18 and older, any sex, with Multiple Myeloma. 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.
Phase 1: Maximum Tolerated Dose (MTD)Primary· Cycle 1 (21 days)
MTD was highest dose of ixazomib given with combination drugs, at which \<=1 of 6 participants experienced dose-limiting toxicity (DLT) during Cycle 1 of Phase 1. DLT defined as any of following considered possibly related to therapy: Grade 4 neutropenia (absolute neutrophil count \[ANC\] \<500 cell per cubic millimeter \[cells/mm\^3\]) for \>7 days; Grade 3 neutropenia with fever or infection; Grade 4 thrombocytopenia for \>7 days; Grade 3 thrombocytopenia with clinically significant bleeding; platelet count \<10,000/mm\^3; Grade 2 peripheral neuropathy with pain or \>=Grade 3 peripheral neur
The RP2D of ixazomib was determined after the evaluation of the available data from the phase 1 portion of the trial which included, but was not limited to analyses of efficacy results, toxicity characterization, all grades peripheral neuropathy, and treatment discontinuation. The maximum number of cycles received was 83 cycles (approximately up to 2037 days).
Group
Value
95% CI
Phase 1: All Participants
3
Phase 1: Percentage of Participants Experiencing 1 or More Treatment-Emergent Adverse Events (TEAEs) or Serious Adverse Events (SAEs)Primary· Baseline up to 30 days after last dose of study drug (Up to Cycle 83 - approximately 2067 days)
An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (example, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospital
Adverse Event
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
100
Phase 1: Ixazomib 3.7 mg
100
Serious Adverse Event
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
71
Phase 1: Ixazomib 3.7 mg
29
Phase 1: Number of Participants With Markedly Abnormal Laboratory Values Reported as Treatment Emergent Adverse Events (TEAEs)Primary· Baseline up to 30 days after last dose of study drug (Up to Cycle 83 - approximately 2067 days)
Laboratory tests included chemistry, hematology and urinalysis. Abnormal laboratory value was assessed as an AE if the value lead to discontinuation or delay in treatment, dose modification, therapeutic intervention, or was considered by the investigator to be a clinically significant change from baseline. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug.
Alanine aminotransferase increased
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
0
Phase 1: Ixazomib 3.7 mg
3
Aspartate aminotransferase increased
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
0
Phase 1: Ixazomib 3.7 mg
2
Blood creatinine increased
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
2
Phase 1: Ixazomib 3.7 mg
0
Shift to the left
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
0
Phase 1: Ixazomib 3.7 mg
1
Platelet count decreased
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
1
Phase 1: Ixazomib 3.7 mg
0
Blood bicarbonate decreased
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
1
Phase 1: Ixazomib 3.7 mg
0
Anaemia
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
1
Phase 1: Ixazomib 3.7 mg
0
Neutropenia
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
1
Phase 1: Ixazomib 3.7 mg
0
Phase 1: Number of Participants With Treatment-Emergent Adverse Events (TEAE) Related to NeurotoxicityPrimary· Baseline up to 30 days after last dose of study drug (Up to Cycle 83 - approximately 2067 days)
TEAE related to neurotoxicity grading based on common terminology criteria for adverse events (CTACE) version 4.03 are reported. Grade 1= mild; Grade 2= moderate; within normal limits, Grade 3= severe or medically significant but not immediately life-threatening; Grade 4= life-threatening consequences; urgent intervention indicated; Grade 5= death. Only TEAEs related to neurotoxicity with values are reported.
Neuropathy Peripheral (Grade 1)
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
0
Phase 1: Ixazomib 3.7 mg
1
Neuropathy Peripheral (Grade 2)
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
2
Phase 1: Ixazomib 3.7 mg
1
Neuropathy Peripheral (Grade 3)
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
0
Phase 1: Ixazomib 3.7 mg
1
Peripheral Sensory Neuropathy (Grade 1)
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
2
Phase 1: Ixazomib 3.7 mg
1
Peripheral Sensory Neuropathy (Grade 2)
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
0
Phase 1: Ixazomib 3.7 mg
1
Peripheral Sensory Neuropathy (Grade 3)
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
1
Phase 1: Ixazomib 3.7 mg
0
Peripheral Motor Neuropathy (Grade 1)
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
1
Phase 1: Ixazomib 3.7 mg
0
Phase 1: Number of Participants With Clinically Significant Change From Baseline in Vital SignsPrimary· Baseline up to 30 days after last dose of study drug (Up to Cycle 83 - approximately 2067 days)
Vital signs included body temperature, blood pressure and heart rate.
Pyrexia
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
1
Phase 1: Ixazomib 3.7 mg
3
Bradycardia
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
1
Phase 1: Ixazomib 3.7 mg
0
Orthostatic hypotension
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
0
Phase 1: Ixazomib 3.7 mg
1
Hypotension
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
1
Phase 1: Ixazomib 3.7 mg
1
Phase 2: Percentage of Participants With Complete Response (CR) + Very Good Partial Response (VGPR)Primary· Baseline until end of treatment (Up to treatment Cycle 74 - approximately 1875 days)
CR as per International Myeloma Working Group (IMWG) uniform criteria is defined as negative immunofixation on the serum and urine and disappearance of soft tissue plasmacytomas and \<5% plasma cells in bone marrow. VGPR as per IMWG criteria is defined as serum and urine M-protein detectable by immunofixation but not on electrophoresis or 90% or greater reduction in serum M-protein plus urine M-protein level \<100 mg per 24 hours. VGPR was applicable only to participants who had measurable disease defined by at least 1 of the following 3 measurements: Serum M-protein greater than or equal to (
Group
Value
95% CI
Phase 2: Ixazomib 3 mg
65
50.4 – 78.3
Phase 2: Percentage of Participants With Grade 3 or Higher Adverse EventsPrimary· Baseline up to 30 days after the last dose of study drug (approximately 1905 days)
An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (example, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. As per Common Terminology Criteria for Adverse Events v4.0 (CTCAE), Grade 3 = AE with severe or medically significant but not immediately life-threa
Group
Value
95% CI
Phase 2: Ixazomib 3 mg
74
Phase 2: Percentage of Participants Experiencing Serious Adverse EventsPrimary· Baseline up to 30 days after the last dose of study drug (approximately 1905 days)
A SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; or congenital anomaly; or a medically important event.
Group
Value
95% CI
Phase 2: Ixazomib 3 mg
46
Phase 2: Percentage of Participants With Treatment-Emergent Adverse Events Resulting in Study Drug DiscontinuationPrimary· Baseline up to 30 days after the last dose of study drug (approximately 1905 days)
An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (example, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A TEAE is defined as an adverse event with an onset that occurs after receiving study drug.
Group
Value
95% CI
Phase 2: Ixazomib 3 mg
14
Phase 1: Cmax: Maximum Plasma Concentration for IxazomibSecondary· Cycle 1, Days 1 and 11
Maximum observed plasma concentration (Cmax) is the peak plasma concentration of ixazomib, obtained directly from the plasma concentration-time curve.
Day 1
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
33.515
± 22.9634
Phase 1: Ixazomib 3.7 mg
46.946
± 26.6436
Day 11
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
58.674
± 19.9559
Phase 1: Ixazomib 3.7 mg
51.832
± 23.5112
Phase 1: AUC(0-72): Area Under the Plasma Concentration-Time Curve From Time 0 to 72 Hours Postdose for IxazomibSecondary· Cycle 1, Days 1 and 11
AUC(0-72) is a measure of the area under the plasma concentration time-curve from time zero to 72 hours post-dose for ixazomib.
Day 1
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
315.450
± 75.0886
Phase 1: Ixazomib 3.7 mg
284.576
± 47.8233
Day 11
Group
Value
95% CI
Phase 1: Ixazomib 3 mg
1105.44
± 457.5939
Phase 1: Ixazomib 3.7 mg
1023.52
± 284.3709
Adverse events — posted to ClinicalTrials.gov
Time frame: From first study drug administration up to 30 days after the last dose (Up to approximately 2067 days).
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Phase 1: Ixazomib 3 mg
Serious: 5/7 (71%)
Deaths: 0/7
Phase 1: Ixazomib 3.7 mg
Serious: 2/7 (29%)
Deaths: 0/7
Phase 2: Ixazomib 3.0 mg
Serious: 23/50 (46%)
Deaths: 1/50
Serious adverse events (50 terms)
Reaction
System
Phase 1: Ixazomib 3 mg
Phase 1: Ixazomib 3.7 mg
Phase 2: Ixazomib 3.0 mg
Pneumonia
Infections and infestations
—
—
—
Lung infection
Infections and infestations
—
—
—
Cellulitis
Infections and infestations
—
—
—
Atrial fibrillation
Cardiac disorders
—
—
—
Skin infection
Infections and infestations
—
—
—
Subcutaneous abscess
Infections and infestations
—
—
—
Influenza
Infections and infestations
—
—
—
Scrotal infection
Infections and infestations
—
—
—
Infective myositis
Infections and infestations
—
—
—
Sepsis
Infections and infestations
—
—
—
Urinary tract infection
Infections and infestations
—
—
—
Guillain-Barre syndrome
Nervous system disorders
—
—
—
Syncope
Nervous system disorders
—
—
—
Headache
Nervous system disorders
—
—
—
Amnesia
Nervous system disorders
—
—
—
Cognitive disorder
Nervous system disorders
—
—
—
Neuropathy peripheral
Nervous system disorders
—
—
—
Atrial flutter
Cardiac disorders
—
—
—
Cardiac failure
Cardiac disorders
—
—
—
Cardio-respiratory arrest
Cardiac disorders
—
—
—
Dyspepsia
Gastrointestinal disorders
—
—
—
Abdominal pain
Gastrointestinal disorders
—
—
—
Intestinal perforation
Gastrointestinal disorders
—
—
—
Vomiting
Gastrointestinal disorders
—
—
—
Femur fracture
Injury, poisoning and procedural complications
—
—
—
Other adverse events (171 terms — click to expand)
The purpose of this study is to determine the safety, tolerability, maximum tolerated dose (MTD), and recommended phase 2 dose (RP2D) in phase 1 and to determine the combined response rate of clinical response CR and very good partial response (VGPR) in phase 2 of oral (PO) ixazomib administered twice-weekly in combination with lenalidomide and low-dose dexamethasone in a 21-day cycle in participants with newly diagnosed multiple myeloma (NDDM).
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
NCT05722405 — Ixazomib Plus Low-dose Lenalidomide Versus Ixazomib Alone for Maintenance Treatment of High Risk Multiple Myeloma
· Phase 4
· recruiting
NCT05183139 — A Multicenter In-class Transition Study of Ixazomib Combined With Pomalidomide and Dexamethasone or With Lenalidomide an
· Phase 4
· withdrawn
NCT04998786 — A Multi-center Open-label Phase 2 Study of Ixazomib, Iberdomide and Dexamethasone in Elderly Patients With Multiple Myel
· Phase 2
· active not recruiting
NCT04837131 — A Study to Evaluate the Safety and Tolerability of Oral Ixazomib in Scleroderma-related Lung Disease Patients
· Phase 2
· terminated
NCT03888534 — Intravenous Ixazomib in Pediatric Participants With Relapsed or Refractory Acute Lymphoblastic Leukemia (ALL) or Lymphob
· Phase 1
· withdrawn
Other recruiting trials for Multiple Myeloma
Currently open trials in the same condition.
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NCT07266441 — A Study of JNJ-79635322 in Participants With Relapsed or Refractory Multiple Myeloma
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NCT07258511 — A Study Comparing JNJ-79635322 and an Anti-B-cell Maturation Antigen (BCMA)xCD3 Bispecific Antibody in Participants With
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Other Millennium Pharmaceuticals, Inc. trials
Trials by the same sponsor.
NCT03888534 — Intravenous Ixazomib in Pediatric Participants With Relapsed or Refractory Acute Lymphoblastic Leukemia (ALL) or Lymphob
· Phase 1
· withdrawn
NCT04056468 — A Study to Evaluate Pharmacokinetics (PK) and Safety of Oral Mobocertinib in Participants With Moderate or Severe Hepati
· Phase 1
· completed
NCT04454918 — Study to Assess Absolute Bioavailability (ABA) of TAK-906 and to Characterize Mass Balance, Pharmacokinetics (PK), Metab
· Phase 1
· completed
NCT04056455 — A Study of Mobocertinib Capsules in People With Severe Kidney Problems and People With Healthy Kidneys
· Phase 1
· completed
NCT04091438 — A Study of a Single Intravenous Infusion Dose of TAK-925 in Participants With Idiopathic Hypersomnia
· Phase 1
· completed
Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Millennium Pharmaceuticals, Inc.
Last refreshed: 21 March 2019
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/NCT01383928.