Trial Outcomes & Findings for Bortezomib in Treating Patients With Newly Diagnosed Multiple Myeloma (NCT NCT00075881)

NCT ID: NCT00075881

Last Updated: 2014-06-02

Results Overview

Eastern Cooperative Oncology Group (ECOG) Myeloma Response Criteria that follows the standard European Group for Blood and Bone Marrow Transplant criteria was used to evaluate patient response and progression. Patients who have complete disappearance of an M-protein and no evidence of myeloma in the bone marrow are considered to have complete response. 42 eligible and treated patients were included in the analysis.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

44 participants

Primary outcome timeframe

participants were evaluated prior to each cycle, up to 8 cycles with a median number of 6 cycles. 1 cycle=21 days

Results posted on

2014-06-02

Participant Flow

The study was activated on January 16, 2004 and terminated on March 7, 2005 after 44 patients had enrolled. Accrual rate was 3 patients per month, slower than expected rate (6 patients per month)

Participant milestones

Participant milestones
Measure
PS-341
Induction treatment: PS-341 1.3 mg/m2 IV push days 1, 4, 8, and 11. As per the PS-341 package insert, there should be at least 72 hours between each PS-341 dose. Repeat cycles every 3 weeks for a total of 8 cycles. Maintenance treatment: PS-341 1.3 mg/m2 IV push days 1 and 15. Reinduction treatment: PS-341 1.3 mg/m2 IV push days 1, 4, 8, and 11. As per the PS-341 package insert, there should be at least 72 hours between each PS-341 dose.
Overall Study
STARTED
44
Overall Study
Eligible
43
Overall Study
Treated
42
Overall Study
Induction Treatment
42
Overall Study
Maintenance Treatment
15
Overall Study
Reinduction Treatment
7
Overall Study
COMPLETED
1
Overall Study
NOT COMPLETED
43

Reasons for withdrawal

Reasons for withdrawal
Measure
PS-341
Induction treatment: PS-341 1.3 mg/m2 IV push days 1, 4, 8, and 11. As per the PS-341 package insert, there should be at least 72 hours between each PS-341 dose. Repeat cycles every 3 weeks for a total of 8 cycles. Maintenance treatment: PS-341 1.3 mg/m2 IV push days 1 and 15. Reinduction treatment: PS-341 1.3 mg/m2 IV push days 1, 4, 8, and 11. As per the PS-341 package insert, there should be at least 72 hours between each PS-341 dose.
Overall Study
Lack of Efficacy
18
Overall Study
Adverse Event
7
Overall Study
Death
1
Overall Study
Withdrawal by Subject
2
Overall Study
Protocol Violation
4
Overall Study
other complicating disease
3
Overall Study
other
4
Overall Study
missing data
2
Overall Study
Ineligible
1
Overall Study
never start protocol therapy
1

Baseline Characteristics

Bortezomib in Treating Patients With Newly Diagnosed Multiple Myeloma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PS-341
n=42 Participants
Induction treatment: PS-341 1.3 mg/m2 IV push days 1, 4, 8, and 11. As per the PS-341 package insert, there should be at least 72 hours between each PS-341 dose. Repeat cycles every 3 weeks for a total of 8 cycles. Maintenance treatment: PS-341 1.3 mg/m2 IV push days 1 and 15. Reinduction treatment: PS-341 1.3 mg/m2 IV push days 1, 4, 8, and 11. As per the PS-341 package insert, there should be at least 72 hours between each PS-341 dose.
Age, Continuous
63 years
n=99 Participants
Sex: Female, Male
Female
21 Participants
n=99 Participants
Sex: Female, Male
Male
21 Participants
n=99 Participants

PRIMARY outcome

Timeframe: participants were evaluated prior to each cycle, up to 8 cycles with a median number of 6 cycles. 1 cycle=21 days

Population: 42 eligible and treated patients were included in the analysis.

Eastern Cooperative Oncology Group (ECOG) Myeloma Response Criteria that follows the standard European Group for Blood and Bone Marrow Transplant criteria was used to evaluate patient response and progression. Patients who have complete disappearance of an M-protein and no evidence of myeloma in the bone marrow are considered to have complete response. 42 eligible and treated patients were included in the analysis.

Outcome measures

Outcome measures
Measure
PS-341
n=42 Participants
Induction treatment: PS-341 1.3 mg/m2 IV push days 1, 4, 8, and 11. As per the PS-341 package insert, there should be at least 72 hours between each PS-341 dose. Repeat cycles every 3 weeks for a total of 8 cycles. Maintenance treatment: PS-341 1.3 mg/m2 IV push days 1 and 15 Reinduction treatment: PS-341 1.3 mg/m2 IV push days 1, 4, 8, and 11. As per the PS-341 package insert, there should be at least 72 hours between each PS-341 dose.
Response Rate on Induction
47.6 percentage of participants
Interval 34.2 to 61.3

SECONDARY outcome

Timeframe: participants were evaluated prior to each cycle, up to 45 cycles with a median number of 9 cycles. 1 cycle=21 days

Population: 15 eligible and treated patients were included in the analysis.

ECOG Myeloma Response Criteria that follows the standard European Group for Blood and Bone Marrow Transplant criteria was used to evaluate patient response and progression. Patients who have complete disappearance of an M-protein and no evidence of myeloma in the bone marrow are considered to have complete response. 15 eligible and treated patients were included in the analysis.

Outcome measures

Outcome measures
Measure
PS-341
n=15 Participants
Induction treatment: PS-341 1.3 mg/m2 IV push days 1, 4, 8, and 11. As per the PS-341 package insert, there should be at least 72 hours between each PS-341 dose. Repeat cycles every 3 weeks for a total of 8 cycles. Maintenance treatment: PS-341 1.3 mg/m2 IV push days 1 and 15 Reinduction treatment: PS-341 1.3 mg/m2 IV push days 1, 4, 8, and 11. As per the PS-341 package insert, there should be at least 72 hours between each PS-341 dose.
Response Rate on Maintenance
66.7 percentage of participants
Interval 42.3 to 85.8

SECONDARY outcome

Timeframe: participants were evaluated prior to each cycle, up to 23 cycles with a median number of 3 cycles. 1 cycle=21 days

Population: 7 eligible and treated patients were included in the analysis.

ECOG Myeloma Response Criteria that follows the standard European Group for Blood and Bone Marrow Transplant criteria was used to evaluate patient response and progression. Patients who have complete disappearance of an M-protein and no evidence of myeloma in the bone marrow are considered to have complete response. 7 eligible and treated patients were included in the analysis.

Outcome measures

Outcome measures
Measure
PS-341
n=7 Participants
Induction treatment: PS-341 1.3 mg/m2 IV push days 1, 4, 8, and 11. As per the PS-341 package insert, there should be at least 72 hours between each PS-341 dose. Repeat cycles every 3 weeks for a total of 8 cycles. Maintenance treatment: PS-341 1.3 mg/m2 IV push days 1 and 15 Reinduction treatment: PS-341 1.3 mg/m2 IV push days 1, 4, 8, and 11. As per the PS-341 package insert, there should be at least 72 hours between each PS-341 dose.
Response Rate on Reinduction
28.6 percentage of participants
Interval 5.4 to 65.9

SECONDARY outcome

Timeframe: Every 3 months if patient is <2 years from study entry, every 6 months if patient is 2-6 years from study entry, no specific requirment if patient is more than 6 years from study entry

Population: 42 eligible and treated patients

Progression-free survival is defined as time from randomization to disease progression or death from any cause, whichever occurred first. Disease progression is defined using the ECOG Myeloma Response Criteria. Kaplan-Meier method is used to estimate the 1-year progression-free survival probability. 42 eligible and treated patients were included in the analysis.

Outcome measures

Outcome measures
Measure
PS-341
n=42 Participants
Induction treatment: PS-341 1.3 mg/m2 IV push days 1, 4, 8, and 11. As per the PS-341 package insert, there should be at least 72 hours between each PS-341 dose. Repeat cycles every 3 weeks for a total of 8 cycles. Maintenance treatment: PS-341 1.3 mg/m2 IV push days 1 and 15 Reinduction treatment: PS-341 1.3 mg/m2 IV push days 1, 4, 8, and 11. As per the PS-341 package insert, there should be at least 72 hours between each PS-341 dose.
1-year Progression Free Survival Probability
36.4 percentage of participants
Interval 19.4 to 53.7

Adverse Events

PS-341

Serious events: 37 serious events
Other events: 43 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
PS-341
n=43 participants at risk
Induction treatment: PS-341 1.3 mg/m2 IV push days 1, 4, 8, and 11. As per the PS-341 package insert, there should be at least 72 hours between each PS-341 dose. Repeat cycles every 3 weeks for a total of 8 cycles. Maintenance treatment: PS-341 1.3 mg/m2 IV push days 1 and 15. Reinduction treatment: PS-341 1.3 mg/m2 IV push days 1, 4, 8, and 11. As per the PS-341 package insert, there should be at least 72 hours between each PS-341 dose.
Blood and lymphatic system disorders
Anemia
27.9%
12/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Investigations
Leukopenia
20.9%
9/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Investigations
Neutropenia
32.6%
14/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Investigations
Thrombocytopenia
18.6%
8/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Cardiac disorders
Heart block asystole
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Cardiac disorders
Sinus bradycardia
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Nervous system disorders
Vasovagal episode
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Cardiac disorders
Left ventricular systolic dysfunction
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Cardiac disorders
Cardiac-other
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
General disorders
Fatigue
16.3%
7/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Investigations
Weight loss
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Metabolism and nutrition disorders
Anorexia
4.7%
2/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Gastrointestinal disorders
Constipation
4.7%
2/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Metabolism and nutrition disorders
Dehydration
7.0%
3/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Gastrointestinal disorders
Diarrhea w/o prior colostomy
23.3%
10/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Gastrointestinal disorders
Nausea
4.7%
2/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Gastrointestinal disorders
Obstruction, small bowel NOS
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Gastrointestinal disorders
Vomiting
7.0%
3/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Gastrointestinal disorders
Pancreatitis
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Infections and infestations
Infection Gr0-2 neut, urinary tract
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Infections and infestations
Infection-other
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
General disorders
Edema limb
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Investigations
Alkaline phosphatase increased
4.7%
2/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Investigations
Alanine aminotransferase increased
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Investigations
Boold amylase increased
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Investigations
Aspartate aminotransferase (AST) increased
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Investigations
Bilirubin increased
4.7%
2/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Metabolism and nutrition disorders
Hypocalcemia
7.0%
3/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Investigations
Creatinine increased
4.7%
2/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Metabolism and nutrition disorders
Hypomagnesemia
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Metabolism and nutrition disorders
Hyperkalemia
7.0%
3/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Metabolism and nutrition disorders
Hypokalemia
9.3%
4/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Metabolism and nutrition disorders
Hyponatremia
20.9%
9/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Psychiatric disorders
Confusion
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Nervous system disorders
Dizziness/lightheadedness
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Nervous system disorders
Neuropathy-sensory
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Nervous system disorders
Syncope
7.0%
3/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Gastrointestinal disorders
Abonominal pain
7.0%
3/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Musculoskeletal and connective tissue disorders
Muscle pain
4.7%
2/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Nervous system disorders
Neuropathic pain
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Respiratory, thoracic and mediastinal disorders
Dyspnea
4.7%
2/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Respiratory, thoracic and mediastinal disorders
Hypoxia
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Respiratory, thoracic and mediastinal disorders
Pneumonitis/pulmonary infiltrates
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Infections and infestations
Infection Gr0-2 neut, lung
2.3%
1/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance

Other adverse events

Other adverse events
Measure
PS-341
n=43 participants at risk
Induction treatment: PS-341 1.3 mg/m2 IV push days 1, 4, 8, and 11. As per the PS-341 package insert, there should be at least 72 hours between each PS-341 dose. Repeat cycles every 3 weeks for a total of 8 cycles. Maintenance treatment: PS-341 1.3 mg/m2 IV push days 1 and 15. Reinduction treatment: PS-341 1.3 mg/m2 IV push days 1, 4, 8, and 11. As per the PS-341 package insert, there should be at least 72 hours between each PS-341 dose.
Blood and lymphatic system disorders
Anemia
88.4%
38/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Investigations
Leukopenia
62.8%
27/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Investigations
Neutropenia
62.8%
27/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Investigations
Thrombocytopenia
72.1%
31/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Vascular disorders
Hypertension
7.0%
3/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Vascular disorders
Hypotension
14.0%
6/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
General disorders
Fatigue
67.4%
29/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
General disorders
Fever w/o neutropenia
14.0%
6/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Investigations
Weight loss
14.0%
6/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Skin and subcutaneous tissue disorders
Dry skin
9.3%
4/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Skin and subcutaneous tissue disorders
Rash/desquamation
23.3%
10/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Metabolism and nutrition disorders
Anorexia
51.2%
22/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Gastrointestinal disorders
Constipation
44.2%
19/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Metabolism and nutrition disorders
Dehydration
9.3%
4/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Gastrointestinal disorders
Diarrhea w/o prior colostomy
32.6%
14/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Gastrointestinal disorders
Muco/stomatitis by exam, oral cavity
7.0%
3/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Gastrointestinal disorders
Nausea
60.5%
26/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Gastrointestinal disorders
Taste disturbance
7.0%
3/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Gastrointestinal disorders
Vomiting
23.3%
10/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
General disorders
Edema limb
14.0%
6/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Investigations
Alkaline phosphatase increased
39.5%
17/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Investigations
Alanine aminotransferase (ALT) increased
25.6%
11/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Investigations
Aspartate aminotransferase (AST) increased
34.9%
15/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Investigations
Bilirubin increased
23.3%
10/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Metabolism and nutrition disorders
Hypercalcemia
9.3%
4/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Metabolism and nutrition disorders
Hypocalcemia
53.5%
23/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Investigations
Creatinine increased
44.2%
19/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Metabolism and nutrition disorders
Hyperkalemia
23.3%
10/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Metabolism and nutrition disorders
Hypokalemia
30.2%
13/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Metabolism and nutrition disorders
Hypernatremia
11.6%
5/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Metabolism and nutrition disorders
Hyponatremia
46.5%
20/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Nervous system disorders
Dizziness/lightheadedness
27.9%
12/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Nervous system disorders
Neuropathy-motor
7.0%
3/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Nervous system disorders
Neuropathy-sensory
58.1%
25/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Gastrointestinal disorders
Abonominal pain
18.6%
8/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Nervous system disorders
Headache
7.0%
3/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Musculoskeletal and connective tissue disorders
Join pain
23.3%
10/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Musculoskeletal and connective tissue disorders
Muscle pain
25.6%
11/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Nervous system disorders
Neuropathic pain
14.0%
6/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Respiratory, thoracic and mediastinal disorders
Cough
9.3%
4/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance
Respiratory, thoracic and mediastinal disorders
Dyspnea
14.0%
6/43 • Reported at the end of each cycle on treatment and at 30 days following the last dose of treatment. Reported every 3 months within 2 years of study entry, and every 6 months between 2-6 years of study entry
1 cycle = 21 days for induction and re-induction, 1 cycle=28 days for maintenance

Additional Information

Study Statistician

Eastern Cooperative Oncology Group (ECOG) Statistical Office

Phone: 617-632-3012

Results disclosure agreements

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

Restriction type: LTE60