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NCT00884312

A Study of Extended Carfilzomib Therapy for Patients Previously Enrolled in Carfilzomib Treatment Protocols

Completed Phase 2 Results posted Last updated 14 May 2018
What this trial tests

Phase 2 trial testing Carfilzomib in Multiple Myeloma in 101 participants. Completed in 17 May 2017.

Timeline
9 April 2009
Primary endpoint
17 May 2017
17 May 2017

Quick facts

Lead sponsorAmgen
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment101
Start date9 April 2009
Primary completion17 May 2017
Estimated completion17 May 2017
Sites23 locations across Canada, United States

Drugs / interventions tested

Conditions studied

Sponsor

Amgen — full company profile →

Who can join

18 and older, any sex, with Multiple Myeloma or Solid Tumors. 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.

Number of Participants With Peripheral Neuropathy Primary · From first dose of study drug to 30 days after the last dose; median duration of treatment was 14 weeks for participants with solid tumors and 44 weeks for participants with multiple myeloma.

Participants with peripheral neuropathy or peripheral neuropathy-related adverse events, including hypoaesthesia, paraesthesia, dysaesthesia, and neuropathic pain.

GroupValue95% CI
Solid Tumors1
Multiple Myeloma15
Number of Participants With Adverse Events Primary · From first dose of study drug to 30 days after the last dose; median duration of treatment was 14 weeks for participants with solid tumors and 44 weeks for participants with multiple myeloma.

Adverse events (AEs) were assigned a severity grade using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) grading scale version 3.0. Per protocol, adverse events were collected if they led to dose modification or dose discontinuation, were grade ≥ 3 or serious, or were events of peripheral neuropathy (any grade). A serious AE is one that met one or more of the following criteria: * Death * Life threatening * Required inpatient hospitalization or prolongation of an existing hospitalization * Resulted in persistent or significant disability/incapacity

Any adverse event
GroupValue95% CI
Solid Tumors7
Multiple Myeloma84
Adverse event ≥ grade 3
GroupValue95% CI
Solid Tumors5
Multiple Myeloma66
Serious adverse events
GroupValue95% CI
Solid Tumors5
Multiple Myeloma57
Fatal adverse events
GroupValue95% CI
Solid Tumors1
Multiple Myeloma7
AE leading to discontinuation of carfilzomib
GroupValue95% CI
Solid Tumors5
Multiple Myeloma20
Overall Survival Secondary · From first dose of study drug to 30 days after the last dose; median duration of treatment was 14 weeks for participants with solid tumors and 44 weeks for participants with multiple myeloma.

Since participants were only followed up to 30 days after administration of last dose of study drug per protocol, Kaplan-Meier estimates of overall survival were not calculated. The number of participants who died within 30 days after administration of last dose of study drug is reported.

GroupValue95% CI
Solid Tumors1
Multiple Myeloma7
Progression-free Survival Secondary · From first dose of study drug in study PX-171-010 to 30 days after the last dose; median duration of treatment was 14 weeks for participants with solid tumors and 44 weeks for participants with multiple myeloma.

Progression-free survival (PFS) was defined as the time between the start of treatment and first evidence of documented disease progression or death (due to any cause), whichever occurred first. Disease progression was determined by the local investigator for regimens with the same baseline using the International Uniform Response Criteria (IMWG-URC) for participants with multiple myeloma and Response Evaluation Criteria in Solid Tumors (RECIST) criteria for solid tumor participants. PFS was re-calculated whenever the baseline was reset due to addition of new anti-cancer therapy or increase

GroupValue95% CI
Solid Tumors41.9NA – NA
Multiple Myeloma19.610.2 – 30.6
Time to Progression Secondary · From first dose of study drug in study PX-171-010 to 30 days after the last dose; median duration of treatment was 14 weeks for participants with solid tumors and 44 weeks for participants with multiple myeloma.

Time to progression (TTP) was defined as the time between start of treatment to the first documentation of disease progression. TTP was re-calculated whenever the baseline was reset due to addition of new anti-cancer therapy or increase of carfilzomib dose/frequency.

GroupValue95% CI
Solid TumorsNANA – NA
Multiple Myeloma19.610.2 – 30.6

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of study drug to 30 days after the last dose; median duration of treatment was 14 weeks for participants with solid tumors and 44 weeks for participants with multiple myeloma.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Solid Tumors
Serious: 5/9 (56%)
Deaths: 1/9
Multiple Myeloma
Serious: 57/91 (63%)
Deaths: 7/91

Serious adverse events (91 terms)

ReactionSystemSolid TumorsMultiple Myeloma
PneumoniaInfections and infestations
InfluenzaInfections and infestations
Febrile neutropeniaBlood and lymphatic system disorders
Renal failure acuteRenal and urinary disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Cardiac failure congestiveCardiac disorders
Myocardial infarctionCardiac disorders
DiarrhoeaGastrointestinal disorders
BronchitisInfections and infestations
CellulitisInfections and infestations
SepsisInfections and infestations
Back painMusculoskeletal and connective tissue disorders
Atrial fibrillationCardiac disorders
NauseaGastrointestinal disorders
Disease progressionGeneral disorders
PainGeneral disorders
PyrexiaGeneral disorders
Pneumonia respiratory syncytial viralInfections and infestations
SinusitisInfections and infestations
Femur fractureInjury, poisoning and procedural complications
DehydrationMetabolism and nutrition disorders
Pathological fractureMusculoskeletal and connective tissue disorders
Cerebrovascular accidentNervous system disorders
Pulmonary hypertensionRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Other adverse events (46 terms — click to expand)

ReactionSystemSolid TumorsMultiple Myeloma
Upper respiratory tract infectionInfections and infestations
NeutropeniaBlood and lymphatic system disorders
AnaemiaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
FatigueGeneral disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
Neuropathy peripheralNervous system disorders
Pain in extremityMusculoskeletal and connective tissue disorders
PneumoniaInfections and infestations
HypophosphataemiaMetabolism and nutrition disorders
VomitingGastrointestinal disorders
Blood creatinine increasedInvestigations
HyperglycaemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
PyrexiaGeneral disorders
SinusitisInfections and infestations
InsomniaPsychiatric disorders
NasopharyngitisInfections and infestations
WheezingRespiratory, thoracic and mediastinal disorders
Night sweatsSkin and subcutaneous tissue disorders
Abdominal discomfortGastrointestinal disorders
Abdominal distensionGastrointestinal disorders
Abdominal painGastrointestinal disorders
AscitesGastrointestinal disorders
AstheniaGeneral disorders
ChillsGeneral disorders
Infusion site painGeneral disorders
Sensation of pressureGeneral disorders
Seasonal allergyImmune system disorders
BronchitisInfections and infestations
Herpes simplexInfections and infestations
Urinary tract infectionInfections and infestations
DehydrationMetabolism and nutrition disorders
DysarthriaNervous system disorders
Facial palsyNervous system disorders
HeadacheNervous system disorders
HypoaesthesiaNervous system disorders
Transient ischaemic attackNervous system disorders

Most-reported serious reactions: Pneumonia, Influenza, Febrile neutropenia, Renal failure acute, Dyspnoea, Cardiac failure congestive, Myocardial infarction, Diarrhoea.

Data from ClinicalTrials.gov NCT00884312 adverse events section.

Sponsor's own description

This is a multi-center, open-label, Phase 2 study of carfilzomib to monitor the safety and efficacy of long-term or continuing carfilzomib therapy for patients who previously completed a primary carfilzomib treatment study.

Publications & conference data

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

  1. A phase 2 study of single-agent carfilzomib (PX-171-003-A1) in patients with relapsed and refractory multiple myeloma.
    Siegel DS, Martin T, Wang M, Vij R, et al · · 2012 · cited 492× · PMID 22833546 · DOI 10.1182/blood-2012-05-425934
  2. An open-label, single-arm, phase 2 (PX-171-004) study of single-agent carfilzomib in bortezomib-naive patients with relapsed and/or refractory multiple myeloma.
    Vij R, Wang M, Kaufman JL, Lonial S, et al · · 2012 · cited 192× · PMID 22555973 · DOI 10.1182/blood-2012-03-414359
  3. An open-label, single-arm, phase 2 study of single-agent carfilzomib in patients with relapsed and/or refractory multiple myeloma who have been previously treated with bortezomib.
    Vij R, Siegel DS, Jagannath S, Jakubowiak AJ, et al · · 2012 · cited 139× · PMID 22845873 · DOI 10.1111/j.1365-2141.2012.09232.x
  4. Carfilzomib in multiple myeloma patients with renal impairment: pharmacokinetics and safety.
    Badros AZ, Vij R, Martin T, Zonder JA, et al · · 2013 · cited 113× · PMID 23364621 · DOI 10.1038/leu.2013.29
  5. Phase 2 dose-expansion study (PX-171-006) of carfilzomib, lenalidomide, and low-dose dexamethasone in relapsed or progressive multiple myeloma.
    Wang M, Martin T, Bensinger W, Alsina M, et al · · 2013 · cited 102× · PMID 24014245 · DOI 10.1182/blood-2013-07-511170
  6. 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
  7. Phase Ib dose-escalation study (PX-171-006) of carfilzomib, lenalidomide, and low-dose dexamethasone in relapsed or progressive multiple myeloma.
    Niesvizky R, Martin TG, Bensinger WI, Alsina M, et al · · 2013 · cited 67× · PMID 23447001 · DOI 10.1158/1078-0432.ccr-12-3352
  8. A phase I/II study of carfilzomib 2-10-min infusion in patients with advanced solid tumors.
    Papadopoulos KP, Burris HA, Gordon M, Lee P, et al · · 2013 · cited 64× · PMID 23975329 · DOI 10.1007/s00280-013-2267-x

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