glycine and Fatigue
glycine has been researched along with Fatigue in 16 studies
Fatigue: The state of weariness following a period of exertion, mental or physical, characterized by a decreased capacity for work and reduced efficiency to respond to stimuli.
Research Excerpts
Excerpt | Relevance | Reference |
---|---|---|
"On August 25, 2021, the FDA approved ivosidenib for the treatment of adult patients with unresectable locally advanced or metastatic hepatocellular isocitrate dehydrogenase 1 (IDH1) mutated cholangiocarcinoma (CCA) as detected by an FDA-approved test with disease progression after 1 to 2 prior lines of systemic therapy for advanced disease." | 9.51 | FDA Approval Summary: Ivosidenib for the Treatment of Patients with Advanced Unresectable or Metastatic, Chemotherapy Refractory Cholangiocarcinoma with an IDH1 Mutation. ( Beaver, JA; Casak, SJ; Charlab, R; Chow, ECY; Fashoyin-Aje, LA; Fesenko, N; Kluetz, PG; Lemery, SJ; Liu, J; Pazdur, R; Pierce, WF; Pradhan, S; Ren, Y; Shen, YL; Xiong, Y; Xu, Y; Zirklelbach, JF, 2022) |
"gov identifier NCT01454076) assessed the relative bioavailability of capsule B in reference to capsule A in adult patients with advanced solid tumors or lymphoma." | 6.87 | A Phase 1 Study to Assess the Relative Bioavailability of Two Capsule Formulations of Ixazomib, an Oral Proteasome Inhibitor, in Patients With Advanced Solid Tumors or Lymphoma. ( Bessudo, A; Gupta, N; Hanley, MJ; Nemunaitis, J; O'Neil, BH; Sharma, S; van de Velde, H; Venkatakrishnan, K; Wang, B, 2018) |
"Ixazomib is an investigational, orally bioavailable 20S proteasome inhibitor." | 6.79 | Phase 1 study of weekly dosing with the investigational oral proteasome inhibitor ixazomib in relapsed/refractory multiple myeloma. ( Bensinger, WI; Berenson, JR; Berg, D; Di Bacco, A; Gupta, N; Hui, AM; Kumar, SK; Niesvizky, R; Reeder, CB; Shou, Y; Yu, J; Zimmerman, TM, 2014) |
"On August 25, 2021, the FDA approved ivosidenib for the treatment of adult patients with unresectable locally advanced or metastatic hepatocellular isocitrate dehydrogenase 1 (IDH1) mutated cholangiocarcinoma (CCA) as detected by an FDA-approved test with disease progression after 1 to 2 prior lines of systemic therapy for advanced disease." | 5.51 | FDA Approval Summary: Ivosidenib for the Treatment of Patients with Advanced Unresectable or Metastatic, Chemotherapy Refractory Cholangiocarcinoma with an IDH1 Mutation. ( Beaver, JA; Casak, SJ; Charlab, R; Chow, ECY; Fashoyin-Aje, LA; Fesenko, N; Kluetz, PG; Lemery, SJ; Liu, J; Pazdur, R; Pierce, WF; Pradhan, S; Ren, Y; Shen, YL; Xiong, Y; Xu, Y; Zirklelbach, JF, 2022) |
"gov identifier NCT01454076) assessed the relative bioavailability of capsule B in reference to capsule A in adult patients with advanced solid tumors or lymphoma." | 2.87 | A Phase 1 Study to Assess the Relative Bioavailability of Two Capsule Formulations of Ixazomib, an Oral Proteasome Inhibitor, in Patients With Advanced Solid Tumors or Lymphoma. ( Bessudo, A; Gupta, N; Hanley, MJ; Nemunaitis, J; O'Neil, BH; Sharma, S; van de Velde, H; Venkatakrishnan, K; Wang, B, 2018) |
"Ixazomib is an investigational, orally bioavailable 20S proteasome inhibitor." | 2.79 | Phase 1 study of weekly dosing with the investigational oral proteasome inhibitor ixazomib in relapsed/refractory multiple myeloma. ( Bensinger, WI; Berenson, JR; Berg, D; Di Bacco, A; Gupta, N; Hui, AM; Kumar, SK; Niesvizky, R; Reeder, CB; Shou, Y; Yu, J; Zimmerman, TM, 2014) |
"Gemcitabine was administered on days 1, 8, and 15 on a 28-day cycle and rigosertib on days 1, 4, 8, 11, 15, and 18." | 2.77 | Phase I study of Rigosertib, an inhibitor of the phosphatidylinositol 3-kinase and Polo-like kinase 1 pathways, combined with gemcitabine in patients with solid tumors and pancreatic cancer. ( Adjei, AA; Dy, GK; Eckhardt, SG; Jimeno, A; Ma, WW; Maniar, M; Messersmith, WA; Ren, C; Weekes, CD; Whitworth, A; Wilhelm, F, 2012) |
" Most frequently observed drug-related adverse events were alopecia, fatigue (95% each), peripheral sensory neuropathy (59%), paclitaxel hypersensitivity (59%) and rash (55%)." | 2.75 | A Phase Ib dose-escalation study to evaluate safety and tolerability of the addition of the aminopeptidase inhibitor tosedostat (CHR-2797) to paclitaxel in patients with advanced solid tumours. ( Bone, EA; de Jonge, M; Desar, I; Eskens, FA; Hooftman, L; Timmer-Bonte, JN; van Herpen, CM; Verweij, J, 2010) |
Research
Studies (16)
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 3 (18.75) | 18.7374 |
1990's | 2 (12.50) | 18.2507 |
2000's | 1 (6.25) | 29.6817 |
2010's | 7 (43.75) | 24.3611 |
2020's | 3 (18.75) | 2.80 |
Authors
Authors | Studies |
---|---|
Casak, SJ | 1 |
Pradhan, S | 1 |
Fashoyin-Aje, LA | 1 |
Ren, Y | 1 |
Shen, YL | 1 |
Xu, Y | 1 |
Chow, ECY | 1 |
Xiong, Y | 1 |
Zirklelbach, JF | 1 |
Liu, J | 1 |
Charlab, R | 1 |
Pierce, WF | 1 |
Fesenko, N | 1 |
Beaver, JA | 1 |
Pazdur, R | 1 |
Kluetz, PG | 1 |
Lemery, SJ | 1 |
Zhao, S | 1 |
Chi, A | 1 |
Yan, J | 1 |
Yao, C | 1 |
Sekhar, RV | 1 |
Hanley, MJ | 1 |
Gupta, N | 3 |
Venkatakrishnan, K | 1 |
Bessudo, A | 1 |
Sharma, S | 1 |
O'Neil, BH | 1 |
Wang, B | 1 |
van de Velde, H | 1 |
Nemunaitis, J | 1 |
Yan, B | 1 |
Liu, Y | 2 |
Shi, A | 1 |
Wang, Z | 1 |
Aa, J | 1 |
Huang, X | 1 |
Kumar, SK | 1 |
Bensinger, WI | 1 |
Zimmerman, TM | 1 |
Reeder, CB | 1 |
Berenson, JR | 1 |
Berg, D | 2 |
Hui, AM | 2 |
Di Bacco, A | 2 |
Yu, J | 2 |
Shou, Y | 1 |
Niesvizky, R | 1 |
Richardson, PG | 1 |
Baz, R | 1 |
Wang, M | 1 |
Jakubowiak, AJ | 1 |
Laubach, JP | 1 |
Harvey, RD | 1 |
Talpaz, M | 1 |
Liu, G | 1 |
Lonial, S | 1 |
Ostojic, SM | 1 |
Stojanovic, M | 1 |
Drid, P | 1 |
Hoffman, JR | 1 |
Sekulic, D | 1 |
Zenic, N | 1 |
Voĭtenkov, VB | 1 |
Popovich, IG | 1 |
Zabezhinskiĭ, MA | 1 |
Iurova, MA | 1 |
Piskunova, TA | 1 |
Mikhaleva, II | 1 |
van Herpen, CM | 1 |
Eskens, FA | 1 |
de Jonge, M | 1 |
Desar, I | 1 |
Hooftman, L | 1 |
Bone, EA | 1 |
Timmer-Bonte, JN | 1 |
Verweij, J | 1 |
Ma, WW | 1 |
Messersmith, WA | 1 |
Dy, GK | 1 |
Weekes, CD | 1 |
Whitworth, A | 1 |
Ren, C | 1 |
Maniar, M | 1 |
Wilhelm, F | 1 |
Eckhardt, SG | 1 |
Adjei, AA | 1 |
Jimeno, A | 1 |
TODD, WR | 1 |
ALLEN, M | 1 |
Lehmann, M | 1 |
Mann, H | 1 |
Gastmann, U | 1 |
Keul, J | 1 |
Vetter, D | 1 |
Steinacker, JM | 1 |
Häussinger, D | 1 |
Hahn, RG | 1 |
Sandfeldt, L | 1 |
Nyman, CR | 1 |
Lachner, O | 1 |
Lillie, C | 1 |
Rot, A | 1 |
Cameron, PF | 1 |
Clinical Trials (4)
Trial Overview
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
A Phase 1 Study of Oral IXAZOMIB (MLN9708) to Assess Relative Bioavailability, Food Effect, Drug-Drug Interaction With Ketoconazole, Clarithromycin or Rifampin; and Safety and Tolerability in Patients With Advanced Nonhematologic Malignancies or Lymphoma[NCT01454076] | Phase 1 | 112 participants (Actual) | Interventional | 2011-11-10 | Completed | ||
An Open-Label, Dose-Escalation, Phase 1 Study Evaluating the Safety and Tolerability of Weekly Dosing of the Oral Form of MLN9708, a Second-Generation Proteasome Inhibitor, in Adult Patients With Relapsed and Refractory Multiple Myeloma[NCT00963820] | Phase 1 | 60 participants (Actual) | Interventional | 2009-10-31 | Completed | ||
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 1 | 60 participants (Actual) | Interventional | 2009-10-12 | Completed | ||
Phase I Dose Escalation Study of Gemcitabine and ON 01910.Na in Patients With Advanced or Metastatic Solid Tumors[NCT01125891] | Phase 1 | 39 participants (Actual) | Interventional | 2009-01-31 | Completed | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
Trial Outcomes
AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Ixazomib
(NCT01454076)
Timeframe: Arm 1:Days 1, 15 and Arm 5:Day 6 pre-dose and at multiple time points(up to 264 hrs)post-dose;Arm 2, 3:Days 1,15 pre-dose and at multiple time points(up to 216 hrs)post-dose;Arm 4:Day 8 pre-dose and at multiple time points(up to 168 hrs)post-dose
Intervention | nanogram*hour per milliliter (ng*hr/mL)] (Geometric Mean) |
---|---|
Arm 1: Ixazomib 2.5 mg | 551.985 |
Arm 1: Ixazomib 2.5 mg + Ketoconazole 400 mg | 1148.778 |
Arm 2: Ixazomib 4 mg Capsule A | 1284.079 |
Arm 2: Ixazomib 4 mg Capsule B | 1334.659 |
Arm 3: Ixazomib 4 mg Fasted | 1465.979 |
Arm 3: Ixazomib 4 mg Fed | 998.698 |
Arm 4: Ixazomib 4 mg + Rifampin 600 mg | 231.527 |
Arm 5: Ixazomib 2.5 mg + Clarithromycin 500 mg | 613.112 |
Cmax: Maximum Observed Plasma Concentration for Ixazomib
(NCT01454076)
Timeframe: Arm 1:Days 1, 15 and Arm 5:Day 6 pre-dose and at multiple time points(up to 264 hours[hrs])post-dose;Arm 2, 3:Days 1,15 pre-dose and at multiple time points(up to 216 hrs)post-dose;Arm 4:Day 8 pre-dose and at multiple time points(up to 168 hrs)post-dose
Intervention | nanogram per milliliter (ng/mL) (Geometric Mean) |
---|---|
Arm 1: Ixazomib 2.5 mg | 38.975 |
Arm 1: Ixazomib 2.5 mg + Ketoconazole 400 mg | 39.250 |
Arm 2: Ixazomib 4 mg Capsule A | 61.866 |
Arm 2: Ixazomib 4 mg Capsule B | 71.949 |
Arm 3: Ixazomib 4 mg Fasted | 77.001 |
Arm 3: Ixazomib 4 mg Fed | 22.752 |
Arm 4: Ixazomib 4 mg + Rifampin 600 mg | 25.706 |
Arm 5: Ixazomib 2.5 mg + Clarithromycin 500 mg | 37.245 |
Number of Participants With Clinically Significant Vital Sign Abnormalities
(NCT01454076)
Timeframe: Cycle 1 Day 1 up to 30 days after last dose of study drug (Arm 1 and 5: Cycle 19 Day 45; Arm 2: Cycle 7 Day 45; Arm 3: Cycle 22 Day 45; Arm 4: Cycle 25 Day 45
Intervention | participants (Number) |
---|---|
Arm 1: Ixazomib 2.5 mg + Ketoconazole 400 mg | 0 |
Arm 2: Ixazomib 4 mg Capsule A or B | 0 |
Arm 3: Ixazomib 4 mg Fasted or Fed | 0 |
Arm 4: Ixazomib 4 mg + Rifampin 600 mg | 0 |
Arm 5: Ixazomib 2.5 mg + Clarithromycin 500 mg | 0 |
Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Ixazomib
(NCT01454076)
Timeframe: Arm 1:Days 1, 15 and Arm 5:Day 6 pre-dose and at multiple time points(up to 264 hrs)post-dose;Arm 2, 3:Days 1,15 pre-dose and at multiple time points(up to 216 hrs)post-dose;Arm 4:Day 8 pre-dose and at multiple time points(up to 168 hrs)post-dose
Intervention | hours (Median) |
---|---|
Arm 1: Ixazomib 2.5 mg | 1.090 |
Arm 1: Ixazomib 2.5 mg + Ketoconazole 400 mg | 1.500 |
Arm 2: Ixazomib 4 mg Capsule A | 1.290 |
Arm 2: Ixazomib 4 mg Capsule B | 1.250 |
Arm 3: Ixazomib 4 mg Fasted | 1.020 |
Arm 3: Ixazomib 4 mg Fed | 4.000 |
Arm 4: Ixazomib 4 mg + Rifampin 600 mg | 1.450 |
Arm 5: Ixazomib 2.5 mg + Clarithromycin 500 mg | 1 |
Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
(NCT01454076)
Timeframe: Cycle 1 Day 1 up to 30 days after last dose of study drug (Arm 1 and 5: Cycle 19 Day 45; Arm 2: Cycle 7 Day 45; Arm 3: Cycle 22 Day 45; Arm 4: Cycle 25 Day 45)
Intervention | participants (Number) | |
---|---|---|
TEAEs | SAEs | |
Arm 1: Ixazomib 2.5 mg + Ketoconazole 400 mg | 29 | 12 |
Arm 2: Ixazomib 4 mg Capsule A or B | 20 | 5 |
Arm 3: Ixazomib 4 mg Fasted or Fed | 24 | 12 |
Arm 4: Ixazomib 4 mg + Rifampin 600 mg | 18 | 3 |
Arm 5: Ixazomib 2.5 mg + Clarithromycin 500 mg | 21 | 10 |
Number of Participants With Clinically Significant TEAEs Related to Laboratory Abnormalities
(NCT01454076)
Timeframe: Cycle 1 Day 1 up to 30 days after last dose of study drug (Arm 1 and 5: Cycle 19 Day 45; Arm 2: Cycle 7 Day 45; Arm 3: Cycle 22 Day 45; Arm 4: Cycle 25 Day 45
Intervention | participants (Number) | ||
---|---|---|---|
Blood and lymphatic system disorders | Investigations | Metabolism and nutrition disorders | |
Arm 1: Ixazomib 2.5 mg + Ketoconazole 400 mg | 11 | 10 | 22 |
Arm 2: Ixazomib 4 mg Capsule A or B | 7 | 5 | 12 |
Arm 3: Ixazomib 4 mg Fasted or Fed | 9 | 11 | 13 |
Arm 4: Ixazomib 4 mg + Rifampin 600 mg | 2 | 4 | 6 |
Arm 5: Ixazomib 2.5 mg + Clarithromycin 500 mg | 1 | 5 | 6 |
Percentage of Participants With Best Overall Response
Best overall response for a participant is best observed post-baseline disease response as per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1: Complete response (CR) was defined as complete disappearance of all target lesions and non-target disease, with the exception of nodal disease. All nodes, both target and non-target, must decrease to normal (short axis less than (<) 10 millimeter [mm]). No new lesions. Partial response (PR) was defined as greater than or equal to (>=) 30% decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. No unequivocal progression of non-target disease. No new lesions. Stable disease (SD) was defined as not qualifying for CR, PR, Progressive Disease (PD). An increase of >=20% from the nadir (or baseline, if it represents the point at which the sum of target disease was lowest) represents PD. (NCT01454076)
Timeframe: Baseline up to end of treatment (approximately 1.9 years)
Intervention | percentage of participants (Number) | |||
---|---|---|---|---|
CR | PR | SD | PD | |
Arm 1: Ixazomib 2.5 mg + Ketoconazole 400 mg | 0 | 0 | 63 | 38 |
Arm 2: Ixazomib 4 mg Capsule A or B | 0 | 0 | 50 | 50 |
Arm 3: Ixazomib 4 mg Fasted or Fed | 0 | 6 | 35 | 59 |
Arm 4: Ixazomib 4 mg + Rifampin 600 mg | 0 | 0 | 53 | 47 |
Arm 5: Ixazomib 2.5 mg + Clarithromycin 500 mg | 0 | 1 | 53 | 47 |
Accumulation Ratio: Day 15 AUC0-168 / Day 1 AUC0-168 for MLN2238
MLN2238 is the complete hydrolysis product of the study drug ixazomib citrate (MLN9708). (NCT00963820)
Timeframe: Day 15 of Cycle 1
Intervention | unitless (Mean) |
---|---|
1.68 mg/m^2 | 2.64 |
2.23 mg/m^2 | 1.45 |
2.97 mg/m^2 | 2.25 |
3.95 mg/m^2 | 1.19 |
Relapsed and Refractory (RR) | 2.25 |
VELCADE-relapsed (VR) | 2.19 |
PI naïve | 1.97 |
Carfilzomib | 2.37 |
Emax: Maximum Inhibition
A Whole Blood 20S Proteasome Inhibition Parameter. There were no subjects in the Pharmacodynamic (PD) Analysis Set for the 2.23 mg/m^2 cohort, so PD tables do not include that arm. (NCT00963820)
Timeframe: Days 1 and 15 of Cycle 1
Intervention | Percentage of inhibition (Mean) |
---|---|
0.24 mg/m^2 | NA |
0.48 mg/m^2 | NA |
0.80 mg/m^2 | NA |
1.20 mg/m^2 | NA |
1.68 mg/m^2 | NA |
2.23 mg/m^2 | NA |
2.97 mg/m^2 | NA |
3.95 mg/m^2 | NA |
Relapsed and Refractory (RR) | NA |
VELCADE-relapsed (VR) | NA |
PI naïve | NA |
Carfilzomib | NA |
Number of Participants Reporting One or More Treatment-Emergent Adverse Events and Serious Adverse Events
"An Adverse Event 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 (eg, 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 treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug.~A Serious Adverse Event (SAE) was any experience that suggests a significant hazard, contraindication, side effect or precaution that: results in death, is life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant." (NCT00963820)
Timeframe: From the first dose through 30 days after last dose of ixazomib citrate or until the start of subsequent antineoplastic therapy (Up to 354 days)
Intervention | participants (Number) |
---|---|
0.24 mg/m^2 | 3 |
0.48 mg/m^2 | 3 |
0.80 mg/m^2 | 2 |
1.20 mg/m^2 | 3 |
1.68 mg/m^2 | 4 |
2.23 mg/m^2 | 3 |
2.97 mg/m^2 | 8 |
3.95 mg/m^2 | 5 |
Relapsed and Refractory (RR) | 11 |
VELCADE-relapsed (VR) | 10 |
PI naïve | 6 |
Carfilzomib | 4 |
TEmax: Time of Occurrence of Emax
(NCT00963820)
Timeframe: Days 1 and 15 of Cycle 1
Intervention | Hours (Mean) |
---|---|
0.24 mg/m^2 | NA |
0.48 mg/m^2 | NA |
0.80 mg/m^2 | NA |
1.20 mg/m^2 | NA |
1.68 mg/m^2 | NA |
2.23 mg/m^2 | NA |
2.97 mg/m^2 | NA |
3.95 mg/m^2 | NA |
Relapsed and Refractory (RR) | NA |
VELCADE-relapsed (VR) | NA |
PI naïve | NA |
Carfilzomib | NA |
Terminal Elimination Rate Constant (λz) for MLN2238
Terminal elimination rate constant (λz) is the rate at which drugs are eliminated from the body and the values were used for calculation of T1/2. MLN2238 is the complete hydrolysis product of the study drug ixazomib citrate (MLN9708). (NCT00963820)
Timeframe: Day 15 of Cycle 1
Intervention | 1/hour (Mean) |
---|---|
0.80 mg/m^2 | 0.000 |
1.20 mg/m^2 | 0.000 |
1.68 mg/m^2 | 0.000 |
2.23 mg/m^2 | 0.00 |
2.97 mg/m^2 | 0.00 |
3.95 mg/m^2 | 0.00 |
Relapsed and Refractory (RR) | 0.00 |
VELCADE-relapsed (VR) | 0.00 |
PI naïve | 0.01 |
Carfilzomib | 0.01 |
Terminal Phase Elimination Half-life (T1/2) for MLN2238
Terminal phase elimination half-life (T1/2) is the time required for half of the drug to be eliminated from the plasma. MLN2238 is the complete hydrolysis product of the study drug ixazomib citrate (MLN9708). (NCT00963820)
Timeframe: Day 15 of Cycle 1
Intervention | hour (Mean) |
---|---|
0.80 mg/m^2 | 271.00 |
1.20 mg/m^2 | 190.50 |
1.68 mg/m^2 | 189.00 |
2.23 mg/m^2 | 175.00 |
2.97 mg/m^2 | 246.00 |
3.95 mg/m^2 | 165.00 |
Relapsed and Refractory (RR) | 186.00 |
VELCADE-relapsed (VR) | 202.33 |
PI naïve | 123.90 |
Carfilzomib | 108.00 |
AUC(0-168): Area Under the Plasma Concentration-Time Curve From Time 0 to 168 Hours Postdose for MLN2238
AUC(0-168) is a measure of the area under the plasma concentration-time curve over the dosing interval (tau) (AUC[0-tau]), where tau is the length of the dosing interval - 168 hours in this study). MLN2238 is the complete hydrolysis product of the study drug ixazomib citrate (MLN9708). (NCT00963820)
Timeframe: Days 1 and 15 of Cycle 1
Intervention | hr*ng/mL (Mean) | |
---|---|---|
Cycle 1 Day 1 (n=0,0,0,0,2,1,3,4,3,5,4,3) | Cycle 1 Day 15 (n=0,0,2,0,2,1,2,1,1,4,3,2) | |
0.24 mg/m^2 | NA | NA |
0.48 mg/m^2 | NA | NA |
0.80 mg/m^2 | NA | 398.50 |
1.20 mg/m^2 | NA | NA |
1.68 mg/m^2 | 258.00 | 663.00 |
2.23 mg/m^2 | 598.00 | 868.00 |
2.97 mg/m^2 | 1269.67 | 3100.00 |
3.95 mg/m^2 | 1371.25 | 1460.00 |
Carfilzomib | 813.67 | 2075.00 |
PI naïve | 750.25 | 1549.00 |
Relapsed and Refractory (RR) | 1793.33 | 3690.00 |
VELCADE-relapsed (VR) | 854.20 | 1777.75 |
Cmax: Maximum Observed Plasma Concentration for MLN2238
Maximum observed plasma concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve. MLN2238 is the complete hydrolysis product of the study drug ixazomib citrate (MLN9708). (NCT00963820)
Timeframe: Days 1 and 15 of Cycle 1
Intervention | ng/mL (Mean) | |
---|---|---|
Cycle 1 Day 1 (n=1,1,2,1,3,2,5,4,5,8,5,3) | Cycle 1 Day 15 (n=3,1,3,2,2,1,2,1,5,5,4,3) | |
0.24 mg/m^2 | 3.010 | 3.64 |
0.48 mg/m^2 | 2.91 | 4.64 |
0.80 mg/m^2 | 5.75 | 6.89 |
1.20 mg/m^2 | 15.10 | 17.90 |
1.68 mg/m^2 | 13.83 | 17.63 |
2.23 mg/m^2 | 29.05 | 9.24 |
2.97 mg/m^2 | 65.46 | 100.55 |
3.95 mg/m^2 | 123.95 | 134.00 |
Carfilzomib | 83.73 | 55.10 |
PI naïve | 77.70 | 118.05 |
Relapsed and Refractory (RR) | 75.92 | 50.46 |
VELCADE-relapsed (VR) | 110.43 | 93.68 |
Neurotoxicity Grading
Neurotoxicity is graded using participant responses to 11 functional questions on a 5-point scale, where 0=Not at all and 4=Very much, using the Functional Assessment of Cancer Therapy/Gynecology Oncology Group - Neurotoxicity Questionnaire, Version 4.0(14). Neurotoxicity subscale is a sum of 11 reversed item scores where each original score is transformed as (4 - score). The highest possible score is 44, and a higher score indicates more neurotoxicity. (NCT00963820)
Timeframe: Cycle 1 Day 1 and End of Study (Up to 354 days)
Intervention | score on a scale (Mean) | |
---|---|---|
Cycle 1 Day 1 (n=2,3,3,3,4,3,7,4,9,8,6,4) | End of Study (n=3,3,2,1,1,3,4,3,8,5,4,3) | |
0.24 mg/m^2 | 36.00 | 25.00 |
0.48 mg/m^2 | 40.33 | 40.67 |
0.80 mg/m^2 | 42.00 | 38.50 |
1.20 mg/m^2 | 36.00 | 35.00 |
1.68 mg/m^2 | 39.50 | 42.00 |
2.23 mg/m^2 | 36.80 | 36.00 |
2.97 mg/m^2 | 33.14 | 36.00 |
3.95 mg/m^2 | 38.50 | 33.33 |
Carfilzomib | 32.00 | 27.33 |
PI naïve | 38.00 | 37.00 |
Relapsed and Refractory (RR) | 38.44 | 33.88 |
VELCADE-relapsed (VR) | 33.73 | 27.24 |
Overall Response to Treatment With Ixazomib Citrate Based on Investigator's Evaluation Over Time
"Responses were based on International Myeloma Working Group Uniform Criteria. Complete Response (CR)=Negative immunofixation on serum and urine and disappearance of any soft tissue plasmacytomas and <5% plasma cells in bone marrow.~Partial Response (PR)= reduction in M-Protein ≥50% in serum and ≥90% in 24-hour urine. If M-protein unmeasurable, ≥50% decrease in difference of involved and uninvolved Free Light Chain (FLC). If M-protein and FLC unmeasurable, ≥50% reduction in plasma cells is required, if baseline bone marrow plasma cell ≥30%. And ≥50% reduction in the size of soft tissue plasmacytomas.~Minimal Response (MR)= 25-49% reduction in serum paraprotein for 6 weeks. 50-89% reduction in 24 hour urinary light chain excretion for 6 weeks. For Non-secretory myeloma patients, 25-49 % reduction in plasma cells in bone marrow and trephine biopsy for a 6 weeks. 25-49% reduction in the size of soft tissue plasmacytomas. No increase in the size or number of lytic bone lesions." (NCT00963820)
Timeframe: Up to 354 days
Intervention | percentage of participants (Number) | |
---|---|---|
CR + PR | CR + PR + MR | |
0.24 mg/m^2 | 0 | 0 |
0.48 mg/m^2 | 0 | 0 |
0.80 mg/m^2 | 0 | 0 |
1.20 mg/m^2 | 0 | 0 |
1.68 mg/m^2 | 0 | 0 |
2.23 mg/m^2 | 0 | 0 |
2.97 mg/m^2 | 25 | 25 |
3.95 mg/m^2 | 25 | 25 |
Carfilzomib | 25 | 25 |
PI naïve | 17 | 17 |
Relapsed and Refractory (RR) | 9 | 18 |
VELCADE-relapsed (VR) | 22 | 33 |
Tmax: Time to Reach the Maximum Observed Plasma Concentration (Cmax) for MLN2238
Tmax: Time to reach the maximum observed plasma concentration (Cmax), equal to time to Cmax. MLN2238 is the complete hydrolysis product of the study drug ixazomib citrate (MLN9708). (NCT00963820)
Timeframe: Days 1 and 15 of Cycle 1
Intervention | hours (Median) | |
---|---|---|
Cycle 1 Day 1 (n=1,1,2,1,3,2,5,4,5,8,5,3) | Cycle 1 Day 15 (n=3,1,3,2,2,1,2,1,5,5,4,3) | |
0.24 mg/m^2 | 1.50 | 1.07 |
0.48 mg/m^2 | 1.53 | 0.50 |
0.80 mg/m^2 | 1.52 | 1.83 |
1.20 mg/m^2 | 1.00 | 1.00 |
1.68 mg/m^2 | 1.52 | 1.27 |
2.23 mg/m^2 | 1.25 | 8.00 |
2.97 mg/m^2 | 1.00 | 1.25 |
3.95 mg/m^2 | 1.00 | 1.03 |
Carfilzomib | 1.42 | 1.03 |
PI naïve | 1.00 | 1.00 |
Relapsed and Refractory (RR) | 2.00 | 1.50 |
VELCADE-relapsed (VR) | 0.50 | 1.00 |
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)
Intervention | mg/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)
Intervention | Participants (Count of Participants) |
---|---|
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^2 | 0 |
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^2 | 0 |
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^2 | 0 |
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^2 | 0 |
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^2 | 0 |
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^2 | 0 |
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^2 | 1 |
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^2 | 0 |
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^2 | 0 |
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^2 | 0 |
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^2 | 0 |
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)
Intervention | mg/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
Intervention | hr (Mean) |
---|---|
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^2 | 135.00 |
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^2 | 126.50 |
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^2 | 129.33 |
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^2 | 105.88 |
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^2 | 92.70 |
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^2 | 115.85 |
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^2 | 123.06 |
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^2 | 124.93 |
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^2 | 134.00 |
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
Intervention | 1/hr (Mean) |
---|---|
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^2 | 0.005 |
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^2 | 0.005 |
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^2 | 0.006 |
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^2 | 0.007 |
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^2 | 0.008 |
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^2 | 0.006 |
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^2 | 0.006 |
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^2 | 0.006 |
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^2 | 0.005 |
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
Intervention | hr*ng/mL (Mean) |
---|---|
Day 11 | |
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^2 | 56.53 |
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^2 | 177.67 |
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
Intervention | hr*ng/mL (Mean) | |
---|---|---|
Day 1 | Day 11 | |
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^2 | 509.00 | 1010.00 |
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^2 | 109.00 | 458.00 |
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^2 | 159.05 | 605.00 |
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^2 | 251.00 | 808.50 |
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^2 | 449.00 | 1435.60 |
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^2 | 416.50 | 1915.00 |
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^2 | 410.00 | 2297.20 |
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^2 | 451.64 | 903.85 |
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^2 | 351.00 | 937.86 |
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
Intervention | hr*ng/mL (Mean) | |
---|---|---|
Day 1 | Day 11 | |
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^2 | 509.000 | 1010.000 |
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^2 | 3.383 | 56.533 |
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^2 | 20.700 | 177.667 |
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^2 | 109.000 | 458.000 |
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^2 | 159.050 | 605.000 |
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^2 | 251.000 | 808.500 |
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^2 | 449.000 | 1435.600 |
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^2 | 416.500 | 1915.000 |
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^2 | 410.000 | 2297.200 |
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^2 | 418.175 | 903.846 |
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^2 | 351.000 | 937.857 |
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
Intervention | ng/mL (Mean) | |
---|---|---|
Day 1 | Day 11 | |
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^2 | 26.600 | 27.200 |
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^2 | 2.120 | 2.837 |
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^2 | 10.190 | 8.857 |
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^2 | 22.200 | 31.650 |
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^2 | 29.000 | 56.500 |
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^2 | 21.100 | 101.100 |
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^2 | 68.167 | 85.420 |
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^2 | 117.933 | 105.450 |
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^2 | 85.600 | 109.660 |
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^2 | 58.900 | 59.871 |
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^2 | 59.343 | 61.800 |
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)
Intervention | Participants (Count of Participants) | |
---|---|---|
Neuropathy Peripheral | Peripheral Sensory Neuropathy | |
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^2 | 0 | 0 |
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^2 | 0 | 0 |
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^2 | 1 | 0 |
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^2 | 1 | 0 |
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^2 | 0 | 0 |
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^2 | 0 | 1 |
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^2 | 1 | 0 |
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^2 | 0 | 0 |
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^2 | 1 | 0 |
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^2 | 3 | 0 |
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^2 | 3 | 0 |
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)
Intervention | Participants (Count of Participants) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Blood Creatinine Increased | Blood Urea Increased | White Blood Cell Count Decreased | Neutrophil Count Decreased | Alanine Aminotransferase Increased | Liver Function Test Increased | Blood Calcium Increased | Platelet Count Decreased | Haematocrit Decreased | Haemoglobin Decreased | |
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^2 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^2 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^2 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^2 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^2 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^2 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 |
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^2 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^2 | 2 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 |
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^2 | 2 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 1 |
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)
Intervention | Participants (Count of Participants) | |
---|---|---|
AEs | SAEs | |
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^2 | 2 | 2 |
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^2 | 3 | 0 |
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^2 | 3 | 0 |
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^2 | 3 | 2 |
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^2 | 3 | 2 |
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^2 | 3 | 0 |
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^2 | 7 | 5 |
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^2 | 4 | 3 |
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^2 | 6 | 3 |
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^2 | 20 | 14 |
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^2 | 12 | 6 |
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)
Intervention | percentage of participants (Number) | |
---|---|---|
CR+PR | CR+PR+MR | |
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^2 | 0 | 0 |
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^2 | 0 | 0 |
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^2 | 0 | 0 |
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^2 | 0 | 0 |
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^2 | 33 | 33 |
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^2 | 0 | 0 |
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^2 | 0 | 0 |
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^2 | 50 | 50 |
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^2 | 33 | 33 |
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^2 | 5 | 10 |
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^2 | 9 | 18 |
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
Intervention | hours (Median) | |
---|---|---|
Day 1 | Day 11 | |
Carfilzomib Expansion Cohort: Ixazomib 2.0 mg/m^2 | 1.000 | 1.500 |
Dose Escalation Cohort 1: Ixazomib 0.24 mg/m^2 | 1.000 | 1.100 |
Dose Escalation Cohort 2: Ixazomib 0.48 mg/m^2 | 1.000 | 1.000 |
Dose Escalation Cohort 3: Ixazomib 0.8 mg/m^2 | 0.775 | 1.275 |
Dose Escalation Cohort 4: Ixazomib 1.2 mg/m^2 | 0.775 | 0.500 |
Dose Escalation Cohort 5: Ixazomib 1.68 mg/m^2 | 1.000 | 1.000 |
Dose Escalation Cohort 6: Ixazomib 2.0 mg/m^2 | 1.000 | 0.667 |
Dose Escalation Cohort 7: Ixazomib 2.23 mg/m^2 | 1.000 | 0.832 |
Proteasome Inhibitor-Naive Expansion Cohort: Ixazomib 2 mg/m^2 | 0.525 | 1.500 |
Relapsed and Refractory Expansion Cohort: Ixazomib 2.0 mg/m^2 | 1.000 | 1.010 |
Velcade-Relapsed (VR) Expansion Cohort: Ixazomib 2.0 mg/m^2 | 0.617 | 0.583 |
Trials
9 trials available for glycine and Fatigue
Article | Year |
---|---|
FDA Approval Summary: Ivosidenib for the Treatment of Patients with Advanced Unresectable or Metastatic, Chemotherapy Refractory Cholangiocarcinoma with an IDH1 Mutation.
Topics: Abdominal Pain; Adult; Asthenia; Bile Duct Neoplasms; Bile Ducts, Intrahepatic; Cholangiocarcinoma; | 2022 |
A Phase 1 Study to Assess the Relative Bioavailability of Two Capsule Formulations of Ixazomib, an Oral Proteasome Inhibitor, in Patients With Advanced Solid Tumors or Lymphoma.
Topics: Administration, Oral; Adult; Aged; Antineoplastic Agents; Biological Availability; Boron Compounds; | 2018 |
Phase 1 study of weekly dosing with the investigational oral proteasome inhibitor ixazomib in relapsed/refractory multiple myeloma.
Topics: Administration, Oral; Adult; Aged; Area Under Curve; Boron Compounds; Diarrhea; Dose-Response Relati | 2014 |
Phase 1 study of twice-weekly ixazomib, an oral proteasome inhibitor, in relapsed/refractory multiple myeloma patients.
Topics: Administration, Oral; Aged; Aged, 80 and over; Area Under Curve; Boron Compounds; Dose-Response Rela | 2014 |
Supplementation with Guanidinoacetic Acid in Women with Chronic Fatigue Syndrome.
Topics: Adult; Creatine; Dietary Supplements; Fatigue; Fatigue Syndrome, Chronic; Female; Glycine; Humans; M | 2016 |
A Phase Ib dose-escalation study to evaluate safety and tolerability of the addition of the aminopeptidase inhibitor tosedostat (CHR-2797) to paclitaxel in patients with advanced solid tumours.
Topics: Adult; Aged; Aminopeptidases; Antineoplastic Combined Chemotherapy Protocols; Drug Administration Sc | 2010 |
Phase I study of Rigosertib, an inhibitor of the phosphatidylinositol 3-kinase and Polo-like kinase 1 pathways, combined with gemcitabine in patients with solid tumors and pancreatic cancer.
Topics: Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Area Under Curve; Ce | 2012 |
Double-blind randomized study of symptoms associated with absorption of glycine 1.5% or mannitol 3% during transurethral resection of the prostate.
Topics: Absorption; Affect; Aged; Aged, 80 and over; Blood Loss, Surgical; Bradycardia; Confidence Intervals | 1998 |
[The pharmacological properties of Midodrin and its clinical application in patients with hypotensive circulatory disturbance (author's transl)].
Topics: Blood Pressure; Clinical Trials as Topic; Drug Evaluation; Ethanolamines; Fatigue; Female; Glycine; | 1974 |
Other Studies
7 other studies available for glycine and Fatigue
Article | Year |
---|---|
Feature of Heart Rate Variability and Metabolic Mechanism in Female College Students with Depression.
Topics: Adolescent; Autonomic Nervous System; Depression; Fatigue; Female; Glycine; Heart Rate; Humans; Meta | 2020 |
Supplementing glycine and N-acetylcysteine (GlyNAC) rapidly improves health-related quality of life and lowers perception of fatigue in patients with HIV.
Topics: Acetylcysteine; Fatigue; Glycine; HIV Infections; Humans; Perception; Quality of Life | 2021 |
Investigation of the Antifatigue Effects of Korean Ginseng on Professional Athletes by Gas Chromatography-Time-of-Flight-Mass Spectrometry-Based Metabolomics.
Topics: 3-Hydroxybutyric Acid; Adult; Athletes; Blood Urea Nitrogen; Creatine Kinase; Dicarboxylic Acids; Ex | 2018 |
[Effect of delta-sleep inducing peptide preparation Deltaran on longevity, physiological functions, and carcinogenesis in mice].
Topics: Animals; Antioxidants; Biomarkers; Body Weight; Delta Sleep-Inducing Peptide; Drug Administration Sc | 2009 |
Maintenance of carbohydrate stores during stress of cold and fatigue in rats prefed diets containing added glycine.
Topics: Animals; Carbohydrate Metabolism; Carbohydrates; Cold Climate; Diet; Fatigue; Glycine; Nutrition Ass | 1960 |
Unaccustomed high-mileage vs intensity training-related changes in performance and serum amino acid levels.
Topics: Adult; Amino Acids; Arginine; Asparagine; Aspartic Acid; Cystine; Erythrocyte Count; Exercise Test; | 1996 |
An assessment of a rapid release, once daily, iron and folic acid supplement in pregnancy.
Topics: Anemia, Hypochromic; Blood Volume; Capsules; Drug Combinations; Fatigue; Female; Folic Acid; Gestati | 1974 |