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NCT00830869

A Phase 1 Study of IXAZOMIB in Adult Patients With Advanced Nonhematologic Malignancies

Completed Phase 1 Results posted Last updated 9 September 2019
What this trial tests

Phase 1 trial testing IXAZOMIB in Advanced Non-hematologic Malignancies in 116 participants. Completed in 20 April 2012.

Timeline
2 March 2009
Primary endpoint
20 April 2012
20 April 2012

Quick facts

Lead sponsorMillennium Pharmaceuticals, Inc.
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment116
Start date2 March 2009
Primary completion20 April 2012
Estimated completion20 April 2012
Sites7 locations across Canada, United States

Drugs / interventions tested

Conditions studied

Sponsor

Millennium Pharmaceuticals, Inc. — full company profile →

Who can join

18 and older, any sex, with Advanced Non-hematologic Malignancies. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Part 1: Number of Participants With Dose Limiting Toxicity (DLT) Primary · Part 1: Cycle 1 Day 1 up to Cycle 1 Day 21

Toxicity according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. DLT is any of following related to ixazomib:Grade (GR) 4 neutropenia (absolute neutrophil count\<500 cells/cubic meter\[cells/mm\^3\])for\>7 days; GR 3 neutropenia with coincident fever and/or infection; GR 4 thrombocytopenia (platelets \<25,000 cells/mm3)for\>7 days; GR 3 thrombocytopenia with clinically significant bleeding; Platelet count\<10,000 cells/mm3; GR 3 peripheral neuropathy;\>=GR 3 nausea/emesis in absence of optimal antiemetic therapy; \>=GR 3 diarrhoea in abse

GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^20
Part 1: Ixazomib 0.25 mg/m^20
Part 1: Ixazomib 0.5 mg/m^20
Part 1: Ixazomib 1 mg/m^21
Part 1: Ixazomib 1.33 mg/m^20
Part 1: Ixazomib 1.76 mg/m^21
Part 1: Ixazomib 2.34 mg/m^23
Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Event (SAEs) Primary · Part 1: Cycle 1 Day 1 up to Cycle 10 Day 41; Part 2: Cycle 1 Day 1 up to Cycle 12 Day 41
TEAEs
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^21
Part 1: Ixazomib 0.25 mg/m^21
Part 1: Ixazomib 0.5 mg/m^21
Part 1: Ixazomib 1 mg/m^27
Part 1: Ixazomib 1.33 mg/m^24
Part 1: Ixazomib 1.76 mg/m^26
Part 1: Ixazomib 2.34 mg/m^23
Part 2:Ixazomib 1.76 mg/m^2-Non-small Cell Lung Cancer(NSCLC)20
Part 2: Ixazomib 1.76 mg/m^2-Head and Neck Cancer (H&N)22
Part 2: Ixazomib 1.76 mg/m^2-Soft Tissue Sarcoma (STC)19
Part 2: Ixazomib 1.76 mg/m^2-Prostate Cancer (PC)11
Part 2: Ixazomib 1.76 mg/m^2-TPEC20
SAEs
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^21
Part 1: Ixazomib 0.25 mg/m^21
Part 1: Ixazomib 0.5 mg/m^20
Part 1: Ixazomib 1 mg/m^21
Part 1: Ixazomib 1.33 mg/m^21
Part 1: Ixazomib 1.76 mg/m^24
Part 1: Ixazomib 2.34 mg/m^23
Part 2:Ixazomib 1.76 mg/m^2-Non-small Cell Lung Cancer(NSCLC)9
Part 2: Ixazomib 1.76 mg/m^2-Head and Neck Cancer (H&N)10
Part 2: Ixazomib 1.76 mg/m^2-Soft Tissue Sarcoma (STC)7
Part 2: Ixazomib 1.76 mg/m^2-Prostate Cancer (PC)6
Part 2: Ixazomib 1.76 mg/m^2-TPEC11
Number of Participants With Clinically Significant TEAEs Related to Laboratory Abnormalities Primary · Day 1 up to 30 days after last dose of study drug (Cycle 12 Day 41)
Liver function analyses
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^20
Part 1: Ixazomib 0.25 mg/m^20
Part 1: Ixazomib 0.5 mg/m^20
Part 1: Ixazomib 1 mg/m^22
Part 1: Ixazomib 1.33 mg/m^20
Part 1: Ixazomib 1.76 mg/m^20
Part 1: Ixazomib 2.34 mg/m^20
Part 2:Ixazomib 1.76 mg/m^2-Non-small Cell Lung Cancer(NSCLC)1
Part 2: Ixazomib 1.76 mg/m^2-Head and Neck Cancer (H&N)1
Part 2: Ixazomib 1.76 mg/m^2-Soft Tissue Sarcoma (STC)1
Part 2: Ixazomib 1.76 mg/m^2-Prostate Cancer (PC)1
Part 2: Ixazomib 1.76 mg/m^2-TPEC1
Renal function analyses
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^20
Part 1: Ixazomib 0.25 mg/m^20
Part 1: Ixazomib 0.5 mg/m^20
Part 1: Ixazomib 1 mg/m^20
Part 1: Ixazomib 1.33 mg/m^20
Part 1: Ixazomib 1.76 mg/m^20
Part 1: Ixazomib 2.34 mg/m^22
Part 2:Ixazomib 1.76 mg/m^2-Non-small Cell Lung Cancer(NSCLC)0
Part 2: Ixazomib 1.76 mg/m^2-Head and Neck Cancer (H&N)4
Part 2: Ixazomib 1.76 mg/m^2-Soft Tissue Sarcoma (STC)0
Part 2: Ixazomib 1.76 mg/m^2-Prostate Cancer (PC)0
Part 2: Ixazomib 1.76 mg/m^2-TPEC1
Tissue enzyme analyses notelsewhereclassified(NEC)
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^20
Part 1: Ixazomib 0.25 mg/m^20
Part 1: Ixazomib 0.5 mg/m^20
Part 1: Ixazomib 1 mg/m^22
Part 1: Ixazomib 1.33 mg/m^20
Part 1: Ixazomib 1.76 mg/m^20
Part 1: Ixazomib 2.34 mg/m^20
Part 2:Ixazomib 1.76 mg/m^2-Non-small Cell Lung Cancer(NSCLC)0
Part 2: Ixazomib 1.76 mg/m^2-Head and Neck Cancer (H&N)0
Part 2: Ixazomib 1.76 mg/m^2-Soft Tissue Sarcoma (STC)0
Part 2: Ixazomib 1.76 mg/m^2-Prostate Cancer (PC)2
Part 2: Ixazomib 1.76 mg/m^2-TPEC2
Red blood cell analyses
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^20
Part 1: Ixazomib 0.25 mg/m^20
Part 1: Ixazomib 0.5 mg/m^21
Part 1: Ixazomib 1 mg/m^21
Part 1: Ixazomib 1.33 mg/m^20
Part 1: Ixazomib 1.76 mg/m^20
Part 1: Ixazomib 2.34 mg/m^20
Part 2:Ixazomib 1.76 mg/m^2-Non-small Cell Lung Cancer(NSCLC)0
Part 2: Ixazomib 1.76 mg/m^2-Head and Neck Cancer (H&N)2
Part 2: Ixazomib 1.76 mg/m^2-Soft Tissue Sarcoma (STC)0
Part 2: Ixazomib 1.76 mg/m^2-Prostate Cancer (PC)1
Part 2: Ixazomib 1.76 mg/m^2-TPEC0
Platelet analyses
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^20
Part 1: Ixazomib 0.25 mg/m^20
Part 1: Ixazomib 0.5 mg/m^20
Part 1: Ixazomib 1 mg/m^20
Part 1: Ixazomib 1.33 mg/m^20
Part 1: Ixazomib 1.76 mg/m^20
Part 1: Ixazomib 2.34 mg/m^20
Part 2:Ixazomib 1.76 mg/m^2-Non-small Cell Lung Cancer(NSCLC)2
Part 2: Ixazomib 1.76 mg/m^2-Head and Neck Cancer (H&N)0
Part 2: Ixazomib 1.76 mg/m^2-Soft Tissue Sarcoma (STC)1
Part 2: Ixazomib 1.76 mg/m^2-Prostate Cancer (PC)1
Part 2: Ixazomib 1.76 mg/m^2-TPEC0
Mineral and electrolyte analyses
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^20
Part 1: Ixazomib 0.25 mg/m^20
Part 1: Ixazomib 0.5 mg/m^20
Part 1: Ixazomib 1 mg/m^20
Part 1: Ixazomib 1.33 mg/m^20
Part 1: Ixazomib 1.76 mg/m^20
Part 1: Ixazomib 2.34 mg/m^20
Part 2:Ixazomib 1.76 mg/m^2-Non-small Cell Lung Cancer(NSCLC)0
Part 2: Ixazomib 1.76 mg/m^2-Head and Neck Cancer (H&N)0
Part 2: Ixazomib 1.76 mg/m^2-Soft Tissue Sarcoma (STC)0
Part 2: Ixazomib 1.76 mg/m^2-Prostate Cancer (PC)0
Part 2: Ixazomib 1.76 mg/m^2-TPEC2
Metabolism tests NEC
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^20
Part 1: Ixazomib 0.25 mg/m^20
Part 1: Ixazomib 0.5 mg/m^20
Part 1: Ixazomib 1 mg/m^20
Part 1: Ixazomib 1.33 mg/m^20
Part 1: Ixazomib 1.76 mg/m^20
Part 1: Ixazomib 2.34 mg/m^20
Part 2:Ixazomib 1.76 mg/m^2-Non-small Cell Lung Cancer(NSCLC)0
Part 2: Ixazomib 1.76 mg/m^2-Head and Neck Cancer (H&N)0
Part 2: Ixazomib 1.76 mg/m^2-Soft Tissue Sarcoma (STC)0
Part 2: Ixazomib 1.76 mg/m^2-Prostate Cancer (PC)1
Part 2: Ixazomib 1.76 mg/m^2-TPEC0
Urinalysis NEC
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^20
Part 1: Ixazomib 0.25 mg/m^20
Part 1: Ixazomib 0.5 mg/m^20
Part 1: Ixazomib 1 mg/m^20
Part 1: Ixazomib 1.33 mg/m^20
Part 1: Ixazomib 1.76 mg/m^20
Part 1: Ixazomib 2.34 mg/m^20
Part 2:Ixazomib 1.76 mg/m^2-Non-small Cell Lung Cancer(NSCLC)0
Part 2: Ixazomib 1.76 mg/m^2-Head and Neck Cancer (H&N)0
Part 2: Ixazomib 1.76 mg/m^2-Soft Tissue Sarcoma (STC)0
Part 2: Ixazomib 1.76 mg/m^2-Prostate Cancer (PC)0
Part 2: Ixazomib 1.76 mg/m^2-TPEC1
Number of Participants With Clinically Significant Change From Baseline in Vital Signs Primary · Day 1 up to 30 days after last dose of study drug (Cycle 12 Day 41)

Vital sign measurements included diastolic and systolic blood pressure, heart rate, weight and oral temperature.

GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^20
Part 1: Ixazomib 0.25 mg/m^20
Part 1: Ixazomib 0.5 mg/m^20
Part 1: Ixazomib 1 mg/m^20
Part 1: Ixazomib 1.33 mg/m^20
Part 1: Ixazomib 1.76 mg/m^20
Part 1: Ixazomib 2.34 mg/m^20
Part 2:Ixazomib 1.76 mg/m^2-Non-small Cell Lung Cancer(NSCLC)0
Part 2: Ixazomib 1.76 mg/m^2-Head and Neck Cancer (H&N)0
Part 2: Ixazomib 1.76 mg/m^2-Soft Tissue Sarcoma (STC)0
Part 2: Ixazomib 1.76 mg/m^2-Prostate Cancer (PC)0
Part 2: Ixazomib 1.76 mg/m^2-TPEC0
Part 1: AUC (0-72): Area Under the Plasma Concentration-time Curve From Time 0 to 72 Hours Post-dose for Ixazomib Secondary · Part 1: Cycle 1 Days 1 and 11: pre-dose and at multiple time points (up to 72 hours) post-dose

AUC (0-72) is a measure of the area under the plasma concentration-time curve from time 0 to 72 hours post-dose for ixazomib.

Cycle 1 Day 1
GroupValue95% CI
Part 1: Ixazomib 0.5 mg/m^291.6± NA
Part 1: Ixazomib 1 mg/m^2191.87± 40.211
Part 1: Ixazomib 1.33 mg/m^2391.46± 92.446
Part 1: Ixazomib 1.76 mg/m^2522.74± 120.122
Part 1: Ixazomib 2.34 mg/m^2620.0± NA
Cycle 1 Day 11
GroupValue95% CI
Part 1: Ixazomib 0.25 mg/m^260.9± NA
Part 1: Ixazomib 0.5 mg/m^2301.00± NA
Part 1: Ixazomib 1 mg/m^2579.91± 246.505
Part 1: Ixazomib 1.33 mg/m^21161.92± 424.774
Part 1: Ixazomib 1.76 mg/m^21542.64± 454.015
Part 1: Ixazomib 2.34 mg/m^23800.0± NA
Part 1: C0: Initial Plasma Concentration After Bolus Intravenous Administration Secondary · Part 1: Cycle 1 Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose; Cycle 1 Day 11 pre-dose and at multiple time points (up to 264 hours) post-dose

C0 is the plasma drug concentration at time zero following bolus intravenous injection.

Cycle 1 Day 1
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^215.1± NA
Part 1: Ixazomib 0.25 mg/m^282.5± NA
Part 1: Ixazomib 0.5 mg/m^2192.0± NA
Part 1: Ixazomib 1 mg/m^2346.70± 170.208
Part 1: Ixazomib 1.33 mg/m^2366.16± 146.167
Part 1: Ixazomib 1.76 mg/m^2579.54± 210.672
Part 1: Ixazomib 2.34 mg/m^2901.0± NA
Cycle 1 Day 11
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^227.1± NA
Part 1: Ixazomib 0.25 mg/m^269.0± NA
Part 1: Ixazomib 0.5 mg/m^283.8± NA
Part 1: Ixazomib 1 mg/m^2272.57± 64.044
Part 1: Ixazomib 1.33 mg/m^2390.08± 209.538
Part 1: Ixazomib 1.76 mg/m^2648.97± 597.508
Part 1: Ixazomib 2.34 mg/m^2869.0± NA
Part 1: Rac: Accumulation Ratio for Ixazomib Secondary · Cycle 1 Day 11 pre-dose and at multiple time points (up to 72 hours) post-dose

Rac was estimated as the ratio of AUC (0-72) on Day 11 and AUC (0-72) on Day 1. AUC (0-72) is the area under the plasma concentration-time curve from time 0 to 72 hours post-dose.

GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^22.210± NA
Part 1: Ixazomib 0.25 mg/m^25.160± NA
Part 1: Ixazomib 0.5 mg/m^23.290± NA
Part 1: Ixazomib 1 mg/m^22.996± 1.5948
Part 1: Ixazomib 1.33 mg/m^22.831± 0.7228
Part 1: Ixazomib 1.76 mg/m^23.086± 0.4998
Part 1: Ixazomib 2.34 mg/m^26.130± NA
Part 1: Terminal Phase Elimination Half-life (T1/2) for Ixazomib Secondary · Part 1: Cycle 1 Day 11 pre-dose and at multiple time points (up to 264 hours) post-dose

T1/2 is the time required for half of the drug to be eliminated from the plasma.

GroupValue95% CI
Part 1: Ixazomib 1 mg/m^2171.90± 38.070
Part 1: Ixazomib 1.33 mg/m^2144.69± 27.647
Part 1: Ixazomib 1.76 mg/m^2104.84± 39.646
Part 1: Ixazomib 2.34 mg/m^290.80± NA
Part 1: E Max: Maximum Observed Effect for Ixazomib Secondary · Part 1: Cycle 1 Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose; Cycle 1 Day 11 pre-dose and at multiple time points (up to 264 hours) post-dose

E max is the maximum inhibition of 20S proteasome activity in whole blood.

Cycle 1 Day 1
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^27.70± NA
Part 1: Ixazomib 0.25 mg/m^217.90± NA
Part 1: Ixazomib 0.5 mg/m^228.20± NA
Part 1: Ixazomib 1 mg/m^235.22± 8.592
Part 1: Ixazomib 1.33 mg/m^246.73± 9.424
Part 1: Ixazomib 1.76 mg/m^262.20± 9.862
Part 1: Ixazomib 2.34 mg/m^267.40± NA
Cycle 1 Day 11
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^24.50± NA
Part 1: Ixazomib 0.25 mg/m^210.00± NA
Part 1: Ixazomib 0.5 mg/m^246.10± NA
Part 1: Ixazomib 1 mg/m^239.33± 8.868
Part 1: Ixazomib 1.33 mg/m^254.30± 4.058
Part 1: Ixazomib 1.76 mg/m^261.90± 9.042
Part 1: Ixazomib 2.34 mg/m^270.40± NA
Part 1: TEmax: Time to Maximum Observed Effect (Emax) for Ixazomib Secondary · Part 1: Cycle 1 Days 1 and 11 pre-dose and at multiple time points (up to 72 hours) post-dose; Cycle 1 Day 11 pre-dose and at multiple time points (up to 264 hours) post-dose

TEmax is the time to reach the Emax, equal to time (hours) to Emax.

Cycle 1 Day 1
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^21.0001.00 – 1.00
Part 1: Ixazomib 0.25 mg/m^20.1000.10 – 0.10
Part 1: Ixazomib 0.5 mg/m^20.2500.25 – 0.25
Part 1: Ixazomib 1 mg/m^20.1000.08 – 0.10
Part 1: Ixazomib 1.33 mg/m^20.2500.10 – 0.25
Part 1: Ixazomib 1.76 mg/m^20.0800.07 – 0.10
Part 1: Ixazomib 2.34 mg/m^20.0800.08 – 0.08
Cycle 1 Day 11
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^224.00024.00 – 24.00
Part 1: Ixazomib 0.25 mg/m^20.0800.08 – 0.08
Part 1: Ixazomib 0.5 mg/m^20.1000.10 – 0.10
Part 1: Ixazomib 1 mg/m^20.1100.10 – 0.12
Part 1: Ixazomib 1.33 mg/m^20.0800.08 – 0.10
Part 1: Ixazomib 1.76 mg/m^20.1200.08 – 0.18
Part 1: Ixazomib 2.34 mg/m^20.1000.10 – 0.10
Number of Participants With Best Overall Response Secondary · Day 18 up to Day 21 of each cycle (Part 1: up to Cycle 10; Part 2: up to Cycle 12)

Best overall response for a participant is best observed post-baseline disease response as per Response Evaluation Criteria in Solid Tumors (RECIST) 1.0 criteria. Complete Response (CR): disappearance of all target lesions, non-target lesions and normalization of tumor marker level. Partial Response (PR): at least 30% decrease in sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease, taking as reference the baseline sm

CR
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^20
Part 1: Ixazomib 0.25 mg/m^20
Part 1: Ixazomib 0.5 mg/m^20
Part 1: Ixazomib 1 mg/m^20
Part 1: Ixazomib 1.33 mg/m^20
Part 1: Ixazomib 1.76 mg/m^20
Part 1: Ixazomib 2.34 mg/m^20
Part 2:Ixazomib 1.76 mg/m^2-Non-small Cell Lung Cancer(NSCLC)0
Part 2: Ixazomib 1.76 mg/m^2-Head and Neck Cancer (H&N)0
Part 2: Ixazomib 1.76 mg/m^2-Soft Tissue Sarcoma (STC)0
Part 2: Ixazomib 1.76 mg/m^2-Prostate Cancer (PC)0
Part 2: Ixazomib 1.76 mg/m^2-TPEC0
PR
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^20
Part 1: Ixazomib 0.25 mg/m^20
Part 1: Ixazomib 0.5 mg/m^20
Part 1: Ixazomib 1 mg/m^20
Part 1: Ixazomib 1.33 mg/m^20
Part 1: Ixazomib 1.76 mg/m^20
Part 1: Ixazomib 2.34 mg/m^20
Part 2:Ixazomib 1.76 mg/m^2-Non-small Cell Lung Cancer(NSCLC)0
Part 2: Ixazomib 1.76 mg/m^2-Head and Neck Cancer (H&N)1
Part 2: Ixazomib 1.76 mg/m^2-Soft Tissue Sarcoma (STC)0
Part 2: Ixazomib 1.76 mg/m^2-Prostate Cancer (PC)0
Part 2: Ixazomib 1.76 mg/m^2-TPEC0
SD
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^20
Part 1: Ixazomib 0.25 mg/m^21
Part 1: Ixazomib 0.5 mg/m^20
Part 1: Ixazomib 1 mg/m^21
Part 1: Ixazomib 1.33 mg/m^20
Part 1: Ixazomib 1.76 mg/m^22
Part 1: Ixazomib 2.34 mg/m^22
Part 2:Ixazomib 1.76 mg/m^2-Non-small Cell Lung Cancer(NSCLC)5
Part 2: Ixazomib 1.76 mg/m^2-Head and Neck Cancer (H&N)5
Part 2: Ixazomib 1.76 mg/m^2-Soft Tissue Sarcoma (STC)8
Part 2: Ixazomib 1.76 mg/m^2-Prostate Cancer (PC)3
Part 2: Ixazomib 1.76 mg/m^2-TPEC3
Progressive disease
GroupValue95% CI
Part 1: Ixazomib 0.125 mg/m^21
Part 1: Ixazomib 0.25 mg/m^20
Part 1: Ixazomib 0.5 mg/m^21
Part 1: Ixazomib 1 mg/m^25
Part 1: Ixazomib 1.33 mg/m^23
Part 1: Ixazomib 1.76 mg/m^23
Part 1: Ixazomib 2.34 mg/m^20
Part 2:Ixazomib 1.76 mg/m^2-Non-small Cell Lung Cancer(NSCLC)10
Part 2: Ixazomib 1.76 mg/m^2-Head and Neck Cancer (H&N)8
Part 2: Ixazomib 1.76 mg/m^2-Soft Tissue Sarcoma (STC)8
Part 2: Ixazomib 1.76 mg/m^2-Prostate Cancer (PC)7
Part 2: Ixazomib 1.76 mg/m^2-TPEC14
Part 2: Ixazomib Concentration in Postdose Clinical Tumor Samples in Ixazomib 1.76 mg/m^2-TPEC Secondary · Cycle 1 Days 1 and 4: Predose and (from 4-20 hours) post-dose

The average data of Days 1 and 4 of Cycle 1 was reported.

GroupValue95% CI
Part 2: Ixazomib 1.76 mg/m^2-TPEC525± 342

Adverse events — posted to ClinicalTrials.gov

Time frame: Treatment-emergent adverse events are adverse events that started after the first dose of study drug and no more than 30 days after the last dose of study drug (up to Part 1: Cycle 10 Day 41, Part 2: Cycle 12 Day 41). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part 1: Ixazomib 0.125 mg/m^2
Serious: 1/1 (100%)
Deaths: 0/1
Part 1: Ixazomib 0.25 mg/m^2
Serious: 1/1 (100%)
Deaths: 0/1
Part 1: Ixazomib 0.5 mg/m^2
Serious: 0/1 (0%)
Deaths: 0/1
Part 1: Ixazomib 1 mg/m^2
Serious: 1/7 (14%)
Deaths: 1/7
Part 1: Ixazomib 1.33 mg/m^2
Serious: 1/4 (25%)
Deaths: 1/4
Part 1: Ixazomib 1.76 mg/m^2
Serious: 4/6 (67%)
Deaths: 0/6
Part 1: Ixazomib 2.34 mg/m^2
Serious: 3/3 (100%)
Deaths: 1/3
Part 2:Ixazomib 1.76 mg/m^2-Non-small Cell Lung Cancer(NSCLC)
Serious: 9/20 (45%)
Deaths: 0/20
Part 2: Ixazomib 1.76 mg/m^2-Head and Neck Cancer (H&N)
Serious: 10/22 (45%)
Deaths: 2/22
Part 2: Ixazomib 1.76 mg/m^2-Soft Tissue Sarcoma (STC)
Serious: 7/20 (35%)
Deaths: 1/20
Part 2: Ixazomib 1.76 mg/m^2-Prostate Cancer (PC)
Serious: 6/11 (55%)
Deaths: 0/11
Part 2: Ixazomib 1.76 mg/m^2-TPEC
Serious: 11/20 (55%)
Deaths: 1/20

Serious adverse events (58 terms)

ReactionSystemPart 1: Ixazomib 0.125 mg/…Part 1: Ixazomib 0.25 mg/m^2Part 1: Ixazomib 0.5 mg/m^2Part 1: Ixazomib 1 mg/m^2Part 1: Ixazomib 1.33 mg/m^2Part 1: Ixazomib 1.76 mg/m^2Part 1: Ixazomib 2.34 mg/m^2Part 2:Ixazomib 1.76 mg/m^…Part 2: Ixazomib 1.76 mg/m…Part 2: Ixazomib 1.76 mg/m…Part 2: Ixazomib 1.76 mg/m…Part 2: Ixazomib 1.76 mg/m…
ThrombocytopeniaBlood and lymphatic system disorders
PneumoniaInfections and infestations
DehydrationMetabolism and nutrition disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
PyrexiaGeneral disorders
PresyncopeNervous system disorders
AnaemiaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Cardiac failure congestiveCardiac disorders
BronchitisInfections and infestations
BacteraemiaInfections and infestations
SepsisInfections and infestations
Herpes zosterInfections and infestations
Urinary tract infectionInfections and infestations
Viral upper respiratory tract infectionInfections and infestations
HypoxiaRespiratory, thoracic and mediastinal disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Pneumonia aspirationRespiratory, thoracic and mediastinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Pulmonary oedemaRespiratory, thoracic and mediastinal disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
FatigueGeneral disorders
Disease progressionGeneral disorders
Other adverse events (209 terms — click to expand)

ReactionSystemPart 1: Ixazomib 0.125 mg/…Part 1: Ixazomib 0.25 mg/m^2Part 1: Ixazomib 0.5 mg/m^2Part 1: Ixazomib 1 mg/m^2Part 1: Ixazomib 1.33 mg/m^2Part 1: Ixazomib 1.76 mg/m^2Part 1: Ixazomib 2.34 mg/m^2Part 2:Ixazomib 1.76 mg/m^…Part 2: Ixazomib 1.76 mg/m…Part 2: Ixazomib 1.76 mg/m…Part 2: Ixazomib 1.76 mg/m…Part 2: Ixazomib 1.76 mg/m…
DiarrhoeaGastrointestinal disorders
DizzinessNervous system disorders
HeadacheNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
LymphopeniaBlood and lymphatic system disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
Back painMusculoskeletal and connective tissue disorders
Abdominal painGastrointestinal disorders
StomatitisGastrointestinal disorders
DyspepsiaGastrointestinal disorders
ChillsGeneral disorders
Upper respiratory tract infectionInfections and infestations
InsomniaPsychiatric disorders
Rash pruriticSkin and subcutaneous tissue disorders
Rash erythematousSkin and subcutaneous tissue disorders
Rash papularSkin and subcutaneous tissue disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
HaemoptysisRespiratory, thoracic and mediastinal disorders
Oral candidiasisInfections and infestations
FlatulenceGastrointestinal disorders
Gingival bleedingGastrointestinal disorders
PruritusSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
DysgeusiaNervous system disorders
Pain in extremityMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
Weight decreasedInvestigations
AnxietyPsychiatric disorders
NeutropeniaBlood and lymphatic system disorders
HypercalcaemiaMetabolism and nutrition disorders
Abdominal distensionGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
Abdominal discomfortGastrointestinal disorders
RetchingGastrointestinal disorders
Dry skinSkin and subcutaneous tissue disorders
Night sweatsSkin and subcutaneous tissue disorders
Swelling faceSkin and subcutaneous tissue disorders
UrticariaSkin and subcutaneous tissue disorders
Peripheral sensory neuropathyNervous system disorders
ParaesthesiaNervous system disorders

Most-reported serious reactions: Thrombocytopenia, Pneumonia, Dehydration, Dyspnoea, Pyrexia, Presyncope, Anaemia, Nausea.

Data from ClinicalTrials.gov NCT00830869 adverse events section.

Sponsor's own description

This is an open-label, multicenter, phase 1, dose escalation study of IXAZOMIB. The primary purpose of this study is to determine the safety profile, establish the maximum tolerated dose, and inform the phase 2 dose of IXAZOMIB administered intravenously in participants with nonhematologic malignancies.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Marizomib, a proteasome inhibitor for all seasons: preclinical profile and a framework for clinical trials.
    Potts BC, Albitar MX, Anderson KC, Baritaki S, et al · · 2011 · cited 168× · PMID 21247382 · DOI 10.2174/156800911794519716
  2. The proteasome as a druggable target with multiple therapeutic potentialities: Cutting and non-cutting edges.
    Tundo GR, Sbardella D, Santoro AM, Coletta A, et al · · 2020 · cited 78× · PMID 32442437 · DOI 10.1016/j.pharmthera.2020.107579
  3. The 26S proteasome is a multifaceted target for anti-cancer therapies.
    Grigoreva TA, Tribulovich VG, Garabadzhiu AV, Melino G, et al · · 2015 · cited 55× · PMID 26295307 · DOI 10.18632/oncotarget.4619
  4. Pharmacological Modulation of Ubiquitin-Proteasome Pathways in Oncogenic Signaling.
    Sharma A, Khan H, Singh TG, Grewal AK, et al · · 2021 · cited 51× · PMID 34769401 · DOI 10.3390/ijms222111971
  5. Switching from body surface area-based to fixed dosing for the investigational proteasome inhibitor ixazomib: a population pharmacokinetic analysis.
    Gupta N, Zhao Y, Hui AM, Esseltine DL, et al · · 2015 · cited 45× · PMID 25377318 · DOI 10.1111/bcp.12542
  6. Targeting Myc-driven stress addiction in colorectal cancer.
    Saeed H, Leibowitz BJ, Zhang L, Yu J. · · 2023 · cited 35× · PMID 37119690 · DOI 10.1016/j.drup.2023.100963
  7. Phase 1 study of ixazomib, an investigational proteasome inhibitor, in advanced non-hematologic malignancies.
    Smith DC, Kalebic T, Infante JR, Siu LL, et al · · 2015 · cited 32× · PMID 25777468 · DOI 10.1007/s10637-015-0230-x
  8. Population Pharmacokinetic Analysis of Ixazomib, an Oral Proteasome Inhibitor, Including Data from the Phase III TOURMALINE-MM1 Study to Inform Labelling.
    Gupta N, Diderichsen PM, Hanley MJ, Berg D, et al · · 2017 · cited 31× · PMID 28290121 · DOI 10.1007/s40262-017-0526-4

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00830869.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing