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NCT02335983

Phase 1b Study of Weekly Carfilzomib in Combination With Lenalidomide and Dexamethasone in Subjects With Multiple Myeloma

Completed Phase 1 Results posted Last updated 6 November 2020
What this trial tests

Phase 1 trial testing Carfilzomib in Multiple Myeloma in 107 participants. Completed in 28 October 2019.

Timeline
30 April 2015
Primary endpoint
28 October 2019
28 October 2019

Quick facts

Lead sponsorAmgen
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment107
Start date30 April 2015
Primary completion28 October 2019
Estimated completion28 October 2019
Sites59 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Amgen — full company profile →

Who can join

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.

Number of Participants With Adverse Events (AEs) Primary · From the first dose of any study drug up to 30 days after the last dose of any study drug; median (range) duration of treatment with carfilzomib was 32 (1.1, 76.7) weeks in RRMM participants and 26 (1.0, 94.4) weeks in NDMM participants.

Safety and tolerability were evaluated according to the type, incidence, and severity of adverse events. An AE is defined as any untoward medical occurrence in a clinical trial subject. The event does not necessarily have a causal relationship with study treatment. A serious adverse event is defined as an AE that meets at least 1 of the following serious criteria: * fatal * life threatening * requires in-patient hospitalization or prolongation of existing hospitalization * results in persistent or significant disability/incapacity * congenital anomaly/birth defect * other medically importan

Any adverse event (AE)
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²10
RRMM Dose-evaluation: Carfilzomib 70 mg/m²12
RRMM Dose-expansion: Carfilzomib 70 mg/m²34
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²9
NDMM Dose-expansion: Carfilzomib 70 mg/m²9
NDMM Dose-expansion: Carfilzomib 56 mg/m²33
AE Grade ≥ 3
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²7
RRMM Dose-evaluation: Carfilzomib 70 mg/m²9
RRMM Dose-expansion: Carfilzomib 70 mg/m²23
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²5
NDMM Dose-expansion: Carfilzomib 70 mg/m²6
NDMM Dose-expansion: Carfilzomib 56 mg/m²21
Serious adverse events
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²4
RRMM Dose-evaluation: Carfilzomib 70 mg/m²5
RRMM Dose-expansion: Carfilzomib 70 mg/m²10
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²3
NDMM Dose-expansion: Carfilzomib 70 mg/m²3
NDMM Dose-expansion: Carfilzomib 56 mg/m²11
AEs leading to discontinuation of carfilzomib
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²1
RRMM Dose-evaluation: Carfilzomib 70 mg/m²2
RRMM Dose-expansion: Carfilzomib 70 mg/m²5
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²0
NDMM Dose-expansion: Carfilzomib 70 mg/m²2
NDMM Dose-expansion: Carfilzomib 56 mg/m²1
AEs leading to discontinuation of lenalidomide
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²1
RRMM Dose-evaluation: Carfilzomib 70 mg/m²2
RRMM Dose-expansion: Carfilzomib 70 mg/m²5
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²0
NDMM Dose-expansion: Carfilzomib 70 mg/m²2
NDMM Dose-expansion: Carfilzomib 56 mg/m²2
AEs leading to discontinuation of dexamethasone
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²1
RRMM Dose-evaluation: Carfilzomib 70 mg/m²2
RRMM Dose-expansion: Carfilzomib 70 mg/m²5
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²0
NDMM Dose-expansion: Carfilzomib 70 mg/m²2
NDMM Dose-expansion: Carfilzomib 56 mg/m²2
Fatal adverse events
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²0
RRMM Dose-evaluation: Carfilzomib 70 mg/m²0
RRMM Dose-expansion: Carfilzomib 70 mg/m²2
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²0
NDMM Dose-expansion: Carfilzomib 70 mg/m²0
NDMM Dose-expansion: Carfilzomib 56 mg/m²0
Treatment-related adverse events (TRAE)
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²9
RRMM Dose-evaluation: Carfilzomib 70 mg/m²11
RRMM Dose-expansion: Carfilzomib 70 mg/m²30
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²9
NDMM Dose-expansion: Carfilzomib 70 mg/m²9
NDMM Dose-expansion: Carfilzomib 56 mg/m²32
Change From Baseline in Hemoglobin Levels Primary · Baseline and Cycle 1, days 8 and 15 and Cycle 2 days 1, 8, and 15
Baseline
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²116.90± 14.58
RRMM Dose-evaluation: Carfilzomib 70 mg/m²120.67± 13.51
RRMM Dose-expansion: Carfilzomib 70 mg/m²123.24± 16.57
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²111.50± 18.04
NDMM Dose-expansion: Carfilzomib 70 mg/m²120.00± 20.96
NDMM Dose-expansion: Carfilzomib 56 mg/m²113.21± 16.66
Change from Baseline to Cycle 1 Day 8
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²-1.50± 7.52
RRMM Dose-evaluation: Carfilzomib 70 mg/m²-3.33± 6.39
RRMM Dose-expansion: Carfilzomib 70 mg/m²-0.91± 5.46
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²-1.25± 8.17
NDMM Dose-expansion: Carfilzomib 70 mg/m²-5.56± 6.11
NDMM Dose-expansion: Carfilzomib 56 mg/m²-1.82± 7.21
Change from Baseline to Cycle 1 Day 15
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²-6.90± 8.61
RRMM Dose-evaluation: Carfilzomib 70 mg/m²-9.50± 6.29
RRMM Dose-expansion: Carfilzomib 70 mg/m²-5.10± 7.88
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²-1.75± 12.70
NDMM Dose-expansion: Carfilzomib 70 mg/m²-6.50± 10.20
NDMM Dose-expansion: Carfilzomib 56 mg/m²-5.64± 9.10
Change from Baseline to Cycle 2 Day 1
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²-5.70± 9.78
RRMM Dose-evaluation: Carfilzomib 70 mg/m²-9.25± 8.67
RRMM Dose-expansion: Carfilzomib 70 mg/m²-7.38± 7.76
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²-3.75± 12.65
NDMM Dose-expansion: Carfilzomib 70 mg/m²-3.29± 9.60
NDMM Dose-expansion: Carfilzomib 56 mg/m²2.19± 10.59
Change from Baseline to Cycle 2 Day 8
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²-6.00± 11.91
RRMM Dose-evaluation: Carfilzomib 70 mg/m²-8.17± 9.00
RRMM Dose-expansion: Carfilzomib 70 mg/m²-5.59± 8.35
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²-0.13± 14.64
NDMM Dose-expansion: Carfilzomib 70 mg/m²-2.86± 8.49
NDMM Dose-expansion: Carfilzomib 56 mg/m²4.19± 12.41
Change from Baseline to Cycle 2 Day 15
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²-8.50± 12.47
RRMM Dose-evaluation: Carfilzomib 70 mg/m²-11.33± 8.04
RRMM Dose-expansion: Carfilzomib 70 mg/m²-8.45± 10.08
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²0.00± 14.05
NDMM Dose-expansion: Carfilzomib 70 mg/m²-5.14± 13.58
NDMM Dose-expansion: Carfilzomib 56 mg/m²2.97± 13.04
Change From Baseline in Platelet Count Primary · Baseline and Cycle 1, days 8 and 15 and Cycle 2 days 1, 8, and 15
Baseline
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²151.60± 54.40
RRMM Dose-evaluation: Carfilzomib 70 mg/m²202.50± 67.13
RRMM Dose-expansion: Carfilzomib 70 mg/m²172.38± 33.70
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²214.00± 79.22
NDMM Dose-expansion: Carfilzomib 70 mg/m²242.89± 99.24
NDMM Dose-expansion: Carfilzomib 56 mg/m²233.03± 67.76
Change from Baseline to Cycle 1 Day 8
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²-12.90± 29.88
RRMM Dose-evaluation: Carfilzomib 70 mg/m²-49.50± 58.90
RRMM Dose-expansion: Carfilzomib 70 mg/m²-17.36± 21.75
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²2.38± 63.66
NDMM Dose-expansion: Carfilzomib 70 mg/m²-51.11± 42.10
NDMM Dose-expansion: Carfilzomib 56 mg/m²-21.42± 36.40
Change from Baseline to Cycle 1 Day 15
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²-58.60± 32.76
RRMM Dose-evaluation: Carfilzomib 70 mg/m²-66.83± 87.14
RRMM Dose-expansion: Carfilzomib 70 mg/m²-66.39± 38.30
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²-23.25± 116.67
NDMM Dose-expansion: Carfilzomib 70 mg/m²-101.88± 84.66
NDMM Dose-expansion: Carfilzomib 56 mg/m²-53.39± 43.60
Change from Baseline to Cycle 2 Day 1
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²55.00± 38.61
RRMM Dose-evaluation: Carfilzomib 70 mg/m²68.67± 84.62
RRMM Dose-expansion: Carfilzomib 70 mg/m²44.84± 52.82
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²141.75± 92.68
NDMM Dose-expansion: Carfilzomib 70 mg/m²152.00± 244.50
NDMM Dose-expansion: Carfilzomib 56 mg/m²111.06± 84.26
Change from Baseline to Cycle 2 Day 8
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²-44.10± 38.14
RRMM Dose-evaluation: Carfilzomib 70 mg/m²-74.75± 86.91
RRMM Dose-expansion: Carfilzomib 70 mg/m²-71.06± 37.93
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²-28.00± 111.10
NDMM Dose-expansion: Carfilzomib 70 mg/m²-106.29± 130.18
NDMM Dose-expansion: Carfilzomib 56 mg/m²-52.78± 60.70
Change from Baseline to Cycle 2 Day 15
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²-44.40± 21.48
RRMM Dose-evaluation: Carfilzomib 70 mg/m²-63.25± 72.53
RRMM Dose-expansion: Carfilzomib 70 mg/m²-60.13± 43.37
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²-21.25± 82.11
NDMM Dose-expansion: Carfilzomib 70 mg/m²-76.14± 116.02
NDMM Dose-expansion: Carfilzomib 56 mg/m²-44.19± 64.73
Change From Baseline in Neutrophil Count Primary · Baseline and Cycle 1, days 8 and 15 and Cycle 2 days 1, 8, and 15
Baseline
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²2.53± 1.01
RRMM Dose-evaluation: Carfilzomib 70 mg/m²3.40± 1.54
RRMM Dose-expansion: Carfilzomib 70 mg/m²2.72± 0.94
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²3.04± 0.73
NDMM Dose-expansion: Carfilzomib 70 mg/m²3.24± 2.24
NDMM Dose-expansion: Carfilzomib 56 mg/m²3.26± 1.46
Change from Baseline to Cycle 1 Day 8
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²0.02± 0.82
RRMM Dose-evaluation: Carfilzomib 70 mg/m²0.03± 1.87
RRMM Dose-expansion: Carfilzomib 70 mg/m²0.97± 1.19
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²0.59± 1.20
NDMM Dose-expansion: Carfilzomib 70 mg/m²-0.19± 1.25
NDMM Dose-expansion: Carfilzomib 56 mg/m²0.37± 1.29
Change from Baseline to Cycle 1 Day 15
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²0.28± 1.14
RRMM Dose-evaluation: Carfilzomib 70 mg/m²-0.09± 1.94
RRMM Dose-expansion: Carfilzomib 70 mg/m²0.81± 1.09
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²1.08± 1.53
NDMM Dose-expansion: Carfilzomib 70 mg/m²0.43± 1.83
NDMM Dose-expansion: Carfilzomib 56 mg/m²0.09± 1.48
Change from Baseline to Cycle 2 Day 1
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²0.36± 1.99
RRMM Dose-evaluation: Carfilzomib 70 mg/m²-0.33± 1.59
RRMM Dose-expansion: Carfilzomib 70 mg/m²0.16± 1.15
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²0.02± 0.58
NDMM Dose-expansion: Carfilzomib 70 mg/m²0.09± 2.46
NDMM Dose-expansion: Carfilzomib 56 mg/m²0.18± 0.95
Change from Baseline to Cycle 2 Day 8
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²0.18± 0.68
RRMM Dose-evaluation: Carfilzomib 70 mg/m²-0.67± 1.28
RRMM Dose-expansion: Carfilzomib 70 mg/m²0.63± 1.08
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²0.57± 1.05
NDMM Dose-expansion: Carfilzomib 70 mg/m²0.46± 2.49
NDMM Dose-expansion: Carfilzomib 56 mg/m²0.41± 1.25
Change from Baseline to Cycle 2 Day 15
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²-0.30± 0.71
RRMM Dose-evaluation: Carfilzomib 70 mg/m²-0.54± 1.69
RRMM Dose-expansion: Carfilzomib 70 mg/m²-0.06± 1.25
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²0.33± 0.53
NDMM Dose-expansion: Carfilzomib 70 mg/m²0.56± 2.92
NDMM Dose-expansion: Carfilzomib 56 mg/m²0.42± 2.00
Change From Baseline in Bilirubin Primary · Baseline and Cycle 2 day 1
Baseline
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²8.55± 3.78
RRMM Dose-evaluation: Carfilzomib 70 mg/m²9.98± 4.72
RRMM Dose-expansion: Carfilzomib 70 mg/m²9.10± 4.76
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²10.26± 4.38
NDMM Dose-expansion: Carfilzomib 70 mg/m²6.84± 4.01
NDMM Dose-expansion: Carfilzomib 56 mg/m²7.16± 3.29
Change from Baseline to Cycle 2 Day 1
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²0.86± 3.25
RRMM Dose-evaluation: Carfilzomib 70 mg/m²1.00± 3.68
RRMM Dose-expansion: Carfilzomib 70 mg/m²1.34± 3.52
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²3.42± 5.56
NDMM Dose-expansion: Carfilzomib 70 mg/m²0.49± 2.91
NDMM Dose-expansion: Carfilzomib 56 mg/m²1.21± 3.10
Change From Baseline in Creatinine Primary · Baseline and Cycle 1, days 8 and 15 and Cycle 2 days 1, 8, and 15
Baseline
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²80.18± 18.57
RRMM Dose-evaluation: Carfilzomib 70 mg/m²82.88± 22.01
RRMM Dose-expansion: Carfilzomib 70 mg/m²79.09± 17.61
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²75.80± 7.78
NDMM Dose-expansion: Carfilzomib 70 mg/m²95.37± 41.17
NDMM Dose-expansion: Carfilzomib 56 mg/m²80.60± 21.56
Change from Baseline to Cycle 1 Day 8
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²-2.65± 5.05
RRMM Dose-evaluation: Carfilzomib 70 mg/m²-5.30± 10.29
RRMM Dose-expansion: Carfilzomib 70 mg/m²2.09± 8.31
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²-1.22± 8.25
NDMM Dose-expansion: Carfilzomib 70 mg/m²-8.51± 29.44
NDMM Dose-expansion: Carfilzomib 56 mg/m²-0.22± 12.89
Change from Baseline to Cycle 1 Day 15
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²-4.42± 7.92
RRMM Dose-evaluation: Carfilzomib 70 mg/m²-4.60± 11.32
RRMM Dose-expansion: Carfilzomib 70 mg/m²-1.85± 12.69
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²3.65± 27.29
NDMM Dose-expansion: Carfilzomib 70 mg/m²29.39± 130.24
NDMM Dose-expansion: Carfilzomib 56 mg/m²0.42± 17.59
Change from Baseline to Cycle 2 Day 1
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²-3.80± 6.81
RRMM Dose-evaluation: Carfilzomib 70 mg/m²-7.74± 11.98
RRMM Dose-expansion: Carfilzomib 70 mg/m²-1.44± 9.66
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²-10.39± 10.05
NDMM Dose-expansion: Carfilzomib 70 mg/m²-17.17± 36.71
NDMM Dose-expansion: Carfilzomib 56 mg/m²-4.31± 9.84
Change from Baseline to Cycle 2 Day 8
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²-6.45± 4.97
RRMM Dose-evaluation: Carfilzomib 70 mg/m²-11.09± 12.70
RRMM Dose-expansion: Carfilzomib 70 mg/m²1.85± 10.95
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²-12.27± 8.20
NDMM Dose-expansion: Carfilzomib 70 mg/m²-20.08± 37.86
NDMM Dose-expansion: Carfilzomib 56 mg/m²-4.32± 9.36
Change from Baseline to Cycle 2 Day 15
GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²-6.28± 10.29
RRMM Dose-evaluation: Carfilzomib 70 mg/m²-13.26± 9.05
RRMM Dose-expansion: Carfilzomib 70 mg/m²4.88± 13.78
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²-12.38± 6.90
NDMM Dose-expansion: Carfilzomib 70 mg/m²-21.85± 39.17
NDMM Dose-expansion: Carfilzomib 56 mg/m²-1.99± 18.08
Maximum Plasma Concentration of Carfilzomib on Day 8 of Cycle 1 by Dose Group Secondary · Day 8 of Cycle 1 at predose, 15 minutes after the start of infusion, at the end of infusion, and 15 and 60 minutes after the end of infusion
GroupValue95% CI
Carfilzomib 56 mg/m²11700± 67300
Carfilzomib 70 mg/m²12400± 45000
Time to Maximum Plasma Concentration of Carfilzomib on Day 8 of Cycle 1 by Dose Group Secondary · Day 8 of Cycle 1 at predose, 15 minutes after the start of infusion, at the end of infusion, and 15 and 60 minutes after the end of infusion
GroupValue95% CI
Carfilzomib 56 mg/m²0.280.17 – 24
Carfilzomib 70 mg/m²0.270.17 – 0.68
Area Under the Curve From Time Zero to Time of Last Quantifiable Concentration of Carfilzomib on Day 8 of Cycle 1 by Dose Group Secondary · Day 8 of Cycle 1 at predose, 15 minutes after the start of infusion, at the end of infusion, and 15 and 60 minutes after the end of infusion
GroupValue95% CI
Carfilzomib 56 mg/m²4150± 17500
Carfilzomib 70 mg/m²9130± 32800
Overall Response Rate (ORR) Secondary · Response assessments were performed on day 1 of each treatment cycle from cycle 2 and then every 8 weeks during follow-up until disease progression. Median time on follow-up was 10.6 months in RRMM participants and 6.9 months in NDMM participants.

Response was determined by the investigator based on the International Myeloma Working Group Uniform Response Criteria (IMWG URC). ORR was defined as the percentage of participants who achieved a best response of stringent complete response (sCR), complete response (CR), very good partial response (VGPR) or partial response (PR). Responses must have been confirmed in 2 consecutive assessments at any time prior to initiation of any new therapy. Disease assessments included serum protein electrophoresis (SPEP) with immunofixation, urine protein electrophoresis (UPEP; 24-hour assessment) with im

GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²90.055.5 – 99.7
RRMM Dose-evaluation: Carfilzomib 70 mg/m²91.761.5 – 99.8
RRMM Dose-expansion: Carfilzomib 70 mg/m²88.272.5 – 96.7
RRMM: Combined Carfilzomib 70 mg/m²89.176.4 – 96.4
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²88.951.8 – 99.7
NDMM Dose-expansion: Carfilzomib 70 mg/m²77.840.0 – 97.2
NDMM: Combined Carfilzomib 70 mg/m²83.358.6 – 96.4
NDMM Dose-expansion: Carfilzomib 56 mg/m²97.084.2 – 99.9
Complete Response Rate (CRR) Secondary · Response assessments were performed on day 1 of each treatment cycle from cycle 2 and then every 8 weeks during follow-up until disease progression. Median time on follow-up was 10.6 months in RRMM participants and 6.9 months in NDMM participants.

Complete Response Rate (CRR) is defined as the percentage of participants who achieved a best overall response of either stringent complete response (sCR) or complete response (CR) in accordance with International Myeloma Working Group-Uniform Response Criteria (IMWG-URC). sCR: As for CR, and absence of clonal plasma cells in bone marrow (BM) CR: Negative serum and urine immunofixation, disappearance of any soft tissue plasmacytomas, \< 5% plasma cells in BM, and normal SFLC ratio in participants with measurable disease only by SFLC.

GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²20.02.5 – 55.6
RRMM Dose-evaluation: Carfilzomib 70 mg/m²16.72.1 – 48.4
RRMM Dose-expansion: Carfilzomib 70 mg/m²26.512.9 – 44.4
RRMM: Combined Carfilzomib 70 mg/m²23.912.6 – 38.8
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²22.22.8 – 60.0
NDMM Dose-expansion: Carfilzomib 70 mg/m²11.10.3 – 48.2
NDMM: Combined Carfilzomib 70 mg/m²16.73.6 – 41.4
NDMM Dose-expansion: Carfilzomib 56 mg/m²33.318.0 – 51.8
Progression-free Survival (PFS) Secondary · From first dose of study drug until the end of follow-up; Median time on follow-up was 10.6 months in RRMM participants and 6.9 months in NDMM participants.

PFS is defined as the time from the first day of study treatment to the earlier of disease progression or death due to any cause. Disease progression was determined by the investigator according to IMWG-URC. Progressive Disease (PD): Increase of 25% from lowest value in serum M-component (absolute increase ≥ 0.5 g/dL), urine M-component (absolute increase ≥ 200 mg per 24 hours) and/or the difference between involved and uninvolved FLC levels (absolute increase \>10 mg/dL) in patients without measurable serum and urine M-protein levels, and/or any new or increase in size of bone lesions or sof

GroupValue95% CI
RRMM Dose-evaluation: Carfilzomib 56 mg/m²NA14.8 – NA
RRMM Dose-evaluation: Carfilzomib 70 mg/m²NA5.6 – NA
RRMM Dose-expansion: Carfilzomib 70 mg/m²NA21.1 – NA
RRMM: Combined Carfilzomib 70 mg/m²NA21.1 – NA
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²NA4.7 – NA
NDMM Dose-expansion: Carfilzomib 70 mg/m²NANA – NA
NDMM: Combined Carfilzomib 70 mg/m²NANA – NA
NDMM Dose-expansion: Carfilzomib 56 mg/m²NANA – NA

Adverse events — posted to ClinicalTrials.gov

Time frame: All-cause Mortality is reported from the enrollment date up to the end of study; maximum time on study was 30.6 months. Treatment-emergent adverse events are reported from the first dose of any study drug up to 30 days after the last dose of any study drug; median (range) duration of treatment with carfilzomib was 32 (1.1, 76.7) weeks in RRMM participants and 26 (1.0, 94.4) weeks in NDMM participants.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

RRMM Dose-evaluation: Carfilzomib 56 mg/m²
Serious: 4/10 (40%)
Deaths: 0/10
RRMM Dose-evaluation: Carfilzomib 70 mg/m²
Serious: 5/12 (42%)
Deaths: 0/12
RRMM Dose-expansion: Carfilzomib 70 mg/m²
Serious: 10/34 (29%)
Deaths: 2/34
NDMM Dose-evaluation: Carfilzomib 56/70 mg/m²
Serious: 3/9 (33%)
Deaths: 0/9
NDMM Dose-expansion: Carfilzomib 70 mg/m²
Serious: 3/9 (33%)
Deaths: 0/9
NDMM Dose-expansion: Carfilzomib 56 mg/m²
Serious: 11/33 (33%)
Deaths: 0/33

Serious adverse events (44 terms)

ReactionSystemRRMM Dose-evaluation: Carf…RRMM Dose-evaluation: Carf…RRMM Dose-expansion: Carfi…NDMM Dose-evaluation: Carf…NDMM Dose-expansion: Carfi…NDMM Dose-expansion: Carfi…
PneumoniaInfections and infestations
Thrombotic microangiopathyBlood and lymphatic system disorders
Cardiac failure congestiveCardiac disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Febrile neutropeniaBlood and lymphatic system disorders
PancytopeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Angina pectorisCardiac disorders
Cardiac arrestCardiac disorders
Cardiac disorderCardiac disorders
Vitello-intestinal duct remnantCongenital, familial and genetic disorders
Lower gastrointestinal haemorrhageGastrointestinal disorders
AstheniaGeneral disorders
Peripheral swellingGeneral disorders
PyrexiaGeneral disorders
Strangulated herniaGeneral disorders
Systemic inflammatory response syndromeGeneral disorders
HyperbilirubinaemiaHepatobiliary disorders
Clostridium difficile colitisInfections and infestations
Device related infectionInfections and infestations
GastroenteritisInfections and infestations
OrchitisInfections and infestations
Pneumonia influenzalInfections and infestations
Pneumonia respiratory syncytial viralInfections and infestations
SepsisInfections and infestations
Other adverse events (247 terms — click to expand)

ReactionSystemRRMM Dose-evaluation: Carf…RRMM Dose-evaluation: Carf…RRMM Dose-expansion: Carfi…NDMM Dose-evaluation: Carf…NDMM Dose-expansion: Carfi…NDMM Dose-expansion: Carfi…
FatigueGeneral disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
InsomniaPsychiatric disorders
Upper respiratory tract infectionInfections and infestations
HeadacheNervous system disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
Oedema peripheralGeneral disorders
Platelet count decreasedInvestigations
PruritusSkin and subcutaneous tissue disorders
ConstipationGastrointestinal disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
DyspepsiaGastrointestinal disorders
HypokalaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
RashSkin and subcutaneous tissue disorders
Alanine aminotransferase increasedInvestigations
DysgeusiaNervous system disorders
HypertensionVascular disorders
ThrombocytopeniaBlood and lymphatic system disorders
VomitingGastrointestinal disorders
PyrexiaGeneral disorders
PneumoniaInfections and infestations
Decreased appetiteMetabolism and nutrition disorders
HypocalcaemiaMetabolism and nutrition disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Abdominal painGastrointestinal disorders
Aspartate aminotransferase increasedInvestigations
Blood bilirubin increasedInvestigations
White blood cell count decreasedInvestigations
HyperglycaemiaMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders
HypophosphataemiaMetabolism and nutrition disorders

Most-reported serious reactions: Pneumonia, Thrombotic microangiopathy, Cardiac failure congestive, Pleural effusion, Febrile neutropenia, Pancytopenia, Thrombocytopenia, Angina pectoris.

Data from ClinicalTrials.gov NCT02335983 adverse events section.

Sponsor's own description

The purpose of the study is to assess the safety, tolerability and activity of a once-weekly regimen of carfilzomib in combination with lenalidomide and dexamethasone for the treatment of multiple myeloma.

Publications & conference data

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

  1. Weekly carfilzomib, lenalidomide, and dexamethasone in relapsed or refractory multiple myeloma: A phase 1b study.
    Biran N, Siegel D, Berdeja JG, Raje N, et al · · 2019 · cited 12× · PMID 31021005 · DOI 10.1002/ajh.25498
  2. Phase 1b trial of proteasome inhibitor carfilzomib with irinotecan in lung cancer and other irinotecan-sensitive malignancies that have progressed on prior therapy (Onyx IST reference number: CAR-IST-553).
    Arnold SM, Chansky K, Leggas M, Thompson MA, et al · · 2017 · cited 10× · PMID 28204981 · DOI 10.1007/s10637-017-0441-4
  3. A phase 1b study of once-weekly carfilzomib combined with lenalidomide and dexamethasone in patients with newly diagnosed multiple myeloma.
    Alsina M, Landgren O, Raje N, Niesvizky R, et al · · 2021 · cited 3× · PMID 33125764 · DOI 10.1002/ajh.26041
  4. Immunotherapy Strategies Against Multiple Myeloma
    Ma J, Li Q, Yu Z, Cao Z, et al · · 2017

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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/NCT02335983.

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