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NCT01718743

Ixazomib Citrate and Lenalidomide After Stem Cell Transplant in Treating Patients With Newly Diagnosed Multiple Myeloma

Completed Phase 2 Results posted Last updated 28 January 2025
What this trial tests

Phase 2 trial testing Ixazomib Citrate in Hematopoietic Cell Transplantation Recipient in 64 participants. Completed in 12 April 2023.

Timeline
3 December 2012
Primary endpoint
12 April 2023
12 April 2023

Quick facts

Lead sponsorM.D. Anderson Cancer Center
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment64
Start date3 December 2012
Primary completion12 April 2023
Estimated completion12 April 2023
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

M.D. Anderson Cancer Center — full company profile →

Who can join

18 and older, any sex, with Hematopoietic Cell Transplantation Recipient or Plasma Cell 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 Primary · Time from autologous stem cell transplant (ASCT) to time of clinical progression or death or the time of last contact, assessed up to 30 days after completion of study treatment

Monitored using the method of Thall et al. Estimated using the Kaplan-Meier method. Log-rank test will be performed to test the difference in time-to-event distributions between patient groups. Cox proportional hazards model will be used to include multiple covariates in the time-to-event analysis.

GroupValue95% CI
Treatment (Ixazomib Citrate, Lenalidomide)73.359.9 – NA
Best Response Rate (Stringent Complete Response [sCR]/Near Complete Response [nCR]/Very Good Partial Response [VGPR]/Partial Response [PR]) Secondary · through out study treatment and up to 30 days after completion of study treatment, up to 119 months

Estimated along with 95% confidence intervals.

GroupValue95% CI
Treatment (Ixazomib Citrate, Lenalidomide)98.491.5 – 100
Treatment-related Unmanageable Toxicities, Including Grade 3 Non-hematologic Effects, or Grade 4 Hematologic Effects Secondary · throughout study treatment and up to 30 days after completion of study treatment, up to 119 months

Toxicity data will be summarized by frequency tables.

Serious AE-Lung Infections
GroupValue95% CI
Treatment (Ixazomib Citrate, Lenalidomide)12
Serious AE-Treatment-related secondary malignancy
GroupValue95% CI
Treatment (Ixazomib Citrate, Lenalidomide)9
Serious AE-Respiratory Disorders including respiratory failures
GroupValue95% CI
Treatment (Ixazomib Citrate, Lenalidomide)8
Serious AE-other infections
GroupValue95% CI
Treatment (Ixazomib Citrate, Lenalidomide)5
Number of Participants Incidence of New Primary Malignancy Secondary · through out study treatment and up to 30 days after completion of study treatment, up to 119 months

Count of participants

GroupValue95% CI
Treatment (Ixazomib Citrate, Lenalidomide)9
Overall Survival Secondary · through out study treatment and up to 30 days after completion of study treatment, up to 119 months

Estimated using the Kaplan-Meier method. Cox proportional hazards model will be used to include multiple covariates. Log-rank test will be performed to test the difference in time-to-event distributions between patient groups. Cox proportional hazards model will be used to include multiple covariates in the time-to-event analysis.

GroupValue95% CI
Treatment (Ixazomib Citrate, Lenalidomide)NANA – NA
M. D. Anderson Symptom Inventory (MDASI)-Myeloma Symptom Evaluation Secondary · through out study treatment and up to 30 days after completion of study treatment, up to 119 months

Analyzed with descriptive analysis. The MDASI-MM scores measure the how severe the symptoms are, so higher scores are considered to be worse patient outcomes. Five subscales are derived from the 26 questions of the MDASI-MM questionnaire: 1. mean core (13 MDASI core symptom items), ranges from 0 to 130. 2. mean severity (13 MDASI core plus 7 MM-specific items), ranges from 0 to 200. 3. mean interference (6 interference items), ranges from 0 to 60. 4. mean WAW (interference with work, general activity, and walking), ranges from 0 to 30. 5. mean REM (interference with relations with people, enj

Core Score at Cycle 1
GroupValue95% CI
Treatment (Ixazomib Citrate, Lenalidomide)1.13± 1.35
Severity Score at Cycle 1
GroupValue95% CI
Treatment (Ixazomib Citrate, Lenalidomide)1.01± 1.27
Interference Score at Cycle 1
GroupValue95% CI
Treatment (Ixazomib Citrate, Lenalidomide)0.97± 1.52
WAW Score at Cycle 1
GroupValue95% CI
Treatment (Ixazomib Citrate, Lenalidomide)1.12± 1.67
REM Score at Cycle 1
GroupValue95% CI
Treatment (Ixazomib Citrate, Lenalidomide)0.81± 1.54

Adverse events — posted to ClinicalTrials.gov

Time frame: through out study treatment and up to 30 days after completion of study treatment, up to 119 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (Ixazomib Citrate, Lenalidomide)
Serious: 33/64 (52%)
Deaths: 0/64

Serious adverse events (19 terms)

ReactionSystemTreatment (Ixazomib Citrat…
Lung infectionRespiratory, thoracic and mediastinal disorders
Treatment-related secondary malignancyGeneral disorders
Respiratory, thoracic, and mediastinal disorders, including respiratory failureRespiratory, thoracic and mediastinal disorders
Infections and infestationsInfections and infestations
SepsisGeneral disorders
Neoplasms benign, malignant, and unspecified (inclcysts and ployps)Blood and lymphatic system disorders
Upper respiratory infectionRespiratory, thoracic and mediastinal disorders
Acute kidney inuryRenal and urinary disorders
DehydrationGeneral disorders
PancreatitisGastrointestinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Urinary tract infectionInfections and infestations
Urinary retentionRenal and urinary disorders
FeverGeneral disorders
DiarrheaGastrointestinal disorders
Thromboembolic eventBlood and lymphatic system disorders
Nervous system disordersNervous system disorders
Non-cardiac chest painGeneral disorders
SyncopeGeneral disorders
Other adverse events (174 terms — click to expand)

ReactionSystemTreatment (Ixazomib Citrat…
FatigueGeneral disorders
Neutrophil count decreasedBlood and lymphatic system disorders
WBC decreasedBlood and lymphatic system disorders
Peripheral sensory neuropathyNervous system disorders
DiarrheaGastrointestinal disorders
NauseaGastrointestinal disorders
Platelet count decreasedBlood and lymphatic system disorders
MyalgiaMusculoskeletal and connective tissue disorders
ConstipationGastrointestinal disorders
HyperglycemiaGeneral disorders
Upper respiraotry infectionInfections and infestations
VomitingNervous system disorders
Aspartate aminotransferase increasedGeneral disorders
HypomagnesemiaGeneral disorders
Edema limbsSkin and subcutaneous tissue disorders
FeverGeneral disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Alanine aminotransferase increasedGeneral disorders
DizzinessNervous system disorders
Blurred visionNervous system disorders
HypoalbuminemiaGeneral disorders
Dry eyeGeneral disorders
HypocalcemiaGeneral disorders
Memory impairmentNervous system disorders
Creatinine increasedGeneral disorders
Infections and infestationGeneral disorders
HypokalemiaGeneral disorders
InvestigationsGeneral disorders
AnemiaBlood and lymphatic system disorders
PainNervous system disorders
Watering eyesGeneral disorders
Metabolism and nutrition disordersMetabolism and nutrition disorders
HypoglycemiaGeneral disorders
CoughRespiratory, thoracic and mediastinal disorders
Mucositis oralSkin and subcutaneous tissue disorders
Back PainGeneral disorders
Lymphocyte count decreasedBlood and lymphatic system disorders
Alkaline phosphatase increasedGeneral disorders
Lung infectionInfections and infestations
Blood and lymphatic system disordersBlood and lymphatic system disorders

Most-reported serious reactions: Lung infection, Treatment-related secondary malignancy, Respiratory, thoracic, and mediastinal disorders, including respiratory failure, Infections and infestations, Sepsis, Neoplasms benign, malignant, and unspecified (inclcysts and ployps), Upper respiratory infection, Acute kidney inury.

Data from ClinicalTrials.gov NCT01718743 adverse events section.

Sponsor's own description

This phase II trial studies how well ixazomib citrate and lenalidomide after stem cell transplant work in treating patients with newly diagnosed multiple myeloma. Ixazomib citrate may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Biological therapies, such as lenalidomide, may stimulate the immune system in different ways and stop cancer cells from growing. Giving ixazomib citrate together with lenalidomide may be effective in treating multiple myeloma.

Publications & conference data

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

  1. Trial Watch: Proteasomal inhibitors for anticancer therapy.
    Obrist F, Manic G, Kroemer G, Vitale I, et al · · 2015 · cited 17× · PMID 27308423 · DOI 10.4161/23723556.2014.974463
  2. Safety and Efficacy of Combination Maintenance Therapy with Ixazomib and Lenalidomide in Patients with Posttransplant Myeloma.
    Patel KK, Shah JJ, Feng L, Lee HC, et al · · 2022 · cited 8× · PMID 34992070 · DOI 10.1158/1078-0432.ccr-21-3420

Verify or expand the search:

Other trials of Ixazomib Citrate

Trials testing the same drug.

Other recruiting trials for Hematopoietic Cell Transplantation Recipient

Currently open trials in the same condition.

Other M.D. Anderson Cancer Center trials

Trials by the same sponsor.

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