Trial Outcomes & Findings for Lenalidomide/Bortezomib/Dexamethasone for Multiple Myeloma (MM) (NCT NCT01782963)

NCT ID: NCT01782963

Last Updated: 2018-10-31

Results Overview

Participants are considered to have achieved an objective response if they meet the International Myeloma Working Group uniform response criteria for any of the following: * Stringent CR: Same as CR plus normal free light chain ratio and absence of clonal cells plasma cells in bone marrow (BM) * CR: Negative immunofixation on the serum and urine and disappearance of any soft tissue plasmacytomas and \<5% plasma cells in BM * VGPR: Serum and urine M-protein detectable by immunofixation but not on electrophoresis or 90% or greater reduction in serum M-protein plus urine M-protein level \<100 mg per 24 hours * PR: ≥50% reduction of serum M-protein and reduction in 24-h urinary M-protein by ≥90% or to \<200 mg per 24 hours. If the serum and urinary M-protein are not measurable, additional criteria are used to assess PR that will not fit in the space provided here. If present at baseline, a ≥50% reduction in the size of plasmacytomas is also required

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

50 participants

Primary outcome timeframe

2 years

Results posted on

2018-10-31

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment Arm
Induction (Cycles 1-9): Lenalidomide orally, days 1-21. Bortezomib injection, days 1, 8, 15, 22. Dexamethasone orally, days 1, 2, 8, 9, 15, 16, 22, 23 (for subjects 75 years of age or younger), or Dexamethasone orally days 1, 8, 15, 22 (for subjects greater than 75 years of age) Consolidation (cycles 10-15): Lenalidomide po daily (1-21). Bortezomib sc on days 1, 15 Lenalidomide Bortezomib Dexamethasone
Overall Study
STARTED
50
Overall Study
COMPLETED
50
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Lenalidomide/Bortezomib/Dexamethasone for Multiple Myeloma (MM)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment Arm
n=50 Participants
Induction (Cycles 1-9): Lenalidomide orally, days 1-21. Bortezomib injection, days 1, 8, 15, 22. Dexamethasone orally, days 1, 2, 8, 9, 15, 16, 22, 23 (for subjects 75 years of age or younger), or Dexamethasone orally days 1, 8, 15, 22 (for subjects greater than 75 years of age) Consolidation (cycles 10-15): Lenalidomide po daily (1-21). Bortezomib sc on days 1, 15 Lenalidomide Bortezomib Dexamethasone
Age, Continuous
73 years
n=5 Participants
Sex: Female, Male
Female
27 Participants
n=5 Participants
Sex: Female, Male
Male
23 Participants
n=5 Participants
Race/Ethnicity, Customized
White
42 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African-American
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
3 Participants
n=5 Participants
Region of Enrollment
United States
50 Participants
n=5 Participants
ISS Stage at Diagnosis
I
19 Participants
n=5 Participants
ISS Stage at Diagnosis
II
17 Participants
n=5 Participants
ISS Stage at Diagnosis
III
14 Participants
n=5 Participants
Durie-Salmon Stage
I
16 Participants
n=5 Participants
Durie-Salmon Stage
II
16 Participants
n=5 Participants
Durie-Salmon Stage
III
18 Participants
n=5 Participants
ECOG Performance Status
0
25 Participants
n=5 Participants
ECOG Performance Status
1
18 Participants
n=5 Participants
ECOG Performance Status
2
7 Participants
n=5 Participants
ECOG Performance Status
3
0 Participants
n=5 Participants
ECOG Performance Status
4
0 Participants
n=5 Participants
ECOG Performance Status
5
0 Participants
n=5 Participants
High-Risk Cytogenetics
Yes
6 Participants
n=5 Participants
High-Risk Cytogenetics
No
42 Participants
n=5 Participants
High-Risk Cytogenetics
Unknown
2 Participants
n=5 Participants
Serum Heavy/Light Chain
IgG
34 Participants
n=5 Participants
Serum Heavy/Light Chain
IgA
9 Participants
n=5 Participants
Serum Heavy/Light Chain
Light-chain only
5 Participants
n=5 Participants
Serum Heavy/Light Chain
Unknown
2 Participants
n=5 Participants
Body Mass Index (BMI)
28 Kg/m^2
n=5 Participants

PRIMARY outcome

Timeframe: 2 years

Participants are considered to have achieved an objective response if they meet the International Myeloma Working Group uniform response criteria for any of the following: * Stringent CR: Same as CR plus normal free light chain ratio and absence of clonal cells plasma cells in bone marrow (BM) * CR: Negative immunofixation on the serum and urine and disappearance of any soft tissue plasmacytomas and \<5% plasma cells in BM * VGPR: Serum and urine M-protein detectable by immunofixation but not on electrophoresis or 90% or greater reduction in serum M-protein plus urine M-protein level \<100 mg per 24 hours * PR: ≥50% reduction of serum M-protein and reduction in 24-h urinary M-protein by ≥90% or to \<200 mg per 24 hours. If the serum and urinary M-protein are not measurable, additional criteria are used to assess PR that will not fit in the space provided here. If present at baseline, a ≥50% reduction in the size of plasmacytomas is also required

Outcome measures

Outcome measures
Measure
Treatment Arm
n=50 Participants
Induction (Cycles 1-9): Lenalidomide orally, days 1-21. Bortezomib injection, days 1, 8, 15, 22. Dexamethasone orally, days 1, 2, 8, 9, 15, 16, 22, 23 (for subjects 75 years of age or younger), or Dexamethasone orally days 1, 8, 15, 22 (for subjects greater than 75 years of age) Consolidation (cycles 10-15): Lenalidomide po daily (1-21). Bortezomib sc on days 1, 15 Lenalidomide Bortezomib Dexamethasone
Low Risk Cytogenetics
Induction (Cycles 1-9): Lenalidomide orally, days 1-21. Bortezomib injection, days 1, 8, 15, 22. Dexamethasone orally, days 1, 2, 8, 9, 15, 16, 22, 23 (for subjects 75 years of age or younger), or Dexamethasone orally days 1, 8, 15, 22 (for subjects greater than 75 years of age) Consolidation (cycles 10-15): Lenalidomide po daily (1-21). Bortezomib sc on days 1, 15 Lenalidomide Bortezomib Dexamethasone
Objective Response Rate
Complete Response (CR)
16 Participants
Objective Response Rate
Stringent Complete Response
6 Participants
Objective Response Rate
Very Good Partial Response (VGPR)
11 Participants
Objective Response Rate
Partial Response (PR)
10 Participants

SECONDARY outcome

Timeframe: 2 years

A summary of the number of participants with grade 3 or higher treatment related adverse events for adverse events that had an overall incidence of greater than 15% (any grade) as assessed by Common Terminology Criteria for Adverse Events (CTCAE 4).

Outcome measures

Outcome measures
Measure
Treatment Arm
n=50 Participants
Induction (Cycles 1-9): Lenalidomide orally, days 1-21. Bortezomib injection, days 1, 8, 15, 22. Dexamethasone orally, days 1, 2, 8, 9, 15, 16, 22, 23 (for subjects 75 years of age or younger), or Dexamethasone orally days 1, 8, 15, 22 (for subjects greater than 75 years of age) Consolidation (cycles 10-15): Lenalidomide po daily (1-21). Bortezomib sc on days 1, 15 Lenalidomide Bortezomib Dexamethasone
Low Risk Cytogenetics
Induction (Cycles 1-9): Lenalidomide orally, days 1-21. Bortezomib injection, days 1, 8, 15, 22. Dexamethasone orally, days 1, 2, 8, 9, 15, 16, 22, 23 (for subjects 75 years of age or younger), or Dexamethasone orally days 1, 8, 15, 22 (for subjects greater than 75 years of age) Consolidation (cycles 10-15): Lenalidomide po daily (1-21). Bortezomib sc on days 1, 15 Lenalidomide Bortezomib Dexamethasone
Number of Participants With Grade 3 or Higher Treatment Related Adverse Events
Fatigue
8 Participants
Number of Participants With Grade 3 or Higher Treatment Related Adverse Events
Peripheral Neuropathy
1 Participants
Number of Participants With Grade 3 or Higher Treatment Related Adverse Events
Peripheral Edema
1 Participants
Number of Participants With Grade 3 or Higher Treatment Related Adverse Events
Insomnia
1 Participants
Number of Participants With Grade 3 or Higher Treatment Related Adverse Events
Anemia
1 Participants
Number of Participants With Grade 3 or Higher Treatment Related Adverse Events
Thrombocytopenia
1 Participants
Number of Participants With Grade 3 or Higher Treatment Related Adverse Events
Constipation
0 Participants
Number of Participants With Grade 3 or Higher Treatment Related Adverse Events
Dysgeusia
0 Participants
Number of Participants With Grade 3 or Higher Treatment Related Adverse Events
Hyperglycemia
2 Participants
Number of Participants With Grade 3 or Higher Treatment Related Adverse Events
Nausea
0 Participants
Number of Participants With Grade 3 or Higher Treatment Related Adverse Events
Psychiatric Disorder, other
2 Participants
Number of Participants With Grade 3 or Higher Treatment Related Adverse Events
Generalized Muscle Weakness
2 Participants
Number of Participants With Grade 3 or Higher Treatment Related Adverse Events
Hypophosphatemia
17 Participants
Number of Participants With Grade 3 or Higher Treatment Related Adverse Events
Neutropenia
7 Participants
Number of Participants With Grade 3 or Higher Treatment Related Adverse Events
Diarrhea
0 Participants
Number of Participants With Grade 3 or Higher Treatment Related Adverse Events
Rash
5 Participants
Number of Participants With Grade 3 or Higher Treatment Related Adverse Events
Depression
0 Participants

SECONDARY outcome

Timeframe: From the start of treatment until death or progression or until 3 years after the last participant is enrolled

The median amount of time as measured from the start of treatment until either death or progression. Progressive disease requires 1 or more of the following: * \>=25% increase from lowest response level in serum M-protein (\>=0.5 g/dL absolute increase) and/or urine M-component (\>=200 mg/24hr absolute increase) * \>=25% increase in the difference between involved and uninvolved FLC levels (absolute increase \>10 mg/dL). Only for use in patients without measurable serum and M-protein levels. * \>=25% increase in bone marrow plasma cell percentage (absolute percentage \>=10%) * New or increase in existing bone lesions or soft tissue plasmacytomas * Hypercalcemia (serum calcium \>11.5 mg/dL) due solely to the plasma cell proliferative disorder.

Outcome measures

Outcome measures
Measure
Treatment Arm
n=50 Participants
Induction (Cycles 1-9): Lenalidomide orally, days 1-21. Bortezomib injection, days 1, 8, 15, 22. Dexamethasone orally, days 1, 2, 8, 9, 15, 16, 22, 23 (for subjects 75 years of age or younger), or Dexamethasone orally days 1, 8, 15, 22 (for subjects greater than 75 years of age) Consolidation (cycles 10-15): Lenalidomide po daily (1-21). Bortezomib sc on days 1, 15 Lenalidomide Bortezomib Dexamethasone
Low Risk Cytogenetics
Induction (Cycles 1-9): Lenalidomide orally, days 1-21. Bortezomib injection, days 1, 8, 15, 22. Dexamethasone orally, days 1, 2, 8, 9, 15, 16, 22, 23 (for subjects 75 years of age or younger), or Dexamethasone orally days 1, 8, 15, 22 (for subjects greater than 75 years of age) Consolidation (cycles 10-15): Lenalidomide po daily (1-21). Bortezomib sc on days 1, 15 Lenalidomide Bortezomib Dexamethasone
Median Progression Free Survival
35.1 Months
Interval 30.9 to
Upper bound is infinity due to skew of survival data

SECONDARY outcome

Timeframe: From the start of treatment until death or until 5 years after the time of disease progression

Population: Median overall survival was not met before the end of follow-up/ data cutoff point because more than half of the participants were still alive.

The median overall survival as measured from the start of treatment until the time of death due to any cause.

Outcome measures

Outcome measures
Measure
Treatment Arm
n=50 Participants
Induction (Cycles 1-9): Lenalidomide orally, days 1-21. Bortezomib injection, days 1, 8, 15, 22. Dexamethasone orally, days 1, 2, 8, 9, 15, 16, 22, 23 (for subjects 75 years of age or younger), or Dexamethasone orally days 1, 8, 15, 22 (for subjects greater than 75 years of age) Consolidation (cycles 10-15): Lenalidomide po daily (1-21). Bortezomib sc on days 1, 15 Lenalidomide Bortezomib Dexamethasone
Low Risk Cytogenetics
Induction (Cycles 1-9): Lenalidomide orally, days 1-21. Bortezomib injection, days 1, 8, 15, 22. Dexamethasone orally, days 1, 2, 8, 9, 15, 16, 22, 23 (for subjects 75 years of age or younger), or Dexamethasone orally days 1, 8, 15, 22 (for subjects greater than 75 years of age) Consolidation (cycles 10-15): Lenalidomide po daily (1-21). Bortezomib sc on days 1, 15 Lenalidomide Bortezomib Dexamethasone
Median Overall Survival
NA years
Median overall survival was not met before the data cutoff point because more than half of the participants were still alive

SECONDARY outcome

Timeframe: From the start of treatment until the time of first documented response, median duration of 1.1 months

Population: Participants that achieved a response

Median amount of time from the start of treatment until first documented response as defined by the International Myeloma Working Group uniform response criteria Stringent CR: Same as CR plus normal free light chain ratio and absence of clonal cells plasma cells in bone marrow (BM) CR: Negative immunofixation on the serum and urine and disappearance of any soft tissue plasmacytomas and \<5% plasma cells in BM VGPR: Serum and urine M-protein detectable by immunofixation but not on electrophoresis or 90% or greater reduction in serum M-protein plus urine M-protein level \<100 mg per 24 hours PR: ≥50% reduction of serum M-protein and reduction in 24-h urinary M-protein by ≥90% or to \<200 mg per 24 hours. If the serum and urinary M-protein are not measurable, additional criteria are used to assess PR that will not fit in the space provided here. If present at baseline, a ≥50% reduction in the size of plasmacytomas is also required

Outcome measures

Outcome measures
Measure
Treatment Arm
n=43 Participants
Induction (Cycles 1-9): Lenalidomide orally, days 1-21. Bortezomib injection, days 1, 8, 15, 22. Dexamethasone orally, days 1, 2, 8, 9, 15, 16, 22, 23 (for subjects 75 years of age or younger), or Dexamethasone orally days 1, 8, 15, 22 (for subjects greater than 75 years of age) Consolidation (cycles 10-15): Lenalidomide po daily (1-21). Bortezomib sc on days 1, 15 Lenalidomide Bortezomib Dexamethasone
Low Risk Cytogenetics
Induction (Cycles 1-9): Lenalidomide orally, days 1-21. Bortezomib injection, days 1, 8, 15, 22. Dexamethasone orally, days 1, 2, 8, 9, 15, 16, 22, 23 (for subjects 75 years of age or younger), or Dexamethasone orally days 1, 8, 15, 22 (for subjects greater than 75 years of age) Consolidation (cycles 10-15): Lenalidomide po daily (1-21). Bortezomib sc on days 1, 15 Lenalidomide Bortezomib Dexamethasone
Median Time to Response
1.1 Months
Interval 1.1 to 1.3

SECONDARY outcome

Timeframe: 2 years

Response rate was assessed using the International Myeloma Working Group uniform response criteria. Stringent complete response, Complete Response, Very Good Partial Response, and Partial Response are defined in outcome measure 1. * MR included participants in whom some, but not all, criteria for PR were fulfilled, providing the remaining criteria satisfied the requirements for MR. Required all of the following: * ≥25% to ≤ 49% reduction in the level of serum monoclonal protein for at least two determinations six weeks apart. * If present, a 50 to 89% reduction in 24-hour light chain excretion, which still exceeds 200 mg/24 h, for at least two determinations six weeks apart. * 25-49% reduction in the size of plasmacytomas (by clinical or radiographic examination) for at least six weeks. * No increase in size or number of lytic bone lesions (development of compression fracture does not exclude response). * Stable Disease: Not meeting the criteria for minimal response or

Outcome measures

Outcome measures
Measure
Treatment Arm
n=6 Participants
Induction (Cycles 1-9): Lenalidomide orally, days 1-21. Bortezomib injection, days 1, 8, 15, 22. Dexamethasone orally, days 1, 2, 8, 9, 15, 16, 22, 23 (for subjects 75 years of age or younger), or Dexamethasone orally days 1, 8, 15, 22 (for subjects greater than 75 years of age) Consolidation (cycles 10-15): Lenalidomide po daily (1-21). Bortezomib sc on days 1, 15 Lenalidomide Bortezomib Dexamethasone
Low Risk Cytogenetics
n=44 Participants
Induction (Cycles 1-9): Lenalidomide orally, days 1-21. Bortezomib injection, days 1, 8, 15, 22. Dexamethasone orally, days 1, 2, 8, 9, 15, 16, 22, 23 (for subjects 75 years of age or younger), or Dexamethasone orally days 1, 8, 15, 22 (for subjects greater than 75 years of age) Consolidation (cycles 10-15): Lenalidomide po daily (1-21). Bortezomib sc on days 1, 15 Lenalidomide Bortezomib Dexamethasone
Response Rate With Respect to Cytogenetic Characteristics
Stringent Complete Response
0 Participants
6 Participants
Response Rate With Respect to Cytogenetic Characteristics
Complete Response
2 Participants
14 Participants
Response Rate With Respect to Cytogenetic Characteristics
Minimal Response
1 Participants
0 Participants
Response Rate With Respect to Cytogenetic Characteristics
Stable Disease
0 Participants
3 Participants
Response Rate With Respect to Cytogenetic Characteristics
Not evaluable
0 Participants
3 Participants
Response Rate With Respect to Cytogenetic Characteristics
Very Good Partial Response
2 Participants
9 Participants
Response Rate With Respect to Cytogenetic Characteristics
Partial Response
1 Participants
9 Participants

SECONDARY outcome

Timeframe: Day 1 (5 min, 30min, 5 hours post dose), Days 8, 15, Day 22 (pre dose and 5 min, 30 min, 5 hrs post dose), cycle 2 day 1 pre dose

Population: A total of only 10 participants per arm were evaluated for drug plasma concentrations following Bortezomib administration.The number of participants vary by time-point due to missing measurements for the concentrations.

The pharmacokinetic profile of intravenous and subcutaneous bortezomib administration in combination with lenalidomide and dexamethasone.

Outcome measures

Outcome measures
Measure
Treatment Arm
n=10 Participants
Induction (Cycles 1-9): Lenalidomide orally, days 1-21. Bortezomib injection, days 1, 8, 15, 22. Dexamethasone orally, days 1, 2, 8, 9, 15, 16, 22, 23 (for subjects 75 years of age or younger), or Dexamethasone orally days 1, 8, 15, 22 (for subjects greater than 75 years of age) Consolidation (cycles 10-15): Lenalidomide po daily (1-21). Bortezomib sc on days 1, 15 Lenalidomide Bortezomib Dexamethasone
Low Risk Cytogenetics
n=10 Participants
Induction (Cycles 1-9): Lenalidomide orally, days 1-21. Bortezomib injection, days 1, 8, 15, 22. Dexamethasone orally, days 1, 2, 8, 9, 15, 16, 22, 23 (for subjects 75 years of age or younger), or Dexamethasone orally days 1, 8, 15, 22 (for subjects greater than 75 years of age) Consolidation (cycles 10-15): Lenalidomide po daily (1-21). Bortezomib sc on days 1, 15 Lenalidomide Bortezomib Dexamethasone
Mean Plasma Bortezomib Concentration Following Intravenous and and Subcutaneous Injection
Day 22, 30 min post-dose
14.9 ng/mL
Standard Deviation 4.3
21.69 ng/mL
Standard Deviation 10.1
Mean Plasma Bortezomib Concentration Following Intravenous and and Subcutaneous Injection
Day 22, 5 hours post-dose
2.85 ng/mL
Standard Deviation 1.05
4.16 ng/mL
Standard Deviation 2.07
Mean Plasma Bortezomib Concentration Following Intravenous and and Subcutaneous Injection
Cycle 2 Day 1, pre-dose
0.53 ng/mL
Standard Deviation 0.15
0.49 ng/mL
Standard Deviation 0.14
Mean Plasma Bortezomib Concentration Following Intravenous and and Subcutaneous Injection
Day 1, 5 minutes (min) post dose
98.84 ng/mL
Standard Deviation 39.27
13 ng/mL
Standard Deviation 15.79
Mean Plasma Bortezomib Concentration Following Intravenous and and Subcutaneous Injection
Day 1, 30 min post dose
8.73 ng/mL
Standard Deviation 5.59
20.5 ng/mL
Standard Deviation 10.91
Mean Plasma Bortezomib Concentration Following Intravenous and and Subcutaneous Injection
Day 1, 5 hours post dose
1.82 ng/mL
Standard Deviation 1.31
1.96 ng/mL
Standard Deviation 0.56
Mean Plasma Bortezomib Concentration Following Intravenous and and Subcutaneous Injection
Day 8 pre-dose
0.44 ng/mL
Standard Deviation 0.15
0.33 ng/mL
Standard Deviation 0.09
Mean Plasma Bortezomib Concentration Following Intravenous and and Subcutaneous Injection
Day 15 pre-dose
0.66 ng/mL
Standard Deviation 0.22
0.49 ng/mL
Standard Deviation 0.12
Mean Plasma Bortezomib Concentration Following Intravenous and and Subcutaneous Injection
Day 22 pre-dose
0.83 ng/mL
Standard Deviation 0.34
0.66 ng/mL
Standard Deviation 0.18
Mean Plasma Bortezomib Concentration Following Intravenous and and Subcutaneous Injection
Day 22, 5 min post-dose
114.3 ng/mL
Standard Deviation 76.6
10.29 ng/mL
Standard Deviation 13.24

SECONDARY outcome

Timeframe: 2 years

Population: No pharmacogenomic markers were evaluated for relation to neuropathy

To evaluate pharmacogenomic markers among patients with treatment related polyneuropathy.

Outcome measures

Outcome data not reported

Adverse Events

Treatment Arm

Serious events: 34 serious events
Other events: 50 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Treatment Arm
n=50 participants at risk
Induction (Cycles 1-9): Lenalidomide orally, days 1-21. Bortezomib injection, days 1, 8, 15, 22. Dexamethasone orally, days 1, 2, 8, 9, 15, 16, 22, 23 (for subjects 75 years of age or younger), or Dexamethasone orally days 1, 8, 15, 22 (for subjects greater than 75 years of age) Consolidation (cycles 10-15): Lenalidomide po daily (1-21). Bortezomib sc on days 1, 15 Lenalidomide Bortezomib Dexamethasone
Gastrointestinal disorders
Abdominal pain
2.0%
1/50 • Number of events 1 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Endocrine disorders
Adrenal insufficiency
4.0%
2/50 • Number of events 2 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Blood and lymphatic system disorders
Anemia
2.0%
1/50 • Number of events 2 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Eye disorders
Corneal ulcer
2.0%
1/50 • Number of events 1 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Investigations
Creatinine increased
2.0%
1/50 • Number of events 1 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Metabolism and nutrition disorders
Dehydration
4.0%
2/50 • Number of events 2 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Respiratory, thoracic and mediastinal disorders
Dyspnea
2.0%
1/50 • Number of events 1 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
General disorders
Edema limbs
2.0%
1/50 • Number of events 1 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Eye disorders
Eye disorders - Other, Sclera redness
2.0%
1/50 • Number of events 1 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
General disorders
Fatigue
16.0%
8/50 • Number of events 9 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Gastrointestinal disorders
Gastrointestinal disorders - Other, Gastroenteritis
2.0%
1/50 • Number of events 1 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Gastrointestinal disorders
Gastrointestinal disorders - Other, GI Bleed
2.0%
1/50 • Number of events 1 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
4.0%
2/50 • Number of events 2 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Cardiac disorders
Heart failure
2.0%
1/50 • Number of events 1 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Metabolism and nutrition disorders
Hyperglycemia
4.0%
2/50 • Number of events 2 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Vascular disorders
Hypertension
4.0%
2/50 • Number of events 2 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Metabolism and nutrition disorders
Hyponatremia
4.0%
2/50 • Number of events 2 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Metabolism and nutrition disorders
Hypophosphatemia
30.0%
15/50 • Number of events 20 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Vascular disorders
Hypotension
2.0%
1/50 • Number of events 2 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Nervous system disorders
Nervous system disorders - Other, Altered mental status and loss of consciousness
2.0%
1/50 • Number of events 1 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Investigations
Neutrophil count decreased
4.0%
2/50 • Number of events 4 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Nervous system disorders
Peripheral sensory neuropathy
2.0%
1/50 • Number of events 1 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Investigations
Platelet count decreased
4.0%
2/50 • Number of events 2 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Respiratory, thoracic and mediastinal disorders
Pneumonitis
2.0%
1/50 • Number of events 1 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Skin and subcutaneous tissue disorders
Rash maculo-papular
4.0%
2/50 • Number of events 2 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Vascular disorders
Thromboembolic event
2.0%
1/50 • Number of events 1 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Infections and infestations
Upper respiratory infection
2.0%
1/50 • Number of events 1 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Infections and infestations
Urinary tract infection
2.0%
1/50 • Number of events 1 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Investigations
White blood cell decreased
2.0%
1/50 • Number of events 1 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.

Other adverse events

Other adverse events
Measure
Treatment Arm
n=50 participants at risk
Induction (Cycles 1-9): Lenalidomide orally, days 1-21. Bortezomib injection, days 1, 8, 15, 22. Dexamethasone orally, days 1, 2, 8, 9, 15, 16, 22, 23 (for subjects 75 years of age or younger), or Dexamethasone orally days 1, 8, 15, 22 (for subjects greater than 75 years of age) Consolidation (cycles 10-15): Lenalidomide po daily (1-21). Bortezomib sc on days 1, 15 Lenalidomide Bortezomib Dexamethasone
Gastrointestinal disorders
Abdominal distension
8.0%
4/50 • Number of events 4 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Gastrointestinal disorders
Abdominal pain
10.0%
5/50 • Number of events 7 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Psychiatric disorders
Agitation
10.0%
5/50 • Number of events 7 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Investigations
Alanine aminotransferase increased
10.0%
5/50 • Number of events 6 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Investigations
Alkaline phosphatase increased
10.0%
5/50 • Number of events 14 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Blood and lymphatic system disorders
Anemia
60.0%
30/50 • Number of events 62 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Metabolism and nutrition disorders
Anorexia
24.0%
12/50 • Number of events 17 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Psychiatric disorders
Anxiety
16.0%
8/50 • Number of events 10 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Musculoskeletal and connective tissue disorders
Arthralgia
6.0%
3/50 • Number of events 4 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Musculoskeletal and connective tissue disorders
Arthritis
6.0%
3/50 • Number of events 3 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Investigations
Aspartate aminotransferase increased
14.0%
7/50 • Number of events 9 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Cardiac disorders
Atrial fibrillation
6.0%
3/50 • Number of events 4 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Musculoskeletal and connective tissue disorders
Back pain
40.0%
20/50 • Number of events 30 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Investigations
Blood bilirubin increased
6.0%
3/50 • Number of events 14 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Eye disorders
Blurred vision
6.0%
3/50 • Number of events 3 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Musculoskeletal and connective tissue disorders
Bone pain
12.0%
6/50 • Number of events 8 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Musculoskeletal and connective tissue disorders
Chest wall pain
8.0%
4/50 • Number of events 6 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Psychiatric disorders
Confusion
8.0%
4/50 • Number of events 5 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Gastrointestinal disorders
Constipation
44.0%
22/50 • Number of events 30 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Respiratory, thoracic and mediastinal disorders
Cough
10.0%
5/50 • Number of events 6 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Investigations
Creatinine increased
8.0%
4/50 • Number of events 16 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Metabolism and nutrition disorders
Dehydration
8.0%
4/50 • Number of events 4 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Psychiatric disorders
Depression
22.0%
11/50 • Number of events 12 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Gastrointestinal disorders
Diarrhea
50.0%
25/50 • Number of events 37 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Nervous system disorders
Dizziness
20.0%
10/50 • Number of events 11 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Gastrointestinal disorders
Dry mouth
12.0%
6/50 • Number of events 7 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Skin and subcutaneous tissue disorders
Dry skin
12.0%
6/50 • Number of events 6 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Nervous system disorders
Dysgeusia
26.0%
13/50 • Number of events 17 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Respiratory, thoracic and mediastinal disorders
Dyspnea
22.0%
11/50 • Number of events 22 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
General disorders
Edema face
8.0%
4/50 • Number of events 6 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
General disorders
Edema limbs
46.0%
23/50 • Number of events 37 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
General disorders
Fatigue
82.0%
41/50 • Number of events 92 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
General disorders
Fever
10.0%
5/50 • Number of events 5 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
General disorders
Flu like symptoms
6.0%
3/50 • Number of events 3 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Gastrointestinal disorders
Gastroesophageal reflux disease
8.0%
4/50 • Number of events 4 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
20.0%
10/50 • Number of events 11 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Nervous system disorders
Headache
12.0%
6/50 • Number of events 6 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Ear and labyrinth disorders
Hearing impaired
8.0%
4/50 • Number of events 4 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Vascular disorders
Hot flashes
6.0%
3/50 • Number of events 3 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Metabolism and nutrition disorders
Hypercalcemia
6.0%
3/50 • Number of events 3 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Metabolism and nutrition disorders
Hyperglycemia
40.0%
20/50 • Number of events 33 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Metabolism and nutrition disorders
Hyperkalemia
8.0%
4/50 • Number of events 5 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Vascular disorders
Hypertension
40.0%
20/50 • Number of events 72 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Metabolism and nutrition disorders
Hypoalbuminemia
10.0%
5/50 • Number of events 6 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Metabolism and nutrition disorders
Hypocalcemia
20.0%
10/50 • Number of events 20 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Metabolism and nutrition disorders
Hypokalemia
20.0%
10/50 • Number of events 13 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Metabolism and nutrition disorders
Hypomagnesemia
14.0%
7/50 • Number of events 13 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Metabolism and nutrition disorders
Hyponatremia
26.0%
13/50 • Number of events 26 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Metabolism and nutrition disorders
Hypophosphatemia
54.0%
27/50 • Number of events 68 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Vascular disorders
Hypotension
16.0%
8/50 • Number of events 11 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Investigations
INR increased
6.0%
3/50 • Number of events 4 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Psychiatric disorders
Insomnia
38.0%
19/50 • Number of events 23 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
8.0%
4/50 • Number of events 5 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Gastrointestinal disorders
Nausea
20.0%
10/50 • Number of events 11 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Investigations
Neutrophil count decreased
14.0%
7/50 • Number of events 23 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
General disorders
Non-cardiac chest pain
6.0%
3/50 • Number of events 4 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Gastrointestinal disorders
Oral pain
6.0%
3/50 • Number of events 3 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
General disorders
Pain
24.0%
12/50 • Number of events 23 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Musculoskeletal and connective tissue disorders
Pain in extremity
28.0%
14/50 • Number of events 26 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Reproductive system and breast disorders
Pelvic pain
8.0%
4/50 • Number of events 4 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Nervous system disorders
Peripheral motor neuropathy
14.0%
7/50 • Number of events 8 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Nervous system disorders
Peripheral sensory neuropathy
64.0%
32/50 • Number of events 59 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Investigations
Platelet count decreased
32.0%
16/50 • Number of events 48 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Skin and subcutaneous tissue disorders
Rash maculo-papular
32.0%
16/50 • Number of events 35 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Infections and infestations
Rhinitis infective
6.0%
3/50 • Number of events 3 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Cardiac disorders
Sinus bradycardia
16.0%
8/50 • Number of events 21 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Injury, poisoning and procedural complications
Spinal fracture
8.0%
4/50 • Number of events 4 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Vascular disorders
Thromboembolic event
10.0%
5/50 • Number of events 6 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Infections and infestations
Upper respiratory infection
30.0%
15/50 • Number of events 22 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Infections and infestations
Urinary tract infection
14.0%
7/50 • Number of events 8 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Gastrointestinal disorders
Vomiting
12.0%
6/50 • Number of events 8 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Investigations
Weight loss
16.0%
8/50 • Number of events 8 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.
Investigations
White blood cell decreased
26.0%
13/50 • Number of events 48 • From the start of treatment until 30 days after the end of treatment (approximately 16 months)
Serious adverse events were defined as any grade 3 or greater adverse event that was deemed to be at least potentially related to one of the study drugs.

Additional Information

Noopur Raje, MD

Massachusetts General Hospital

Phone: 617-724-4000

Results disclosure agreements

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