DLTs will be determined for each subject as a binary variable indicating whether or not the subject experienced a DLT during Cycle 1
| Group | Value | 95% CI |
|---|---|---|
| Phase I 5 mg Ruxolitinib | 0 | |
| Phase I 10 mg Ruxolitinib | 0 | |
| Phase I 15 mg Ruxolitinib | 1 |
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LCI-HEM-MYE-CRD-004 (MMRC-073 CARJAK): Study of CRD for Carfilzomib-Refractory Multiple Myeloma
Phase 1, PHASE2 trial testing Carfilzomib in Multiple Myeloma in 12 participants. Completed in 21 February 2024.
| Lead sponsor | Wake Forest University Health Sciences |
|---|---|
| Phase | Phase 1, PHASE2 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | non randomized |
| Design | sequential |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 12 |
| Start date | 3 January 2019 |
| Primary completion | 7 November 2022 |
| Estimated completion | 21 February 2024 |
| Sites | 2 locations across United States |
Wake Forest University Health Sciences
Adults 18 to 75, any sex, with Multiple Myeloma. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
DLTs will be determined for each subject as a binary variable indicating whether or not the subject experienced a DLT during Cycle 1
| Group | Value | 95% CI |
|---|---|---|
| Phase I 5 mg Ruxolitinib | 0 | |
| Phase I 10 mg Ruxolitinib | 0 | |
| Phase I 15 mg Ruxolitinib | 1 |
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
| Group | Value | 95% CI |
|---|---|---|
| Phase I 5mg Ruxolitinib | 0 | |
| Phase I 10 mg Ruxolitinib | 2 | |
| Phase I 15 mg Ruxolitibin | 1 |
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
| Group | Value | 95% CI |
|---|---|---|
| Phase I 5m Ruxolitinib | 1 | |
| Phase I 10 mg Ruxolitinib | 2 | |
| Phase I 15 mg Ruxolitinib | 1 |
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
| Group | Value | 95% CI |
|---|---|---|
| Phase I 5mg Ruxolitinib | 3 | |
| Phase I 10 mg Ruxolitinib | 3 | |
| Phase I 15 mg Ruxolitinib | 1 |
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.
| Group | Value | 95% CI |
|---|---|---|
| Phase I 5mg Ruxolitinib | 3.0 | 1.8 – 3.2 |
| Phase I 10mg Ruxolitinib | 6.1 | 2.6 – 8.3 |
| Phase I 15mg Ruxolitinib | 10.6 | 1.3 – 10.6 |
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.
| Group | Value | 95% CI |
|---|---|---|
| Phase I 10 mg Ruxolitinib | 3.2 | 1.8 – 4.6 |
| Phase I 15 mg Ruxolitinib | 2.1 | 2.1 – 2.1 |
Overall survival is defined as the duration from initiation of ruxolitinib treatment to the date of death from any cause.
| Group | Value | 95% CI |
|---|---|---|
| Phase I 5mg Ruxolitinib | 16.1 | 15.9 – 23.5 |
| Phase I 10mg Ruxolitinib | 11.2 | 5.9 – 13.1 |
| Phase I 15mg Ruxolitinib | 10.6 | 1.3 – 19.4 |
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.
| Group | Value | 95% CI |
|---|---|---|
| Phase I 5mg Ruxolitinib | 3.0 | 1.8 – 3.2 |
| Phase I 10mg Ruxolitinib | 8.3 | 4.0 – 8.3 |
| Phase I 15mg Ruxolitinib | 10.6 | 10.6 – 10.6 |
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.
| Group | Value | 95% CI |
|---|---|---|
| Phase I 10 mg Ruxolitinib | 4.8 | 2.2 – 7.4 |
| Phase I 15mg Ruxolitinib | 8.5 | 8.5 – 8.5 |
Time frame: Approximately 5 years. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.
| Reaction | System | Phase I 5 mg Ruxolitinib | Phase I 10 mg Ruxolitinib | Phase I 15 mg Ruxolitinib |
|---|---|---|---|---|
| Sepsis | Infections and infestations | — | — | — |
| Acute kidney injury | Renal and urinary disorders | — | — | — |
| Anemia | Blood and lymphatic system disorders | — | — | — |
| ALT increase | Investigations | — | — | — |
| Hepatitis viral | Infections and infestations | — | — | — |
| Lung infection | Infections and infestations | — | — | — |
| Lung infection | Infections and infestations | — | — | — |
| Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | — | — | — |
| Reversible posterior leukoencephalopathy syndrome | Nervous system disorders | — | — | — |
| Small intestinal obstruction | Gastrointestinal disorders | — | — | — |
| Reaction | System | Phase I 5 mg Ruxolitinib | Phase I 10 mg Ruxolitinib | Phase I 15 mg Ruxolitinib |
|---|---|---|---|---|
| Anemia | Blood and lymphatic system disorders | — | — | — |
| Creatinine increased | Investigations | — | — | — |
| Dyspnea | Respiratory, thoracic and mediastinal disorders | — | — | — |
| Platelet count decreased | Investigations | — | — | — |
| Acute kidney injury | Renal and urinary disorders | — | — | — |
| Anorexia | Metabolism and nutrition disorders | — | — | — |
| Diarrhea | Gastrointestinal disorders | — | — | — |
| Fatigue | General disorders | — | — | — |
| Neutrophil count decreased | Investigations | — | — | — |
| Productive cough | Respiratory, thoracic and mediastinal disorders | — | — | — |
| Urinary frequency | Renal and urinary disorders | — | — | — |
| Abdominal pain | Gastrointestinal disorders | — | — | — |
| ALT increase | Investigations | — | — | — |
| Arthritis | Musculoskeletal and connective tissue disorders | — | — | — |
| AST increase | Investigations | — | — | — |
| Back pain | Musculoskeletal and connective tissue disorders | — | — | — |
| Blurred vision | Eye disorders | — | — | — |
| Bronchial infection | Infections and infestations | — | — | — |
| Buttock pain | Musculoskeletal and connective tissue disorders | — | — | — |
| Chest pain - cardiac | Cardiac disorders | — | — | — |
| Constipation | Gastrointestinal disorders | — | — | — |
| Depression | Psychiatric disorders | — | — | — |
| Dizziness | Nervous system disorders | — | — | — |
| Dry eye | Eye disorders | — | — | — |
| Ear and labyrinth disorders - Other, specify | Ear and labyrinth disorders | — | — | — |
| Ear pain | Ear and labyrinth disorders | — | — | — |
| Edema limbs | General disorders | — | — | — |
| Ejection fraction decreased | Investigations | — | — | — |
| Enterocolitis | Gastrointestinal disorders | — | — | — |
| Epistaxis | Respiratory, thoracic and mediastinal disorders | — | — | — |
| Eye disorders - Other, specify | Eye disorders | — | — | — |
| Fever | Gastrointestinal disorders | — | — | — |
| Generalized muscle weakness | Musculoskeletal and connective tissue disorders | — | — | — |
| Headache | Nervous system disorders | — | — | — |
| Hematuria | Renal and urinary disorders | — | — | — |
| Hypercalcemia | Metabolism and nutrition disorders | — | — | — |
| Hyperkalemia | Metabolism and nutrition disorders | — | — | — |
| Hypertension | Vascular disorders | — | — | — |
| Hyperuricemia | Metabolism and nutrition disorders | — | — | — |
| Hypocalcemia | Metabolism 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.
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.
8 peer-reviewed publications reference this trial (live from Europe PMC):
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