Trial Outcomes & Findings for Study of the Combination of Panobinostat and Carfilzomib in Patients With Relapsed/Refractory Multiple Myeloma (NCT NCT01496118)

NCT ID: NCT01496118

Last Updated: 2022-02-02

Results Overview

Using a traditional 3+3 dose escalation design, successive cohorts of subjects will receive a fixed dose level of the drug combination. The MTD is defined as the highest dose level at which ≤1 of 6 subjects experiences a dose-limiting toxicity (DLT) assessed by NCI CTCAE v4.0. DLT is defined as any of the following that are determined to be related to study treatment during Cycle 1: Grade 4 neutropenia for \>7 days, Febrile neutropenia, Grade 3 thrombocytopenia with ≥ Grade 2 bleeding, Grade 4 thrombocytopenia \> 7 days, ≥ Grade 2 neuropathy with uncontrolled pain, ≥ Grade 3 non-hematologic drug-related toxicity (excluding alopecia), despite optimal supportive care lasting \>72 hours or requiring a dose reduction in the first cycle and Patients who are unable to receive 75% of the required doses of both agents secondary to toxicity. Number of Participants With such Dose Limiting Toxicities (DLT) at each level are reported here.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

80 participants

Primary outcome timeframe

28 days from the start of study treatment

Results posted on

2022-02-02

Participant Flow

Participant milestones

Participant milestones
Measure
Dose Level 1
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 27 mg/m\^2 IV D 8, 9, 15, 16; cycle 2 to progression - 27 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg by mouth D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 2
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 36 mg/m\^2 IV D 8, 9, 15, 16; cycle 2 to progression - 36 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg by mouth D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 3
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16; cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg by mouth D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 4
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16; cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg by mouth D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 5
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16; cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg by mouth D 1, 3, 5, 15, 17, 19
Dose Level 6
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16; cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg by mouth D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Expansion Dose Level 4
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16; cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg by mouth D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Expansion Dose Level 6
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16; cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg by mouth D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Overall Study
STARTED
4
3
3
3
3
3
31
30
Overall Study
COMPLETED
0
0
0
0
0
0
0
0
Overall Study
NOT COMPLETED
4
3
3
3
3
3
31
30

Reasons for withdrawal

Reasons for withdrawal
Measure
Dose Level 1
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 27 mg/m\^2 IV D 8, 9, 15, 16; cycle 2 to progression - 27 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg by mouth D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 2
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 36 mg/m\^2 IV D 8, 9, 15, 16; cycle 2 to progression - 36 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg by mouth D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 3
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16; cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg by mouth D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 4
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16; cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg by mouth D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 5
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16; cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg by mouth D 1, 3, 5, 15, 17, 19
Dose Level 6
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16; cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg by mouth D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Expansion Dose Level 4
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16; cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg by mouth D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Expansion Dose Level 6
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16; cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg by mouth D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Overall Study
Disease progression
3
2
3
1
2
2
14
10
Overall Study
Physician Decision
0
0
0
0
1
0
3
6
Overall Study
Adverse Event
1
1
0
0
0
0
6
10
Overall Study
Conditions requiring other treatment not permitted by protocol
0
0
0
0
0
0
1
0
Overall Study
Death
0
0
0
0
0
0
1
1
Overall Study
Withdrawal by Subject
0
0
0
2
0
1
6
3

Baseline Characteristics

Study of the Combination of Panobinostat and Carfilzomib in Patients With Relapsed/Refractory Multiple Myeloma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dose Level 1
n=4 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 27 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 27 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 2
n=3 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 36 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 36 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 3
n=3 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 4
n=3 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 5
n=3 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg D 1, 3, 5, 15, 17, 19
Dose Level 6
n=3 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Expansion Dose Level 4
n=31 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Expansion Dose Level 6
n=30 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Total
n=80 Participants
Total of all reporting groups
Age, Continuous
63 years
STANDARD_DEVIATION 6.88 • n=5 Participants
54 years
STANDARD_DEVIATION 13.53 • n=7 Participants
70.7 years
STANDARD_DEVIATION 6.81 • n=5 Participants
56.3 years
STANDARD_DEVIATION 9.71 • n=4 Participants
71.3 years
STANDARD_DEVIATION 8.08 • n=21 Participants
67.3 years
STANDARD_DEVIATION 13.05 • n=10 Participants
65.7 years
STANDARD_DEVIATION 10.14 • n=115 Participants
65.1 years
STANDARD_DEVIATION 11.16 • n=6 Participants
65 years
STANDARD_DEVIATION 10.56 • n=6 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
0 Participants
n=21 Participants
1 Participants
n=10 Participants
20 Participants
n=115 Participants
12 Participants
n=6 Participants
40 Participants
n=6 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
3 Participants
n=21 Participants
2 Participants
n=10 Participants
11 Participants
n=115 Participants
18 Participants
n=6 Participants
40 Participants
n=6 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
2 Participants
n=115 Participants
2 Participants
n=6 Participants
4 Participants
n=6 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
3 Participants
n=4 Participants
3 Participants
n=21 Participants
3 Participants
n=10 Participants
23 Participants
n=115 Participants
26 Participants
n=6 Participants
68 Participants
n=6 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
6 Participants
n=115 Participants
2 Participants
n=6 Participants
8 Participants
n=6 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
0 Participants
n=6 Participants
0 Participants
n=6 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
1 Participants
n=6 Participants
1 Participants
n=6 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
0 Participants
n=6 Participants
0 Participants
n=6 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
0 Participants
n=10 Participants
5 Participants
n=115 Participants
2 Participants
n=6 Participants
11 Participants
n=6 Participants
Race (NIH/OMB)
White
2 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
3 Participants
n=4 Participants
2 Participants
n=21 Participants
3 Participants
n=10 Participants
24 Participants
n=115 Participants
27 Participants
n=6 Participants
66 Participants
n=6 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
0 Participants
n=6 Participants
0 Participants
n=6 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
2 Participants
n=115 Participants
0 Participants
n=6 Participants
2 Participants
n=6 Participants
Pre-treatment ECOG
0 - Asymptomatic
2 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
2 Participants
n=21 Participants
1 Participants
n=10 Participants
12 Participants
n=115 Participants
15 Participants
n=6 Participants
38 Participants
n=6 Participants
Pre-treatment ECOG
1 - Symptomatic but completely ambulatory
2 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
2 Participants
n=10 Participants
16 Participants
n=115 Participants
15 Participants
n=6 Participants
39 Participants
n=6 Participants
Pre-treatment ECOG
2 - symptomatic, <50% in bed during the day
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
3 Participants
n=115 Participants
00 Participants
n=6 Participants
3 Participants
n=6 Participants

PRIMARY outcome

Timeframe: 28 days from the start of study treatment

Population: Includes all Phase 1 patients receiving assigned study dosing

Using a traditional 3+3 dose escalation design, successive cohorts of subjects will receive a fixed dose level of the drug combination. The MTD is defined as the highest dose level at which ≤1 of 6 subjects experiences a dose-limiting toxicity (DLT) assessed by NCI CTCAE v4.0. DLT is defined as any of the following that are determined to be related to study treatment during Cycle 1: Grade 4 neutropenia for \>7 days, Febrile neutropenia, Grade 3 thrombocytopenia with ≥ Grade 2 bleeding, Grade 4 thrombocytopenia \> 7 days, ≥ Grade 2 neuropathy with uncontrolled pain, ≥ Grade 3 non-hematologic drug-related toxicity (excluding alopecia), despite optimal supportive care lasting \>72 hours or requiring a dose reduction in the first cycle and Patients who are unable to receive 75% of the required doses of both agents secondary to toxicity. Number of Participants With such Dose Limiting Toxicities (DLT) at each level are reported here.

Outcome measures

Outcome measures
Measure
Dose Level 1
n=4 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 27 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 27 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 2
n=3 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 36 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 36 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 3
n=3 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 4
n=3 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 5
n=3 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg D 1, 3, 5, 15, 17, 19
Dose Level 6
n=3 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Number of Phase I Patients (Dose Level 1-6) Experiencing a Dose-Limiting Toxicity (DLT) to Determine the Optimal Dosage
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants

PRIMARY outcome

Timeframe: up to 6 years

Population: All patients receiving dose level 4 and dose level 6 doses (both escalation and expansion phases combined) who had a post-baseline disease assessment per protocol were included in the analysis. 3 patients in dose level 4 and 1 patient in dose level 6 did not have a post-baseline assessment and were excluded from analysis.

Defined as the percentage of patients with confirmed complete response, very good partial response, or partial response (CR, VGPR, or PR) according to International Myeloma Working Group Uniform Response Criteria. CR=bone marrow contains ≤5% plasma cells; negative fixation on serum and urine; disappearance of soft tissue plasmacytomas. VGPR=≥90% reduction from baseline serum; urine M-protein level 100mg for 24h. PR=≥50% reduction from baseline in serum M-protein; disappearance of any soft tissue plasmacytomas.

Outcome measures

Outcome measures
Measure
Dose Level 1
n=31 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 27 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 27 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 2
n=32 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 36 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 36 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 3
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 4
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 5
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg D 1, 3, 5, 15, 17, 19
Dose Level 6
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Phase II: Overall Response Rate
74 percentage of participants
84 percentage of participants

SECONDARY outcome

Timeframe: up to 6 years

Population: All patients receiving dose level 4 and dose level 6 doses (both escalation and expansion phases combined) who had a post-baseline disease assessment per protocol were included in the analysis. 3 patients in dose level 4 and 1 patient in dose level 6 did not have a post-baseline assessment and were excluded from analysis.

Measured from date of first treatment until date of first documented progression as per International Myeloma Working Group Uniform Response Criteria. Progressive disease id defined as an increase of ≥ 25% from the nadir in at least one of the following criteria: serum M-protein (absolute increase must be ≥0.5 g/dL); urine M-protein (absolute increase must be ≥200 mg/24h) ; only in patients with non-measurable serum and urine M-protein levels: difference in involved and uninvolved FLC levels (absolute increase must be \>10 mg/dL); only in patients with non-measurable serum and urine M-protein levels and non-measurable disease by FLC levels, bone marrow plasma cell percentage (absolute % must be ≥10%) OR Definite development of new bone lesions or soft tissue plasmacytomas OR definite increase in the size of existing bone lesions or soft tissue plasmacytomas OR Development of hypercalcemia (corrected serum Ca \>11.5mg/dL) for patients without hypercalcemia at baseline

Outcome measures

Outcome measures
Measure
Dose Level 1
n=31 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 27 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 27 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 2
n=32 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 36 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 36 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 3
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 4
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 5
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg D 1, 3, 5, 15, 17, 19
Dose Level 6
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Time-to-progression (TTP)
11.6 months
Interval 4.9 to 22.1
11.7 months
Interval 5.6 to 14.5

SECONDARY outcome

Timeframe: up to 6 years

Population: All patients receiving dose level 4 and dose level 6 doses (both escalation and expansion phases combined) who had a post-baseline disease assessment per protocol were included in the analysis. 3 patients in dose level 4 and 1 patient in dose level 6 did not have a post-baseline assessment and were excluded from analysis.

Measured from date of first protocol treatment until date of tumor progression or death as per International Myeloma Working Group Uniform Response Criteria. Progressive disease id defined as an increase of ≥ 25% from the nadir in at least one of the following criteria: serum M-protein (absolute increase must be ≥0.5 g/dL); urine M-protein (absolute increase must be ≥200 mg/24h) ; only in patients with non-measurable serum and urine M-protein levels: difference in involved and uninvolved FLC levels (absolute increase must be \>10 mg/dL); only in patients with non-measurable serum and urine M-protein levels and non-measurable disease by FLC levels, bone marrow plasma cell percentage (absolute % must be ≥10%) OR Definite development of new bone lesions or soft tissue plasmacytomas OR definite increase in the size of existing bone lesions or soft tissue plasmacytomas OR Development of hypercalcemia (corrected serum Ca \>11.5mg/dL) for patients without hypercalcemia at baseline

Outcome measures

Outcome measures
Measure
Dose Level 1
n=31 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 27 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 27 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 2
n=32 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 36 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 36 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 3
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 4
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 5
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg D 1, 3, 5, 15, 17, 19
Dose Level 6
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Progression-free-survival (PFS)
12.1 months
Interval 5.8 to 22.4
10.3 months
Interval 6.1 to 13.9

SECONDARY outcome

Timeframe: up to 6 years

Population: All patients receiving dose level 4 and dose level 6 doses (both escalation and expansion phases combined) who had a post-baseline disease assessment per protocol were included in the analysis. 3 patients in dose level 4 and 1 patient in dose level 6 did not have a post-baseline assessment and were excluded from analysis.

Measured from time of first study treatment until date of death or date last known alive.

Outcome measures

Outcome measures
Measure
Dose Level 1
n=31 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 27 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 27 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 2
n=32 Participants
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 36 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 36 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 3
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 4
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 5
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg D 1, 3, 5, 15, 17, 19
Dose Level 6
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Overall-survival (OS)
29.2 months
Interval 22.0 to 50.4
44.6 months
Interval 20.8 to
Upper confidence limit is not estimable by Kaplan Meier method due to insufficient observed events

Adverse Events

Dose Level 1

Serious events: 1 serious events
Other events: 4 other events
Deaths: 3 deaths

Dose Level 2

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Dose Level 3

Serious events: 0 serious events
Other events: 3 other events
Deaths: 1 deaths

Dose Level 4

Serious events: 2 serious events
Other events: 3 other events
Deaths: 1 deaths

Dose Level 5

Serious events: 1 serious events
Other events: 3 other events
Deaths: 2 deaths

Dose Level 6

Serious events: 0 serious events
Other events: 3 other events
Deaths: 2 deaths

Expansion Dose Level 4

Serious events: 16 serious events
Other events: 31 other events
Deaths: 20 deaths

Expansion Dose Level 6

Serious events: 13 serious events
Other events: 30 other events
Deaths: 12 deaths

Serious adverse events

Serious adverse events
Measure
Dose Level 1
n=4 participants at risk
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 27 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 27 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 2
n=3 participants at risk
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 36 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 36 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 3
n=3 participants at risk
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 4
n=3 participants at risk
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 5
n=3 participants at risk
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg D 1, 3, 5, 15, 17, 19
Dose Level 6
n=3 participants at risk
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Expansion Dose Level 4
n=31 participants at risk
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Expansion Dose Level 6
n=30 participants at risk
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Blood and lymphatic system disorders
Anaemia
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/31 • From date of first treatment up to 6 years
3.3%
1/30 • From date of first treatment up to 6 years
Blood and lymphatic system disorders
Haemolytic uraemic syndrome
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
3.3%
1/30 • From date of first treatment up to 6 years
Cardiac disorders
Atrial fibrillation
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/31 • From date of first treatment up to 6 years
3.3%
1/30 • From date of first treatment up to 6 years
Cardiac disorders
Cardiac failure congestive
0.00%
0/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
3.3%
1/30 • From date of first treatment up to 6 years
Cardiac disorders
Supraventricular tachycardia
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
General disorders
Chest pain
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
General disorders
Pyrexia
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
10.0%
3/30 • From date of first treatment up to 6 years
Infections and infestations
Appendicitis
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Infections and infestations
Bacteraemia
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Infections and infestations
Pneumonia
25.0%
1/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
9.7%
3/31 • From date of first treatment up to 6 years
10.0%
3/30 • From date of first treatment up to 6 years
Infections and infestations
Sepsis
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Injury, poisoning and procedural complications
Contusion
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Injury, poisoning and procedural complications
Hip fracture
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Metabolism and nutrition disorders
Dehydration
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Metabolism and nutrition disorders
Fluid overload
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/31 • From date of first treatment up to 6 years
3.3%
1/30 • From date of first treatment up to 6 years
Metabolism and nutrition disorders
Hypercalcaemia
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/31 • From date of first treatment up to 6 years
3.3%
1/30 • From date of first treatment up to 6 years
Nervous system disorders
Cerebrovascular accident
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Nervous system disorders
Headache
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Nervous system disorders
Migraine
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Renal and urinary disorders
Acute kidney injury
0.00%
0/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/31 • From date of first treatment up to 6 years
6.7%
2/30 • From date of first treatment up to 6 years
Renal and urinary disorders
Calculus urinary
25.0%
1/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Vascular disorders
Hypotension
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Plasma cell myeloma
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Blood and lymphatic system disorders
Thrombocytopenia
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Gastrointestinal disorders
Vomiting
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Injury, poisoning and procedural complications
Multiple fractures
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Blood and lymphatic system disorders
Thrombotic thrombocytopenic purpura
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/31 • From date of first treatment up to 6 years
3.3%
1/30 • From date of first treatment up to 6 years
Gastrointestinal disorders
Pancreatitis
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/31 • From date of first treatment up to 6 years
3.3%
1/30 • From date of first treatment up to 6 years
Gastrointestinal disorders
Oesophageal obstruction
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/31 • From date of first treatment up to 6 years
3.3%
1/30 • From date of first treatment up to 6 years
Respiratory, thoracic and mediastinal disorders
Interstitial lung disease
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/31 • From date of first treatment up to 6 years
3.3%
1/30 • From date of first treatment up to 6 years
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/31 • From date of first treatment up to 6 years
3.3%
1/30 • From date of first treatment up to 6 years

Other adverse events

Other adverse events
Measure
Dose Level 1
n=4 participants at risk
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 27 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 27 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 2
n=3 participants at risk
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 36 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 36 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 3
n=3 participants at risk
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 4
n=3 participants at risk
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Dose Level 5
n=3 participants at risk
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg D 1, 3, 5, 15, 17, 19
Dose Level 6
n=3 participants at risk
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Expansion Dose Level 4
n=31 participants at risk
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 45 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 45 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 30 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Expansion Dose Level 6
n=30 participants at risk
Carfilzomib : cycle 1 - 20 mg/m\^2 IV D1, 2 ; 56 mg/m\^2 IV D 8, 9, 15, 16 cycle 2 to progression - 56 mg/m\^2 IV D 1, 2, 8, 9, 15, 16 Panobinostat : cycle 1 and cycle 2 to progression - 20 mg D 1, 3, 5, 15, 17, 19 panobinostat: Specified dose on specified days carfilzomib: Specified dose on specified days
Blood and lymphatic system disorders
Thrombocytopenia
100.0%
4/4 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
100.0%
3/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
74.2%
23/31 • From date of first treatment up to 6 years
70.0%
21/30 • From date of first treatment up to 6 years
Gastrointestinal disorders
Nausea
100.0%
4/4 • From date of first treatment up to 6 years
100.0%
3/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
100.0%
3/3 • From date of first treatment up to 6 years
100.0%
3/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
67.7%
21/31 • From date of first treatment up to 6 years
63.3%
19/30 • From date of first treatment up to 6 years
Gastrointestinal disorders
Diarrhoea
100.0%
4/4 • From date of first treatment up to 6 years
100.0%
3/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
100.0%
3/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
67.7%
21/31 • From date of first treatment up to 6 years
50.0%
15/30 • From date of first treatment up to 6 years
General disorders
Fatigue
100.0%
4/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
100.0%
3/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
48.4%
15/31 • From date of first treatment up to 6 years
53.3%
16/30 • From date of first treatment up to 6 years
Blood and lymphatic system disorders
Anaemia
75.0%
3/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
100.0%
3/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
51.6%
16/31 • From date of first treatment up to 6 years
43.3%
13/30 • From date of first treatment up to 6 years
Gastrointestinal disorders
Vomiting
25.0%
1/4 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
48.4%
15/31 • From date of first treatment up to 6 years
50.0%
15/30 • From date of first treatment up to 6 years
Blood and lymphatic system disorders
Neutropenia
100.0%
4/4 • From date of first treatment up to 6 years
100.0%
3/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
45.2%
14/31 • From date of first treatment up to 6 years
26.7%
8/30 • From date of first treatment up to 6 years
General disorders
Pyrexia
50.0%
2/4 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
35.5%
11/31 • From date of first treatment up to 6 years
33.3%
10/30 • From date of first treatment up to 6 years
Respiratory, thoracic and mediastinal disorders
Cough
75.0%
3/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
19.4%
6/31 • From date of first treatment up to 6 years
26.7%
8/30 • From date of first treatment up to 6 years
Nervous system disorders
Headache
50.0%
2/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
32.3%
10/31 • From date of first treatment up to 6 years
36.7%
11/30 • From date of first treatment up to 6 years
Respiratory, thoracic and mediastinal disorders
Dyspnoea
25.0%
1/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
29.0%
9/31 • From date of first treatment up to 6 years
40.0%
12/30 • From date of first treatment up to 6 years
General disorders
Chills
50.0%
2/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
22.6%
7/31 • From date of first treatment up to 6 years
23.3%
7/30 • From date of first treatment up to 6 years
General disorders
Oedema Peripheral
0.00%
0/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
25.8%
8/31 • From date of first treatment up to 6 years
33.3%
10/30 • From date of first treatment up to 6 years
Vascular disorders
Hypertension
25.0%
1/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
35.5%
11/31 • From date of first treatment up to 6 years
16.7%
5/30 • From date of first treatment up to 6 years
Blood and lymphatic system disorders
Leukopenia
50.0%
2/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
25.8%
8/31 • From date of first treatment up to 6 years
13.3%
4/30 • From date of first treatment up to 6 years
Metabolism and nutrition disorders
Decreased Appetite
50.0%
2/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
16.1%
5/31 • From date of first treatment up to 6 years
23.3%
7/30 • From date of first treatment up to 6 years
Infections and infestations
Upper Respiratory Tract Infection
0.00%
0/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
30.0%
9/30 • From date of first treatment up to 6 years
Metabolism and nutrition disorders
Dehydration
0.00%
0/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
22.6%
7/31 • From date of first treatment up to 6 years
16.7%
5/30 • From date of first treatment up to 6 years
Musculoskeletal and connective tissue disorders
Arthralgia
50.0%
2/4 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
9.7%
3/31 • From date of first treatment up to 6 years
13.3%
4/30 • From date of first treatment up to 6 years
Musculoskeletal and connective tissue disorders
Back Pain
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
19.4%
6/31 • From date of first treatment up to 6 years
13.3%
4/30 • From date of first treatment up to 6 years
Psychiatric disorders
Insomnia
25.0%
1/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
12.9%
4/31 • From date of first treatment up to 6 years
13.3%
4/30 • From date of first treatment up to 6 years
Gastrointestinal disorders
Abdominal Pain
25.0%
1/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
16.1%
5/31 • From date of first treatment up to 6 years
6.7%
2/30 • From date of first treatment up to 6 years
Infections and infestations
Sinusitis
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
19.4%
6/31 • From date of first treatment up to 6 years
10.0%
3/30 • From date of first treatment up to 6 years
Musculoskeletal and connective tissue disorders
Muscle Spasms
0.00%
0/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
9.7%
3/31 • From date of first treatment up to 6 years
20.0%
6/30 • From date of first treatment up to 6 years
Nervous system disorders
Dizziness
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
12.9%
4/31 • From date of first treatment up to 6 years
23.3%
7/30 • From date of first treatment up to 6 years
Investigations
Blood Creatinine Increased
0.00%
0/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
20.0%
6/30 • From date of first treatment up to 6 years
Nervous system disorders
Neuropathy Peripheral
0.00%
0/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
12.9%
4/31 • From date of first treatment up to 6 years
20.0%
6/30 • From date of first treatment up to 6 years
General disorders
Asthenia
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
12.9%
4/31 • From date of first treatment up to 6 years
10.0%
3/30 • From date of first treatment up to 6 years
Skin and subcutaneous tissue disorders
Rash
0.00%
0/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
13.3%
4/30 • From date of first treatment up to 6 years
Investigations
Platelet Count Decreased
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
16.7%
5/30 • From date of first treatment up to 6 years
Metabolism and nutrition disorders
Hypokalaemia
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
9.7%
3/31 • From date of first treatment up to 6 years
16.7%
5/30 • From date of first treatment up to 6 years
Respiratory, thoracic and mediastinal disorders
Productive Cough
0.00%
0/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
16.7%
5/30 • From date of first treatment up to 6 years
Gastrointestinal disorders
Constipation
25.0%
1/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
9.7%
3/31 • From date of first treatment up to 6 years
10.0%
3/30 • From date of first treatment up to 6 years
General disorders
Pain
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
16.1%
5/31 • From date of first treatment up to 6 years
10.0%
3/30 • From date of first treatment up to 6 years
Respiratory, thoracic and mediastinal disorders
Oropharyngeal Pain
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
16.7%
5/30 • From date of first treatment up to 6 years
Infections and infestations
Urinary Tract Infection
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
12.9%
4/31 • From date of first treatment up to 6 years
6.7%
2/30 • From date of first treatment up to 6 years
Injury, poisoning and procedural complications
Fall
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
10.0%
3/30 • From date of first treatment up to 6 years
Musculoskeletal and connective tissue disorders
Pain In Extremity
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
10.0%
3/30 • From date of first treatment up to 6 years
Respiratory, thoracic and mediastinal disorders
Nasal Congestion
0.00%
0/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
10.0%
3/30 • From date of first treatment up to 6 years
Vascular disorders
Hypotension
0.00%
0/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
13.3%
4/30 • From date of first treatment up to 6 years
Investigations
Alanine Aminotransferase Increased
0.00%
0/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
12.9%
4/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Metabolism and nutrition disorders
Hypocalcaemia
25.0%
1/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
6.7%
2/30 • From date of first treatment up to 6 years
Nervous system disorders
Dysgeusia
50.0%
2/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
3.3%
1/30 • From date of first treatment up to 6 years
Psychiatric disorders
Confusional State
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
13.3%
4/30 • From date of first treatment up to 6 years
Respiratory, thoracic and mediastinal disorders
Epistaxis
50.0%
2/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
3.3%
1/30 • From date of first treatment up to 6 years
Gastrointestinal disorders
Gastrooesophageal Reflux Disease
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
6.7%
2/30 • From date of first treatment up to 6 years
General disorders
Influenza Like Illness
25.0%
1/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
6.7%
2/30 • From date of first treatment up to 6 years
Infections and infestations
Bronchitis
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/31 • From date of first treatment up to 6 years
10.0%
3/30 • From date of first treatment up to 6 years
Infections and infestations
Pneumonia
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
10.0%
3/30 • From date of first treatment up to 6 years
Metabolism and nutrition disorders
Hyperkalaemia
0.00%
0/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
10.0%
3/30 • From date of first treatment up to 6 years
Metabolism and nutrition disorders
Hyperphosphataemia
25.0%
1/4 • From date of first treatment up to 6 years
66.7%
2/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/31 • From date of first treatment up to 6 years
6.7%
2/30 • From date of first treatment up to 6 years
Musculoskeletal and connective tissue disorders
Musculoskeletal Chest Pain
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
6.7%
2/30 • From date of first treatment up to 6 years
Musculoskeletal and connective tissue disorders
Myalgia
25.0%
1/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
6.7%
2/30 • From date of first treatment up to 6 years
Musculoskeletal and connective tissue disorders
Neck Pain
0.00%
0/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
6.7%
2/30 • From date of first treatment up to 6 years
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
10.0%
3/30 • From date of first treatment up to 6 years
Gastrointestinal disorders
Abdominal Distension
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
6.7%
2/30 • From date of first treatment up to 6 years
Immune system disorders
Seasonal Allergy
50.0%
2/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Investigations
Aspartate Aminotransferase Increased
0.00%
0/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
9.7%
3/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Investigations
Blood Alkaline Phosphatase
25.0%
1/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
6.5%
2/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Investigations
Haemoglobin Decreased
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
9.7%
3/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Investigations
Neutrophil Count Decreased
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
6.7%
2/30 • From date of first treatment up to 6 years
Metabolism and nutrition disorders
Hyperglycaemia
0.00%
0/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
3.3%
1/30 • From date of first treatment up to 6 years
Metabolism and nutrition disorders
Hypomagnesaemia
0.00%
0/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
6.7%
2/30 • From date of first treatment up to 6 years
Musculoskeletal and connective tissue disorders
Musculoskeletal Pain
0.00%
0/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
9.7%
3/31 • From date of first treatment up to 6 years
3.3%
1/30 • From date of first treatment up to 6 years
Respiratory, thoracic and mediastinal disorders
Sinus Congestion
25.0%
1/4 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/31 • From date of first treatment up to 6 years
0.00%
0/30 • From date of first treatment up to 6 years
Skin and subcutaneous tissue disorders
Night Sweats
25.0%
1/4 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
33.3%
1/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
0.00%
0/3 • From date of first treatment up to 6 years
3.2%
1/31 • From date of first treatment up to 6 years
3.3%
1/30 • From date of first treatment up to 6 years

Additional Information

Dr. Jesus Berdeja

Sarah Cannon Development Innovations, LLC

Phone: 844-710-6157

Results disclosure agreements

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