Trial Outcomes & Findings for Safety and Efficacy Study of Single Weekly Bortezomib in Newly Diagnosed Multiple Myeloma (NCT NCT01090921)

NCT ID: NCT01090921

Last Updated: 2020-09-09

Results Overview

To evaluate the response rate for weekly administered bortezomib + dexamethasone in patients with newly diagnosed multiple myeloma who are ineligible for transplant or who are eligible but wish to postpone autologous stem cell transplant.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

50 participants

Primary outcome timeframe

Data was collected for each subject for the duration of the participation in the study, which was an average of 4.8 cycles.

Results posted on

2020-09-09

Participant Flow

Participant milestones

Participant milestones
Measure
Bortezomib and Dexamethasone
Bortezomib is administered at a dose of 1.6mg/m2 IV push over 3 to 5 seconds. Treatment is administered once a week for four weeks followed by one week off. This 5 week period is considered a treatment cycle. Dexamethasone is also administered at a dose of 40mg daily on day of and day after each dose of Bortezomib, with a dose reduction to 20mg on the same schedule if the patient cannot tolerate the higher dose of dexamethasone. The study duration for a given subject will be approximately 30 weeks. Bortezomib: Bortezomib will be administered at a dose of 1.6 mg/m2 IV push. Treatment will be administered once a week for four weeks followed by one week off. This 5 week period is considered a treatment cycle. Dexamethasone will also be administered at a dose of 40mg on the day of and day after each dose of bortezomib, with a dose reduction to 20mg on the same schedule if the patient cannot tolerate the higher dose of dexamethasone.
Overall Study
STARTED
50
Overall Study
COMPLETED
23
Overall Study
NOT COMPLETED
27

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety and Efficacy Study of Single Weekly Bortezomib in Newly Diagnosed Multiple Myeloma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Bortezomib and Dexamethasone
n=50 Participants
Bortezomib is administered at a dose of 1.6mg/m2 IV push over 3 to 5 seconds. Treatment is administered once a week for four weeks followed by one week off. This 5 week period is considered a treatment cycle. Dexamethasone is also administered at a dose of 40mg daily on day of and day after each dose of Bortezomib, with a dose reduction to 20mg on the same schedule if the patient cannot tolerate the higher dose of dexamethasone. The study duration for a given subject will be approximately 30 weeks. Bortezomib: Bortezomib will be administered at a dose of 1.6 mg/m2 IV push. Treatment will be administered once a week for four weeks followed by one week off. This 5 week period is considered a treatment cycle. Dexamethasone will also be administered at a dose of 40mg on the day of and day after each dose of bortezomib, with a dose reduction to 20mg on the same schedule if the patient cannot tolerate the higher dose of dexamethasone.
Age, Customized
Age
70.9 years
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
50 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
50 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
50 participants
n=5 Participants

PRIMARY outcome

Timeframe: Data was collected for each subject for the duration of the participation in the study, which was an average of 4.8 cycles.

To evaluate the response rate for weekly administered bortezomib + dexamethasone in patients with newly diagnosed multiple myeloma who are ineligible for transplant or who are eligible but wish to postpone autologous stem cell transplant.

Outcome measures

Outcome measures
Measure
Bortezomib and Dexamethasone
n=50 Participants
Bortezomib is administered at a dose of 1.6mg/m2 IV push over 3 to 5 seconds. Treatment is administered once a week for four weeks followed by one week off. This 5 week period is considered a treatment cycle. Dexamethasone is also administered at a dose of 40mg daily on day of and day after each dose of Bortezomib, with a dose reduction to 20mg on the same schedule if the patient cannot tolerate the higher dose of dexamethasone. The study duration for a given subject will be approximately 30 weeks. Bortezomib: Bortezomib will be administered at a dose of 1.6 mg/m2 IV push. Treatment will be administered once a week for four weeks followed by one week off. This 5 week period is considered a treatment cycle. Dexamethasone will also be administered at a dose of 40mg on the day of and day after each dose of bortezomib, with a dose reduction to 20mg on the same schedule if the patient cannot tolerate the higher dose of dexamethasone.
Number of Participants at Each Response Category (Stable Disease, Minimal Response, Partial Response, Very Good Partial Response, Near Complete Response/Complete Resonse)
Complete Response/ near Complete Response
6 Participants
Number of Participants at Each Response Category (Stable Disease, Minimal Response, Partial Response, Very Good Partial Response, Near Complete Response/Complete Resonse)
Very Good Partial Response
13 Participants
Number of Participants at Each Response Category (Stable Disease, Minimal Response, Partial Response, Very Good Partial Response, Near Complete Response/Complete Resonse)
Partial Response
15 Participants
Number of Participants at Each Response Category (Stable Disease, Minimal Response, Partial Response, Very Good Partial Response, Near Complete Response/Complete Resonse)
Minimal Response
5 Participants
Number of Participants at Each Response Category (Stable Disease, Minimal Response, Partial Response, Very Good Partial Response, Near Complete Response/Complete Resonse)
Stable Disease
4 Participants
Number of Participants at Each Response Category (Stable Disease, Minimal Response, Partial Response, Very Good Partial Response, Near Complete Response/Complete Resonse)
Unevaluable
7 Participants

SECONDARY outcome

Timeframe: Data was collected for each subject for the duration of the participation in the study, which was an average of 4.8 cycles.

To evaluate the toxicity (safety and tolerability) of weekly bortezomib + dexamethasone in patients with newly diagnosed multiple myeloma who are ineligible for transplant or who are eligible but wish to postpone autologous stem cell transplant.

Outcome measures

Outcome measures
Measure
Bortezomib and Dexamethasone
n=50 Participants
Bortezomib is administered at a dose of 1.6mg/m2 IV push over 3 to 5 seconds. Treatment is administered once a week for four weeks followed by one week off. This 5 week period is considered a treatment cycle. Dexamethasone is also administered at a dose of 40mg daily on day of and day after each dose of Bortezomib, with a dose reduction to 20mg on the same schedule if the patient cannot tolerate the higher dose of dexamethasone. The study duration for a given subject will be approximately 30 weeks. Bortezomib: Bortezomib will be administered at a dose of 1.6 mg/m2 IV push. Treatment will be administered once a week for four weeks followed by one week off. This 5 week period is considered a treatment cycle. Dexamethasone will also be administered at a dose of 40mg on the day of and day after each dose of bortezomib, with a dose reduction to 20mg on the same schedule if the patient cannot tolerate the higher dose of dexamethasone.
Number of Participants With Dose Reductions in Bortezomib, Dexamethasone or Both
Bortezomib reductions
8 Participants
Number of Participants With Dose Reductions in Bortezomib, Dexamethasone or Both
Dexamethasone reductions
14 Participants
Number of Participants With Dose Reductions in Bortezomib, Dexamethasone or Both
Bortezomib and Dexamethasone reductions
4 Participants

Adverse Events

Bortezomib and Dexamethasone

Serious events: 28 serious events
Other events: 0 other events
Deaths: 6 deaths

Serious adverse events

Serious adverse events
Measure
Bortezomib and Dexamethasone
n=50 participants at risk
Bortezomib is administered at a dose of 1.6mg/m2 IV push over 3 to 5 seconds. Treatment is administered once a week for four weeks followed by one week off. This 5 week period is considered a treatment cycle. Dexamethasone is also administered at a dose of 40mg daily on day of and day after each dose of Bortezomib, with a dose reduction to 20mg on the same schedule if the patient cannot tolerate the higher dose of dexamethasone. The study duration for a given subject will be approximately 30 weeks. Bortezomib: Bortezomib will be administered at a dose of 1.6 mg/m2 IV push. Treatment will be administered once a week for four weeks followed by one week off. This 5 week period is considered a treatment cycle. Dexamethasone will also be administered at a dose of 40mg on the day of and day after each dose of bortezomib, with a dose reduction to 20mg on the same schedule if the patient cannot tolerate the higher dose of dexamethasone.
Blood and lymphatic system disorders
Anemia
4.0%
2/50 • Number of events 2 • Data was collected for each subject for the duration of the participation in the study, which was an average of 4.8 cycles.
Blood and lymphatic system disorders
Thrombocytopenia
2.0%
1/50 • Number of events 1 • Data was collected for each subject for the duration of the participation in the study, which was an average of 4.8 cycles.
Blood and lymphatic system disorders
Lymphopenia
18.0%
9/50 • Number of events 9 • Data was collected for each subject for the duration of the participation in the study, which was an average of 4.8 cycles.
Gastrointestinal disorders
Diarrhea
4.0%
2/50 • Number of events 2 • Data was collected for each subject for the duration of the participation in the study, which was an average of 4.8 cycles.
Gastrointestinal disorders
Constipation
4.0%
2/50 • Number of events 2 • Data was collected for each subject for the duration of the participation in the study, which was an average of 4.8 cycles.
Gastrointestinal disorders
Vomiting/Nausea
2.0%
1/50 • Number of events 1 • Data was collected for each subject for the duration of the participation in the study, which was an average of 4.8 cycles.
Renal and urinary disorders
Elevated creatinine
2.0%
1/50 • Number of events 1 • Data was collected for each subject for the duration of the participation in the study, which was an average of 4.8 cycles.
Renal and urinary disorders
Acute renal failure
4.0%
2/50 • Number of events 2 • Data was collected for each subject for the duration of the participation in the study, which was an average of 4.8 cycles.
General disorders
Asthenia
8.0%
4/50 • Number of events 4 • Data was collected for each subject for the duration of the participation in the study, which was an average of 4.8 cycles.
Endocrine disorders
Hyperglycemia
18.0%
9/50 • Number of events 9 • Data was collected for each subject for the duration of the participation in the study, which was an average of 4.8 cycles.

Other adverse events

Adverse event data not reported

Additional Information

Nikhil C. Munshi, M.D.

BVARI

Phone: 857-203-6172

Results disclosure agreements

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