Page last updated: 2024-10-18

glycine and Exanthema

glycine has been researched along with Exanthema in 5 studies

Exanthema: Diseases in which skin eruptions or rashes are a prominent manifestation. Classically, six such diseases were described with similar rashes; they were numbered in the order in which they were reported. Only the fourth (Duke's disease), fifth (ERYTHEMA INFECTIOSUM), and sixth (EXANTHEMA SUBITUM) numeric designations survive as occasional synonyms in current terminology.

Research Excerpts

ExcerptRelevanceReference
"In this double-blind, placebo-controlled, phase 3 trial, we randomly assigned 722 patients who had relapsed, refractory, or relapsed and refractory multiple myeloma to receive ixazomib plus lenalidomide-dexamethasone (ixazomib group) or placebo plus lenalidomide-dexamethasone (placebo group)."9.22Oral Ixazomib, Lenalidomide, and Dexamethasone for Multiple Myeloma. ( Bahlis, NJ; Baker, BW; Berg, DT; Buadi, FK; Cavo, M; Di Bacco, A; Ganly, P; Garderet, L; Gimsing, P; Grzasko, N; Hansson, M; Hui, AM; Jackson, SR; Kumar, S; Laubach, JP; Lin, J; Masszi, T; Moreau, P; Palumbo, A; Pour, L; Richardson, PG; Sandhu, I; Simpson, DR; Stoppa, AM; Touzeau, C; van de Velde, H, 2016)
"Ixazomib is an oral proteasome inhibitor approved in combination with lenalidomide and dexamethasone for the treatment of relapsed/refractory multiple myeloma (MM)."8.12Population pharmacokinetic/pharmacodynamic joint modeling of ixazomib efficacy and safety using data from the pivotal phase III TOURMALINE-MM1 study in multiple myeloma patients. ( Diderichsen, PM; Gupta, N; Hanley, MJ; Labotka, R; Srimani, JK; Venkatakrishnan, K, 2022)
"In this double-blind, placebo-controlled, phase 3 trial, we randomly assigned 722 patients who had relapsed, refractory, or relapsed and refractory multiple myeloma to receive ixazomib plus lenalidomide-dexamethasone (ixazomib group) or placebo plus lenalidomide-dexamethasone (placebo group)."5.22Oral Ixazomib, Lenalidomide, and Dexamethasone for Multiple Myeloma. ( Bahlis, NJ; Baker, BW; Berg, DT; Buadi, FK; Cavo, M; Di Bacco, A; Ganly, P; Garderet, L; Gimsing, P; Grzasko, N; Hansson, M; Hui, AM; Jackson, SR; Kumar, S; Laubach, JP; Lin, J; Masszi, T; Moreau, P; Palumbo, A; Pour, L; Richardson, PG; Sandhu, I; Simpson, DR; Stoppa, AM; Touzeau, C; van de Velde, H, 2016)
"Ixazomib is an oral proteasome inhibitor approved in combination with lenalidomide and dexamethasone for the treatment of relapsed/refractory multiple myeloma (MM)."4.12Population pharmacokinetic/pharmacodynamic joint modeling of ixazomib efficacy and safety using data from the pivotal phase III TOURMALINE-MM1 study in multiple myeloma patients. ( Diderichsen, PM; Gupta, N; Hanley, MJ; Labotka, R; Srimani, JK; Venkatakrishnan, K, 2022)

Research

Studies (5)

TimeframeStudies, this research(%)All Research%
pre-19901 (20.00)18.7374
1990's0 (0.00)18.2507
2000's1 (20.00)29.6817
2010's2 (40.00)24.3611
2020's1 (20.00)2.80

Authors

AuthorsStudies
Srimani, JK1
Diderichsen, PM1
Hanley, MJ1
Venkatakrishnan, K1
Labotka, R1
Gupta, N2
Richardson, PG2
Baz, R1
Wang, M1
Jakubowiak, AJ1
Laubach, JP2
Harvey, RD1
Talpaz, M1
Berg, D1
Liu, G1
Yu, J1
Di Bacco, A2
Hui, AM2
Lonial, S1
Moreau, P1
Masszi, T1
Grzasko, N1
Bahlis, NJ1
Hansson, M1
Pour, L1
Sandhu, I1
Ganly, P1
Baker, BW1
Jackson, SR1
Stoppa, AM1
Simpson, DR1
Gimsing, P1
Palumbo, A1
Garderet, L1
Cavo, M1
Kumar, S1
Touzeau, C1
Buadi, FK1
Berg, DT1
Lin, J1
van de Velde, H1
Heras-Mendaza, F1
Casado-Fariñas, I1
Paredes-Gascón, M1
Conde-Salazar, L1
Dudgeon, JA1
Marshall, WC1
Peckham, CS1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
An Open-Label, Dose-Escalation, Phase 1 Study of the Oral Form of Ixazomib (MLN9708), a Second-Generation Proteasome Inhibitor, in Adult Patients With Relapsed and/or Refractory Multiple Myeloma[NCT00932698]Phase 160 participants (Actual)Interventional2009-10-12Completed
A Phase I/II Study of Carfilzomib, Iberdomide (CC-220) and Dexamethasone (KID) in Patients With Newly Diagnosed Transplant Eligible Multiple Myeloma[NCT05199311]Phase 1/Phase 266 participants (Anticipated)Interventional2022-05-13Recruiting
GEM21menos65. A Phase III Trial for NDMM Patients Who Are Candidates for ASCT Comparing Extended VRD Plus Early Rescue Intervention vs Isatuximab-VRD vs Isatuximab-V-Iberdomide-D[NCT05558319]Phase 3480 participants (Anticipated)Interventional2022-10-31Not yet recruiting
A Phase 3, Randomized, Double-Blind, Multicenter Study Comparing Oral Ixazomib (MLN9708) Plus Lenalidomide and Dexamethasone Versus Placebo Plus Lenalidomide and Dexamethasone in Adult Patients With Relapsed and/or Refractory Multiple Myeloma[NCT01564537]Phase 3722 participants (Actual)Interventional2012-08-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Maximum Tolerated Dose (MTD) of Ixazomib

MTD was highest dose of Ixazomib, at which <=1 of 6 participants experienced dose-limiting toxicity (DLT) during Cycle 1 of Phase 1. DLT was defined as any of following considered possibly related to therapy: Grade 4 neutropenia (absolute neutrophil count [ANC] <500 cell per cubic millimeter [cells/mm^3]) for >7 days;Grade 3 neutropenia with fever or infection; Grade 4 thrombocytopenia (platelets < 25,000/mm^3) for >7 days;Grade 3 thrombocytopenia with clinically significant bleeding; platelet count <10,000/mm^3; Grade 2 peripheral neuropathy with pain or >=Grade 3 peripheral neuropathy; >=Grade 3 nausea/emesis, diarrhea controlled by supportive therapy; Grade 3 QTc prolongation (QTc >500 millisecond [msec]);any >=Grade 3 nonhematologic toxicity except Grade 3 arthralgia/myalgia; or <1 week Grade 3 fatigue; delay in initiation of the subsequent therapy cycle by >2 weeks; other >=Grade 2 study drug-related nonhematologic toxicities requiring therapy discontinuation. (NCT00932698)
Timeframe: Cycle 1 (21 days)

Interventionmg/m^2 (Number)
Ixazomib (All Groups)2

Number of Participants With Clinically Significant Changes in Vital Signs Reported as TEAEs

The number of participants with any clinically significant changes in vital signs collected throughout the study that were reported as TEAEs. Measurement of vital signs, included oral temperature, blood pressure, and heart rate. (NCT00932698)
Timeframe: From first dose of the study drug through 30 days after the last dose of study drug or start of subsequent antineoplastic therapy (Up to 81.1 months)

InterventionParticipants (Count of Participants)
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^20
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^20
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^20
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^20
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^20
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^20
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^21
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^20
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^20
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^20
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^20

Recommended Phase 2 Dose (RP2D) of Ixazomib

The RP2D of Ixazomib was determined in Part 1 (dose escalation) on the basis of the totality of safety, tolerability, pharmacokinetics (PK) and pharmacodynamic data observed in Cycle 1 and beyond. (NCT00932698)
Timeframe: Cycle 1 through Cycle 39 (Up to 28.3 months)

Interventionmg/m^2 (Number)
Ixazomib (All Groups)2

T1/2: Terminal Disposition Phase Elimination Half-life for Ixazomib

(NCT00932698)
Timeframe: Cycle 1, Day 11: predose and at multiple time points (up to 264 hours) postdose

Interventionhr (Mean)
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^2135.00
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^2126.50
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^2129.33
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^2105.88
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^292.70
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^2115.85
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^2123.06
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^2124.93
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^2134.00

λz: Terminal Disposition Phase Rate Constant for Ixazomib

(NCT00932698)
Timeframe: Cycle 1, Day 11: predose and at multiple time points (Up to 264 hours) postdose

Intervention1/hr (Mean)
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^20.005
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^20.005
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^20.006
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^20.007
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^20.008
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^20.006
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^20.006
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^20.006
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^20.005

AUC(0-72): Area Under the Plasma Concentration-Time Curve From Time 0 to 72 Hours Postdose for Ixazomib

(NCT00932698)
Timeframe: Cycle 1, Days 1 and 11: Predose and at multiple time points (Up to 72 hours) postdose

,
Interventionhr*ng/mL (Mean)
Day 11
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^256.53
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^2177.67

AUC(0-72): Area Under the Plasma Concentration-Time Curve From Time 0 to 72 Hours Postdose for Ixazomib

(NCT00932698)
Timeframe: Cycle 1, Days 1 and 11: Predose and at multiple time points (Up to 72 hours) postdose

,,,,,,,,
Interventionhr*ng/mL (Mean)
Day 1Day 11
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^2509.001010.00
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^2109.00458.00
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^2159.05605.00
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^2251.00808.50
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^2449.001435.60
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^2416.501915.00
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^2410.002297.20
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^2451.64903.85
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^2351.00937.86

AUC(0-last): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Ixazomib

(NCT00932698)
Timeframe: Cycle 1, Days 1 and 11: Predose and at multiple time points (Up to 264 hours) postdose

,,,,,,,,,,
Interventionhr*ng/mL (Mean)
Day 1Day 11
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^2509.0001010.000
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^23.38356.533
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^220.700177.667
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^2109.000458.000
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^2159.050605.000
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^2251.000808.500
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^2449.0001435.600
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^2416.5001915.000
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^2410.0002297.200
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^2418.175903.846
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^2351.000937.857

Cmax: Maximum Observed Plasma Concentration for Ixazomib

(NCT00932698)
Timeframe: Cycle 1, Days 1 and 11: Predose and at multiple time points (up to 264 hours) postdose

,,,,,,,,,,
Interventionng/mL (Mean)
Day 1Day 11
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^226.60027.200
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^22.1202.837
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^210.1908.857
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^222.20031.650
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^229.00056.500
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^221.100101.100
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^268.16785.420
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^2117.933105.450
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^285.600109.660
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^258.90059.871
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^259.34361.800

Number of Participants With a TEAE of Peripheral Neuropathy

Neurotoxicity was assessed as the number of participants with the TEAE of peripheral neuropathy. (NCT00932698)
Timeframe: From first dose of the study drug through 30 days after the last dose of study drug or start of subsequent antineoplastic therapy (Up to 81.1 months)

,,,,,,,,,,
InterventionParticipants (Count of Participants)
Neuropathy PeripheralPeripheral Sensory Neuropathy
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^200
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^200
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^210
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^210
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^200
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^201
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^210
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^200
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^210
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^230
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^230

Number of Participants With Clinically Significant Abnormalities Reported as TEAEs

The number of participants with any clinically significant abnormal standard safety laboratory values collected throughout the study reported as TEAEs. Parameters assessed were hematology, serum chemistry and urinalysis. (NCT00932698)
Timeframe: From first dose of the study drug through 30 days after the last dose of study drug or start of subsequent antineoplastic therapy (Up to 81.1 months)

,,,,,,,,,,
InterventionParticipants (Count of Participants)
Blood Creatinine IncreasedBlood Urea IncreasedWhite Blood Cell Count DecreasedNeutrophil Count DecreasedAlanine Aminotransferase IncreasedLiver Function Test IncreasedBlood Calcium IncreasedPlatelet Count DecreasedHaematocrit DecreasedHaemoglobin Decreased
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^20000000000
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^21000000000
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^21000000000
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^21000001000
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^20000000000
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^20010000000
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^21000000000
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^21011000100
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^20100000000
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^22000110000
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^22101000011

Number of Participants With One or More Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

An AE is any untoward medical occurrence in a participant administered a medicinal investigational drug. The untoward medical occurrence does not necessarily have to have a causal relationship with treatment. An SAE is any untoward medical occurrence that results in death;is life-threatening;requires inpatient hospitalization or prolongation of present hospitalization;results in persistent or significant disability/incapacity;is a congenital anomaly/birth defect;or is a medically important event that may not be immediately life-threatening or result in death or hospitalization, but may jeopardize the participant or may require intervention to prevent one of other outcomes listed in definition above, or involves suspected transmission via a medicinal product of an infectious agent. A TEAE is defined as an AE that occurs after administration of first dose of study drug and through 30 days after last dose of study drug or until start of subsequent antineoplastic therapy. (NCT00932698)
Timeframe: From first dose of the study drug through 30 days after the last dose of study drug or start of subsequent antineoplastic therapy (Up to 81.1 months)

,,,,,,,,,,
InterventionParticipants (Count of Participants)
AEsSAEs
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^222
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^230
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^230
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^232
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^232
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^230
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^275
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^243
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^263
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^22014
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^2126

Overall Response Rate (ORR)

ORR is defined as percentage of participants with complete response (CR) or partial response (PR) or minimal response (MR) as assessed by the investigator using International Myeloma Working Group Uniform Response criteria. CR=Negative immunofixation on the serum and urine and disappearance of any soft tissue plasmacytomas and <5% plasma cells in bone marrow. PR=≥50% reduction of serum M-protein and reduction in 24-h urinary M-protein by ≥90% or to <200 mg /24 h. MR=25-49% reduction in the serum monoclonal paraprotein maintained for a minimum of 6 weeks; 50-89% reduction in 24-h urinary light chain excretion, which still exceeds 200 mg/24 h, maintained for a minimum of 6 weeks; for participants with non-secretory myeloma only, 25-49% reduction in plasma cells in a bone marrow aspirate and on trephine biopsy, if biopsy is performed, maintained for a minimum of 6 weeks; 25-49% reduction in the size of soft tissue plasmacytomas; no increase in the size or number of lytic bone lesions. (NCT00932698)
Timeframe: Cycle 1 through Cycle 115 (Up to 80.1 months)

,,,,,,,,,,
Interventionpercentage of participants (Number)
CR+PRCR+PR+MR
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^200
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^200
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^200
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^200
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^23333
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^200
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^200
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^25050
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^23333
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^2510
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^2918

Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Ixazomib

(NCT00932698)
Timeframe: Cycle 1, Days 1 and 11: Predose and at multiple time points (Up to 264 hours) postdose

,,,,,,,,,,
Interventionhours (Median)
Day 1Day 11
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^21.0001.500
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^21.0001.100
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^21.0001.000
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^20.7751.275
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^20.7750.500
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^21.0001.000
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^21.0000.667
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^21.0000.832
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^20.5251.500
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^21.0001.010
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^20.6170.583

Duration of Response (DOR)

DOR was measured as the time in months from the date of first documentation of a confirmed response of PR or better (CR [including sCR] + PR+ VGPR) to the date of the first documented disease progression (PD) among participants who responded to the treatment. Response was assessed by the investigator using International Myeloma Working Group (IMWG) Criteria. (NCT01564537)
Timeframe: Day 1 of each cycle (every 4 weeks) until disease progression up to approximately 38 months

Interventionmonths (Median)
Ixazomib+ Lenalidomide + Dexamethasone26.0
Placebo + Lenalidomide + Dexamethasone21.7

OS in High-Risk Participants

Overall survival (OS) is defined as the time from the date of randomization to the date of death. High-risk participants are defined as participants carrying cytogenic abnormalities: del(17), translocation t(4;14), or t(14;16) as reported by the central laboratory combined with those cases that lacked a central laboratory result but with known del (17), t(4;14), or t(14;16) by local laboratory. Cytogenetic abnormalities of del(13) and +1q are not included in the analysis. Participants without documentation of death at the time of the analysis were censored at the date when they were last known to be alive. Data is only reported for high-risk participants. (NCT01564537)
Timeframe: From the time of screening until disease progression and thereafter every 12 weeks until death or study termination (up to approximately 97 months)

Interventionmonths (Median)
Ixazomib+ Lenalidomide + Dexamethasone46.9
Placebo + Lenalidomide + Dexamethasone30.9

Overall Response Rate (ORR) as Assessed by the IRC

ORR was defined as the percentage of participants with Complete Response (CR) including stringent complete response (sCR), very good partial response (VGPR) and Partial Response (PR) assessed by the IRC using IMWG criteria. Percentages are rounded off to single decimal. (NCT01564537)
Timeframe: Day 1 of each cycle (every 4 weeks) until disease progression up to approximately 27 months(approximate median follow-up 15 months)

Interventionpercentage of participants (Number)
Ixazomib+ Lenalidomide + Dexamethasone78.3
Placebo + Lenalidomide + Dexamethasone71.5

Overall Response Rate in Participants Defined by Polymorphism

Data is reported for percentage of participants defined by polymorphism defined by polymorphisms in proteasome genes, such as polymorphism P11A in PSMB1 gene. Percentages are rounded off to single decimal. (NCT01564537)
Timeframe: Day 1 of each cycle (every 4 weeks) until disease progression up to approximately 27 months (approximate median follow-up 15 months)

Interventionpercentage of participants (Number)
Ixazomib+ Lenalidomide + Dexamethasone80.3
Placebo + Lenalidomide + Dexamethasone75.7

Overall Survival (OS)

Overall survival is defined as the time from the date of randomization to the date of death. Participants without documentation of death at the time of the analysis were censored at the date when they were last known to be alive. (NCT01564537)
Timeframe: From date of randomization until death (up to approximately 97 months)

Interventionmonths (Median)
Ixazomib+ Lenalidomide + Dexamethasone53.6
Placebo + Lenalidomide + Dexamethasone51.6

Overall Survival in High-Risk Participants Carrying Deletion 17 [Del(17)]

Overall survival is defined as the time from the date of randomization to the date of death. The high-risk participants whose myeloma carried del(17) subgroup was defined as the cases reported as positive for del(17) by the central laboratory combined with those cases that lacked a central laboratory result but with known del (17) by local laboratory. Participants without documentation of death at the time of the analysis were censored at the date when they were last known to be alive. Data is only reported high-risk participants with Del(17). (NCT01564537)
Timeframe: From the time of screening until disease progression and thereafter every 12 weeks until death or study termination (up to approximately 97 months)

Interventionmonths (Median)
Ixazomib+ Lenalidomide + Dexamethasone42.2
Placebo + Lenalidomide + Dexamethasone29.4

Percentage of Participants With Complete Response (CR) and Very Good Partial Response (VGPR) as Assessed by the IRC

Response was assessed by the IRC using International Myeloma Working Group (IMWG) Criteria. CR is defined as negative immunofixation on the serum and urine and; disappearance of any soft tissue plasmacytomas and; < 5% plasma cells in bone marrow. VGPR is defined as Serum and urine M-protein detectable by immunofixation but not on electrophoresis or 90% or greater reduction in serum M-protein plus urine M-protein level < 100 mg per 24 hours. Percentages are rounded off to single decimal. (NCT01564537)
Timeframe: Day 1 of each cycle (every 4 weeks) until disease progression up to approximately 27 months (approximate median follow-up 15 months)

Interventionpercentage of participants (Number)
Ixazomib + Lenalidomide + Dexamethasone48.1
Placebo + Lenalidomide + Dexamethasone39.0

PFS in High-Risk Participants

Progression Free Survival (PFS) is defined as the time from the date of randomization to the date of first documentation of disease progression or death due to any cause, whichever occurs first. Response was assessed by independent review committee (IRC) using IMWG response criteria. High-risk participants are defined as participants carrying cytogenic abnormalities: del(17), translocation t(4;14), or t(14;16) as reported by the central laboratory combined with those cases that lacked a central laboratory result but with known del (17), t(4;14), or t(14;16) by local laboratory. Cytogenetic abnormalities of del(13) and +1q are not included in the analysis. (NCT01564537)
Timeframe: From date of randomization until disease progression or death up to approximately 38 months (approximate median follow-up 15 months)

Interventionmonths (Median)
Ixazomib+ Lenalidomide + Dexamethasone18.7
Placebo + Lenalidomide + Dexamethasone9.3

Progression Free Survival (PFS) as Assessed by the Independent Review Committee (IRC)

Progression Free Survival (PFS) is defined as the time from the date of randomization to the date of first documentation of disease progression (PD) or death due to any cause, whichever occurs first. Response including PD was assessed by independent review committee (IRC) using the International Myeloma Working Group (IMWG) response criteria. PD requires 1 of the following: Increase of ≥ 25% from nadir in: Serum M-component (absolute increase ≥ 0.5 g/dl); Urine M-component (absolute increase ≥ 200 mg/24 hours); In patients without measurable serum and urine M-protein levels the difference between involved and uninvolved free light chain (FLC) levels (absolute increase > 10 mg/dl); Development of new or increase in the size of existing bone lesions or soft tissue plasmacytomas; Development of hypercalcemia (corrected serum calcium > 11.5 mg/dl) attributed solely to plasma cell proliferative disease. Status evaluated every 4 weeks until disease progression (PD) was confirmed. (NCT01564537)
Timeframe: From date of randomization until disease progression or death up to approximately 27 months (approximate median follow-up 15 months)

Interventionmonths (Median)
Ixazomib+ Lenalidomide + Dexamethasone20.6
Placebo + Lenalidomide + Dexamethasone14.7

Time to Progression (TTP) as Assessed by the IRC

TTP was measured as the time in months from the first dose of study treatment to the date of the first documented progressive disease (PD) as assessed by the IRC using IMWG criteria. (NCT01564537)
Timeframe: Day 1 of each cycle (every 4 weeks) until disease progression up to approximately 27 months (approximate median follow-up 15 months)

Interventionmonths (Median)
Ixazomib+ Lenalidomide + Dexamethasone22.4
Placebo + Lenalidomide + Dexamethasone17.6

Change From Baseline in the European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) Questionnaire (EORTC-QLQ-C30)

The EORTC-QLQ-C30 is a 30-question tool used to assess the overall quality of life in cancer participants. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact).The EORTC-QLQ-C30 Global Health Status/QOL Scale is scored between 0 and 100, where higher scores indicate better Global Health Status/QOL. Negative changes from baseline indicate deterioration in QOL or functioning and positive changes indicate improvement. Scores are linearly transformed to a 0-100 scale. High scores for the global and functional domains indicate higher quality of life or functioning. Higher scores on the symptom scales represent higher levels of symptomatology or problems. (NCT01564537)
Timeframe: Baseline, EOT and follow-up (up to approximately 97 months)

Interventionscore on a scale (Mean)
Global Health Index: BaselineGlobal Health Index: End of TreatmentPhysical Functioning: BaselinePhysical Functioning: EOTRole Functioning: BaselineRole Functioning: EOTEmotional Functioning: BaselineEmotional Functioning: EOTCognitive Functioning: BaselineCognitive Functioning: EOTSocial Functioning: BaselineSocial Functioning: EOTFatigue: BaselineFatigue: EOTPain: BaselinePain: EOTNausea and Vomiting: BaselineNausea and Vomiting: EOTDyspnea: BaselineDyspnea: EOTInsomnia: BaselineInsomnia: EOTAppetite Loss: BaselineAppetite Loss: EOTConstipation: BaselineConstipation: EOTDiarrhea: BaselineDiarrhea: EOTFinancial Difficulties: BaselineFinancial Difficulties: EOT
Ixazomib+ Lenalidomide + Dexamethasone58.4-6.070.0-4.768.4-8.675.1-2.181.9-7.677.9-6.938.46.038.02.75.03.421.25.727.40.916.94.712.2-1.36.317.216.70.5

Change From Baseline in the European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) Questionnaire (EORTC-QLQ-C30)

The EORTC-QLQ-C30 is a 30-question tool used to assess the overall quality of life in cancer participants. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact).The EORTC-QLQ-C30 Global Health Status/QOL Scale is scored between 0 and 100, where higher scores indicate better Global Health Status/QOL. Negative changes from baseline indicate deterioration in QOL or functioning and positive changes indicate improvement. Scores are linearly transformed to a 0-100 scale. High scores for the global and functional domains indicate higher quality of life or functioning. Higher scores on the symptom scales represent higher levels of symptomatology or problems. (NCT01564537)
Timeframe: Baseline, EOT and follow-up (up to approximately 97 months)

Interventionscore on a scale (Mean)
Global Health Index: BaselineGlobal Health Index: End of TreatmentGlobal Health Index: Last Follow-upPhysical Functioning: BaselinePhysical Functioning: EOTPhysical Functioning: Last Follow-upRole Functioning: BaselineRole Functioning: EOTRole Functioning: Last Follow-upEmotional Functioning: BaselineEmotional Functioning: EOTEmotional Functioning: Last Follow-upCognitive Functioning: BaselineCognitive Functioning: EOTCognitive Functioning: Last Follow-upSocial Functioning: BaselineSocial Functioning: EOTSocial Functioning: Last Follow-upFatigue: BaselineFatigue: EOTFatigue: Last Follow-upPain: BaselinePain: EOTPain: Last Follow-upNausea and Vomiting: BaselineNausea and Vomiting: EOTNausea and Vomiting: Last Follow-upDyspnea: BaselineDyspnea: EOTDyspnea: Last Follow-upInsomnia: BaselineInsomnia: EOTInsomnia: Last Follow-upAppetite Loss: BaselineAppetite Loss: EOTAppetite Loss: Last Follow-upConstipation: BaselineConstipation: EOTConstipation: Last Follow-upDiarrhea: BaselineDiarrhea: EOTDiarrhea: Last Follow-upFinancial Difficulties: BaselineFinancial Difficulties: EOTFinancial Difficulties: Last Follow-up
Placebo + Lenalidomide + Dexamethasone56.4-6.016.767.3-6.20.064.4-8.6-16.775.3-6.1-25.081.6-5.8-50.075.3-7.90.039.56.722.238.53.80.06.00.633.323.72.30.030.5-0.533.315.36.50.013.52.233.38.110.80.018.61.3-33.3

Change From Baseline in the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Multiple Myeloma Module (QLQ-MY-20)

The EORTC-QLQ-MY-20 is a patient-completed, 20-question quality of life questionnaire that has 4 independent subscales, 2 functional subscales (body image, future perspective), and 2 symptoms scales (disease symptoms and side-effects of treatment). The participant answers questions about their health during the past week using a 4-point scale where 1=Not at All to 4=Very Much. A negative change from Baseline indicates improvement. Scores are linearly transformed to a 0-100 scale. Higher scores on the symptom scales (e.g. Disease Symptoms, Side Effects of Treatment) represent higher levels of symptomatology or problems. High scores for Body Image and Future Perspective represent better quality of life or functioning. (NCT01564537)
Timeframe: Baseline, EOT and follow-up (up to approximately 97 months)

Interventionscore on a scale (Mean)
Disease Symptoms: BaselineDisease Symptoms: EOTSide Effects of Treatment: BaselineSide Effects of Treatment: EOTSide Effects of Treatment: Last Follow-upBody Image: BaselineBody Image: EOTBody Image: Last Follow-upFuture Perspective: BaselineFuture Perspective: EOTFuture Perspective: Last Follow-up
Placebo + Lenalidomide + Dexamethasone30.41-2.5817.974.4337.0479.48-5.38-33.360.26-2.75-11.11

Change From Baseline in the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Multiple Myeloma Module (QLQ-MY-20)

The EORTC-QLQ-MY-20 is a patient-completed, 20-question quality of life questionnaire that has 4 independent subscales, 2 functional subscales (body image, future perspective), and 2 symptoms scales (disease symptoms and side-effects of treatment). The participant answers questions about their health during the past week using a 4-point scale where 1=Not at All to 4=Very Much. A negative change from Baseline indicates improvement. Scores are linearly transformed to a 0-100 scale. Higher scores on the symptom scales (e.g. Disease Symptoms, Side Effects of Treatment) represent higher levels of symptomatology or problems. High scores for Body Image and Future Perspective represent better quality of life or functioning. (NCT01564537)
Timeframe: Baseline, EOT and follow-up (up to approximately 97 months)

Interventionscore on a scale (Mean)
Disease Symptoms: BaselineDisease Symptoms: EOTDisease Symptoms: Last Follow-upSide Effects of Treatment: BaselineSide Effects of Treatment: EOTBody Image: BaselineBody Image: EOTFuture Perspective: BaselineFuture Perspective: EOT
Ixazomib+ Lenalidomide + Dexamethasone29.71-2.351.1117.234.5278.00-0.2756.992.76

Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

Eastern Cooperative Oncology Group (ECOG) performance score, laboratory values, vital sign measurements and reported adverse events (AEs) were collected and assessed to evaluate the safety of therapy throughout the study. An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (example, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; or congenital anomaly; or a medically important event. (NCT01564537)
Timeframe: From the date of signing of the informed consent form through 30 days after the last dose of study drug up to approximately 115 months

,
InterventionParticipants (Count of Participants)
TEAEsSAEs
Ixazomib+ Lenalidomide + Dexamethasone359205
Placebo + Lenalidomide + Dexamethasone357201

Number of Participants With Change From Baseline in Pain Response

"Pain response was defined as 30% reduction from Baseline in Brief Pain Inventory-Short Form (BPI-SF) worst pain score over the last 24 hours without an increase in analgesic (oral morphine equivalents) use at 2 consecutive evaluations. The BPI-SF contains 15 items designed to capture the pain severity (worst, least, average, and now [current pain]), pain location, medication to relieve the pain, and the interference of pain with various daily activities including general activity, mood, walking activity, normal work, relations with other people, sleep, and enjoyment of life. The pain severity items are rated on a 0 to 10 scale where: 0=no pain and 10=pain as bad as you can imagine and averaged for a total score of 0 (best) to 10 (Worst)." (NCT01564537)
Timeframe: Baseline and end of treatment (EOT) (up to approximately 38 months)

,
InterventionParticipants (Count of Participants)
BaselineEOT
Ixazomib+ Lenalidomide + Dexamethasone345145
Placebo + Lenalidomide + Dexamethasone351153

Plasma Concentration Over Time for Ixazomib

(NCT01564537)
Timeframe: Pre-dose and post-dose at multiple timepoints up to Cycle 10 Day 1 (each cycle length = 28 days)

Interventionμg/mL (Mean)
Cycle 1 Day 1, 1 Hour Post-DoseCycle 1 Day 1, 4 Hours Post-DoseCycle 1 Day 14, Pre-DoseCycle 2 Day 1, Pre-DoseCycle 2 Day 14, Pre-DoseCycle 3 Day 1, Pre-DoseCycle 4 Day 1, Pre-DoseCycle 5 Day 1, Pre-DoseCycle 6 Day 1, Pre-DoseCycle 7 Day 1, Pre-DoseCycle 8 Day 1, Pre-DoseCycle 9 Day 1, Pre-DoseCycle 10 Day 1, Pre-Dose
Placebo + Lenalidomide + Dexamethasone0000000000000

Plasma Concentration Over Time for Ixazomib

(NCT01564537)
Timeframe: Pre-dose and post-dose at multiple timepoints up to Cycle 10 Day 1 (each cycle length = 28 days)

Interventionμg/mL (Mean)
Cycle 1 Day 1Cycle 1 Day 1, 1 Hour Post-DoseCycle 1 Day 1, 4 Hours Post-DoseCycle 1 Day 14, Pre-DoseCycle 2 Day 1, Pre-DoseCycle 2 Day 14, Pre-DoseCycle 3 Day 1, Pre-DoseCycle 4 Day 1, Pre-DoseCycle 5 Day 1, Pre-DoseCycle 6 Day 1, Pre-DoseCycle 7 Day 1, Pre-DoseCycle 8 Day 1, Pre-DoseCycle 9 Day 1, Pre-DoseCycle 10 Day 1, Pre-Dose
Ixazomib+ Lenalidomide + Dexamethasone4.7936.315.66.832.47.122.482.412.422.572.712.372.512.82

Trials

3 trials available for glycine and Exanthema

ArticleYear
Phase 1 study of twice-weekly ixazomib, an oral proteasome inhibitor, in relapsed/refractory multiple myeloma patients.
    Blood, 2014, Aug-14, Volume: 124, Issue:7

    Topics: Administration, Oral; Aged; Aged, 80 and over; Area Under Curve; Boron Compounds; Dose-Response Rela

2014
Oral Ixazomib, Lenalidomide, and Dexamethasone for Multiple Myeloma.
    The New England journal of medicine, 2016, Apr-28, Volume: 374, Issue:17

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols

2016
Oral Ixazomib, Lenalidomide, and Dexamethasone for Multiple Myeloma.
    The New England journal of medicine, 2016, Apr-28, Volume: 374, Issue:17

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols

2016
Oral Ixazomib, Lenalidomide, and Dexamethasone for Multiple Myeloma.
    The New England journal of medicine, 2016, Apr-28, Volume: 374, Issue:17

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols

2016
Oral Ixazomib, Lenalidomide, and Dexamethasone for Multiple Myeloma.
    The New England journal of medicine, 2016, Apr-28, Volume: 374, Issue:17

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols

2016
Oral Ixazomib, Lenalidomide, and Dexamethasone for Multiple Myeloma.
    The New England journal of medicine, 2016, Apr-28, Volume: 374, Issue:17

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols

2016
Oral Ixazomib, Lenalidomide, and Dexamethasone for Multiple Myeloma.
    The New England journal of medicine, 2016, Apr-28, Volume: 374, Issue:17

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols

2016
Oral Ixazomib, Lenalidomide, and Dexamethasone for Multiple Myeloma.
    The New England journal of medicine, 2016, Apr-28, Volume: 374, Issue:17

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols

2016
Oral Ixazomib, Lenalidomide, and Dexamethasone for Multiple Myeloma.
    The New England journal of medicine, 2016, Apr-28, Volume: 374, Issue:17

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols

2016
Oral Ixazomib, Lenalidomide, and Dexamethasone for Multiple Myeloma.
    The New England journal of medicine, 2016, Apr-28, Volume: 374, Issue:17

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols

2016
Rubella vaccine trials in adults and children. Comparison of three attenuated vaccines.
    American journal of diseases of children (1960), 1969, Volume: 118, Issue:2

    Topics: Adolescent; Adult; Age Factors; Animals; Antibodies; Antibody Formation; Body Temperature; Buffers;

1969

Other Studies

2 other studies available for glycine and Exanthema

ArticleYear
Population pharmacokinetic/pharmacodynamic joint modeling of ixazomib efficacy and safety using data from the pivotal phase III TOURMALINE-MM1 study in multiple myeloma patients.
    CPT: pharmacometrics & systems pharmacology, 2022, Volume: 11, Issue:8

    Topics: Boron Compounds; Clinical Trials, Phase III as Topic; Diarrhea; Exanthema; Glycine; Humans; Multiple

2022
Erythema multiforme-like eruption due to an irritant contact dermatitis from a glyphosate pesticide.
    Contact dermatitis, 2008, Volume: 59, Issue:1

    Topics: Adult; Dermatitis, Allergic Contact; Dermatitis, Irritant; Diagnosis, Differential; Erythema Multifo

2008
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