Trial Outcomes & Findings for Study of Initial Treatment With Elotuzumab, Carfilzomib, Lenalidomide and Dexamethasone in Multiple Myeloma (NCT NCT02969837)
NCT ID: NCT02969837
Last Updated: 2026-01-16
Results Overview
Response will be determined according to the International Myeloma Working Group (IMWG) response criteria for multiple myeloma. sCR is defined as CR plus : * normal FLC ratio and * absence of clonal cells in bone marrow by immunohistochemistry or 2 - 4 color flow cytometry CR is defined as below : * Negative immunofixation on the serum and urine and * disappearance of any soft tissue plasmacytomas and * \< 5% plasma cells in bone marrow. * In subjects with only FLC disease, a normal FLC ratio of 0.26-1.65 is required.
COMPLETED
PHASE2
46 participants
Landmark evaluations were performed after cycles 4, 8, 12, 18 and 24 (that is, 4, 8, 12, 18 and 24 months)
2026-01-16
Participant Flow
Participant milestones
| Measure |
Elo-KRd Regimen
Subjects will be tested for Minimal Residual Disease (MRD) by Next Generation Sequencing (NGS) and flow cytometry after cycles 8 and 12. A treatment decision was made after cycle 12 based on these results. There are three outcomes based on the IFM trial (Avet-Loiseau et al., 2015): 1) if the subject is MRD-negative by NGS after cycle 8 and 12, the subject went on E-Rd maintenance until disease progression. 2) If the subject is MRD-positive after cycle 8 but MRD-negative after cycle 12, 6 more cycles of E-KRd was given and at the end of 18 cycles, the subject went on E-Rd maintenance until disease progression. 3) Finally, if the subject is MRD-positive at both instances, 12 additional cycles of E-KRd was given and at the end of 24 cycles total, the subject went on E-Rd maintenance until disease progression.
Elotuzumab: Elotuzumab will be given on Cycles 1-2 on days 1, 8, 15, 22, Cycles 3 and Beyond on days 1 and 15
Carfilzomib: Carfilzomib will be given on Day 1 and 8 of Cycle 1, Days 1, 8, and 15 of Cycles 2-8, and Days 1 and 15 of Cycles 9 and beyond
Lenalidomide: Lenalidomide will be given on days 1-21 for all cycles.
Dexamethasone: Dexamethasone will be given as follows:
Cycle 1 and 2: Days 1, 2, 8, 9, 15, 16, and 22 Cycles 3 and Beyond: Days 1, 8, 15, and 22
|
|---|---|
|
Overall Study
STARTED
|
46
|
|
Overall Study
COMPLETED
|
46
|
|
Overall Study
NOT COMPLETED
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Study of Initial Treatment With Elotuzumab, Carfilzomib, Lenalidomide and Dexamethasone in Multiple Myeloma
Baseline characteristics by cohort
| Measure |
Elo-KRd Regimen
n=46 Participants
Subjects will be tested for Minimal Residual Disease (MRD) by Next Generation Sequencing (NGS) and flow cytometry after cycles 8 and 12. A treatment decision was made after cycle 12 based on these results. There are three outcomes based on the IFM trial (Avet-Loiseau et al., 2015): 1) if the subject is MRD-negative by NGS after cycle 8 and 12, the subject went on E-Rd maintenance until disease progression. 2) If the subject is MRD-positive after cycle 8 but MRD-negative after cycle 12, 6 more cycles of E-KRd was given and at the end of 18 cycles, the subject went on E-Rd maintenance until disease progression. 3) Finally, if the subject is MRD-positive at both instances, 12 additional cycles of E-KRd was given and at the end of 24 cycles total, the subject went on E-Rd maintenance until disease progression.
Elotuzumab: Elotuzumab will be given on Cycles 1-2 on days 1, 8, 15, 22, Cycles 3 and Beyond on days 1 and 15
Carfilzomib: Carfilzomib will be given on Day 1 and 8 of Cycle 1, Days 1, 8, and 15 of Cycles 2-8, and Days 1 and 15 of Cycles 9 and beyond
Lenalidomide: Lenalidomide will be given on days 1-21 for all cycles.
Dexamethasone: Dexamethasone will be given as follows:
Cycle 1 and 2: Days 1, 2, 8, 9, 15, 16, and 22 Cycles 3 and Beyond: Days 1, 8, 15, and 22
|
|---|---|
|
Age, Continuous
|
62 years
n=9 Participants
|
|
Sex: Female, Male
Female
|
13 Participants
n=9 Participants
|
|
Sex: Female, Male
Male
|
33 Participants
n=9 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=9 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=9 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=9 Participants
|
|
Race (NIH/OMB)
Black or African American
|
6 Participants
n=9 Participants
|
|
Race (NIH/OMB)
White
|
32 Participants
n=9 Participants
|
|
Race (NIH/OMB)
More than one race
|
3 Participants
n=9 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
5 Participants
n=9 Participants
|
PRIMARY outcome
Timeframe: Landmark evaluations were performed after cycles 4, 8, 12, 18 and 24 (that is, 4, 8, 12, 18 and 24 months)Population: One censored because of autologous stem cell transplant cycle 8 without progression
Response will be determined according to the International Myeloma Working Group (IMWG) response criteria for multiple myeloma. sCR is defined as CR plus : * normal FLC ratio and * absence of clonal cells in bone marrow by immunohistochemistry or 2 - 4 color flow cytometry CR is defined as below : * Negative immunofixation on the serum and urine and * disappearance of any soft tissue plasmacytomas and * \< 5% plasma cells in bone marrow. * In subjects with only FLC disease, a normal FLC ratio of 0.26-1.65 is required.
Outcome measures
| Measure |
Elo-KRd Regimen
n=45 Participants
Subjects will be tested for Minimal Residual Disease (MRD) by Next Generation Sequencing (NGS) and flow cytometry after cycles 8 and 12. A treatment decision was made after cycle 12 based on these results. There are three outcomes based on the IFM trial (Avet-Loiseau et al., 2015): 1) if the subject is MRD-negative by NGS after cycle 8 and 12, the subject went on E-Rd maintenance until disease progression. 2) If the subject is MRD-positive after cycle 8 but MRD-negative after cycle 12, 6 more cycles of E-KRd was given and at the end of 18 cycles, the subject went on E-Rd maintenance until disease progression. 3) Finally, if the subject is MRD-positive at both instances, 12 additional cycles of E-KRd was given and at the end of 24 cycles total, the subject went on E-Rd maintenance until disease progression.
Elotuzumab: Elotuzumab will be given on Cycles 1-2 on days 1, 8, 15, 22, Cycles 3 and Beyond on days 1 and 15
Carfilzomib: Carfilzomib will be given on Day 1 and 8 of Cycle 1, Days 1, 8, and 15 of Cycles 2-8, and Days 1 and 15 of Cycles 9 and beyond
Lenalidomide: Lenalidomide will be given on days 1-21 for all cycles.
Dexamethasone: Dexamethasone will be given as follows:
Cycle 1 and 2: Days 1, 2, 8, 9, 15, 16, and 22 Cycles 3 and Beyond: Days 1, 8, 15, and 22
|
|---|---|
|
Number of Participants With Stringent Complete Response (sCR)
|
17 Participants
|
PRIMARY outcome
Timeframe: Landmark evaluations were performed after cycle 8Population: One censored because of autologous stem cell transplant cycle 8 without progression
Subjects will be tested for Minimal Residual Disease (MRD) by Next Generation Sequencing (NGS) and flow cytometry after cycle 8. The flow cytometry analysis procedure used to determine MRD is performed on a NAVIOS FLOW CYTOMETER SYSTEM manufactured by BECKMAN COULTER, INC., using a laboratory developed assay. The Premarket Notification 510(k) (Number K130373) for the device can be found using the following link. https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm?ID=K130373.
Outcome measures
| Measure |
Elo-KRd Regimen
n=45 Participants
Subjects will be tested for Minimal Residual Disease (MRD) by Next Generation Sequencing (NGS) and flow cytometry after cycles 8 and 12. A treatment decision was made after cycle 12 based on these results. There are three outcomes based on the IFM trial (Avet-Loiseau et al., 2015): 1) if the subject is MRD-negative by NGS after cycle 8 and 12, the subject went on E-Rd maintenance until disease progression. 2) If the subject is MRD-positive after cycle 8 but MRD-negative after cycle 12, 6 more cycles of E-KRd was given and at the end of 18 cycles, the subject went on E-Rd maintenance until disease progression. 3) Finally, if the subject is MRD-positive at both instances, 12 additional cycles of E-KRd was given and at the end of 24 cycles total, the subject went on E-Rd maintenance until disease progression.
Elotuzumab: Elotuzumab will be given on Cycles 1-2 on days 1, 8, 15, 22, Cycles 3 and Beyond on days 1 and 15
Carfilzomib: Carfilzomib will be given on Day 1 and 8 of Cycle 1, Days 1, 8, and 15 of Cycles 2-8, and Days 1 and 15 of Cycles 9 and beyond
Lenalidomide: Lenalidomide will be given on days 1-21 for all cycles.
Dexamethasone: Dexamethasone will be given as follows:
Cycle 1 and 2: Days 1, 2, 8, 9, 15, 16, and 22 Cycles 3 and Beyond: Days 1, 8, 15, and 22
|
|---|---|
|
Number of Participants With MRD-negativity (10^-5) After C8 Elo-KRd
|
26 Participants
|
PRIMARY outcome
Timeframe: Landmark evaluations were performed after cycles 4, 8, 12, 18 and 24 (that is, 4, 8, 12, 18 and 24 months)Population: One censored because of autologous stem cell transplant cycle 8 without progression
Response will be determined according to the International Myeloma Working Group (IMWG) response criteria for multiple myeloma. sCR is defined as CR plus : * normal FLC ratio and * absence of clonal cells in bone marrow by immunohistochemistry or 2 - 4 color flow cytometry CR is defined as below : * Negative immunofixation on the serum and urine and * disappearance of any soft tissue plasmacytomas and * \< 5% plasma cells in bone marrow. * In subjects with only FLC disease, a normal FLC ratio of 0.26-1.65 is required. Subjects will be tested for Minimal Residual Disease (MRD) by Next Generation Sequencing (NGS) and flow cytometry after cycles 4,8,12,18 and 24. The flow cytometry analysis procedure used to determine MRD is performed on a NAVIOS FLOW CYTOMETER SYSTEM manufactured by BECKMAN COULTER, INC., using a laboratory developed assay.
Outcome measures
| Measure |
Elo-KRd Regimen
n=45 Participants
Subjects will be tested for Minimal Residual Disease (MRD) by Next Generation Sequencing (NGS) and flow cytometry after cycles 8 and 12. A treatment decision was made after cycle 12 based on these results. There are three outcomes based on the IFM trial (Avet-Loiseau et al., 2015): 1) if the subject is MRD-negative by NGS after cycle 8 and 12, the subject went on E-Rd maintenance until disease progression. 2) If the subject is MRD-positive after cycle 8 but MRD-negative after cycle 12, 6 more cycles of E-KRd was given and at the end of 18 cycles, the subject went on E-Rd maintenance until disease progression. 3) Finally, if the subject is MRD-positive at both instances, 12 additional cycles of E-KRd was given and at the end of 24 cycles total, the subject went on E-Rd maintenance until disease progression.
Elotuzumab: Elotuzumab will be given on Cycles 1-2 on days 1, 8, 15, 22, Cycles 3 and Beyond on days 1 and 15
Carfilzomib: Carfilzomib will be given on Day 1 and 8 of Cycle 1, Days 1, 8, and 15 of Cycles 2-8, and Days 1 and 15 of Cycles 9 and beyond
Lenalidomide: Lenalidomide will be given on days 1-21 for all cycles.
Dexamethasone: Dexamethasone will be given as follows:
Cycle 1 and 2: Days 1, 2, 8, 9, 15, 16, and 22 Cycles 3 and Beyond: Days 1, 8, 15, and 22
|
|---|---|
|
The Number of Participants With Stringent Complete Response (sCR) and/or MRD Negative (10^-5) by NGS
|
26 Participants
|
SECONDARY outcome
Timeframe: AEs were recorded from the day of signed consent through 30 days after the last does of Elo-KRd or initiation of new therapy, an average of 2 years.AEs were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (version 4.0)
Outcome measures
| Measure |
Elo-KRd Regimen
n=46 Participants
Subjects will be tested for Minimal Residual Disease (MRD) by Next Generation Sequencing (NGS) and flow cytometry after cycles 8 and 12. A treatment decision was made after cycle 12 based on these results. There are three outcomes based on the IFM trial (Avet-Loiseau et al., 2015): 1) if the subject is MRD-negative by NGS after cycle 8 and 12, the subject went on E-Rd maintenance until disease progression. 2) If the subject is MRD-positive after cycle 8 but MRD-negative after cycle 12, 6 more cycles of E-KRd was given and at the end of 18 cycles, the subject went on E-Rd maintenance until disease progression. 3) Finally, if the subject is MRD-positive at both instances, 12 additional cycles of E-KRd was given and at the end of 24 cycles total, the subject went on E-Rd maintenance until disease progression.
Elotuzumab: Elotuzumab will be given on Cycles 1-2 on days 1, 8, 15, 22, Cycles 3 and Beyond on days 1 and 15
Carfilzomib: Carfilzomib will be given on Day 1 and 8 of Cycle 1, Days 1, 8, and 15 of Cycles 2-8, and Days 1 and 15 of Cycles 9 and beyond
Lenalidomide: Lenalidomide will be given on days 1-21 for all cycles.
Dexamethasone: Dexamethasone will be given as follows:
Cycle 1 and 2: Days 1, 2, 8, 9, 15, 16, and 22 Cycles 3 and Beyond: Days 1, 8, 15, and 22
|
|---|---|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Infusion reactions
|
5 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Acute kidney injury
|
5 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Nausea
|
16 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Hyperglycemia
|
14 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Anemia
|
11 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Neutropenia
|
9 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Thrombocytopenia
|
8 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Lymphopenia
|
4 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Fatigue
|
33 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Infection-Upper respiratory
|
19 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Infection-Non-pulmonary
|
22 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Infection-Lung
|
7 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Infection-Bronchial
|
2 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Diarrhea
|
29 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Dyspnea
|
20 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Peripheral neuropathy
|
19 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Cardia events, any
|
12 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Electrolyte imbalances, any
|
12 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Hypertension
|
11 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Rash
|
7 Participants
|
|
Number of Participants With Adverse Events of Elotuzumab in Combination With KRd
Thromboembolic events
|
5 Participants
|
SECONDARY outcome
Timeframe: Up to two yearsThese events will be analyzed at differing points of time based on the individual subjects disease progression. It will be measured by the number of cycles of therapy.
Outcome measures
| Measure |
Elo-KRd Regimen
n=46 Participants
Subjects will be tested for Minimal Residual Disease (MRD) by Next Generation Sequencing (NGS) and flow cytometry after cycles 8 and 12. A treatment decision was made after cycle 12 based on these results. There are three outcomes based on the IFM trial (Avet-Loiseau et al., 2015): 1) if the subject is MRD-negative by NGS after cycle 8 and 12, the subject went on E-Rd maintenance until disease progression. 2) If the subject is MRD-positive after cycle 8 but MRD-negative after cycle 12, 6 more cycles of E-KRd was given and at the end of 18 cycles, the subject went on E-Rd maintenance until disease progression. 3) Finally, if the subject is MRD-positive at both instances, 12 additional cycles of E-KRd was given and at the end of 24 cycles total, the subject went on E-Rd maintenance until disease progression.
Elotuzumab: Elotuzumab will be given on Cycles 1-2 on days 1, 8, 15, 22, Cycles 3 and Beyond on days 1 and 15
Carfilzomib: Carfilzomib will be given on Day 1 and 8 of Cycle 1, Days 1, 8, and 15 of Cycles 2-8, and Days 1 and 15 of Cycles 9 and beyond
Lenalidomide: Lenalidomide will be given on days 1-21 for all cycles.
Dexamethasone: Dexamethasone will be given as follows:
Cycle 1 and 2: Days 1, 2, 8, 9, 15, 16, and 22 Cycles 3 and Beyond: Days 1, 8, 15, and 22
|
|---|---|
|
Duration of Response
|
23 cycles of therapy
Interval 2.0 to 39.0
|
SECONDARY outcome
Timeframe: up to two yearsProgression free survival (PFS) was assessed based on time to disease progression or death (whichever occurred first) from the start of treatment.
Outcome measures
| Measure |
Elo-KRd Regimen
n=46 Participants
Subjects will be tested for Minimal Residual Disease (MRD) by Next Generation Sequencing (NGS) and flow cytometry after cycles 8 and 12. A treatment decision was made after cycle 12 based on these results. There are three outcomes based on the IFM trial (Avet-Loiseau et al., 2015): 1) if the subject is MRD-negative by NGS after cycle 8 and 12, the subject went on E-Rd maintenance until disease progression. 2) If the subject is MRD-positive after cycle 8 but MRD-negative after cycle 12, 6 more cycles of E-KRd was given and at the end of 18 cycles, the subject went on E-Rd maintenance until disease progression. 3) Finally, if the subject is MRD-positive at both instances, 12 additional cycles of E-KRd was given and at the end of 24 cycles total, the subject went on E-Rd maintenance until disease progression.
Elotuzumab: Elotuzumab will be given on Cycles 1-2 on days 1, 8, 15, 22, Cycles 3 and Beyond on days 1 and 15
Carfilzomib: Carfilzomib will be given on Day 1 and 8 of Cycle 1, Days 1, 8, and 15 of Cycles 2-8, and Days 1 and 15 of Cycles 9 and beyond
Lenalidomide: Lenalidomide will be given on days 1-21 for all cycles.
Dexamethasone: Dexamethasone will be given as follows:
Cycle 1 and 2: Days 1, 2, 8, 9, 15, 16, and 22 Cycles 3 and Beyond: Days 1, 8, 15, and 22
|
|---|---|
|
Median Progression Free Survival
|
NA months
Median PFS has not been reached due to insufficient number of participants with events.
|
SECONDARY outcome
Timeframe: up to two yearsOverall survival (OS) was assessed based on time to disease progression or death (whichever occurred first) from the start of treatment.
Outcome measures
| Measure |
Elo-KRd Regimen
n=46 Participants
Subjects will be tested for Minimal Residual Disease (MRD) by Next Generation Sequencing (NGS) and flow cytometry after cycles 8 and 12. A treatment decision was made after cycle 12 based on these results. There are three outcomes based on the IFM trial (Avet-Loiseau et al., 2015): 1) if the subject is MRD-negative by NGS after cycle 8 and 12, the subject went on E-Rd maintenance until disease progression. 2) If the subject is MRD-positive after cycle 8 but MRD-negative after cycle 12, 6 more cycles of E-KRd was given and at the end of 18 cycles, the subject went on E-Rd maintenance until disease progression. 3) Finally, if the subject is MRD-positive at both instances, 12 additional cycles of E-KRd was given and at the end of 24 cycles total, the subject went on E-Rd maintenance until disease progression.
Elotuzumab: Elotuzumab will be given on Cycles 1-2 on days 1, 8, 15, 22, Cycles 3 and Beyond on days 1 and 15
Carfilzomib: Carfilzomib will be given on Day 1 and 8 of Cycle 1, Days 1, 8, and 15 of Cycles 2-8, and Days 1 and 15 of Cycles 9 and beyond
Lenalidomide: Lenalidomide will be given on days 1-21 for all cycles.
Dexamethasone: Dexamethasone will be given as follows:
Cycle 1 and 2: Days 1, 2, 8, 9, 15, 16, and 22 Cycles 3 and Beyond: Days 1, 8, 15, and 22
|
|---|---|
|
Median Overall Survival
|
NA months
Median OS has not been reached due to insufficient number of participants with events.
|
Adverse Events
Elo-KRd Regimen
Serious adverse events
| Measure |
Elo-KRd Regimen
n=46 participants at risk
Subjects will be tested for Minimal Residual Disease (MRD) by Next Generation Sequencing (NGS) and flow cytometry after cycles 8 and 12. A treatment decision was made after cycle 12 based on these results. There are three outcomes based on the IFM trial (Avet-Loiseau et al., 2015): 1) if the subject is MRD-negative by NGS after cycle 8 and 12, the subject went on E-Rd maintenance until disease progression. 2) If the subject is MRD-positive after cycle 8 but MRD-negative after cycle 12, 6 more cycles of E-KRd was given and at the end of 18 cycles, the subject went on E-Rd maintenance until disease progression. 3) Finally, if the subject is MRD-positive at both instances, 12 additional cycles of E-KRd was given and at the end of 24 cycles total, the subject went on E-Rd maintenance until disease progression.
Elotuzumab: Elotuzumab will be given on Cycles 1-2 on days 1, 8, 15, 22, Cycles 3 and Beyond on days 1 and 15
Carfilzomib: Carfilzomib will be given on Day 1 and 8 of Cycle 1, Days 1, 8, and 15 of Cycles 2-8, and Days 1 and 15 of Cycles 9 and beyond
Lenalidomide: Lenalidomide will be given on days 1-21 for all cycles.
Dexamethasone: Dexamethasone will be given as follows:
Cycle 1 and 2: Days 1, 2, 8, 9, 15, 16, and 22 Cycles 3 and Beyond: Days 1, 8, 15, and 22
|
|---|---|
|
Renal and urinary disorders
Acute kidney injury
|
2.2%
1/46 • Up to 2 years
|
|
Cardiac disorders
Atrial fibrillation
|
2.2%
1/46 • Up to 2 years
|
|
Infections and infestations
Bronchial infection
|
2.2%
1/46 • Up to 2 years
|
|
Respiratory, thoracic and mediastinal disorders
Dyspnea
|
2.2%
1/46 • Up to 2 years
|
|
Investigations
Ejection fraction decreased
|
2.2%
1/46 • Up to 2 years
|
|
Blood and lymphatic system disorders
Febrile neutropenia
|
4.3%
2/46 • Up to 2 years
|
|
General disorders
Fever
|
4.3%
2/46 • Up to 2 years
|
|
Metabolism and nutrition disorders
Hyperglycemia
|
2.2%
1/46 • Up to 2 years
|
|
Vascular disorders
Hypotension
|
2.2%
1/46 • Up to 2 years
|
|
Respiratory, thoracic and mediastinal disorders
Hypoxia
|
2.2%
1/46 • Up to 2 years
|
|
Infections and infestations
Infections and infestations - Other
|
2.2%
1/46 • Up to 2 years
|
|
Infections and infestations
Lung infection
|
10.9%
5/46 • Up to 2 years
|
|
Cardiac disorders
Myocardial infraction
|
2.2%
1/46 • Up to 2 years
|
|
Respiratory, thoracic and mediastinal disorders
Pleural effusion
|
2.2%
1/46 • Up to 2 years
|
|
Respiratory, thoracic and mediastinal disorders
Pulmonary hypertension
|
2.2%
1/46 • Up to 2 years
|
|
Renal and urinary disorders
Renal and urinary disorders - Other
|
2.2%
1/46 • Up to 2 years
|
|
Respiratory, thoracic and mediastinal disorders
Respiratory failure
|
2.2%
1/46 • Up to 2 years
|
|
Vascular disorders
Thromboembolic event
|
2.2%
1/46 • Up to 2 years
|
Other adverse events
| Measure |
Elo-KRd Regimen
n=46 participants at risk
Subjects will be tested for Minimal Residual Disease (MRD) by Next Generation Sequencing (NGS) and flow cytometry after cycles 8 and 12. A treatment decision was made after cycle 12 based on these results. There are three outcomes based on the IFM trial (Avet-Loiseau et al., 2015): 1) if the subject is MRD-negative by NGS after cycle 8 and 12, the subject went on E-Rd maintenance until disease progression. 2) If the subject is MRD-positive after cycle 8 but MRD-negative after cycle 12, 6 more cycles of E-KRd was given and at the end of 18 cycles, the subject went on E-Rd maintenance until disease progression. 3) Finally, if the subject is MRD-positive at both instances, 12 additional cycles of E-KRd was given and at the end of 24 cycles total, the subject went on E-Rd maintenance until disease progression.
Elotuzumab: Elotuzumab will be given on Cycles 1-2 on days 1, 8, 15, 22, Cycles 3 and Beyond on days 1 and 15
Carfilzomib: Carfilzomib will be given on Day 1 and 8 of Cycle 1, Days 1, 8, and 15 of Cycles 2-8, and Days 1 and 15 of Cycles 9 and beyond
Lenalidomide: Lenalidomide will be given on days 1-21 for all cycles.
Dexamethasone: Dexamethasone will be given as follows:
Cycle 1 and 2: Days 1, 2, 8, 9, 15, 16, and 22 Cycles 3 and Beyond: Days 1, 8, 15, and 22
|
|---|---|
|
General disorders
Localized edema
|
15.2%
7/46 • Up to 2 years
|
|
Investigations
Lymphocyte count decreased
|
6.5%
3/46 • Up to 2 years
|
|
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other
|
15.2%
7/46 • Up to 2 years
|
|
Gastrointestinal disorders
Nausea
|
30.4%
14/46 • Up to 2 years
|
|
Investigations
Neutrophil count decreased
|
13.0%
6/46 • Up to 2 years
|
|
Nervous system disorders
Paresthesia
|
8.7%
4/46 • Up to 2 years
|
|
Nervous system disorders
Peripheral sensory neuropathy
|
37.0%
17/46 • Up to 2 years
|
|
Investigations
Platelet count decreased
|
15.2%
7/46 • Up to 2 years
|
|
Skin and subcutaneous tissue disorders
Pruritus
|
8.7%
4/46 • Up to 2 years
|
|
Skin and subcutaneous tissue disorders
Rash maculo-papular
|
13.0%
6/46 • Up to 2 years
|
|
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders- Other
|
10.9%
5/46 • Up to 2 years
|
|
Vascular disorders
Thromboembolic event
|
8.7%
4/46 • Up to 2 years
|
|
Nervous system disorders
Tremor
|
8.7%
4/46 • Up to 2 years
|
|
Infections and infestations
Upper respiratory infection
|
15.2%
7/46 • Up to 2 years
|
|
Gastrointestinal disorders
Vomiting
|
6.5%
3/46 • Up to 2 years
|
|
Investigations
Weight gain
|
10.9%
5/46 • Up to 2 years
|
|
Investigations
White blood cell decreased
|
21.7%
10/46 • Up to 2 years
|
|
Cardiac disorders
Cardiac disorders - Other
|
6.5%
3/46 • Up to 2 years
|
|
General disorders
Chills
|
6.5%
3/46 • Up to 2 years
|
|
Nervous system disorders
Dysgeusia
|
6.5%
3/46 • Up to 2 years
|
|
General disorders
Flu like symptoms
|
6.5%
3/46 • Up to 2 years
|
|
Gastrointestinal disorders
Gastroesophageal reflux disease
|
8.7%
4/46 • Up to 2 years
|
|
General disorders
General disorders and administration site conditions-Other
|
6.5%
3/46 • Up to 2 years
|
|
Nervous system disorders
Headache
|
6.5%
3/46 • Up to 2 years
|
|
Respiratory, thoracic and mediastinal disorders
Hoarseness
|
6.5%
3/46 • Up to 2 years
|
|
Metabolism and nutrition disorders
Hypokalemia
|
10.9%
5/46 • Up to 2 years
|
|
Vascular disorders
Hypotension
|
6.5%
3/46 • Up to 2 years
|
|
Gastrointestinal disorders
Mucositis oral
|
6.5%
3/46 • Up to 2 years
|
|
Musculoskeletal and connective tissue disorders
Myalgia
|
6.5%
3/46 • Up to 2 years
|
|
Infections and infestations
Sinusitis
|
6.5%
3/46 • Up to 2 years
|
|
Psychiatric disorders
Agitation
|
6.5%
3/46 • Up to 2 years
|
|
Investigations
Alanine aminotransferase increased
|
19.6%
9/46 • Up to 2 years
|
|
Blood and lymphatic system disorders
Anemia
|
15.2%
7/46 • Up to 2 years
|
|
Investigations
Aspartate aminotransferase increased
|
8.7%
4/46 • Up to 2 years
|
|
Cardiac disorders
Atrial fibrillation
|
6.5%
3/46 • Up to 2 years
|
|
Eye disorders
Blurred vision
|
8.7%
4/46 • Up to 2 years
|
|
Gastrointestinal disorders
Constipation
|
13.0%
6/46 • Up to 2 years
|
|
Respiratory, thoracic and mediastinal disorders
Cough
|
10.9%
5/46 • Up to 2 years
|
|
Gastrointestinal disorders
Diarrhea
|
45.7%
21/46 • Up to 2 years
|
|
Nervous system disorders
Dizziness
|
15.2%
7/46 • Up to 2 years
|
|
Gastrointestinal disorders
Dyspepsia
|
8.7%
4/46 • Up to 2 years
|
|
Respiratory, thoracic and mediastinal disorders
Dyspnea
|
28.3%
13/46 • Up to 2 years
|
|
General disorders
Edema limbs
|
37.0%
17/46 • Up to 2 years
|
|
General disorders
Fatigue
|
63.0%
29/46 • Up to 2 years
|
|
General disorders
Fever
|
17.4%
8/46 • Up to 2 years
|
|
Metabolism and nutrition disorders
Hyperglycemia
|
23.9%
11/46 • Up to 2 years
|
|
Vascular disorders
Hypertension
|
15.2%
7/46 • Up to 2 years
|
|
General disorders
Infusion related reaction
|
8.7%
4/46 • Up to 2 years
|
|
Psychiatric disorders
Insomnia
|
28.3%
13/46 • Up to 2 years
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place