedema
11.5%
3/26 • 2 years
5.6%
4/72 • 2 years
0.00%
0/9 • 2 years
6.5%
7/107 • 2 years
General disorders
Oedema Peripheral
19.2%
5/26 • 2 years
16.7%
12/72 • 2 years
22.2%
2/9 • 2 years
17.8%
19/107 • 2 years
General disorders
Pain
3.8%
1/26 • 2 years
11.1%
8/72 • 2 years
11.1%
1/9 • 2 years
9.3%
10/107 • 2 years
General disorders
Pyrexia
3.8%
1/26 • 2 years
6.9%
5/72 • 2 years
11.1%
1/9 • 2 years
6.5%
7/107 • 2 years
Infections and infestations
Lower Respiratory Tract Infection
7.7%
2/26 • 2 years
12.5%
9/72 • 2 years
0.00%
0/9 • 2 years
10.3%
11/107 • 2 years
Infections and infestations
Upper Respiratory Tract Infection
0.00%
0/26 • 2 years
11.1%
8/72 • 2 years
11.1%
1/9 • 2 years
8.4%
9/107 • 2 years
Metabolism and nutrition disorders
Decreased Appetite
15.4%
4/26 • 2 years
15.3%
11/72 • 2 years
11.1%
1/9 • 2 years
15.0%
16/107 • 2 years
Metabolism and nutrition disorders
Hypocalcaemia
7.7%
2/26 • 2 years
5.6%
4/72 • 2 years
0.00%
0/9 • 2 years
5.6%
6/107 • 2 years
Metabolism and nutrition disorders
Hypokalaemia
15.4%
4/26 • 2 years
4.2%
3/72 • 2 years
0.00%
0/9 • 2 years
6.5%
7/107 • 2 years
Metabolism and nutrition disorders
Hypomagnesaemia
15.4%
4/26 • 2 years
5.6%
4/72 • 2 years
0.00%
0/9 • 2 years
7.5%
8/107 • 2 years
Musculoskeletal and connective tissue disorders
Arthralgia
3.8%
1/26 • 2 years
6.9%
5/72 • 2 years
11.1%
1/9 • 2 years
6.5%
7/107 • 2 years
Musculoskeletal and connective tissue disorders
Back Pain
11.5%
3/26 • 2 years
20.8%
15/72 • 2 years
0.00%
0/9 • 2 years
16.8%
18/107 • 2 years
Musculoskeletal and connective tissue disorders
Bone Pain
3.8%
1/26 • 2 years
5.6%
4/72 • 2 years
11.1%
1/9 • 2 years
5.6%
6/107 • 2 years
Musculoskeletal and connective tissue disorders
Muscle Spasms
15.4%
4/26 • 2 years
6.9%
5/72 • 2 years
0.00%
0/9 • 2 years
8.4%
9/107 • 2 years
Musculoskeletal and connective tissue disorders
Musculoskeletal Chest Pain
3.8%
1/26 • 2 years
12.5%
9/72 • 2 years
0.00%
0/9 • 2 years
9.3%
10/107 • 2 years
Musculoskeletal and connective tissue disorders
Pain in Extremity
19.2%
5/26 • 2 years
11.1%
8/72 • 2 years
11.1%
1/9 • 2 years
13.1%
14/107 • 2 years
Nervous system disorders
Areflexia
7.7%
2/26 • 2 years
8.3%
6/72 • 2 years
11.1%
1/9 • 2 years
8.4%
9/107 • 2 years
Nervous system disorders
Dizziness
3.8%
1/26 • 2 years
19.4%
14/72 • 2 years
11.1%
1/9 • 2 years
15.0%
16/107 • 2 years
Nervous system disorders
Dysgeusia
30.8%
8/26 • 2 years
19.4%
14/72 • 2 years
33.3%
3/9 • 2 years
23.4%
25/107 • 2 years
Nervous system disorders
Headache
15.4%
4/26 • 2 years
19.4%
14/72 • 2 years
0.00%
0/9 • 2 years
16.8%
18/107 • 2 years
Nervous system disorders
Lethargy
23.1%
6/26 • 2 years
15.3%
11/72 • 2 years
0.00%
0/9 • 2 years
15.9%
17/107 • 2 years
Nervous system disorders
Neuralgia
11.5%
3/26 • 2 years
19.4%
14/72 • 2 years
11.1%
1/9 • 2 years
16.8%
18/107 • 2 years
Nervous system disorders
Neuropathy Peripheral
57.7%
15/26 • 2 years
50.0%
36/72 • 2 years
33.3%
3/9 • 2 years
50.5%
54/107 • 2 years
Nervous system disorders
Peripheral Sensory Neuropathy
3.8%
1/26 • 2 years
22.2%
16/72 • 2 years
11.1%
1/9 • 2 years
16.8%
18/107 • 2 years
Psychiatric disorders
Anxiety
11.5%
3/26 • 2 years
6.9%
5/72 • 2 years
0.00%
0/9 • 2 years
7.5%
8/107 • 2 years
Psychiatric disorders
Insomnia
34.6%
9/26 • 2 years
37.5%
27/72 • 2 years
33.3%
3/9 • 2 years
36.4%
39/107 • 2 years
Psychiatric disorders
Mood Altered
7.7%
2/26 • 2 years
6.9%
5/72 • 2 years
11.1%
1/9 • 2 years
7.5%
8/107 • 2 years
Respiratory, thoracic and mediastinal disorders
Cough
3.8%
1/26 • 2 years
15.3%
11/72 • 2 years
44.4%
4/9 • 2 years
15.0%
16/107 • 2 years
Respiratory, thoracic and mediastinal disorders
Dyspnoea
23.1%
6/26 • 2 years
13.9%
10/72 • 2 years
0.00%
0/9 • 2 years
15.0%
16/107 • 2 years
Respiratory, thoracic and mediastinal disorders
Hiccups
7.7%
2/26 • 2 years
6.9%
5/72 • 2 years
22.2%
2/9 • 2 years
8.4%
9/107 • 2 years
Respiratory, thoracic and mediastinal disorders
Oropharyngeal Pain
3.8%
1/26 • 2 years
6.9%
5/72 • 2 years
11.1%
1/9 • 2 years
6.5%
7/107 • 2 years
Skin and subcutaneous tissue disorders
Alopecia
11.5%
3/26 • 2 years
27.8%
20/72 • 2 years
22.2%
2/9 • 2 years
23.4%
25/107 • 2 years
Skin and subcutaneous tissue disorders
Rash
30.8%
8/26 • 2 years
15.3%
11/72 • 2 years
11.1%
1/9 • 2 years
18.7%
20/107 • 2 years
Vascular disorders
Orthostatic Hypotension
11.5%
3/26 • 2 years
8.3%
6/72 • 2 years
0.00%
0/9 • 2 years
8.4%
9/107 • 2 years

Additional Information

Regional Medical Affairs Director Asia Pacific

Jan-Cil Australia

Phone: 61 427564369

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60