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This study aims to assess the efficacy of peginterferon α-2b, compared to a control arm not receiving any maintenance treatment, in adult subjects with multiple myeloma who have responded to a prior induction therapy. Peginterferon α-2b will be given once weekly as an injection until disease progression or relapse, or for up to a maximum of 5 years (whichever occurs first).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Peginterferon α-2b | Experimental | Peginterferon α-2b 35 μg, weekly, subcutaneous (SC), until disease progression or relapse, or for up to a maximum of 5 years. |
|
| No Treatment | No Intervention | Participants will be observed and will receive no treatment. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Peginterferon | Drug | Peginterferon α-2b 35 μg, weekly, subcutaneous (SC), until disease progression or relapse, or for up to a maximum of 5 years. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Days With Progression Free Survival (PFS) | PFS was defined as response duration while on maintenance therapy. It was the length of time during and after treatment in which a participant was living with the cancer that did not get worse. PFS was calculated from the date of randomization to the date of the first documented tumor progression or relapse. | Baseline and up to 5 years (or to the date of the first documented tumor progression or relapse) |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Days of Overall Survival (OS) | OS was calculated from the date of randomization to the date of death for any cause. Participants alive at the end of study were censored at the last date they were known to be alive. Participants who were still living at the end of the study were censored on the last date they were known to be alive. | Baseline and up to 5 years (or to the date of the first documented tumor progression or relapse) |
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Inclusion Criteria:
diagnosis of multiple myeloma (by biopsy of an osteolytic or soft tissue tumour composed of plasma cells or bone marrow aspirate and/or biopsy demonstrating ≥ 10% plasmacytosis). The histological
confirmation should have been obtained prior to the induction chemotherapy or bone marrow transplant chemotherapy
at Screening/Visit 1
-Must be free of any clinically relevant disease (other than multiple myeloma) that would, in the
principal investigator's and/or sponsor's opinion, interfere with the conduct of the study or study
evaluations
consistent with adequate hepatic and renal function, defined as <2 times upper limit of any laboratory normal (ULN) and adequate hematological functions defined as platelets > 50,000/mm^3, Hemoglobin ≥9.0 g/dL, white blood count (WBC) count ≥2000/mm^3
-Must have a complete, partial or minimal response after either one induction chemotherapy
regimen or one myelosuppressive chemotherapeutic treatment followed by peripheral blood stem cell
infusion as a first line treatment. Any type of pre-transplant chemotherapy and conditioning regimen is allowed
-Performance Status Karnofsky score of ≥60% at time of randomization
Exclusion Criteria:
Is a female who is pregnant, or intends to become pregnant during the study
Is nursing, or intends to be nursing during the study
Has used any investigational product within 30 days prior to enrollment
Have any of the following clinical conditions:
Is in a situation or condition that, in the opinion of the investigator, may interfere with optimal
participation in the study
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| ID | Title | Description |
|---|---|---|
| FG000 | Peginterferon α-2b | Peginterferon α-2b 35 μg, weekly, subcutaneous (SC), until disease progression or relapse, or for up to a maximum of 5 years. |
| FG001 | No Treatment | Participants were observed and received no treatment |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Peginterferon α-2b | Peginterferon α-2b 35 μg, weekly, subcutaneous (SC), until disease progression or relapse, or for up to a maximum of 5 years. |
| BG001 | No Treatment | Participants were observed and received no treatment |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Age was for the intent-to-treat population (those who received at least one dose of study drug) |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Days With Progression Free Survival (PFS) | PFS was defined as response duration while on maintenance therapy. It was the length of time during and after treatment in which a participant was living with the cancer that did not get worse. PFS was calculated from the date of randomization to the date of the first documented tumor progression or relapse. | Intent-to-treat population (those who received at least one dose of study drug) | Posted | Median | 95% Confidence Interval | Days | Baseline and up to 5 years (or to the date of the first documented tumor progression or relapse) |
|
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Tables contain both treatment-emergent events (events that occurred after receiving study drug) and non-treatment emergent events (events that occurred prior to receiving study drug).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Peginterferon α-2b | Peginterferon α-2b 35 μg, weekly, subcutaneous (SC), until disease progression or relapse, or for up to a maximum of 5 years. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| ANAEMIA | Blood and lymphatic system disorders | MedDRA 13.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| ANAEMIA | Blood and lymphatic system disorders | MedDRA 13.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Senior Vice President, Global Clinical Development | Merck Sharp & Dohme Corp. | ClinicalTrialsDisclosure@merck.com |
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| ID | Term |
|---|---|
| D009101 | Multiple Myeloma |
| ID | Term |
|---|---|
| D054219 | Neoplasms, Plasma Cell |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D020141 | Hemostatic Disorders |
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| Number of Participants With Complete Response (CR) to Treatment | CR was defined as:
| Month 9 & Month 18 |
| Number of Participants With Partial Response (PR) to Treatment | PR was defined as:
| Month 9 & Month 18 |
| Number of Participants With Minimal Response (MR) to Treatment | MR was defined as:
| Month 9 & Month 18 |
| Number of Participants With Progressive Disease(PD) or Relapse From CR | PD (for patients not in CR) required one or more of the following:
Relapse from CR required at least one of the following:
| Month 9 & Month 18 |
| Quality of Life | Participants were given the Europen Organization for Research in Cancer Therapy Quality of Life Questionnaire (EORTC QLQ), version 2.0, which consisted of 30 questions. The questionnaire evaluated global health/quality of life and incorporated five functional scales (Physical; Role; Emotional; Cognitive; Social). All of the scales ranged in score from 0 (worst) to 100 (best). | Screening and Last Observation (up to 5 years) |
| Physician Decision |
|
| Withdrawal by Subject |
|
| Unable to Complete |
|
| Other |
|
| BG002 | Total | Total of all reporting groups |
| Mean |
| Standard Deviation |
| years |
|
| Sex: Female, Male | Gender was for the intent-to-treat population (those who received at least one dose of study drug) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| No Treatment |
Participants were observed and received no treatment |
|
|
| Secondary | Number of Days of Overall Survival (OS) | OS was calculated from the date of randomization to the date of death for any cause. Participants alive at the end of study were censored at the last date they were known to be alive. Participants who were still living at the end of the study were censored on the last date they were known to be alive. | Intent-to-treat population (those who received at least one dose of study drug) | Posted | Median | 95% Confidence Interval | Days | Baseline and up to 5 years (or to the date of the first documented tumor progression or relapse) |
|
|
|
| Secondary | Number of Participants With Complete Response (CR) to Treatment | CR was defined as:
| Intent-to-treat population (those who received at least one dose of study drug) | Posted | Number | Participants | Month 9 & Month 18 |
|
|
|
| Secondary | Number of Participants With Partial Response (PR) to Treatment | PR was defined as:
| Intent-to-treat population (those who received at least one dose of study drug) | Posted | Number | Participants | Month 9 & Month 18 |
|
|
|
| Secondary | Number of Participants With Minimal Response (MR) to Treatment | MR was defined as:
| Intent-to-treat population (those who received at least one dose of study drug) | Posted | Number | Participants | Month 9 & Month 18 |
|
|
|
| Secondary | Number of Participants With Progressive Disease(PD) or Relapse From CR | PD (for patients not in CR) required one or more of the following:
Relapse from CR required at least one of the following:
| Intent-to-treat population (those who received at least one dose of study drug) | Posted | Number | Participants | Month 9 & Month 18 |
|
|
|
| Secondary | Quality of Life | Participants were given the Europen Organization for Research in Cancer Therapy Quality of Life Questionnaire (EORTC QLQ), version 2.0, which consisted of 30 questions. The questionnaire evaluated global health/quality of life and incorporated five functional scales (Physical; Role; Emotional; Cognitive; Social). All of the scales ranged in score from 0 (worst) to 100 (best). | Intent-to-treat population (those who received at least one dose of study drug). The number of participants analyzed varied depending on the number of observations available for each category. | Posted | Mean | Standard Deviation | Score on a scale | Screening and Last Observation (up to 5 years) |
|
|
|
| 27 |
| 123 |
| 94 |
| 123 |
| EG001 | No Treatment | Participants were observed and received no treatment | 21 | 121 | 63 | 121 |
| NEUTROPENIA | Blood and lymphatic system disorders | MedDRA 13.0 | Systematic Assessment |
|
| THROMBOCYTOPENIA | Blood and lymphatic system disorders | MedDRA 13.0 | Systematic Assessment |
|
| ACUTE MYOCARDIAL INFARCTION | Cardiac disorders | MedDRA 13.0 | Systematic Assessment |
|
| ATRIAL FIBRILLATION | Cardiac disorders | MedDRA 13.0 | Systematic Assessment |
|
| MYOCARDIAL INFARCTION | Cardiac disorders | MedDRA 13.0 | Systematic Assessment |
|
| PRIMARY HYPOTHYROIDISM | Endocrine disorders | MedDRA 13.0 | Systematic Assessment |
|
| CATARACT | Eye disorders | MedDRA 13.0 | Systematic Assessment |
|
| EYE PAIN | Eye disorders | MedDRA 13.0 | Systematic Assessment |
|
| RETINAL DETACHMENT | Eye disorders | MedDRA 13.0 | Systematic Assessment |
|
| RETINAL VEIN THROMBOSIS | Eye disorders | MedDRA 13.0 | Systematic Assessment |
|
| VISUAL ACUITY REDUCED | Eye disorders | MedDRA 13.0 | Systematic Assessment |
|
| VISUAL IMPAIRMENT | Eye disorders | MedDRA 13.0 | Systematic Assessment |
|
| ABDOMINAL PAIN UPPER | Gastrointestinal disorders | MedDRA 13.0 | Systematic Assessment |
|
| CONSTIPATION | Gastrointestinal disorders | MedDRA 13.0 | Systematic Assessment |
|
| NAUSEA | Gastrointestinal disorders | MedDRA 13.0 | Systematic Assessment |
|
| VOMITING | Gastrointestinal disorders | MedDRA 13.0 | Systematic Assessment |
|
| CYST | General disorders | MedDRA 13.0 | Systematic Assessment |
|
| DISEASE PROGRESSION | General disorders | MedDRA 13.0 | Systematic Assessment |
|
| DISEASE RECURRENCE | General disorders | MedDRA 13.0 | Systematic Assessment |
|
| INJECTION SITE NECROSIS | General disorders | MedDRA 13.0 | Systematic Assessment |
|
| PYREXIA | General disorders | MedDRA 13.0 | Systematic Assessment |
|
| SUDDEN CARDIAC DEATH | General disorders | MedDRA 13.0 | Systematic Assessment |
|
| SWELLING | General disorders | MedDRA 13.0 | Systematic Assessment |
|
| HEPATITIS | Hepatobiliary disorders | MedDRA 13.0 | Systematic Assessment |
|
| LIVER DISORDER | Hepatobiliary disorders | MedDRA 13.0 | Systematic Assessment |
|
| BRONCHOPNEUMONIA | Infections and infestations | MedDRA 13.0 | Systematic Assessment |
|
| DEVICE RELATED INFECTION | Infections and infestations | MedDRA 13.0 | Systematic Assessment |
|
| ESCHERICHIA URINARY TRACT INFECTION | Infections and infestations | MedDRA 13.0 | Systematic Assessment |
|
| HEPATITIS B | Infections and infestations | MedDRA 13.0 | Systematic Assessment |
|
| HEPATITIS INFECTIOUS | Infections and infestations | MedDRA 13.0 | Systematic Assessment |
|
| MENINGITIS | Infections and infestations | MedDRA 13.0 | Systematic Assessment |
|
| PNEUMONIA | Infections and infestations | MedDRA 13.0 | Systematic Assessment |
|
| PNEUMONIA BACTERIAL | Infections and infestations | MedDRA 13.0 | Systematic Assessment |
|
| PNEUMONIA PNEUMOCOCCAL | Infections and infestations | MedDRA 13.0 | Systematic Assessment |
|
| PSEUDOMONAL SEPSIS | Infections and infestations | MedDRA 13.0 | Systematic Assessment |
|
| STAPHYLOCOCCAL SEPSIS | Infections and infestations | MedDRA 13.0 | Systematic Assessment |
|
| FEMUR FRACTURE | Injury, poisoning and procedural complications | MedDRA 13.0 | Systematic Assessment |
|
| SUBDURAL HAEMATOMA | Injury, poisoning and procedural complications | MedDRA 13.0 | Systematic Assessment |
|
| BLOOD ALKALINE PHOSPHATASE INCREASED | Investigations | MedDRA 13.0 | Systematic Assessment |
|
| BLOOD LACTATE DEHYDROGENASE INCREASED | Investigations | MedDRA 13.0 | Systematic Assessment |
|
| INTRAOCULAR PRESSURE INCREASED | Investigations | MedDRA 13.0 | Systematic Assessment |
|
| CACHEXIA | Metabolism and nutrition disorders | MedDRA 13.0 | Systematic Assessment |
|
| HYPERCALCAEMIA | Metabolism and nutrition disorders | MedDRA 13.0 | Systematic Assessment |
|
| OSTEONECROSIS OF JAW | Musculoskeletal and connective tissue disorders | MedDRA 13.0 | Systematic Assessment |
|
| BREAST CANCER | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 13.0 | Systematic Assessment |
|
| COLON CANCER | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 13.0 | Systematic Assessment |
|
| GASTRIC CANCER | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 13.0 | Systematic Assessment |
|
| GLIOBLASTOMA | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 13.0 | Systematic Assessment |
|
| MENINGIOMA | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 13.0 | Systematic Assessment |
|
| METASTASES TO BONE | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 13.0 | Systematic Assessment |
|
| PANCREATIC CARCINOMA | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 13.0 | Systematic Assessment |
|
| PROSTATE CANCER | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 13.0 | Systematic Assessment |
|
| CARPAL TUNNEL SYNDROME | Nervous system disorders | MedDRA 13.0 | Systematic Assessment |
|
| CEREBROVASCULAR ACCIDENT | Nervous system disorders | MedDRA 13.0 | Systematic Assessment |
|
| DIZZINESS | Nervous system disorders | MedDRA 13.0 | Systematic Assessment |
|
| NEUROPATHY PERIPHERAL | Nervous system disorders | MedDRA 13.0 | Systematic Assessment |
|
| PARKINSON'S DISEASE | Nervous system disorders | MedDRA 13.0 | Systematic Assessment |
|
| TRANSIENT ISCHAEMIC ATTACK | Nervous system disorders | MedDRA 13.0 | Systematic Assessment |
|
| TREMOR | Nervous system disorders | MedDRA 13.0 | Systematic Assessment |
|
| RENAL FAILURE | Renal and urinary disorders | MedDRA 13.0 | Systematic Assessment |
|
| RENAL FAILURE ACUTE | Renal and urinary disorders | MedDRA 13.0 | Systematic Assessment |
|
| URINARY INCONTINENCE | Renal and urinary disorders | MedDRA 13.0 | Systematic Assessment |
|
| INTERSTITIAL LUNG DISEASE | Respiratory, thoracic and mediastinal disorders | MedDRA 13.0 | Systematic Assessment |
|
| PULMONARY EMBOLISM | Respiratory, thoracic and mediastinal disorders | MedDRA 13.0 | Systematic Assessment |
|
| RESPIRATORY ARREST | Respiratory, thoracic and mediastinal disorders | MedDRA 13.0 | Systematic Assessment |
|
| RESPIRATORY DISORDER | Respiratory, thoracic and mediastinal disorders | MedDRA 13.0 | Systematic Assessment |
|
| THERAPEUTIC PROCEDURE | Surgical and medical procedures | MedDRA 13.0 | Systematic Assessment |
|
| DEEP VEIN THROMBOSIS | Vascular disorders | MedDRA 13.0 | Systematic Assessment |
|
| HYPERTENSION | Vascular disorders | MedDRA 13.0 | Systematic Assessment |
|
| JUGULAR VEIN THROMBOSIS | Vascular disorders | MedDRA 13.0 | Systematic Assessment |
|
| LEUKOPENIA | Blood and lymphatic system disorders | MedDRA 13.0 | Systematic Assessment |
|
| NEUTROPENIA | Blood and lymphatic system disorders | MedDRA 13.0 | Systematic Assessment |
|
| THROMBOCYTOPENIA | Blood and lymphatic system disorders | MedDRA 13.0 | Systematic Assessment |
|
| DIARRHOEA | Gastrointestinal disorders | MedDRA 13.0 | Systematic Assessment |
|
| ASTHENIA | General disorders | MedDRA 13.0 | Systematic Assessment |
|
| FATIGUE | General disorders | MedDRA 13.0 | Systematic Assessment |
|
| INFLUENZA LIKE ILLNESS | General disorders | MedDRA 13.0 | Systematic Assessment |
|
| PAIN | General disorders | MedDRA 13.0 | Systematic Assessment |
|
| PYREXIA | General disorders | MedDRA 13.0 | Systematic Assessment |
|
| HEPATOTOXICITY | Hepatobiliary disorders | MedDRA 13.0 | Systematic Assessment |
|
| BRONCHITIS | Infections and infestations | MedDRA 13.0 | Systematic Assessment |
|
| HERPES ZOSTER | Infections and infestations | MedDRA 13.0 | Systematic Assessment |
|
| INFLUENZA | Infections and infestations | MedDRA 13.0 | Systematic Assessment |
|
| ARTHRALGIA | Musculoskeletal and connective tissue disorders | MedDRA 13.0 | Systematic Assessment |
|
| BACK PAIN | Musculoskeletal and connective tissue disorders | MedDRA 13.0 | Systematic Assessment |
|
| BONE PAIN | Musculoskeletal and connective tissue disorders | MedDRA 13.0 | Systematic Assessment |
|
| COUGH | Respiratory, thoracic and mediastinal disorders | MedDRA 13.0 | Systematic Assessment |
|
| ERYTHEMA | Skin and subcutaneous tissue disorders | MedDRA 13.0 | Systematic Assessment |
|
| PRURITUS | Skin and subcutaneous tissue disorders | MedDRA 13.0 | Systematic Assessment |
|
The principal investigator (PI) agrees not to publish/publicly present any interim study results without the sponsor's prior written consent. The PI further agrees to provide 45 days written notice to the sponsor prior to submission for publication/presentation to permit the sponsor to review copies of abstracts or manuscripts for publication which report any results of the Study. The sponsor shall have the right to review and comment on any presentation, which shall include editorial rights.
| D014652 |
| Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010265 | Paraproteinemias |
| D001796 | Blood Protein Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D006474 | Hemorrhagic Disorders |
| D008232 | Lymphoproliferative Disorders |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| Global Score (change) |
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| Cognitive Functioning Score (baseline) |
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| Social Functioning Score (baseline) |
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| Social Functioning Score (last observation) |
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| Social Functioning Score (change) |
|