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.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

46 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)

Results posted on

2026-01-16

Participant Flow

Participant milestones

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

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

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 8

Population: 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

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

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

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 years

These 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

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 years

Progression free survival (PFS) was assessed based on time to disease progression or death (whichever occurred first) from the start of treatment.

Outcome measures

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 years

Overall survival (OS) was assessed based on time to disease progression or death (whichever occurred first) from the start of treatment.

Outcome measures

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 events: 18 serious events
Other events: 42 other events
Deaths: 8 deaths

Serious adverse events

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

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

Member of the Biostatistics Lab

University of Chicago

Phone: 773.702.2453

Results disclosure agreements

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