Pomalidomide and Dexamethasone With or Without Ixazomib in Treating Patients With Relapsed Multiple Myeloma
Official Title
A Phase I/II Study of Pomalidomide, Dexamethasone and Ixazomib vs. Pomalidomide and Dexamethasone for Patients With Multiple Myeloma Relapsing on Lenalidomide as Part of First Line Therapy
Acronym
Not provided
Organization
Alliance for Clinical Trials in OncologyOTHER
Status Module
Record Verification Date
Nov 2023
Overall Recruitment Status or Expanded Access Status
Unknown status
Last Known Status
Active, not recruiting
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Feb 2014Actual
Primary Completion Date
Dec 1, 2021Actual
Completion Date
Not provided
First Submitted Date
Nov 26, 2013
First Submission Date that Met QC Criteria
Dec 3, 2013
First Posted Date
Dec 9, 2013Estimated
Results Waived
Not provided
Results First Submitted Date
Jan 11, 2023
Results First Submitted that Met QC Criteria
Nov 9, 2023
Results First Posted Date
Dec 1, 2023Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Not provided
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Not provided
Last Update Submitted Date
Nov 9, 2023
Last Update Posted Date
Dec 1, 2023Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
Alliance for Clinical Trials in OncologyOTHER
Collaborators
Name
Class
National Cancer Institute (NCI)
NIH
Celgene Corporation
INDUSTRY
Millennium Pharmaceuticals, Inc.
INDUSTRY
Oversight Module
Has Data Monitoring Committee (DMC)
Yes
Is FDA Regulated Drug
Not provided
Is FDA Regulated Device
Not provided
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
This randomized phase I/II trial studies the side effects and best dose of pomalidomide and ixazomib when given together with dexamethasone and to see how well pomalidomide and dexamethasone with or without ixazomib works in treating patients with multiple myeloma that has come back. Biological therapies, such as pomalidomide and dexamethasone, may stimulate the immune system in different ways and stop cancer cells from growing. Ixazomib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. It is not yet known whether pomalidomide and dexamethasone are more effective with or without ixazomib in treating multiple myeloma.
Detailed Description
PRIMARY OBJECTIVES:
I. To establish the maximum tolerated dose (MTD) for combination therapy pomalidomide/dexamethasone/ixazomib. (Phase I) II. To assess whether the combination of pomalidomide/dexamethasone/ixazomib improves progression-free survival (PFS) relative to pomalidomide/dexamethasone. (Phase II)
SECONDARY OBJECTIVES:
I. To determine dose-limiting toxicities (DLTs). (Phase I) II. To analyze type and grade of all serious adverse events (SAEs). (Phase I) III. To analyze type and grade of all adverse events (AEs). (Phase I) IV. To analyze the reason for and incidence of dose modifications/omissions/delays. (Phase I) V. To assess preliminary evidence of clinical efficacy. (Phase I) VI. To assess whether the overall response rate (ORR), partial response (PR), very good partial response (VGPR), complete response (CR) or stringent CR (sCR) rate differ with respect to treatment regimen. (Phase II) VII. To assess the clinical benefit rate (CBR: minimal response [MR] + ORR) for pomalidomide/dexamethasone/ixazomib compared to pomalidomide/dexamethasone. (Phase II) VIII. To assess the disease control rate (DCR: stable disease [SD] + CBR) for pomalidomide/dexamethasone/ixazomib compared to pomalidomide/dexamethasone. (Phase II) IX. For those patients achieving a PR or better, we will assess whether the combination of pomalidomide/dexamethasone/ixazomib increases the duration of response (DOR) compared to pomalidomide/dexamethasone. (Phase II) X. To assess whether the combination of pomalidomide/dexamethasone/ixazomib improves overall survival (OS) compared to those taking pomalidomide/dexamethasone alone. (Phase II) XI. To assess time to next treatment (TNT) for patients taking pomalidomide/dexamethasone/ixazomib compared to those on pomalidomide/dexamethasone. (Phase II) XII. To evaluate the safety of pomalidomide/dexamethasone/ixazomib compared with pomalidomide/dexamethasone. (Phase II) XIII. For patients on the pomalidomide/dexamethasone arm who opt to cross-over to the pomalidomide/dexamethasone/ixazomib arm, assessment of response rate (ORR, CBR, DCR), DOR, TNT, PFS and OS will be evaluated from date of cross-over. (Phase II) XIV. To determine if baseline level of perceived fatigue and overall quality of life (QOL) is associated with OS. (Phase II)
OUTLINE: This is a phase I, dose-escalation study of pomalidomide and ixazomib followed by a phase II study.
After completion of study treatment, patients are followed up every 4 weeks until disease progression and then every 3 months for 3 years.
Conditions Module
Conditions
Multiple Myeloma in Relapse
Keywords
Not provided
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 1Phase 2
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
118Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Arm I (pomalidomide, dexamethasone)
Experimental
Patients receive pomalidomide PO QD on days 1-21 and dexamethasone PO QD on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving disease progression may cross over to Arm II.
Drug: pomalidomide
Drug: dexamethasone
Arm II (pomalidomide, dexamethasone, ixazomib)
Experimental
Patients receive pomalidomide, dexamethasone, and ixazomib as in Phase I. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Drug: pomalidomide
Drug: ixazomib
Drug: dexamethasone
Interventions
Name
Type
Description
Arm Group Labels
Other Names
pomalidomide
Drug
given PO
Arm I (pomalidomide, dexamethasone)
Arm II (pomalidomide, dexamethasone, ixazomib)
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Maximum Tolerated Dose (MTD) of Pomalidomide and Ixazomib, Determined According to Incidence of Dose Limiting Toxicity (DLT) Graded Using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 (Phase I)
For this protocol, dose-limiting toxicity (DLT) will be defined by the following adverse events at least possibly related to study therapy: Grade 3 or higher non-hematologic toxicity, with the following exceptions: Alopecia is not expected but would not be considered a DLT. Nausea, vomiting and diarrhea will only be considered a DLT if it cannot be adequately managed with optimal supportive care. Grade 3 or 4 hyperglycemia due to dexamethasone will only be considered a DLT if it cannot be controlled with appropriate therapy Grade 4 hematologic toxicity, with the following exceptions: Grade 4 lymphopenia is expected with this regimen and will not be construed as a DLT. Grade 4 neutropenia will only be considered a DLT if it lasts longer than 7 days despite appropriate supportive care. Grade 4 thrombocytopenia will only be considered a DLT if it lasts longer than 7 days or is associated with greater then or equal to grade 3 bleeding event
28 days
Progression Free Survival (PFS) (Phase II)
progression-free survival (PFS), defined as the time from randomization to the date the International Myeloma Working Group (IMWG) criteria for disease progression is met. If a patient initiates another anti-cancer treatment prior to disease progression, they will be censored at the date of initiation of this treatment. Patients will be randomized to treatment using the Pocock-Simon algorithm balancing the distribution of the following stratification factors between the two treatment arms: 1) ISS 1-2 disease vs. ISS 3 disease (current ISS stage based off screening beta 2 microglobulin and albumin) 2) High risk cytogenetics features: yes vs. no High risk cytogenetics features include: del(1p), gain of 1q, t(4;14), t(14;16), t(14; 20), del(17p) 3) Prior treatment with a proteasome inhibitor: yes vs. no
3 years
Secondary Outcomes
Measure
Description
Time Frame
Incidence and Type of Dose Limiting Toxicities (DLTs) Graded According to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 (Phase I)
These events are reported in the adverse events section of this report.
44.5 months
Incidence of Dose Reductions/Delays (Phase I)
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Histologically confirmed diagnosis of symptomatic multiple myeloma; relapsed disease is myeloma that has previously responded to prior therapy (MR or better) and subsequently progressed
Patient must have measurable disease or non-measurable disease, defined as one or more of the following holding true:
Measurable disease:
Serum M-protein >= 1.0 g/dL (>= 0.5 g/dL for IgA or IgM myeloma) and/or
Urine M-protein >= 200 mg/24 hours and/or
Involved serum free light chain level >= 10 mg/dL AND an abnormal serum free light chain ratio
For non-measurable disease:
Baseline marrow burden of myeloma of at least 30%
Progression on lenalidomide as part of first line therapy (lenalidomide-refractory disease)
* Lenalidomide-refractory disease is defined as disease progression on or progression within 60 days of the last dose of a lenalidomide-based treatment; patients should have received at least 2 cycles of a lenalidomide-based regimen to be evaluable for refractoriness; examples: 1) progression on lenalidomide maintenance therapy after initial induction +/- consolidation; 2) initial response followed by progression on continuous lenalidomide-dexamethasone +/- elotuzumab or daratumumab
Pomalidomide naive disease
Proteasome inhibitor naive or sensitive disease; proteasome inhibitor sensitive disease is defined as a PR or better to prior proteasome inhibitor-based therapy that is maintained for >= 60 days from the last dose of the proteasome inhibitor
* A patient who receives induction therapy with lenalidomide, bortezomib and dexamethasone and achieves a PR or better but subsequently progresses on continued lenalidomide or lenalidomide-dexamethasone would be eligible provided the progression occurs 60 days or more after discontinuation of the bortezomib; similarly, ixazomib exposure is allowed provided they meet the definition of proteasome inhibitor sensitive disease
1 prior line of systemic therapy for multiple myeloma, where a line of therapy for myeloma is defined as 1 or more planned cycles of single agent or combination therapy, as well as a planned series of treatment regimens administered in a sequential manner (e.g. lenalidomide, bortezomib and dexamethasone induction therapy for 4 cycles followed by autologous stem cell transplantation and then lenalidomide maintenance therapy would be considered 1 line of prior therapy); a new line of therapy begins when a planned therapy is modified to include other treatment agents (alone or in combination) as a result of disease progression, disease relapse or treatment-related toxicity (e.g. a patient is progressing in the face of lenalidomide maintenance therapy and has bortezomib and dexamethasone added into their regimen); a new line of therapy also begins when a planned treatment-free interval is interrupted by the need to start treatment due to disease relapse/progression (e.g. a patient with relapsed myeloma achieves a partial response after a planned 8 cycles of cyclophosphamide, bortezomib and dexamethasone, enjoys an 8-month period off therapy but then experiences disease progression requiring re-initiation of therapy)
Allogeneic stem cell transplantation is allowed provided the patient is >= 1 year from transplant at time of registration, is not on immunosuppressive therapy to treat/prevent graft-versus-host disease, has no evidence of active graft versus host disease, and no evidence of active infection
No other chemotherapy or radiation therapy within 14 days prior to registration
No investigational therapy within 14 days prior to registration
No major surgery within 28 days prior to registration
No G-CSF (filgrastim) or GM-CSF (sargramostim) within 7 days of registration or pegfilgrastim within 14 days of registration to meet eligibility criteria
No platelet transfusions within 7 days of registration to meet eligibility criteria; Note: red blood cell transfusions are allowed at any time
A female of childbearing potential is a sexually mature female who: 1) has not undergone a hysterectomy or bilateral oophorectomy; or 2) has not been naturally postmenopausal for at least 24 consecutive months (i.e., has had menses at any time in the preceding 24 consecutive months)
Women of childbearing potential:
Must have a negative serum or urine pregnancy test with a sensitivity of at least 25 mlU/ml no more than 14 days prior to registration and must agree to repeat this test within 24 hours of starting pomalidomide
Must either commit to complete abstinence from heterosexual contact or begin TWO acceptable methods of birth control, one highly effective method and one additional effective (barrier) method, AT THE SAME TIME, before starting pomalidomide
Must agree to ongoing pregnancy testing
Must agree to not become pregnant or breast feed a child during treatment on this protocol
Men must practice complete abstinence or agree to use a condom during sexual contact with a female of childbearing potential, even if they have had a successful vasectomy
Note: All participants must be counseled at a minimum of every 28 days about pregnancy precautions and risks of fetal exposure
Eastern Cooperative Oncology Group (ECOG) performance status 0-2
Absolute neutrophil count (ANC) >= 1.0 x 10^9/L
Platelet count >= 50 x 10^9/L
Calculated (Calc.) creatinine clearance >= 30 mL/min; calculated utilizing the Cockcroft-Gault formula or 24-hour urine collection
Total bilirubin < 1.5 x upper limits of normal (ULN)
Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) < 2.5 x upper limits of normal (ULN)
Note: G-CSF and platelet transfusions cannot be used to increase counts to meet eligibility criteria
Patients cannot have:
Central nerve system involvement
Primary refractory multiple myeloma, where primary refractory multiple myeloma is defined as disease that is nonresponsive - patients who have never achieved a minimal response (MR) or better - with any therapy over the course of their disease; it includes patients who never achieve MR or better in whom there is no significant change in M-protein and no evidence of clinical progression as well as patients who meet criteria for true progressive disease (PD)
Primary or secondary plasma cell leukemia
Light-chain (AL) amyloidosis or polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome
Known active hepatitis C based on:
+hepatitis C virus (HCV) antibody (confirmed)
+HCV RNA
Liver disease with history of positive serology
Note: patients with a prior history of hepatitis C that has been successfully eradicated with antiviral therapy are eligible
Known hepatitis B surface antigen positivity
Previous hypersensitivity to any of the components of the study treatment
Prior history of erythema multiforme with thalidomide or lenalidomide treatment
=< grade 2 peripheral neuropathy
Adequate cardiac function, defined as:
No electrocardiogram (EKG) evidence of acute ischemia
No EKG evidence of active, clinically significant conduction system abnormalities
No EKG evidence of > grade 2 (> 480 ms) corrected QT (QTc) prolongation
Prior to study entry, any EKG abnormality at screening not felt to put the patient at risk has to be documented by the investigator as not medically significant
No uncontrolled angina or severe ventricular arrhythmias
No clinically significant pericardial disease
No history of myocardial infarction within 6 months prior to registration
No class 3 or higher New York Heart Association congestive heart failure
No strong inducers of cytochrome P450 (CYP) 3A4 or CYP1A2 or strong inhibitors of CYP3A4 or CYP1A2 within 14 days prior to registration
Note: Ixazomib is a substrate of CYP3A4 and CYP1A2
Patients with human immunodeficiency virus (HIV) infection are eligible, provided they meet the following:
No history of acquired immunodeficiency syndrome (AIDS)-defining conditions or other HIV related illness
Cluster of differentiation (CD)4+ cells nadirs > 350/mm^3 within 28 days prior to registration
Treatment sensitive HIV and, if on anti-HIV therapy, HIV viral load < 50 copies/mm^3 within 28 days prior to registration
Note: HIV+ patients who enroll on this study and are assigned to treatment with ixazomib may need to modify their anti-retroviral therapy prior to receiving protocol therapy if they are on strong inducers or potent inhibitors of cytochrome P450 3A4
RE-REGISTRATION ELIGIBILITY CRITERIA (STEP 2): Patients randomized to Arm 1 may opt to switch to the 3-drug regimen following disease progression; these patients must be re-registered to the study and meet the eligibility criteria below
RE-REGISTRATION ELIGIBILITY CRITERIA (STEP 2): Patient must have measurable disease or non-measurable disease after progression on pomalidomide + dexamethasone, defined as one or more of the following holding true:
* Measurable disease:
Serum M-protein >= 0.5 g/dL and/or
Urine M-protein >= 200 mg/24 hours and/or
Involved serum free light chain level >= 10 mg/dL AND an abnormal serum free light chain ratio
* For non-measurable disease:
Marrow burden of myeloma of at least 30%
RE-REGISTRATION ELIGIBILITY CRITERIA (STEP 2):
Women of childbearing potential:
** Must have a negative serum or urine pregnancy test within 72 hours prior to re-registration
** Must either commit to complete abstinence from heterosexual contact or begin TWO acceptable methods of birth control, one highly effective method and one additional effective (barrier) method, AT THE SAME TIME, before starting pomalidomide
** Must agree to ongoing pregnancy testing
** Must agree to not become pregnant or breast feed a child during treatment on this protocol
Men must practice complete abstinence or agree to use a condom during sexual contact with a female of childbearing potential, even if they have had a successful vasectomy
Note: All participants must be counseled at a minimum of every 28 days about pregnancy precautions and risks of fetal exposure
RE-REGISTRATION ELIGIBILITY CRITERIA (STEP 2): ECOG performance status 0-2
RE-REGISTRATION ELIGIBILITY CRITERIA (STEP 2): No strong inducers of cytochrome P450 (CYP) 3A4 or CYP1A2 or strong inhibitors of CYP3A4 or CYP1A2 * Note: Ixazomib is a substrate of CYP3A4 and CYP1A2
Voorhees P, Suman V, Efebera Y, Raje N, Tuchman S, Rodriguez C, Laubach J, Bova-Solem M, Carlisle D, Usmani S, McCarthy P, Richardson PG. Alliance A061202: ixazomib, pomalidomide, and dexamethasone for patients with lenalidomide-refractory MM in first relapse. Blood Adv. 2024 Oct 8;8(19):5039-5050. doi: 10.1182/bloodadvances.2024013623.
Voorhees PM, Suman VJ, Tuchman SA, Laubach JP, Hassoun H, Efebera YA, Mulkey F, Bova-Solem M, Santo K, Carlisle D, McCarthy PL, Richardson PG. A phase I/II study of ixazomib, pomalidomide, and dexamethasone for lenalidomide and proteasome inhibitor refractory multiple myeloma (Alliance A061202). Am J Hematol. 2021 Dec 1;96(12):1595-1603. doi: 10.1002/ajh.26361. Epub 2021 Oct 6.
See Also Links
Not provided
Available IPD Information
Not provided
IPD Sharing Statement Module
No data available
No data is available for this block.
Results Section
Participant Flow Module
Pre-assignment Details
Not provided
Recruitment Details
Not provided
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Arm I (Pomalidomide, Dexamethasone)
Patients receive 4mg of pomalidomide PO QD on days 1-21 and 40mg dexamethasone PO QD on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving disease progression may cross over to Arm II.
FG001
Periods
Title
Milestones
Reasons Not Completed
Phase 1
Type
Comment
Milestone Data
STARTED
Baseline Characteristics Module
Baseline Analysis Population Description
Not provided
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
0
More Info Module
Limitations and Caveats
Not provided
Annotation Section
No data available
No data is available for this block.
Document Section
Large Document Module
Document Has No Statistical Analysis Plan (SAP)
Not provided
Uploaded Document Information
Type
Includes Protocol
Includes SAP
Includes ICF
Document Label
Document Date
Document Uploaded Date
Document File Name
Prot_SAP
Yes
Yes
No
Study Protocol and Statistical Analysis Plan
Aug 17, 2022
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Not provided
Submission Tracking
No data available
No data is available for this block.
Condition Browse Module
No data available
No data is available for this block.
Intervention Browse Module
MeSH Terms
Randomized
Intervention Model
Crossover Assignment
Intervention Model Description
Not provided
Primary Purpose
Treatment
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
None (Open Label)
Masking Description
Not provided
Who Masked
Not provided
Pomalyst®
ixazomib
Drug
given PO
Arm II (pomalidomide, dexamethasone, ixazomib)
MLN9708
dexamethasone
Drug
given PO
Arm I (pomalidomide, dexamethasone)
Arm II (pomalidomide, dexamethasone, ixazomib)
39 months
Overall Response Rate (ORR)
ORR is defined as partial response (PR), very good partial response (VGPR), complete response (CR), or stringent complete response (sCR) according to International Myeloma Working Group (IMWG) Uniform Response Criteria
3 years
Clinical Benefit Rate (CBR)
Disease response status is based on the IMWG criteria being held for two consecutive evaluations at least 4 weeks apart. Clinical benefit rate (CBR) is defined as proportion of patients with minimal response (MR) and better according to International Myeloma Working Group (IMWG) Uniform Response Criteria (Phase II)
3 years
Disease Control Rate (DCR), Defined as Stable Disease (SD) and Better According to International Myeloma Working Group (IMWG) Uniform Response Criteria (Phase II)
Proportion of patients that went two of more cycles of treatment without discontinuing treatment for progression or intolerability.
42 days
Duration of Response (DOR), Calculated for All Patients Achieving an Objective Response, Partial Response (PR) or Better (Phase II)
Up to 3 years
Overall Survival (OS) (Phase II)
Overall survival was analyzed from the time of registration to the date of death or last known date living. Due to median OS time not being reached due to lack of deaths at the time of this report by either arm, the 2 year OS rate has been reported. This analysis censors living patients at 2 years.
2 years
Time to Next Treatment (TNT) (Phase II)
Up to 3 years post-registration
Incidence, Type and Severity of Adverse Events, Graded According to National Cancer Institute (NCI) Common Terminology Criteria Adverse Events (CTCAE) Version 4.0 (Phase II)
The count of paitents that experenced an adverse event is reported in this section. A full table of these events is reported in the adverse event section of this report.
92 months
Response Rates (Overall Response Rate (ORR), Clinical Benefit Rate (CBR), Disease Control Rate (DCR) for All Patients on the Pomalidomide/Dexamethasone Arm at the Time of Cross-over to Pomalidomide/Dexamethasone/Ixazomib (Phase II)
Up to 3 years
Progression Free Survival (PFS) for All Patients on the Pomalidomide/Dexamethasone Arm at the Time of Cross-over to Pomalidomide/Dexamethasone/Ixazomib (Phase II)
Up to 3 years post-registration (at crossover)
Baseline Level of Perceived Fatigue and QOL, Assessed Using the Registration Fatigue/Uniscale Assessment Form (Phase II)
Pre-treatment patient-report of fatigue and overall quality of life (based on a 10-point Likert scale). A higher number indicates a better quality of life where 10 is the best outcome and 0 is the worst.
baseline
Anchorage
Alaska
99504
United States
Alaska Breast Care and Surgery LLC
Anchorage
Alaska
99508
United States
Alaska Oncology and Hematology LLC
Anchorage
Alaska
99508
United States
Alaska Regional Hospital
Anchorage
Alaska
99508
United States
Alaska Women's Cancer Care
Anchorage
Alaska
99508
United States
Anchorage Oncology Centre
Anchorage
Alaska
99508
United States
Katmai Oncology Group
Anchorage
Alaska
99508
United States
Providence Alaska Medical Center
Anchorage
Alaska
99508
United States
Providence Saint Joseph Medical Center/Disney Family Cancer Center
Burbank
California
91505
United States
UC San Diego Moores Cancer Center
La Jolla
California
92093
United States
Beebe Medical Center
Lewes
Delaware
19958
United States
Delaware Clinical and Laboratory Physicians PA
Newark
Delaware
19713
United States
Helen F Graham Cancer Center
Newark
Delaware
19713
United States
Medical Oncology Hematology Consultants PA
Newark
Delaware
19713
United States
Christiana Care Health System-Christiana Hospital
Newark
Delaware
19718
United States
Beebe Health Campus
Rehoboth Beach
Delaware
19971
United States
Nanticoke Memorial Hospital
Seaford
Delaware
19973
United States
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Wilmington
Delaware
19801
United States
MedStar Georgetown University Hospital
Washington D.C.
District of Columbia
20007
United States
Memorial Health University Medical Center
Savannah
Georgia
31404
United States
Saint Alphonsus Cancer Care Center-Boise
Boise
Idaho
83706
United States
Saint Luke's Mountain States Tumor Institute
Boise
Idaho
83712
United States
Saint Alphonsus Cancer Care Center-Caldwell
Caldwell
Idaho
83605
United States
Kootenai Medical Center
Coeur d'Alene
Idaho
83814
United States
Walter Knox Memorial Hospital
Emmett
Idaho
83617
United States
Saint Luke's Mountain States Tumor Institute - Fruitland
Fruitland
Idaho
83619
United States
Idaho Urologic Institute-Meridian
Meridian
Idaho
83642
United States
Saint Luke's Mountain States Tumor Institute - Meridian
Meridian
Idaho
83642
United States
Saint Alphonsus Medical Center-Nampa
Nampa
Idaho
83686
United States
Saint Luke's Mountain States Tumor Institute - Nampa
Nampa
Idaho
83686
United States
Kootenai Cancer Center
Post Falls
Idaho
83854
United States
Kootenai Cancer Clinic
Sandpoint
Idaho
83864
United States
Saint Luke's Mountain States Tumor Institute-Twin Falls
Twin Falls
Idaho
83301
United States
Rush - Copley Medical Center
Aurora
Illinois
60504
United States
Saint Joseph Medical Center
Bloomington
Illinois
61701
United States
Illinois CancerCare-Bloomington
Bloomington
Illinois
61704
United States
Illinois CancerCare-Canton
Canton
Illinois
61520
United States
Memorial Hospital of Carbondale
Carbondale
Illinois
62902
United States
SIH Cancer Institute
Carterville
Illinois
62918
United States
Illinois CancerCare-Carthage
Carthage
Illinois
62321
United States
Centralia Oncology Clinic
Centralia
Illinois
62801
United States
University of Illinois
Chicago
Illinois
60612
United States
Carle on Vermilion
Danville
Illinois
61832
United States
Cancer Care Specialists of Illinois - Decatur
Decatur
Illinois
62526
United States
Decatur Memorial Hospital
Decatur
Illinois
62526
United States
Carle Physician Group-Effingham
Effingham
Illinois
62401
United States
Crossroads Cancer Center
Effingham
Illinois
62401
United States
Illinois CancerCare-Eureka
Eureka
Illinois
61530
United States
NorthShore University HealthSystem-Evanston Hospital
Evanston
Illinois
60201
United States
Illinois CancerCare-Galesburg
Galesburg
Illinois
61401
United States
Western Illinois Cancer Treatment Center
Galesburg
Illinois
61401
United States
NorthShore University HealthSystem-Glenbrook Hospital
Glenview
Illinois
60026
United States
Ingalls Memorial Hospital
Harvey
Illinois
60426
United States
NorthShore University HealthSystem-Highland Park Hospital
Highland Park
Illinois
60035
United States
Illinois CancerCare-Kewanee Clinic
Kewanee
Illinois
61443
United States
Illinois CancerCare-Macomb
Macomb
Illinois
61455
United States
Carle Physician Group-Mattoon/Charleston
Mattoon
Illinois
61938
United States
Good Samaritan Regional Health Center
Mount Vernon
Illinois
62864
United States
Cancer Care Center of O'Fallon
O'Fallon
Illinois
62269
United States
Illinois CancerCare-Ottawa Clinic
Ottawa
Illinois
61350
United States
Radiation Oncology of Northern Illinois
Ottawa
Illinois
61350
United States
Illinois CancerCare-Pekin
Pekin
Illinois
61554
United States
OSF Saint Francis Radiation Oncology at Pekin Cancer Treatment Center
Pekin
Illinois
61554
United States
Illinois CancerCare-Peoria
Peoria
Illinois
61615
United States
OSF Saint Francis Radiation Oncology at Peoria Cancer Center
Peoria
Illinois
61615
United States
Methodist Medical Center of Illinois
Peoria
Illinois
61636
United States
OSF Saint Francis Medical Center
Peoria
Illinois
61637
United States
Illinois CancerCare-Peru
Peru
Illinois
61354
United States
Valley Radiation Oncology
Peru
Illinois
61354
United States
Illinois CancerCare-Princeton
Princeton
Illinois
61356
United States
Central Illinois Hematology Oncology Center
Springfield
Illinois
62702
United States
Southern Illinois University School of Medicine
Springfield
Illinois
62702
United States
Springfield Clinic
Springfield
Illinois
62702
United States
Memorial Medical Center
Springfield
Illinois
62781
United States
Southwest Illinois Health Services LLP
Swansea
Illinois
62226
United States
Carle Cancer Center
Urbana
Illinois
61801
United States
The Carle Foundation Hospital
Urbana
Illinois
61801
United States
Rush-Copley Healthcare Center
Yorkville
Illinois
60560
United States
Siouxland Regional Cancer Center
Sioux City
Iowa
51101
United States
Cancer Center of Kansas - Chanute
Chanute
Kansas
66720
United States
Cancer Center of Kansas - Dodge City
Dodge City
Kansas
67801
United States
Cancer Center of Kansas - El Dorado
El Dorado
Kansas
67042
United States
Cancer Center of Kansas - Fort Scott
Fort Scott
Kansas
66701
United States
Cancer Center of Kansas-Independence
Independence
Kansas
67301
United States
Cancer Center of Kansas-Kingman
Kingman
Kansas
67068
United States
Lawrence Memorial Hospital
Lawrence
Kansas
66044
United States
Kansas Institute of Medicine Cancer and Blood Center
Lenexa
Kansas
66219
United States
Minimally Invasive Surgery Hospital
Lenexa
Kansas
66219
United States
Cancer Center of Kansas-Liberal
Liberal
Kansas
67905
United States
Cancer Center of Kansas-Manhattan
Manhattan
Kansas
66502
United States
Cancer Center of Kansas - McPherson
McPherson
Kansas
67460
United States
Cancer Center of Kansas - Newton
Newton
Kansas
67114
United States
Menorah Medical Center
Overland Park
Kansas
66209
United States
Saint Luke's South Hospital
Overland Park
Kansas
66213
United States
Cancer Center of Kansas - Parsons
Parsons
Kansas
67357
United States
Cancer Center of Kansas - Pratt
Pratt
Kansas
67124
United States
Cancer Center of Kansas - Salina
Salina
Kansas
67401
United States
Cancer Center of Kansas - Wellington
Wellington
Kansas
67152
United States
Cancer Center of Kansas-Wichita Medical Arts Tower
Wichita
Kansas
67208
United States
Cancer Center of Kansas - Wichita
Wichita
Kansas
67214
United States
Wesley Medical Center
Wichita
Kansas
67214
United States
Cancer Center of Kansas - Winfield
Winfield
Kansas
67156
United States
Harold Alfond Center for Cancer Care
Augusta
Maine
04330
United States
Eastern Maine Medical Center
Bangor
Maine
04401
United States
Lafayette Family Cancer Center-EMMC
Brewer
Maine
04412
United States
Penobscot Bay Medical Center
Rockport
Maine
04856
United States
Massachusetts General Hospital Cancer Center
Boston
Massachusetts
02114
United States
Dana-Farber Cancer Institute
Boston
Massachusetts
02215
United States
Mercy Medical Center
Springfield
Massachusetts
01104
United States
Hickman Cancer Center
Adrian
Michigan
49221
United States
Saint Joseph Mercy Hospital
Ann Arbor
Michigan
48106
United States
Bronson Battle Creek
Battle Creek
Michigan
49017
United States
IHA Hematology Oncology Consultants-Brighton
Brighton
Michigan
48114
United States
Saint Joseph Mercy Brighton
Brighton
Michigan
48114
United States
IHA Hematology Oncology Consultants-Canton
Canton
Michigan
48188
United States
Saint Joseph Mercy Canton
Canton
Michigan
48188
United States
Caro Cancer Center
Caro
Michigan
48723
United States
IHA Hematology Oncology Consultants-Chelsea
Chelsea
Michigan
48118
United States
Saint Joseph Mercy Chelsea
Chelsea
Michigan
48118
United States
Hematology Oncology Consultants-Clarkston
Clarkston
Michigan
48346
United States
Newland Medical Associates-Clarkston
Clarkston
Michigan
48346
United States
Henry Ford Hospital
Detroit
Michigan
48202
United States
Ascension Saint John Hospital
Detroit
Michigan
48236
United States
Great Lakes Cancer Management Specialists-Doctors Park
East China Township
Michigan
48054
United States
Green Bay Oncology - Escanaba
Escanaba
Michigan
49829
United States
Genesee Cancer and Blood Disease Treatment Center
Flint
Michigan
48503
United States
Genesee Hematology Oncology PC
Flint
Michigan
48503
United States
Genesys Hurley Cancer Institute
Flint
Michigan
48503
United States
Hurley Medical Center
Flint
Michigan
48503
United States
Mercy Health Saint Mary's
Grand Rapids
Michigan
49503
United States
Spectrum Health at Butterworth Campus
Grand Rapids
Michigan
49503
United States
Academic Hematology Oncology Specialists
Grosse Pointe Woods
Michigan
48236
United States
Great Lakes Cancer Management Specialists-Van Elslander Cancer Center
Grosse Pointe Woods
Michigan
48236
United States
Michigan Breast Specialists-Grosse Pointe Woods
Grosse Pointe Woods
Michigan
48236
United States
Bronson Methodist Hospital
Kalamazoo
Michigan
49007
United States
West Michigan Cancer Center
Kalamazoo
Michigan
49007
United States
Borgess Medical Center
Kalamazoo
Michigan
49048
United States
Sparrow Hospital
Lansing
Michigan
48912
United States
Hope Cancer Clinic
Livonia
Michigan
48154
United States
Saint Mary Mercy Hospital
Livonia
Michigan
48154
United States
Great Lakes Cancer Management Specialists-Macomb Medical Campus
Macomb
Michigan
48044
United States
Michigan Breast Specialists-Macomb Township
Macomb
Michigan
48044
United States
Saint Mary's Oncology/Hematology Associates of Marlette
Marlette
Michigan
48453
United States
Toledo Clinic Cancer Centers-Monroe
Monroe
Michigan
48162
United States
Mercy Health Mercy Campus
Muskegon
Michigan
49444
United States
Lakeland Hospital Niles
Niles
Michigan
49120
United States
Ascension Providence Hospitals - Novi
Novi
Michigan
48374
United States
Henry Ford Medical Center-Columbus
Novi
Michigan
48377
United States
21st Century Oncology-Pontiac
Pontiac
Michigan
48341
United States
Hope Cancer Center
Pontiac
Michigan
48341
United States
Newland Medical Associates-Pontiac
Pontiac
Michigan
48341
United States
Saint Joseph Mercy Oakland
Pontiac
Michigan
48341
United States
Spectrum Health Reed City Hospital
Reed City
Michigan
49677
United States
Great Lakes Cancer Management Specialists-Rochester Hills
Rochester Hills
Michigan
48309
United States
Ascension Saint Mary's Hospital
Saginaw
Michigan
48601
United States
Oncology Hematology Associates of Saginaw Valley PC
Saginaw
Michigan
48604
United States
Lakeland Medical Center Saint Joseph
Saint Joseph
Michigan
49085
United States
Marie Yeager Cancer Center
Saint Joseph
Michigan
49085
United States
Ascension Providence Hospitals - Southfield
Southfield
Michigan
48075
United States
Bhadresh Nayak MD PC-Sterling Heights
Sterling Heights
Michigan
48312
United States
Ascension Saint Joseph Hospital
Tawas City
Michigan
48764
United States
Munson Medical Center
Traverse City
Michigan
49684
United States
Advanced Breast Care Center PLLC
Warren
Michigan
48088
United States
Great Lakes Cancer Management Specialists-Macomb Professional Building
Warren
Michigan
48093
United States
Macomb Hematology Oncology PC
Warren
Michigan
48093
United States
Michigan Breast Specialists-Warren
Warren
Michigan
48093
United States
Saint John Macomb-Oakland Hospital
Warren
Michigan
48093
United States
Saint Mary's Oncology/Hematology Associates of West Branch
West Branch
Michigan
48661
United States
Metro Health Hospital
Wyoming
Michigan
49519
United States
Huron Gastroenterology PC
Ypsilanti
Michigan
48106
United States
IHA Hematology Oncology Consultants-Ann Arbor
Ypsilanti
Michigan
48197
United States
Essentia Health - Deer River Clinic
Deer River
Minnesota
56636
United States
Essentia Health Cancer Center
Duluth
Minnesota
55805
United States
Essentia Health Saint Mary's Medical Center
Duluth
Minnesota
55805
United States
Miller-Dwan Hospital
Duluth
Minnesota
55805
United States
Essentia Health Hibbing Clinic
Hibbing
Minnesota
55746
United States
Coborn Cancer Center at Saint Cloud Hospital
Saint Cloud
Minnesota
56303
United States
Saint Cloud Hospital
Saint Cloud
Minnesota
56303
United States
Essentia Health Virginia Clinic
Virginia
Minnesota
55792
United States
Saint Louis Cancer and Breast Institute-Ballwin
Ballwin
Missouri
63011
United States
Parkland Health Center-Bonne Terre
Bonne Terre
Missouri
63628
United States
Saint Francis Medical Center
Cape Girardeau
Missouri
63703
United States
Southeast Cancer Center
Cape Girardeau
Missouri
63703
United States
Saint Luke's Hospital
Chesterfield
Missouri
63017
United States
Centerpoint Medical Center LLC
Independence
Missouri
64057
United States
Capital Region Southwest Campus
Jefferson City
Missouri
65109
United States
Saint Luke's Hospital of Kansas City
Kansas City
Missouri
64111
United States
Heartland Hematology and Oncology Associates Incorporated
Kansas City
Missouri
64118
United States
Research Medical Center
Kansas City
Missouri
64132
United States
Saint Luke's East - Lee's Summit
Lee's Summit
Missouri
64086
United States
Liberty Radiation Oncology Center
Liberty
Missouri
64068
United States
Delbert Day Cancer Institute at PCRMC
Rolla
Missouri
65401
United States
Heartland Regional Medical Center
Saint Joseph
Missouri
64506
United States
Sainte Genevieve County Memorial Hospital
Sainte Genevieve
Missouri
63670
United States
Mercy Hospital Springfield
Springfield
Missouri
65804
United States
CoxHealth South Hospital
Springfield
Missouri
65807
United States
Saint Louis Cancer and Breast Institute-South City
St Louis
Missouri
63109
United States
Missouri Baptist Medical Center
St Louis
Missouri
63131
United States
Mercy Hospital Saint Louis
St Louis
Missouri
63141
United States
Missouri Baptist Sullivan Hospital
Sullivan
Missouri
63080
United States
Missouri Baptist Outpatient Center-Sunset Hills
Sunset Hills
Missouri
63127
United States
Mercy Hospital Washington
Washington
Missouri
63090
United States
Community Hospital of Anaconda
Anaconda
Montana
59711
United States
Billings Clinic Cancer Center
Billings
Montana
59101
United States
Bozeman Deaconess Hospital
Bozeman
Montana
59715
United States
Benefis Healthcare- Sletten Cancer Institute
Great Falls
Montana
59405
United States
Great Falls Clinic
Great Falls
Montana
59405
United States
Saint Peter's Community Hospital
Helena
Montana
59601
United States
Kalispell Regional Medical Center
Kalispell
Montana
59901
United States
Saint Patrick Hospital - Community Hospital
Missoula
Montana
59802
United States
Community Medical Hospital
Missoula
Montana
59804
United States
University of New Mexico Cancer Center
Albuquerque
New Mexico
87102
United States
Roswell Park Cancer Institute
Buffalo
New York
14263
United States
Northwell Health/Center for Advanced Medicine
Lake Success
New York
11042
United States
North Shore University Hospital
Manhasset
New York
11030
United States
Long Island Jewish Medical Center
New Hyde Park
New York
11040
United States
Memorial Sloan Kettering Cancer Center
New York
New York
10065
United States
State University of New York Upstate Medical University
Syracuse
New York
13210
United States
UNC Lineberger Comprehensive Cancer Center
Chapel Hill
North Carolina
27599
United States
Carolinas Medical Center/Levine Cancer Institute
Charlotte
North Carolina
28203
United States
Southeastern Medical Oncology Center-Clinton
Clinton
North Carolina
28328
United States
Southeastern Medical Oncology Center-Goldsboro
Goldsboro
North Carolina
27534
United States
Wayne Memorial Hospital
Goldsboro
North Carolina
27534
United States
East Carolina University
Greenville
North Carolina
27834
United States
Southeastern Medical Oncology Center-Jacksonville
Jacksonville
North Carolina
28546
United States
Rex Hematology Oncology Associates-Blue Ridge
Raleigh
North Carolina
27607
United States
Iredell Memorial Hospital
Statesville
North Carolina
28677
United States
Wake Forest University Health Sciences
Winston-Salem
North Carolina
27157
United States
Strecker Cancer Center-Belpre
Belpre
Ohio
45714
United States
Adena Regional Medical Center
Chillicothe
Ohio
45601
United States
Ohio State University Comprehensive Cancer Center
Columbus
Ohio
43210
United States
Mount Carmel East Hospital
Columbus
Ohio
43213
United States
Columbus Oncology and Hematology Associates Inc
Columbus
Ohio
43214
United States
Riverside Methodist Hospital
Columbus
Ohio
43214
United States
Grant Medical Center
Columbus
Ohio
43215
United States
The Mark H Zangmeister Center
Columbus
Ohio
43219
United States
Mount Carmel Health Center West
Columbus
Ohio
43222
United States
Doctors Hospital
Columbus
Ohio
43228
United States
Delaware Health Center-Grady Cancer Center
Delaware
Ohio
43015
United States
Delaware Radiation Oncology
Delaware
Ohio
43015
United States
Grady Memorial Hospital
Delaware
Ohio
43015
United States
Dublin Methodist Hospital
Dublin
Ohio
43016
United States
Central Ohio Breast and Endocrine Surgery
Gahanna
Ohio
43230
United States
Mount Carmel Grove City Hospital
Grove City
Ohio
43123
United States
Fairfield Medical Center
Lancaster
Ohio
43130
United States
OhioHealth Mansfield Hospital
Mansfield
Ohio
44903
United States
Marietta Memorial Hospital
Marietta
Ohio
45750
United States
OhioHealth Marion General Hospital
Marion
Ohio
43302
United States
Toledo Clinic Cancer Centers-Maumee
Maumee
Ohio
43537
United States
Toledo Radiation Oncology at Northwest Ohio Onocolgy Center
Maumee
Ohio
43537
United States
Knox Community Hospital
Mount Vernon
Ohio
43050
United States
Licking Memorial Hospital
Newark
Ohio
43055
United States
Newark Radiation Oncology
Newark
Ohio
43055
United States
Saint Charles Hospital
Oregon
Ohio
43616
United States
Mercy Health Perrysburg Cancer Center
Perrysburg
Ohio
43551
United States
Southern Ohio Medical Center
Portsmouth
Ohio
45662
United States
Mercy Saint Anne Hospital
Toledo
Ohio
43623
United States
Toledo Clinic Cancer Centers-Toledo
Toledo
Ohio
43623
United States
Saint Ann's Hospital
Westerville
Ohio
43081
United States
Genesis Healthcare System Cancer Care Center
Zanesville
Ohio
43701
United States
University of Oklahoma Health Sciences Center
Oklahoma City
Oklahoma
73104
United States
Saint Alphonsus Medical Center-Baker City
Baker City
Oregon
97814
United States
Saint Charles Health System
Bend
Oregon
97701
United States
Clackamas Radiation Oncology Center
Clackamas
Oregon
97015
United States
Providence Cancer Institute Clackamas Clinic
Clackamas
Oregon
97015
United States
Bay Area Hospital
Coos Bay
Oregon
97420
United States
Providence Newberg Medical Center
Newberg
Oregon
97132
United States
Saint Alphonsus Medical Center-Ontario
Ontario
Oregon
97914
United States
Providence Willamette Falls Medical Center
Oregon City
Oregon
97045
United States
Providence Portland Medical Center
Portland
Oregon
97213
United States
Providence Saint Vincent Medical Center
Portland
Oregon
97225
United States
Saint Charles Health System-Redmond
Redmond
Oregon
97756
United States
Lehigh Valley Hospital-Cedar Crest
Allentown
Pennsylvania
18103
United States
Lehigh Valley Hospital - Muhlenberg
Bethlehem
Pennsylvania
18017
United States
Pocono Medical Center
East Stroudsburg
Pennsylvania
18301
United States
Lehigh Valley Hospital-Hazleton
Hazleton
Pennsylvania
18201
United States
Gibbs Cancer Center-Gaffney
Gaffney
South Carolina
29341
United States
Gibbs Cancer Center-Pelham
Greer
South Carolina
29651
United States
Spartanburg Medical Center
Spartanburg
South Carolina
29303
United States
MGC Hematology Oncology-Union
Union
South Carolina
29379
United States
University of Virginia Cancer Center
Charlottesville
Virginia
22908
United States
Providence Regional Cancer System-Aberdeen
Aberdeen
Washington
98520
United States
Cancer Care Center at Island Hospital
Anacortes
Washington
98221
United States
PeaceHealth Saint Joseph Medical Center
Bellingham
Washington
98225
United States
Providence Regional Cancer System-Centralia
Centralia
Washington
98531
United States
Swedish Cancer Institute-Edmonds
Edmonds
Washington
98026
United States
Providence Regional Cancer Partnership
Everett
Washington
98201
United States
Swedish Cancer Institute-Issaquah
Issaquah
Washington
98029
United States
Kadlec Clinic Hematology and Oncology
Kennewick
Washington
99336
United States
Providence Regional Cancer System-Lacey
Lacey
Washington
98503
United States
PeaceHealth Saint John Medical Center
Longview
Washington
98632
United States
Pacific Gynecology Specialists
Seattle
Washington
98104
United States
Swedish Medical Center-Ballard Campus
Seattle
Washington
98107
United States
Kaiser Permanente Washington
Seattle
Washington
98112
United States
Swedish Medical Center-First Hill
Seattle
Washington
98122-4307
United States
Swedish Medical Center-Cherry Hill
Seattle
Washington
98122-5711
United States
PeaceHealth United General Medical Center
Sedro-Woolley
Washington
98284
United States
Providence Regional Cancer System-Shelton
Shelton
Washington
98584
United States
MultiCare Deaconess Cancer and Blood Specialty Center - Downtown
Spokane
Washington
99204
United States
Evergreen Hematology and Oncology PS
Spokane
Washington
99218
United States
MultiCare Deaconess Cancer and Blood Specialty Center - North
Spokane
Washington
99218
United States
MultiCare Deaconess Cancer and Blood Specialty Center - Valley
Spokane Valley
Washington
99216
United States
PeaceHealth Southwest Medical Center
Vancouver
Washington
98664
United States
Providence Saint Mary Regional Cancer Center
Walla Walla
Washington
99362
United States
Providence Regional Cancer System-Yelm
Yelm
Washington
98597
United States
West Virginia University Healthcare
Morgantown
West Virginia
26506
United States
Duluth Clinic Ashland
Ashland
Wisconsin
54806
United States
Marshfield Clinic-Chippewa Center
Chippewa Falls
Wisconsin
54729
United States
Marshfield Medical Center-EC Cancer Center
Eau Claire
Wisconsin
54701
United States
Green Bay Oncology at Saint Vincent Hospital
Green Bay
Wisconsin
54301-3526
United States
Saint Vincent Hospital Cancer Center Green Bay
Green Bay
Wisconsin
54301
United States
Green Bay Oncology Limited at Saint Mary's Hospital
Green Bay
Wisconsin
54303
United States
Saint Vincent Hospital Cancer Center at Saint Mary's
Green Bay
Wisconsin
54303
United States
Gundersen Lutheran Medical Center
La Crosse
Wisconsin
54601
United States
Marshfield Clinic - Ladysmith Center
Ladysmith
Wisconsin
54848
United States
University of Wisconsin Hospital and Clinics
Madison
Wisconsin
53792
United States
Holy Family Memorial Hospital
Manitowoc
Wisconsin
54221
United States
Saint Vincent Hospital Cancer Center at Marinette
Marinette
Wisconsin
54143
United States
Marshfield Medical Center-Marshfield
Marshfield
Wisconsin
54449
United States
Marshfield Clinic-Minocqua Center
Minocqua
Wisconsin
54548
United States
ProHealth D N Greenwald Center
Mukwonago
Wisconsin
53149
United States
ProHealth Oconomowoc Memorial Hospital
Oconomowoc
Wisconsin
53066
United States
Saint Vincent Hospital Cancer Center at Oconto Falls
Oconto Falls
Wisconsin
54154
United States
Marshfield Medical Center-Rice Lake
Rice Lake
Wisconsin
54868
United States
HSHS Saint Nicholas Hospital
Sheboygan
Wisconsin
53081
United States
Marshfield Clinic Stevens Point Center
Stevens Point
Wisconsin
54482
United States
Saint Vincent Hospital Cancer Center at Sturgeon Bay
Sturgeon Bay
Wisconsin
54235-1495
United States
Green Bay Oncology - Sturgeon Bay
Sturgeon Bay
Wisconsin
54235
United States
ProHealth Waukesha Memorial Hospital
Waukesha
Wisconsin
53188
United States
UW Cancer Center at ProHealth Care
Waukesha
Wisconsin
53188
United States
Marshfield Clinic-Wausau Center
Wausau
Wisconsin
54401
United States
Marshfield Clinic - Weston Center
Weston
Wisconsin
54476
United States
Marshfield Clinic - Wisconsin Rapids Center
Wisconsin Rapids
Wisconsin
54494
United States
Billings Clinic-Cody
Cody
Wyoming
82414
United States
Welch Cancer Center
Sheridan
Wyoming
82801
United States
Arm II (Pomalidomide, Dexamethasone, Ixazomib)
Patients receive 4mg pomalidomide, 40mg dexamethasone, and 4mg ixazomib as in Phase I. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
FG002
Phase 1 Dose Level 1
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 1 was 2mg POM-DEX and 3mg IXA.
FG003
Phase I Dose Level 2
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 2 was 3mg POM-DEX and 3mg IXA.
FG004
Phase 1 Dose Level 3
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 3 was 4mg POM-DEX and 3mg IXA.
FG005
Phase 1 Dose Level 4
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 4 was 4mg POM-DEX and 4mg IXA.
FG0000 subjects
FG0010 subjects
FG0023 subjects
FG0035 subjects
FG0047 subjects
FG00511 subjects
COMPLETED
FG0000 subjects
FG0010 subjects
FG0023 subjects
FG0033 subjects
FG0046 subjects
FG0056 subjects
NOT COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0032 subjects
FG0041 subjects
FG0055 subjects
Type
Comment
Reasons
Ineligible
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0031 subjects
FG0041 subjects
FG0050 subjects
Protocol Violation
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0031 subjects
FG004
Phase 2 Part 1
Type
Comment
Milestone Data
STARTED
FG00045 subjects
FG00147 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
COMPLETED
FG00039 subjects
FG00138 subjects
FG0020 subjects
FG0030 subjects
FG004
NOT COMPLETED
FG0006 subjects
FG0019 subjects
FG0020 subjects
FG0030 subjects
FG004
Type
Comment
Reasons
Ineligible
FG0006 subjects
FG0019 subjects
FG0020 subjects
FG003
Phase 2 Part 2
Type
Comment
Milestone Data
STARTED
FG00030 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
COMPLETED
FG00026 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
NOT COMPLETED
FG0004 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Type
Comment
Reasons
Withdrawal by Subject
FG0004 subjects
FG0010 subjects
FG0020 subjects
FG003
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Phase II Arm I (Pomalidomide, Dexamethasone)
Patients receive pomalidomide PO QD on days 1-21 and dexamethasone PO QD on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving disease progression may cross over to Arm II.
BG001
Phase II Arm II (Pomalidomide, Dexamethasone, Ixazomib)
Patients receive pomalidomide, dexamethasone, and ixazomib as in Phase I. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
BG002
Phase 1 Dose Level 1
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 1 was 2mg POM-DEX and 3mg IXA.
BG003
Phase 1 Dose Level 2
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 2 was 3mg POM-DEX and 3mg IXA.
BG004
Phase 1 Dose Level 3
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 3 was 4mg POM-DEX and 3mg IXA.
BG005
Phase 1 Dose Level 4
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 4 was 4mg POM-DEX and 4mg IXA.
BG006
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG00045
BG00147
BG0023
BG0035
BG0047
BG00511
BG006118
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Median
Full Range
years
Title
Denominators
Categories
Title
Measurements
BG00065(41 to 85)
BG00167(41 to 83)
BG00264.0(57 to 72)
BG003
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG00017
BG00125
BG002
Ethnicity (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Hispanic or Latino
BG0004
BG0011
BG002
Race (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
American Indian or Alaska Native
BG0000
BG0010
BG002
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
Maximum Tolerated Dose (MTD) of Pomalidomide and Ixazomib, Determined According to Incidence of Dose Limiting Toxicity (DLT) Graded Using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 (Phase I)
For this protocol, dose-limiting toxicity (DLT) will be defined by the following adverse events at least possibly related to study therapy: Grade 3 or higher non-hematologic toxicity, with the following exceptions: Alopecia is not expected but would not be considered a DLT. Nausea, vomiting and diarrhea will only be considered a DLT if it cannot be adequately managed with optimal supportive care. Grade 3 or 4 hyperglycemia due to dexamethasone will only be considered a DLT if it cannot be controlled with appropriate therapy Grade 4 hematologic toxicity, with the following exceptions: Grade 4 lymphopenia is expected with this regimen and will not be construed as a DLT. Grade 4 neutropenia will only be considered a DLT if it lasts longer than 7 days despite appropriate supportive care. Grade 4 thrombocytopenia will only be considered a DLT if it lasts longer than 7 days or is associated with greater then or equal to grade 3 bleeding event
Posted
Number
participants with DLT
28 days
ID
Title
Description
OG000
Phase 1 Dose Level 1
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 1 was 2mg POM-DEX and 3mg IXA.
OG001
Phase 1 Dose Level 2
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 2 was 3mg POM-DEX and 3mg IXA.
OG002
Phase 1 Dose Level 3
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 3 was 4mg POM-DEX and 3mg IXA.
OG003
Units
Counts
Participants
OG0003
OG0013
OG0026
OG003
Title
Denominators
Categories
Title
Measurements
OG0000
OG0010
OG0021
OG003
Primary
Progression Free Survival (PFS) (Phase II)
progression-free survival (PFS), defined as the time from randomization to the date the International Myeloma Working Group (IMWG) criteria for disease progression is met. If a patient initiates another anti-cancer treatment prior to disease progression, they will be censored at the date of initiation of this treatment. Patients will be randomized to treatment using the Pocock-Simon algorithm balancing the distribution of the following stratification factors between the two treatment arms: 1) ISS 1-2 disease vs. ISS 3 disease (current ISS stage based off screening beta 2 microglobulin and albumin) 2) High risk cytogenetics features: yes vs. no High risk cytogenetics features include: del(1p), gain of 1q, t(4;14), t(14;16), t(14; 20), del(17p) 3) Prior treatment with a proteasome inhibitor: yes vs. no
All eligible phase 2 patients were included in this analysis
Posted
Median
95% Confidence Interval
days
3 years
ID
Title
Description
OG000
Phase II Arm I (Pomalidomide, Dexamethasone)
Patients receive pomalidomide PO QD on days 1-21 and dexamethasone PO QD on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving disease progression may cross over to Arm II.
OG001
Phase II Arm II (Pomalidomide, Dexamethasone, Ixazomib)
Patients receive pomalidomide, dexamethasone, and ixazomib as in Phase I. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Secondary
Incidence and Type of Dose Limiting Toxicities (DLTs) Graded According to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 (Phase I)
These events are reported in the adverse events section of this report.
All enrolled phase 1 patients that were eligible and treated per protocol were evaluated for dose limiting toxicities. This excludes two dose level 2 patients, one dose level 3 patient and 5 dose level 4 patients.
Posted
Number
participants with DLT
44.5 months
ID
Title
Description
OG000
Phase 1 Dose Level 1
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 1 was 2mg POM-DEX and 3mg IXA.
OG001
Phase 1 Dose Level 2
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 2 was 3mg POM-DEX and 3mg IXA.
Secondary
Incidence of Dose Reductions/Delays (Phase I)
Posted
Count of Participants
Participants
39 months
ID
Title
Description
OG000
Phase 1 Dose Level 1
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 1 was 2mg POM-DEX and 3mg IXA.
OG001
Phase 1 Dose Level 2
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 2 was 3mg POM-DEX and 3mg IXA.
Secondary
Overall Response Rate (ORR)
ORR is defined as partial response (PR), very good partial response (VGPR), complete response (CR), or stringent complete response (sCR) according to International Myeloma Working Group (IMWG) Uniform Response Criteria
All eligible and treated Phase II patients were included in analysis. Phase I patients were excluded from response analysis.
Posted
Number
95% Confidence Interval
proportion of participants
3 years
ID
Title
Description
OG000
Arm I (Pomalidomide, Dexamethasone)
Patients receive pomalidomide PO QD on days 1-21 and dexamethasone PO QD on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving disease progression may cross over to Arm II.
OG001
Arm II (Pomalidomide, Dexamethasone, Ixazomib)
Patients receive pomalidomide, dexamethasone, and ixazomib as in Phase I. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Units
Counts
Participants
Secondary
Clinical Benefit Rate (CBR)
Disease response status is based on the IMWG criteria being held for two consecutive evaluations at least 4 weeks apart. Clinical benefit rate (CBR) is defined as proportion of patients with minimal response (MR) and better according to International Myeloma Working Group (IMWG) Uniform Response Criteria (Phase II)
Posted
Number
95% Confidence Interval
proportion of participants
3 years
ID
Title
Description
OG000
Phase II Arm I (Pomalidomide, Dexamethasone)
Patients receive pomalidomide PO QD on days 1-21 and dexamethasone PO QD on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving disease progression may cross over to Arm II.
OG001
Phase II Arm II (Pomalidomide, Dexamethasone, Ixazomib)
Patients receive pomalidomide, dexamethasone, and ixazomib as in Phase I. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Units
Counts
Participants
Secondary
Disease Control Rate (DCR), Defined as Stable Disease (SD) and Better According to International Myeloma Working Group (IMWG) Uniform Response Criteria (Phase II)
Proportion of patients that went two of more cycles of treatment without discontinuing treatment for progression or intolerability.
Posted
Number
95% Confidence Interval
proportion of partcipants
42 days
ID
Title
Description
OG000
Phase II Arm I (Pomalidomide, Dexamethasone)
Patients receive pomalidomide PO QD on days 1-21 and dexamethasone PO QD on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving disease progression may cross over to Arm II.
OG001
Phase II Arm II (Pomalidomide, Dexamethasone, Ixazomib)
Patients receive pomalidomide, dexamethasone, and ixazomib as in Phase I. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Units
Counts
Participants
OG000
Secondary
Duration of Response (DOR), Calculated for All Patients Achieving an Objective Response, Partial Response (PR) or Better (Phase II)
All eligible phase 2 responders
Posted
Median
95% Confidence Interval
Months
Up to 3 years
ID
Title
Description
OG000
Phase II Arm I (Pomalidomide, Dexamethasone)
Patients receive pomalidomide PO QD on days 1-21 and dexamethasone PO QD on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving disease progression may cross over to Arm II.
OG001
Phase II Arm II (Pomalidomide, Dexamethasone, Ixazomib)
Patients receive pomalidomide, dexamethasone, and ixazomib as in Phase I. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Units
Counts
Participants
OG000
Secondary
Overall Survival (OS) (Phase II)
Overall survival was analyzed from the time of registration to the date of death or last known date living. Due to median OS time not being reached due to lack of deaths at the time of this report by either arm, the 2 year OS rate has been reported. This analysis censors living patients at 2 years.
Posted
Number
95% Confidence Interval
proportion of patients alive
2 years
ID
Title
Description
OG000
Phase II Arm I (Pomalidomide, Dexamethasone)
Patients receive pomalidomide PO QD on days 1-21 and dexamethasone PO QD on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving disease progression may cross over to Arm II.
OG001
Phase II Arm II (Pomalidomide, Dexamethasone, Ixazomib)
Patients receive pomalidomide, dexamethasone, and ixazomib as in Phase I. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Units
Counts
Participants
Secondary
Time to Next Treatment (TNT) (Phase II)
Not Posted
Apr 2024
Up to 3 years post-registration
Participants
Secondary
Incidence, Type and Severity of Adverse Events, Graded According to National Cancer Institute (NCI) Common Terminology Criteria Adverse Events (CTCAE) Version 4.0 (Phase II)
The count of paitents that experenced an adverse event is reported in this section. A full table of these events is reported in the adverse event section of this report.
Posted
Count of Participants
Participants
92 months
ID
Title
Description
OG000
Phase II Arm I (Pomalidomide, Dexamethasone)
Patients receive pomalidomide PO QD on days 1-21 and dexamethasone PO QD on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving disease progression may cross over to Arm II.
OG001
Phase II Arm II (Pomalidomide, Dexamethasone, Ixazomib) + Crossover Patients From Arm I
Patients receive pomalidomide, dexamethasone, and ixazomib as in Phase I. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
OG002
Phase 1 Dose Level 1
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 1 was 2mg POM-DEX and 3mg IXA.
Secondary
Response Rates (Overall Response Rate (ORR), Clinical Benefit Rate (CBR), Disease Control Rate (DCR) for All Patients on the Pomalidomide/Dexamethasone Arm at the Time of Cross-over to Pomalidomide/Dexamethasone/Ixazomib (Phase II)
Posted
Number
95% Confidence Interval
proportion of partcipants
Up to 3 years
ID
Title
Description
OG000
Arm I(Pomalidomide, Dexamethasone)
Patients receive pomalidomide PO QD on days 1-21 and dexamethasone PO QD on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving disease progression may cross over to Arm II.
Units
Counts
Participants
OG00026
Secondary
Progression Free Survival (PFS) for All Patients on the Pomalidomide/Dexamethasone Arm at the Time of Cross-over to Pomalidomide/Dexamethasone/Ixazomib (Phase II)
Arm 1 patients that chose to crossover to Arm 2 treatment (add IXA treatment).
Posted
Median
95% Confidence Interval
months
Up to 3 years post-registration (at crossover)
ID
Title
Description
OG000
Arm I (Pomalidomide, Dexamethasone)
Patients receive pomalidomide PO QD on days 1-21 and dexamethasone PO QD on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving disease progression may cross over to Arm II.
Units
Counts
Participants
OG000
Secondary
Baseline Level of Perceived Fatigue and QOL, Assessed Using the Registration Fatigue/Uniscale Assessment Form (Phase II)
Pre-treatment patient-report of fatigue and overall quality of life (based on a 10-point Likert scale). A higher number indicates a better quality of life where 10 is the best outcome and 0 is the worst.
All patients that completed and returned the QoL survey
Posted
Number
participants
baseline
ID
Title
Description
OG000
Arm I (Pomalidomide, Dexamethasone)
Patients receive pomalidomide PO QD on days 1-21 and dexamethasone PO QD on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving disease progression may cross over to Arm II.
OG001
Arm II (Pomalidomide, Dexamethasone, Ixazomib)
Patients receive pomalidomide, dexamethasone, and ixazomib as in Phase I. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Units
Counts
Participants
Time Frame
92 months
Description
All patients were included in mortality, only treated and evaluated patients are included in Adverse Events tables
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Phase II Arm I (Pomalidomide, Dexamethasone)
Patients receive pomalidomide PO QD on days 1-21 and dexamethasone PO QD on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving disease progression may cross over to Arm II.
7
45
22
45
45
45
EG001
Phase II Arm II (Pomalidomide, Dexamethasone, Ixazomib) + Crossover Patients From Arm I
Patients receive pomalidomide, dexamethasone, and ixazomib as in Phase I. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
22
76
33
76
76
76
EG002
Phase 1 Dose Level 1
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 1 was 2mg POM-DEX and 3mg IXA.
1
3
2
3
3
3
EG003
Phase 1 Dose Level 2
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 2 was 3mg POM-DEX and 3mg IXA.
4
5
2
4
4
4
EG004
Phase 1 Dose Level 3
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 3 was 4mg POM-DEX and 3mg IXA.
4
7
4
6
6
6
EG005
Phase 1 Dose Level 4
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 4 was 4mg POM-DEX and 4mg IXA.
7
11
6
11
11
11
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Anemia
Blood and lymphatic system disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0013 events3 affected76 at risk
EG0021 events1 affected3 at risk
EG0030 events0 affected4 at risk
EG0043 events1 affected6 at risk
EG0050 events0 affected11 at risk
Blood and lymph sys disorders - Oth Spec
Blood and lymphatic system disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Febrile neutropenia
Blood and lymphatic system disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0012 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Atrial fibrillation
Cardiac disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0012 events2 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Chest pain - cardiac
Cardiac disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Mitral valve disease
Cardiac disorders
MedDRA 12
Systematic Assessment
EG0002 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Myocardial infarction
Cardiac disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Tinnitus
Ear and labyrinth disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Blurred vision
Eye disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Abdominal pain
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Bloating
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Constipation
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Diarrhea
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0017 events3 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Enterocolitis
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Gastrointestinal disorders - Oth spec
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Nausea
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Upper gastrointestinal hemorrhage
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Vomiting
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Death NOS
General disorders
MedDRA 12
Systematic Assessment
EG0002 events2 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Fatigue
General disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0012 events2 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Fever
General disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0011 events1 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Flu like symptoms
General disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Gen disord and admin site conds-Oth spec
General disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0016 events4 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Localized edema
General disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Non-cardiac chest pain
General disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Cholecystitis
Hepatobiliary disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Hepatobiliary disorders - Other, specify
Hepatobiliary disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Allergic reaction
Immune system disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Bone infection
Infections and infestations
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Bronchial infection
Infections and infestations
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Infections and infestations - Oth spec
Infections and infestations
MedDRA 12
Systematic Assessment
EG0005 events3 affected45 at risk
EG0017 events5 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Lung infection
Infections and infestations
MedDRA 12
Systematic Assessment
EG0003 events3 affected45 at risk
EG0013 events3 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Meningitis
Infections and infestations
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Sepsis
Infections and infestations
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0012 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Skin infection
Infections and infestations
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0013 events3 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Upper respiratory infection
Infections and infestations
MedDRA 12
Systematic Assessment
EG0002 events2 affected45 at risk
EG0012 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0014 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Wound infection
Infections and infestations
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Bruising
Injury, poisoning and procedural complications
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Fall
Injury, poisoning and procedural complications
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0012 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Blood bilirubin increased
Investigations
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Creatinine increased
Investigations
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Lymphocyte count decreased
Investigations
MedDRA 12
Systematic Assessment
EG0005 events5 affected45 at risk
EG0011 events1 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Neutrophil count decreased
Investigations
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Platelet count decreased
Investigations
MedDRA 12
Systematic Assessment
EG0002 events2 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
White blood cell decreased
Investigations
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0012 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Dehydration
Metabolism and nutrition disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Hypercalcemia
Metabolism and nutrition disorders
MedDRA 12
Systematic Assessment
EG0002 events2 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Hypernatremia
Metabolism and nutrition disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Arthralgia
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Back pain
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Generalized muscle weakness
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Muscle weakness lower limb
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Neck pain
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Osteonecrosis of jaw
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Neoplasms benign, mal, uncpec - Oth spec
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 12
Systematic Assessment
EG0002 events2 affected45 at risk
EG0012 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Treatment related secondary malignancy
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 12
Systematic Assessment
EG0006 events2 affected45 at risk
EG0013 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Ataxia
Nervous system disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Headache
Nervous system disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0012 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Paresthesia
Nervous system disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Peripheral sensory neuropathy
Nervous system disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Seizure
Nervous system disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Stroke
Nervous system disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Syncope
Nervous system disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Transient ischemic attacks
Nervous system disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Agitation
Psychiatric disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Insomnia
Psychiatric disorders
MedDRA 12
Systematic Assessment
EG0007 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Acute kidney injury
Renal and urinary disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0012 events2 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Aspiration
Respiratory, thoracic and mediastinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Dyspnea
Respiratory, thoracic and mediastinal disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Epistaxis
Respiratory, thoracic and mediastinal disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Hypoxia
Respiratory, thoracic and mediastinal disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Pneumonitis
Respiratory, thoracic and mediastinal disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0012 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Pulmonary edema
Respiratory, thoracic and mediastinal disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Resp, thoracic, mediastinal - Oth spec
Respiratory, thoracic and mediastinal disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0013 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Respiratory failure
Respiratory, thoracic and mediastinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Rash maculo-papular
Skin and subcutaneous tissue disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0012 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Skin and subcut tissue disord - Oth spec
Skin and subcutaneous tissue disorders
MedDRA 12
Systematic Assessment
EG0004 events3 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Surgical and medical proced - Oth spec
Surgical and medical procedures
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Hypotension
Vascular disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0012 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Thromboembolic event
Vascular disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0012 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Anemia
Blood and lymphatic system disorders
MedDRA 12
Systematic Assessment
EG000187 events31 affected45 at risk
EG001420 events56 affected76 at risk
EG0023 events1 affected3 at risk
EG0036 events4 affected4 at risk
EG00453 events6 affected6 at risk
EG005114 events10 affected11 at risk
Blood and lymph sys disorders - Oth Spec
Blood and lymphatic system disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Febrile neutropenia
Blood and lymphatic system disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Atrial fibrillation
Cardiac disorders
MedDRA 12
Systematic Assessment
EG0002 events2 affected45 at risk
EG00125 events5 affected76 at risk
EG0022 events1 affected3 at risk
EG003
Atrial flutter
Cardiac disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Cardiac disorders - Other, specify
Cardiac disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0013 events3 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Chest pain - cardiac
Cardiac disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Heart failure
Cardiac disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Palpitations
Cardiac disorders
MedDRA 12
Systematic Assessment
EG0002 events2 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Paroxysmal atrial tachycardia
Cardiac disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Sick sinus syndrome
Cardiac disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG00110 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Sinus bradycardia
Cardiac disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG00153 events6 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Sinus tachycardia
Cardiac disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0012 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Ventricular arrhythmia
Cardiac disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Ear and labyrinth disorders - Oth spec
Ear and labyrinth disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Ear pain
Ear and labyrinth disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Hearing impaired
Ear and labyrinth disorders
MedDRA 12
Systematic Assessment
EG0002 events1 affected45 at risk
EG00116 events3 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Tinnitus
Ear and labyrinth disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0014 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Vertigo
Ear and labyrinth disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG00112 events4 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Endocrine disorders - Other, specify
Endocrine disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Blurred vision
Eye disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG00137 events8 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Cataract
Eye disorders
MedDRA 12
Systematic Assessment
EG0002 events1 affected45 at risk
EG00114 events5 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Dry eye
Eye disorders
MedDRA 12
Systematic Assessment
EG0003 events1 affected45 at risk
EG0018 events3 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Eye disorders - Other, specify
Eye disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG00135 events7 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Watering eyes
Eye disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0019 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Abdominal distension
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0014 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Abdominal pain
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0005 events3 affected45 at risk
EG0014 events4 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Anal hemorrhage
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Anal pain
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Bloating
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0018 events3 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Constipation
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG00059 events12 affected45 at risk
EG001129 events20 affected76 at risk
EG0023 events1 affected3 at risk
EG003
Diarrhea
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG00085 events24 affected45 at risk
EG001364 events44 affected76 at risk
EG0026 events2 affected3 at risk
EG003
Dry mouth
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG00121 events4 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Dyspepsia
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0006 events3 affected45 at risk
EG0014 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Dysphagia
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0013 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Flatulence
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG00012 events1 affected45 at risk
EG0013 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Gastritis
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Gastroesophageal reflux disease
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG00014 events1 affected45 at risk
EG00126 events8 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Gastrointestinal disorders - Oth spec
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0002 events2 affected45 at risk
EG0018 events5 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Gastrointestinal pain
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0012 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Gingival pain
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG00114 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Hemorrhoids
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Mucositis oral
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0012 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Nausea
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG00028 events12 affected45 at risk
EG001173 events33 affected76 at risk
EG0026 events2 affected3 at risk
EG003
Oral pain
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Rectal fistula
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Stomach pain
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Toothache
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0012 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Vomiting
Gastrointestinal disorders
MedDRA 12
Systematic Assessment
EG0009 events7 affected45 at risk
EG00132 events19 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Chills
General disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0012 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Edema face
General disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0012 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Edema limbs
General disorders
MedDRA 12
Systematic Assessment
EG00025 events8 affected45 at risk
EG001185 events25 affected76 at risk
EG0029 events2 affected3 at risk
EG003
Edema trunk
General disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0017 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Fatigue
General disorders
MedDRA 12
Systematic Assessment
EG000241 events39 affected45 at risk
EG001647 events66 affected76 at risk
EG00235 events2 affected3 at risk
EG003
Fever
General disorders
MedDRA 12
Systematic Assessment
EG0003 events3 affected45 at risk
EG0014 events4 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Flu like symptoms
General disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0013 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Gait disturbance
General disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Gen disord and admin site conds-Oth spec
General disorders
MedDRA 12
Systematic Assessment
EG00099 events18 affected45 at risk
EG001106 events20 affected76 at risk
EG00217 events2 affected3 at risk
EG003
Localized edema
General disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0013 events2 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Malaise
General disorders
MedDRA 12
Systematic Assessment
EG0002 events2 affected45 at risk
EG0013 events3 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Non-cardiac chest pain
General disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0017 events3 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Pain
General disorders
MedDRA 12
Systematic Assessment
EG0008 events3 affected45 at risk
EG00140 events15 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Allergic reaction
Immune system disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Immune system disorders - Other, specify
Immune system disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Bladder infection
Infections and infestations
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Breast infection
Infections and infestations
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Conjunctivitis
Infections and infestations
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Conjunctivitis infective
Infections and infestations
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Eye infection
Infections and infestations
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Gum infection
Infections and infestations
MedDRA 12
Systematic Assessment
EG0006 events2 affected45 at risk
EG00110 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Infections and infestations - Oth spec
Infections and infestations
MedDRA 12
Systematic Assessment
EG0008 events5 affected45 at risk
EG00130 events14 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Laryngitis
Infections and infestations
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Lung infection
Infections and infestations
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Sinusitis
Infections and infestations
MedDRA 12
Systematic Assessment
EG0004 events2 affected45 at risk
EG0012 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Skin infection
Infections and infestations
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG00113 events5 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Tooth infection
Infections and infestations
MedDRA 12
Systematic Assessment
EG0002 events2 affected45 at risk
EG0012 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Upper respiratory infection
Infections and infestations
MedDRA 12
Systematic Assessment
EG00010 events6 affected45 at risk
EG00113 events10 affected76 at risk
EG0026 events2 affected3 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA 12
Systematic Assessment
EG0003 events3 affected45 at risk
EG0015 events5 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Vaginal infection
Infections and infestations
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Bruising
Injury, poisoning and procedural complications
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG00154 events7 affected76 at risk
EG00216 events1 affected3 at risk
EG003
Fall
Injury, poisoning and procedural complications
MedDRA 12
Systematic Assessment
EG0006 events5 affected45 at risk
EG0016 events4 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Infusion related reaction
Injury, poisoning and procedural complications
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Seroma
Injury, poisoning and procedural complications
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Alanine aminotransferase increased
Investigations
MedDRA 12
Systematic Assessment
EG00029 events6 affected45 at risk
EG00137 events12 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Alkaline phosphatase increased
Investigations
MedDRA 12
Systematic Assessment
EG0004 events4 affected45 at risk
EG00113 events6 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Aspartate aminotransferase increased
Investigations
MedDRA 12
Systematic Assessment
EG00020 events4 affected45 at risk
EG00132 events9 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Blood bilirubin increased
Investigations
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0016 events4 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Creatinine increased
Investigations
MedDRA 12
Systematic Assessment
EG00016 events8 affected45 at risk
EG00187 events17 affected76 at risk
EG0021 events1 affected3 at risk
EG003
INR increased
Investigations
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Investigations - Other, specify
Investigations
MedDRA 12
Systematic Assessment
EG0004 events4 affected45 at risk
EG0015 events4 affected76 at risk
EG00222 events1 affected3 at risk
EG003
Lymphocyte count decreased
Investigations
MedDRA 12
Systematic Assessment
EG000101 events24 affected45 at risk
EG001279 events44 affected76 at risk
EG00233 events2 affected3 at risk
EG003
Neutrophil count decreased
Investigations
MedDRA 12
Systematic Assessment
EG000181 events31 affected45 at risk
EG001404 events55 affected76 at risk
EG00230 events1 affected3 at risk
EG003
Platelet count decreased
Investigations
MedDRA 12
Systematic Assessment
EG00046 events18 affected45 at risk
EG001211 events48 affected76 at risk
EG00233 events1 affected3 at risk
EG003
Weight gain
Investigations
MedDRA 12
Systematic Assessment
EG0009 events7 affected45 at risk
EG00159 events13 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Weight loss
Investigations
MedDRA 12
Systematic Assessment
EG0003 events2 affected45 at risk
EG0016 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
White blood cell decreased
Investigations
MedDRA 12
Systematic Assessment
EG00065 events15 affected45 at risk
EG001264 events40 affected76 at risk
EG00221 events1 affected3 at risk
EG003
Anorexia
Metabolism and nutrition disorders
MedDRA 12
Systematic Assessment
EG0003 events3 affected45 at risk
EG00116 events7 affected76 at risk
EG0023 events1 affected3 at risk
EG003
Dehydration
Metabolism and nutrition disorders
MedDRA 12
Systematic Assessment
EG0002 events2 affected45 at risk
EG0018 events7 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Glucose intolerance
Metabolism and nutrition disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0013 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Hypercalcemia
Metabolism and nutrition disorders
MedDRA 12
Systematic Assessment
EG0003 events3 affected45 at risk
EG0013 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Hyperglycemia
Metabolism and nutrition disorders
MedDRA 12
Systematic Assessment
EG00081 events19 affected45 at risk
EG001235 events42 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Hyperkalemia
Metabolism and nutrition disorders
MedDRA 12
Systematic Assessment
EG0002 events1 affected45 at risk
EG0012 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Hypernatremia
Metabolism and nutrition disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Hypoalbuminemia
Metabolism and nutrition disorders
MedDRA 12
Systematic Assessment
EG0006 events4 affected45 at risk
EG00116 events8 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Hypocalcemia
Metabolism and nutrition disorders
MedDRA 12
Systematic Assessment
EG0005 events4 affected45 at risk
EG00129 events13 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Hypoglycemia
Metabolism and nutrition disorders
MedDRA 12
Systematic Assessment
EG0002 events2 affected45 at risk
EG0017 events4 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Hypokalemia
Metabolism and nutrition disorders
MedDRA 12
Systematic Assessment
EG00010 events7 affected45 at risk
EG00129 events17 affected76 at risk
EG0023 events1 affected3 at risk
EG003
Hypomagnesemia
Metabolism and nutrition disorders
MedDRA 12
Systematic Assessment
EG00041 events10 affected45 at risk
EG00156 events14 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Hyponatremia
Metabolism and nutrition disorders
MedDRA 12
Systematic Assessment
EG0004 events4 affected45 at risk
EG00115 events11 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Hypophosphatemia
Metabolism and nutrition disorders
MedDRA 12
Systematic Assessment
EG00027 events9 affected45 at risk
EG00152 events19 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Metabolism, nutrition disord - Oth spec
Metabolism and nutrition disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0017 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Obesity
Metabolism and nutrition disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0014 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Arthralgia
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG0003 events2 affected45 at risk
EG00186 events10 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Arthritis
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG0003 events2 affected45 at risk
EG0010 events0 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Back pain
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG00031 events14 affected45 at risk
EG00174 events17 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Bone pain
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG00136 events8 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Chest wall pain
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0010 events0 affected76 at risk
EG0021 events1 affected3 at risk
EG003
Flank pain
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG0004 events1 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Generalized muscle weakness
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG00011 events8 affected45 at risk
EG00133 events8 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Muscle weakness lower limb
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG0006 events2 affected45 at risk
EG00124 events4 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Muscle weakness upper limb
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG0000 events0 affected45 at risk
EG0013 events2 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Musculoskeletal, conn tissue - Oth spec
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG00018 events5 affected45 at risk
EG00124 events5 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Myalgia
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG00029 events7 affected45 at risk
EG00179 events14 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Neck pain
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG0004 events1 affected45 at risk
EG0011 events1 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Osteonecrosis of jaw
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG0007 events3 affected45 at risk
EG0018 events3 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Pain in extremity
Musculoskeletal and connective tissue disorders
MedDRA 12
Systematic Assessment
EG00012 events7 affected45 at risk
EG00150 events8 affected76 at risk
EG00215 events1 affected3 at risk
EG003
Neoplasms benign, mal, uncpec - Oth spec
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 12
Systematic Assessment
EG0001 events1 affected45 at risk
EG0010 events0 affected76 at risk
EG0020 events0 affected3 at risk
EG003
Treatment related secondary malignancy
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 4 was 4mg POM-DEX and 4mg IXA.
6
1
Units
Counts
Participants
OG00039
OG00138
Title
Denominators
Categories
Title
Measurements
OG000228(149 to 466)
OG001619(245 to NA)Upper limit not reached due to lack of events
OG002
Phase 1 Dose Level 3
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 1 was 4mg POM-DEX and 3mg IXA.
OG003
Phase 1 Dose Level 4
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 1 was 4mg POM-DEX and 4mg IXA.
Units
Counts
Participants
OG0003
OG0013
OG0026
OG0036
Title
Denominators
Categories
Title
Measurements
OG0000
OG0010
OG0021
OG0031
OG002
Phase 1 Dose Level 3
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 1 was 4mg POM-DEX and 3mg IXA.
OG003
Phase 1 Dose Level 4
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 1 was 4mg POM-DEX and 4mg IXA.
Units
Counts
Participants
OG0003
OG0013
OG0026
OG0036
Title
Denominators
Categories
Title
Measurements
OG0002
OG0013
OG0026
OG0035
OG00039
OG00138
Title
Denominators
Categories
Title
Measurements
OG000.436(.278 to .604)
OG001.632(.460 to .782)
OG000
39
OG00138
Title
Denominators
Categories
Title
Measurements
OG000.564(.396 to .722)
OG001.737(.569 to .866)
39
OG00138
Title
Denominators
Categories
Title
Measurements
OG000.949(.827 to .994)
OG001.921(.786 to .983)
17
OG00125
Title
Denominators
Categories
Title
Measurements
OG00012.3(2.8 to 37.0)
OG00123.7(13.4 to 43.1)
OG000
39
OG00138
Title
Denominators
Categories
Title
Measurements
OG000.795(.662 to .928)
OG001.784(.662 to .928)
OG003
Phase 1 Dose Level 2
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 2 was 3mg POM-DEX and 3mg IXA.
OG004
Phase 1 Dose Level 3
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 3 was 4mg POM-DEX and 3mg IXA.
OG005
Phase 1 Dose Level 4
A 3 + 3 phase I dose escalation design was used to examine the safety profile and establish the MTD of IXA when given in combination with POM-DEX. Protocol therapy was administered over a 28-day cycle. IXA was given at a dose of 2.3 up to 4 mg by mouth on days 1, 8, and 15; POM at 2 up to 4 mg daily by mouth on days 1-21; and DEX 20 mg (age > 75 years) or 40 mg (age ≤ 75) by mouth on days 1, 8, 15, and 22 (Table 1). A new cycle of treatment was not to begin until the ANC was ≥ 1.0 × 109/L, platelets ≥ 50 × 109/L, and all other adverse events (AEs) had improved to grade 1 or baseline. Treatment continued until PD, the emergence of unacceptable toxicity, or patient request to discontinue protocol treatment. Dose Level 4 was 4mg POM-DEX and 4mg IXA.