A Phase 3 Study Comparing Oral Ixazomib Plus Lenalidomide and Dexamethasone Versus Placebo Plus Lenalidomide and Dexamethasone in Adult Participants With Relapsed and/or Refractory Multiple Myeloma
CompletedPhase 3Results postedLast updated 10 March 2023
What this trial tests
Phase 3 trial testing Ixazomib in Relapsed Multiple Myeloma in 722 participants. Completed in 8 February 2022.
18 and older, any sex, with Relapsed Multiple Myeloma or Refractory 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.
Progression Free Survival (PFS) as Assessed by the Independent Review Committee (IRC)Primary· From date of randomization until disease progression or death up to approximately 27 months (approximate median follow-up 15 months)
Progression Free Survival (PFS) is defined as the time from the date of randomization to the date of first documentation of disease progression (PD) or death due to any cause, whichever occurs first. Response including PD was assessed by independent review committee (IRC) using the International Myeloma Working Group (IMWG) response criteria. PD requires 1 of the following: Increase of ≥ 25% from nadir in: Serum M-component (absolute increase ≥ 0.5 g/dl); Urine M-component (absolute increase ≥ 200 mg/24 hours); In patients without measurable serum and urine M-protein levels the difference betw
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
20.6
17.02 – NA
Placebo + Lenalidomide + Dexamethasone
14.7
12.91 – 17.58
Overall Survival (OS)Secondary· From date of randomization until death (up to approximately 97 months)
Overall survival is defined as the time from the date of randomization to the date of death. Participants without documentation of death at the time of the analysis were censored at the date when they were last known to be alive.
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
53.6
49.25 – 62.95
Placebo + Lenalidomide + Dexamethasone
51.6
44.78 – 59.14
Overall Survival in High-Risk Participants Carrying Deletion 17 [Del(17)]Secondary· From the time of screening until disease progression and thereafter every 12 weeks until death or study termination (up to approximately 97 months)
Overall survival is defined as the time from the date of randomization to the date of death. The high-risk participants whose myeloma carried del(17) subgroup was defined as the cases reported as positive for del(17) by the central laboratory combined with those cases that lacked a central laboratory result but with known del (17) by local laboratory. Participants without documentation of death at the time of the analysis were censored at the date when they were last known to be alive. Data is only reported high-risk participants with Del(17).
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
42.2
27.56 – 56.74
Placebo + Lenalidomide + Dexamethasone
29.4
16.99 – 44.22
Overall Response Rate (ORR) as Assessed by the IRCSecondary· Day 1 of each cycle (every 4 weeks) until disease progression up to approximately 27 months(approximate median follow-up 15 months)
ORR was defined as the percentage of participants with Complete Response (CR) including stringent complete response (sCR), very good partial response (VGPR) and Partial Response (PR) assessed by the IRC using IMWG criteria. Percentages are rounded off to single decimal.
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
78.3
Placebo + Lenalidomide + Dexamethasone
71.5
Percentage of Participants With Complete Response (CR) and Very Good Partial Response (VGPR) as Assessed by the IRCSecondary· Day 1 of each cycle (every 4 weeks) until disease progression up to approximately 27 months (approximate median follow-up 15 months)
Response was assessed by the IRC using International Myeloma Working Group (IMWG) Criteria. CR is defined as negative immunofixation on the serum and urine and; disappearance of any soft tissue plasmacytomas and; \< 5% plasma cells in bone marrow. VGPR 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. Percentages are rounded off to single decimal.
Group
Value
95% CI
Ixazomib + Lenalidomide + Dexamethasone
48.1
Placebo + Lenalidomide + Dexamethasone
39.0
Duration of Response (DOR)Secondary· Day 1 of each cycle (every 4 weeks) until disease progression up to approximately 38 months
DOR was measured as the time in months from the date of first documentation of a confirmed response of PR or better (CR \[including sCR\] + PR+ VGPR) to the date of the first documented disease progression (PD) among participants who responded to the treatment. Response was assessed by the investigator using International Myeloma Working Group (IMWG) Criteria.
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
26.0
22.51 – NA
Placebo + Lenalidomide + Dexamethasone
21.7
17.77 – NA
Time to Progression (TTP) as Assessed by the IRCSecondary· Day 1 of each cycle (every 4 weeks) until disease progression up to approximately 27 months (approximate median follow-up 15 months)
TTP was measured as the time in months from the first dose of study treatment to the date of the first documented progressive disease (PD) as assessed by the IRC using IMWG criteria.
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
22.4
18.73 – 27.66
Placebo + Lenalidomide + Dexamethasone
17.6
14.52 – 20.27
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)Secondary· From the date of signing of the informed consent form through 30 days after the last dose of study drug up to approximately 115 months
Eastern Cooperative Oncology Group (ECOG) performance score, laboratory values, vital sign measurements and reported adverse events (AEs) were collected and assessed to evaluate the safety of therapy throughout the study. An 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 d
TEAEs
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
359
Placebo + Lenalidomide + Dexamethasone
357
SAEs
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
205
Placebo + Lenalidomide + Dexamethasone
201
Number of Participants With Change From Baseline in Pain ResponseSecondary· Baseline and end of treatment (EOT) (up to approximately 38 months)
Pain response was defined as 30% reduction from Baseline in Brief Pain Inventory-Short Form (BPI-SF) worst pain score over the last 24 hours without an increase in analgesic (oral morphine equivalents) use at 2 consecutive evaluations. The BPI-SF contains 15 items designed to capture the pain severity ("worst," "least," "average," and "now" \[current pain\]), pain location, medication to relieve the pain, and the interference of pain with various daily activities including general activity, mood, walking activity, normal work, relations with other people, sleep, and enjoyment of life. The pain
Baseline
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
345
Placebo + Lenalidomide + Dexamethasone
351
EOT
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
145
Placebo + Lenalidomide + Dexamethasone
153
Change From Baseline in the European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) Questionnaire (EORTC-QLQ-C30)Secondary· Baseline, EOT and follow-up (up to approximately 97 months)
The EORTC-QLQ-C30 is a 30-question tool used to assess the overall quality of life in cancer participants. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact).The EORTC-QLQ-C30 Global Health Status/QOL Scale is scored between 0 and 100, where higher scores indicate better Global Health Status/QOL. Negative changes from baseline indicate deterioration in QOL or functioni
Global Health Index: Baseline
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
58.4
± 22.60
Placebo + Lenalidomide + Dexamethasone
56.4
± 22.12
Global Health Index: End of Treatment
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
-6.0
± 24.6
Placebo + Lenalidomide + Dexamethasone
-6.0
± 23.85
Global Health Index: Last Follow-up
Group
Value
95% CI
Placebo + Lenalidomide + Dexamethasone
16.7
± NA
Physical Functioning: Baseline
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
70.0
± 21.74
Placebo + Lenalidomide + Dexamethasone
67.3
± 23.54
Physical Functioning: EOT
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
-4.7
± 22.61
Placebo + Lenalidomide + Dexamethasone
-6.2
± 23.36
Physical Functioning: Last Follow-up
Group
Value
95% CI
Placebo + Lenalidomide + Dexamethasone
0.0
± NA
Role Functioning: Baseline
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
68.4
± 28.75
Placebo + Lenalidomide + Dexamethasone
64.4
± 30.24
Role Functioning: EOT
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
-8.6
± 31.27
Placebo + Lenalidomide + Dexamethasone
-8.6
± 32.90
Change From Baseline in the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Multiple Myeloma Module (QLQ-MY-20)Secondary· Baseline, EOT and follow-up (up to approximately 97 months)
The EORTC-QLQ-MY-20 is a patient-completed, 20-question quality of life questionnaire that has 4 independent subscales, 2 functional subscales (body image, future perspective), and 2 symptoms scales (disease symptoms and side-effects of treatment). The participant answers questions about their health during the past week using a 4-point scale where 1=Not at All to 4=Very Much. A negative change from Baseline indicates improvement. Scores are linearly transformed to a 0-100 scale. Higher scores on the symptom scales (e.g. Disease Symptoms, Side Effects of Treatment) represent higher levels of s
Disease Symptoms: Baseline
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
29.71
± 20.850
Placebo + Lenalidomide + Dexamethasone
30.41
± 23.072
Disease Symptoms: EOT
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
-2.35
± 20.752
Placebo + Lenalidomide + Dexamethasone
-2.58
± 21.372
Disease Symptoms: Last Follow-up
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
1.11
± NA
Side Effects of Treatment: Baseline
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
17.23
± 14.289
Placebo + Lenalidomide + Dexamethasone
17.97
± 14.682
Side Effects of Treatment: EOT
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
4.52
± 14.435
Placebo + Lenalidomide + Dexamethasone
4.43
± 13.955
Side Effects of Treatment: Last Follow-up
Group
Value
95% CI
Placebo + Lenalidomide + Dexamethasone
37.04
± NA
Body Image: Baseline
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
78.00
± 29.259
Placebo + Lenalidomide + Dexamethasone
79.48
± 27.233
Body Image: EOT
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
-0.27
± 29.102
Placebo + Lenalidomide + Dexamethasone
-5.38
± 29.368
OS in High-Risk ParticipantsSecondary· From the time of screening until disease progression and thereafter every 12 weeks until death or study termination (up to approximately 97 months)
Overall survival (OS) is defined as the time from the date of randomization to the date of death. High-risk participants are defined as participants carrying cytogenic abnormalities: del(17), translocation t(4;14), or t(14;16) as reported by the central laboratory combined with those cases that lacked a central laboratory result but with known del (17), t(4;14), or t(14;16) by local laboratory. Cytogenetic abnormalities of del(13) and +1q are not included in the analysis. Participants without documentation of death at the time of the analysis were censored at the date when they were last known
Group
Value
95% CI
Ixazomib+ Lenalidomide + Dexamethasone
46.9
34.04 – 64.53
Placebo + Lenalidomide + Dexamethasone
30.9
24.77 – 42.25
Adverse events — posted to ClinicalTrials.gov
Time frame: From the date of signing of the informed consent form through 30 days after the last dose of study drug up to approximately 115 months.
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Ixazomib+ Lenalidomide + Dexamethasone
Serious: 205/361 (57%)
Deaths: 250/361
Placebo + Lenalidomide + Dexamethasone
Serious: 202/359 (56%)
Deaths: 251/359
Serious adverse events (326 terms)
Reaction
System
Ixazomib+ Lenalidomide + D…
Placebo + Lenalidomide + D…
Pneumonia
Infections and infestations
—
—
Pyrexia
General disorders
—
—
Diarrhoea
Gastrointestinal disorders
—
—
Anaemia
Blood and lymphatic system disorders
—
—
Bronchitis
Infections and infestations
—
—
Febrile neutropenia
Blood and lymphatic system disorders
—
—
Pulmonary embolism
Respiratory, thoracic and mediastinal disorders
—
—
Back pain
Musculoskeletal and connective tissue disorders
—
—
Influenza
Infections and infestations
—
—
Atrial fibrillation
Cardiac disorders
—
—
Cataract
Eye disorders
—
—
Deep vein thrombosis
Vascular disorders
—
—
Respiratory tract infection
Infections and infestations
—
—
Squamous cell carcinoma of skin
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
The purpose of this study is to determine whether the addition of oral ixazomib to the background therapy of lenalidomide and dexamethasone improves progression free survival (PFS) in participants with relapsed and/or refractory multiple myeloma (RRMM).
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
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Currently open trials in the same condition.
NCT06348108 — Talquetamab in Combination With Iberdomide and Dexamethasone for Relapsed or Refractory Multiple Myeloma
· Phase 1
· recruiting
NCT05896228 — Iberdomide, Daratumumab, Carfilzomib, and Dexamethasone (Iber-KDd) in Patients With Relapsed/Refractory Multiple Myeloma
· Phase 2
· recruiting
NCT06119685 — IDP-023 as a Single Agent and in Combination With Antibody Therapies in Patients With Advanced Hematologic Cancers
· Phase 1, PHASE2
· recruiting
NCT05577000 — Anti-BCMA Chimeric Antigen Receptor T Cells for Relapsed or Refractory Multiple Myeloma
· Phase 1
· active not recruiting
NCT04965155 — A Trial for Relapsed Multiple Myeloma Patients (Isatuximab-dexamethasone)
· Phase 2
· active not recruiting
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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 Takeda
Last refreshed: 10 March 2023
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/NCT01564537.