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NCT03773107

LCI-HEM-MYE-CRD-004 (MMRC-073 CARJAK): Study of CRD for Carfilzomib-Refractory Multiple Myeloma

Completed Phase 1, PHASE2 Results posted Last updated 13 January 2025
What this trial tests

Phase 1, PHASE2 trial testing Carfilzomib in Multiple Myeloma in 12 participants. Completed in 21 February 2024.

Timeline
3 January 2019
Primary endpoint
7 November 2022
21 February 2024

Quick facts

Lead sponsorWake Forest University Health Sciences
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment12
Start date3 January 2019
Primary completion7 November 2022
Estimated completion21 February 2024
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Wake Forest University Health Sciences

Who can join

Adults 18 to 75, 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.

Dose Limiting Toxicity (DLT) Primary · 28 days

DLTs will be determined for each subject as a binary variable indicating whether or not the subject experienced a DLT during Cycle 1

GroupValue95% CI
Phase I 5 mg Ruxolitinib0
Phase I 10 mg Ruxolitinib0
Phase I 15 mg Ruxolitinib1
Objective Response Rate (ORR) Secondary · Approximately 180 days after treatment start (disease assessment occurred after every 28-day cycle)

Objective response will be determined for each subject as a binary variable indicating whether or not the subject achieved a best overall response of PR or better as per the IMWG criteria

GroupValue95% CI
Phase I 5mg Ruxolitinib0
Phase I 10 mg Ruxolitinib2
Phase I 15 mg Ruxolitibin1
Clinical Benefit Rate Secondary · Approximately 180 days after treatment start (disease assessment occurred after every 28-day cycle)

Clinical benefit will be determined for each subject as a binary variable indicating whether or not the subject achieved a best overall response of minimal response (MR) or better as determined by the IMWG criteria

GroupValue95% CI
Phase I 5m Ruxolitinib1
Phase I 10 mg Ruxolitinib2
Phase I 15 mg Ruxolitinib1
Disease Control Rate Secondary · Approximately 180 days after treatment start (disease assessment occurred after every 28-day cycle)

Disease control will be determined for each subject as a binary variable indicating whether or not the subject achieved a disease response or stable disease for greater than or equal to 8 weeks

GroupValue95% CI
Phase I 5mg Ruxolitinib3
Phase I 10 mg Ruxolitinib3
Phase I 15 mg Ruxolitinib1
Progression-free Survival (PFS) Secondary · approx. 5 years

PFS is defined as the duration of time from the initiation of study treatment with ruxolitinib to first occurrence of either progressive disease or death without progressive disease.

GroupValue95% CI
Phase I 5mg Ruxolitinib3.01.8 – 3.2
Phase I 10mg Ruxolitinib6.12.6 – 8.3
Phase I 15mg Ruxolitinib10.61.3 – 10.6
Time to Best Response Secondary · Approximately 180 days after treatment start (disease assessment occurred after every 28-day cycle)

Time to best response will be defined as the time from initiation of ruxolitinib treatment to the time of best objective status assessment of response.

GroupValue95% CI
Phase I 10 mg Ruxolitinib3.21.8 – 4.6
Phase I 15 mg Ruxolitinib2.12.1 – 2.1
Overall Survival Secondary · approx. 5 years

Overall survival is defined as the duration from initiation of ruxolitinib treatment to the date of death from any cause.

GroupValue95% CI
Phase I 5mg Ruxolitinib16.115.9 – 23.5
Phase I 10mg Ruxolitinib11.25.9 – 13.1
Phase I 15mg Ruxolitinib10.61.3 – 19.4
Time to Progression Secondary · approx. 5 years

Time to progression (TTP) is defined as the duration of time from the initiation of study treatment with ruxolitinib to first occurrence of either progressive disease or death.

GroupValue95% CI
Phase I 5mg Ruxolitinib3.01.8 – 3.2
Phase I 10mg Ruxolitinib8.34.0 – 8.3
Phase I 15mg Ruxolitinib10.610.6 – 10.6
Duration of Response Secondary · approx. 5 years

Duration of response will be defined as the time from first objective status assessment of response to the time of first documented disease progression or death.

GroupValue95% CI
Phase I 10 mg Ruxolitinib4.82.2 – 7.4
Phase I 15mg Ruxolitinib8.58.5 – 8.5

Adverse events — posted to ClinicalTrials.gov

Time frame: Approximately 5 years. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Phase I 5 mg Ruxolitinib
Serious: 4/5 (80%)
Deaths: 4/5
Phase I 10 mg Ruxolitinib
Serious: 3/4 (75%)
Deaths: 3/4
Phase I 15 mg Ruxolitinib
Serious: 1/3 (33%)
Deaths: 2/3

Serious adverse events (10 terms)

ReactionSystemPhase I 5 mg RuxolitinibPhase I 10 mg RuxolitinibPhase I 15 mg Ruxolitinib
SepsisInfections and infestations
Acute kidney injuryRenal and urinary disorders
AnemiaBlood and lymphatic system disorders
ALT increaseInvestigations
Hepatitis viralInfections and infestations
Lung infectionInfections and infestations
Lung infectionInfections and infestations
Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specifyNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Reversible posterior leukoencephalopathy syndromeNervous system disorders
Small intestinal obstructionGastrointestinal disorders
Other adverse events (63 terms — click to expand)

ReactionSystemPhase I 5 mg RuxolitinibPhase I 10 mg RuxolitinibPhase I 15 mg Ruxolitinib
AnemiaBlood and lymphatic system disorders
Creatinine increasedInvestigations
DyspneaRespiratory, thoracic and mediastinal disorders
Platelet count decreasedInvestigations
Acute kidney injuryRenal and urinary disorders
AnorexiaMetabolism and nutrition disorders
DiarrheaGastrointestinal disorders
FatigueGeneral disorders
Neutrophil count decreasedInvestigations
Productive coughRespiratory, thoracic and mediastinal disorders
Urinary frequencyRenal and urinary disorders
Abdominal painGastrointestinal disorders
ALT increaseInvestigations
ArthritisMusculoskeletal and connective tissue disorders
AST increaseInvestigations
Back painMusculoskeletal and connective tissue disorders
Blurred visionEye disorders
Bronchial infectionInfections and infestations
Buttock painMusculoskeletal and connective tissue disorders
Chest pain - cardiacCardiac disorders
ConstipationGastrointestinal disorders
DepressionPsychiatric disorders
DizzinessNervous system disorders
Dry eyeEye disorders
Ear and labyrinth disorders - Other, specifyEar and labyrinth disorders
Ear painEar and labyrinth disorders
Edema limbsGeneral disorders
Ejection fraction decreasedInvestigations
EnterocolitisGastrointestinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
Eye disorders - Other, specifyEye disorders
FeverGastrointestinal disorders
Generalized muscle weaknessMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
HematuriaRenal and urinary disorders
HypercalcemiaMetabolism and nutrition disorders
HyperkalemiaMetabolism and nutrition disorders
HypertensionVascular disorders
HyperuricemiaMetabolism and nutrition disorders
HypocalcemiaMetabolism and nutrition disorders

Most-reported serious reactions: Sepsis, Acute kidney injury, Anemia, ALT increase, Hepatitis viral, Lung infection, Lung infection, Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify.

Data from ClinicalTrials.gov NCT03773107 adverse events section.

Sponsor's own description

The primary objective of Phase I is to establish the maximum tolerated dose (MTD) of ruxolitinib in combination with carfilzomib and dexamethasone. The primary objective of phase II is to evaluate progression-free survival (PFS) at 4 months in multiple myeloma subjects who receive the combination treatment carfilzomib, dexamethasone, and ruxolitinib.

Publications & conference data

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

  1. JAK-STAT signaling in human disease: From genetic syndromes to clinical inhibition.
    Luo Y, Alexander M, Gadina M, O'Shea JJ, et al · · 2021 · cited 92× · PMID 34625141 · DOI 10.1016/j.jaci.2021.08.004
  2. The Landscape of Signaling Pathways and Proteasome Inhibitors Combinations in Multiple Myeloma.
    Paradzik T, Bandini C, Mereu E, Labrador M, et al · · 2021 · cited 28× · PMID 33799793 · DOI 10.3390/cancers13061235
  3. Emerging therapies for relapsed/refractory multiple myeloma: CAR-T and beyond.
    Su CT, Ye JC. · · 2021 · cited 21× · PMID 34301270 · DOI 10.1186/s13045-021-01109-y
  4. Exploring Novel Frontiers: Leveraging STAT3 Signaling for Advanced Cancer Therapeutics.
    Adesoye T, Tripathy D, Hunt KK, Keyomarsi K. · · 2024 · cited 15× · PMID 38339245 · DOI 10.3390/cancers16030492
  5. Immunoproteasome Genes Are Modulated in CD34<sup>+</sup> JAK2<sup>V617F</sup> Mutated Cells from Primary Myelofibrosis Patients.
    Di Rosa M, Giallongo C, Romano A, Tibullo D, et al · · 2020 · cited 9× · PMID 32331228 · DOI 10.3390/ijms21082926
  6. Janus Kinase Signaling: Oncogenic Criminal of Lymphoid Cancers.
    Li B, Wan Q, Li Z, Chng WJ. · · 2021 · cited 7× · PMID 34680295 · DOI 10.3390/cancers13205147
  7. Carfilzomib Enhances the Suppressive Effect of Ruxolitinib in Myelofibrosis.
    Claudiani S, Mason CC, Milojkovic D, Bianchi A, et al · · 2021 · PMID 34638347 · DOI 10.3390/cancers13194863
  8. [Progress of interleukin-6-related antibodies in the treatment of multiple myeloma].
    Ren L, Liu P. · · 2021 · PMID 34384164 · DOI 10.3760/cma.j.issn.0253-2727.2021.06.017

Verify or expand the search:

Other trials of Carfilzomib

Trials testing the same drug.

Other recruiting trials for Multiple Myeloma

Currently open trials in the same condition.

Other Wake Forest University Health Sciences trials

Trials by the same sponsor.

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