NCT01568866

Brief Summary

The primary objective of this study was to compare progression-free survival in patients with multiple myeloma who relapsed after 1 to 3 prior therapies treated with carfilzomib plus dexamethasone or bortezomib plus dexamethasone.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
929

participants targeted

Target at P75+ for phase_3 multiple-myeloma

Timeline
Completed

Started Jun 2012

Geographic Reach
26 countries

220 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 28, 2012

Completed
5 days until next milestone

First Posted

Study publicly available on registry

April 2, 2012

Completed
3 months until next milestone

Study Start

First participant enrolled

June 20, 2012

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 10, 2014

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

December 11, 2015

Completed
2.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

February 5, 2018

Completed
Last Updated

November 14, 2022

Status Verified

November 1, 2022

Enrollment Period

2.4 years

First QC Date

March 28, 2012

Results QC Date

November 6, 2015

Last Update Submit

November 10, 2022

Conditions

Keywords

multiple myelomarelapsed multiple myeloma

Outcome Measures

Primary Outcomes (1)

  • Progression-free Survival

    Progression-free survival (PFS) was defined as the time from randomization to the earlier of disease progression or death due to any cause. Participants were evaluated for disease response and progression according to the International Myeloma Working Group-Uniform Response Criteria (IMWG-URC) as assessed by an Independent Review Committee (IRC). Median PFS was estimated using the Kaplan-Meier method. Participants with no baseline disease assessments, starting a new anticancer therapy before documentation of disease progression or death, death or disease progression immediately after more than 1 consecutively missed disease assessment visit, or alive without documentation of disease progression before the data cut-off date were censored.

    From randomization until the data cut-off date of 10 November 2014; median follow-up time for PFS was 11.1.and 11.9 months in the bortezomib and carfilzomib arms respectively

Secondary Outcomes (7)

  • Overall Survival

    From randomization until the data cut-off date of 03 January 2017; median follow-up time for OS was 36.9 and 37.5 months for each treatment group respectively.

  • Overall Response

    Disease response was assessed every 28 days until end of treatment or the data cut-off date of 10 November 2014; median duration of treatment was 27 weeks in the bortezomib group and 40 weeks in the carfilzomib treatment group.

  • Duration of Response

    From randomization until the data cut-off date of 10 November 2014; median follow-up time for DOR was 9.4 and 10.4 months for each treatment group respectively.

  • Percentage of Participants With ≥ Grade 2 Peripheral Neuropathy

    From the first dose of study drug up to 30 days after the last dose of study drug as of the data cut-off date of 10 November 2014; median duration of treatment was 27 weeks in the bortezomib group and 40 weeks in the carfilzomib treatment group.

  • Percentage of Participants With a Significant Reduction in Left Ventricular Ejection Fraction (LVEF)

    Baseline and 24 weeks

  • +2 more secondary outcomes

Study Arms (2)

Carfilzomib plus Dexamethasone

EXPERIMENTAL

Participants received 20 mg/m² carfilzomib administered by intravenous (IV) infusion on Days 1 and 2 of Cycle 1, followed by 56 mg/m² on Days 8, 9, 15, and 16 of Cycle 1 and for each 28-day cycle thereafter. Additionally, participants received 20 mg dexamethasone on Days 1, 2, 8, 9, 15, 16, 22, and 23 of each 28 day cycle.

Drug: CarfilzomibDrug: Dexamethasone

Bortezomib plus Dexamethasone

ACTIVE COMPARATOR

Participants received bortezomib 1.3 mg/m² administered IV or subcutaneously (SC) on Days 1, 4, 8, and 11 of a 21-day cycle plus dexamethasone 20 mg administered on Days 1, 2, 4, 5, 8, 9, 11, and 12 of each 21-day cycle.

Drug: BortezomibDrug: Dexamethasone

Interventions

Carfilzomib is administered over 30 minutes as an infusion.

Also known as: PR-171, Krypolis
Carfilzomib plus Dexamethasone

Bortezomib is administered as a 3-5 second bolus IV injection or SC injection (in accordance with regulatory approval)

Also known as: Velcade
Bortezomib plus Dexamethasone

Tablet for oral administration; On days when carfilzomib or bortezomib was administered, the dexamethasone was to be given 30 minutes to 4 hours prior to the carfilzomib or bortezomib dose.

Bortezomib plus DexamethasoneCarfilzomib plus Dexamethasone

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Multiple myeloma with relapsing or progressing disease at study entry.
  • Patients must have evaluable multiple myeloma with, at least one of the following (assessed within 21 days prior to randomization):
  • Serum M-protein ≥ 0.5 g/dL, or
  • Urine M-protein ≥ 200 mg/24 hour, or
  • In patients without detectable serum or urine M-protein, serum free light chain (SFLC) \> 100 mg/L (involved light chain) and an abnormal serum kappa/lamda ratio, or
  • For immunoglobulin (Ig) A patients whose disease can only be reliably measured by serum quantitative immunoglobulin (qIgA) ≥ 750 mg/dL (0.75 g/dL).
  • Patients must have documented at least partial response (PR) to at least 1 line of prior therapy. PR documentation can be based on Investigator assessment.
  • Received 1, but no more than 3 prior treatment regimens or lines of therapy for multiple myeloma. (Induction therapy followed by stem cell transplant and consolidation/maintenance therapy will be considered as one line of therapy).
  • Prior therapy with Velcade is allowed as long as the patient had at least a PR to prior Velcade therapy, was not removed from Velcade therapy due to toxicity, and will have at least a 6 month Velcade treatment-free interval from last dose received until first study treatment. (Patients may receive maintenance therapy with drugs that are not in the proteasome inhibitor class during this 6 month Velcade treatment-free interval).
  • Prior therapy with carfilzomib is allowed as long as the patient had at least a PR to prior carfilzomib therapy, was not removed from carfilzomib therapy due to toxicity, and had at least a 6-month carfilzomib treatment-free interval from last dose received until first study treatment. (Patients may receive maintenance therapy with drugs that are not in the proteasome inhibitor class during this 6 month carfilzomib treatment-free interval). The exception to this is patients randomized or previously randomized in any other Onyx-Sponsored Phase 3 trial.
  • Males and females ≥ 18 years of age.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 2.
  • Adequate hepatic function within 21 days prior to randomization, with bilirubin \< 1.5 times the upper limit of normal (ULN), and aspartate aminotransferase (AST) and alanine aminotransferase (ALT) \< 3 times the ULN.
  • Left ventricular ejection fraction (LVEF) ≥ 40%.
  • Absolute neutrophil count (ANC) ≥ 1000/mm³ within 21 days prior to randomization. Screening ANC should be independent of growth factor support for ≥ 1 week.
  • +7 more criteria

You may not qualify if:

  • Multiple Myeloma of IgM subtype.
  • Glucocorticoid therapy (prednisone \> 30 mg/day or equivalent) within 14 days prior to randomization.
  • POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes).
  • Plasma cell leukemia or circulating plasma cells ≥ 2 × 10\^9/L.
  • Waldenstrom's Macroglobulinemia.
  • Patients with known amyloidosis.
  • Chemotherapy with approved or investigational anticancer therapeutics within 21 days prior to randomization.
  • Patients randomized or previously randomized in any other Onyx-Sponsored Phase 3 trial.
  • Focal radiation therapy within 7 days prior to randomization. Radiation therapy to an extended field involving a significant volume of bone marrow within 21 days prior to randomization (i.e., prior radiation must have been to less than 30% of the bone marrow).
  • Immunotherapy within 21 days prior to randomization.
  • Major surgery (excluding kyphoplasty) within 28 days prior to randomization.
  • Active congestive heart failure (New York Heart Association \[NYHA\] Class III to IV), symptomatic ischemia, or conduction abnormalities uncontrolled by conventional intervention. Myocardial infarction within four months prior to randomization.
  • Acute active infection requiring systemic antibiotics, antiviral (except antiviral therapy directed at hepatitis B) or antifungal agents within 14 days prior to randomization.
  • Known human immunodeficiency (HIV) seropositive, hepatitis C infection, and/or hepatitis B (except for patients with hepatitis B surface antigen \[SAg\] or core antibody receiving and responding to antiviral therapy directed at hepatitis B: these patients are allowed).
  • Patients with known cirrhosis.
  • +15 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (241)

Providence St. Joseph Medical Center

Burbank, California, United States

Location

UCSD Moore Cancer Center

La Jolla, California, United States

Location

UCLA Medical Center

Los Angeles, California, United States

Location

Central Coast Medical Oncology Group

Santa Maria, California, United States

Location

Colorado Blood Cancer Institute

Denver, Colorado, United States

Location

MAB Oncology/Hematology

Melbourne, Florida, United States

Location

Palm Beach Cancer Institute

West Palm Beach, Florida, United States

Location

Winship Cancer Institute

Atlanta, Georgia, United States

Location

Hematology Oncology of Indiana, PC

Indianapolis, Indiana, United States

Location

Center for Cancer and Blood Disorders

Bethesda, Maryland, United States

Location

Associates in Oncology/Hematology PC

Rockville, Maryland, United States

Location

University of Michigan

Ann Arbor, Michigan, United States

Location

University of Kansas

Kansas City, Missouri, United States

Location

Hackensack University Medical Ctr

Hackensack, New Jersey, United States

Location

Clinical Research Alliance Inc.

New York, New York, United States

Location

Weill Cornell Medical College

New York, New York, United States

Location

Montefiore Medical Center

The Bronx, New York, United States

Location

Wake Forest University Health Sciences, Section on Hematology and Oncology

Winston-Salem, North Carolina, United States

Location

Gabrail Cancer Center

Canton, Ohio, United States

Location

The Christ Hospital

Cincinnati, Ohio, United States

Location

Western Pennsylvania Hospital

Pittsburgh, Pennsylvania, United States

Location

Hematology/Oncology Associates of SC

Greenville, South Carolina, United States

Location

Vanderbilt Ingram Cancer Center

Nashville, Tennessee, United States

Location

MD Anderson

Houston, Texas, United States

Location

The Methodist Cancer Center

Houston, Texas, United States

Location

Scott & White Memorial Hospital

Temple, Texas, United States

Location

University of Utah School of Medicine

Salt Lake City, Utah, United States

Location

Royal Prince Alfred Hospital

Camperdown, New South Wales, Australia

Location

St. Vincent's Public Hospital Sydney

Darlinghurst, New South Wales, Australia

Location

Saint George Hospital

Kogarah, New South Wales, Australia

Location

Liverpool Hospital

Liverpool, New South Wales, Australia

Location

Royal North Shore Hospital

Saint Leonards, New South Wales, Australia

Location

Calvary Mater Newcastle

Waratah, New South Wales, Australia

Location

Westmead Hospital

Westmead, New South Wales, Australia

Location

Royal Brisbane and Women's Hospital

Herston, Queensland, Australia

Location

Haematology & Oncology Clinics of Australia

South Brisbane, Queensland, Australia

Location

Haematology and Oncology Clinics of Australia at Chermside

South Brisbane, Queensland, Australia

Location

Haematology and Oncology Clinics of Australia at Wesley

South Brisbane, Queensland, Australia

Location

Royal Adelaide Hospital

Adelaide, South Australia, Australia

Location

The Queen Elizabeth Hospital

Woodville, South Australia, Australia

Location

Box Hill Hospital

Box Hill, Victoria, Australia

Location

Monash Medical Centre

Clayton, Victoria, Australia

Location

Saint Vincent's Hospital

East Melbourne, Victoria, Australia

Location

Western Hospital

Footscray, Victoria, Australia

Location

The Alfred Hospital

Melbourne, Victoria, Australia

Location

Sunshine Hospital

St Albans, Victoria, Australia

Location

Fremantle Hospital

Fremantle, Western Australia, Australia

Location

Royal Perth Hospital

Perth, Western Australia, Australia

Location

Medizinische Universität Innsbruck

Innsbruck, Tyrol, Austria

Location

Krankenhaus der Elisabethinen Linz, I Interne Abteilung

Linz, Upper Austria, Austria

Location

Wilhelminenspital der Stadt Wien

Vienna, Vienna, Austria

Location

Universitair Ziekenhuis Leuven

Leuven, Flemish Brabant, Belgium

Location

Cliniques Universitaires UCL de Mont-Godinne

Yvoir, Namur, Belgium

Location

Universitair Ziekenhuis Gent

Ghent, Oost-vlaanderen, Belgium

Location

Ziekenhuis Netwerk Antwerpen

Antwerp, Belgium

Location

Cliniques Universitaires Saint Luc

Brussels, Belgium

Location

Universitair Ziekenhuis Brussel

Brussels, Belgium

Location

Liga Norte Riograndense Contra o Câncer

Natal, Rio Grande do Norte, Brazil

Location

Clínica de Oncologia de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Location

Hospital de Clínicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Location

Hospital São Lucas da PUCRS

Porto Alegre, Rio Grande do Sul, Brazil

Location

Hemocentro Campinas-Unicamp

Campinas, São Paulo, Brazil

Location

Hospital Universitário Clementino Fraga Filho da Universidade Federal do Rio de Janeiro

Rio de Janeiro, Brazil

Location

Instituto Centros Oncológicos Integrados de Educação e Pesquisa

Rio de Janeiro, Brazil

Location

Instituto Nacional do Câncer-INCA

Rio de Janeiro, Brazil

Location

Irmandade da Santa Casa de Misericórdia de São Paulo

São Paulo, Brazil

Location

Military Medical Academy Hospital for Active Treatment

Sofia, Sofia, Bulgaria

Location

Shato, Ead

Sofia, Sofia, Bulgaria

Location

University Multiprofile Hospital for Active Treatment "Sveti Georgi" EAD

Plovdiv, Bulgaria

Location

Multiprofile Hospital for Active Treatment, "Sveta Marina''

Varna, Bulgaria

Location

University of Alberta Hospital

Edmonton, Alberta, Canada

Location

British Columbia Cancer Agency

Kelowna, British Columbia, Canada

Location

Saint John Regional Hospital

Saint John, New Brunswick, Canada

Location

Queen Elizabeth II Health Science Centre

Halifax, Nova Scotia, Canada

Location

London Health Sciences Centre

London, Ontario, Canada

Location

The Ottawa Hospital Regional Cancer Centre

Ottawa, Ontario, Canada

Location

Windsor Regional Hospital

Windsor, Ontario, Canada

Location

Hopital Maisonneuve-Rosemont

Montreal, Quebec, Canada

Location

Fakultní nemocnice Královské Vinohrady

Prague, Prague, Czechia

Location

Fakultní nemocnice Olomouc

Olomouc, Severomoravsky KRAJ, Czechia

Location

FN Ostrava

Ostrava, Severomoravsky KRAJ, Czechia

Location

Fakultní nemocnice Hradec Králové

Hradec Kralové, Vychodocesky KRAJ, Czechia

Location

Fakultní nemocnice Brno

Brno, Czechia

Location

Všeobecná fakultní nemocnice v Praze

Prague, Czechia

Location

Centre Hospitalier de la Cote Basque

Bayonne, Aquitaine, France

Location

Centre Hospitalier Lyon Sud

Pierre-Bénite, Auvergne-Rhône-Alpes, France

Location

Centre Hospitalier Universitaire Brest

Brest, Brittany Region, France

Location

Centre Hospitalier Universitaire de Rennes, Hôpital Pontchaillou

Rennes, Brittany Region, France

Location

Hopital Hotel-Dieu - Service d'Hematologie

Nantes, Cedex 1, France

Location

Centre Henri-Becquerel

Rouen, Haute-normandie, France

Location

Hôpital Claude Huriez

Lille, Hauts-de-France, France

Location

Hôpital Hôtel-Dieu

Nantes, Pays de la Loire Region, France

Location

Institut Paoli Calmettes

Marseille, Provence-Alpes-Côte d'Azur Region, France

Location

Centre Hospitalier de Versailles

Le Chesnay, Île-de-France Region, France

Location

Hôpital Saint Louis

Paris, Île-de-France Region, France

Location

Hôpital Saint-Antoine

Paris, Île-de-France Region, France

Location

Universitätsklinik Heidelberg

Heidelberg, Baden-Wurttemberg, Germany

Location

Universitätsklinikum Tübingen

Tübingen, Baden-Wurttemberg, Germany

Location

Universitätsklinikum Ulm

Ulm, Baden-Wurttemberg, Germany

Location

Medizinische Klinik der Universität Würzburg

Würzburg, Bavaria, Germany

Location

Medizinische Hochschule Hannover

Hanover, Lower Saxony, Germany

Location

Universitätsklinikum Aachen

Aachen, North Rhine-Westphalia, Germany

Location

Universitätsklinikum Münster

Münster, North Rhine-Westphalia, Germany

Location

Universitätsmedizin der Johannes Gutenberg Universität

Mainz, Rhineland-Palatinate, Germany

Location

Universitätsklinikum des Saarlandes

Homburg / Saar, Saarland, Germany

Location

Klinikum Chemnitz gGmbH

Chemnitz, Saxony, Germany

Location

Universitätsklinikum Carl Gustav Carus, Med. Klinik und Poliklinik I

Dresden, Saxony, Germany

Location

Universitätsklinikum Leipzig

Leipzig, Saxony, Germany

Location

Universitätsklinikum Jena

Jena, Thuringia, Germany

Location

Universitatsklinikum Freiburg

Freiburg im Breisgau, Germany

Location

Universitätsklinikum Hamburg Eppendorf

Hamburg, Germany

Location

Alexandra General Hospital

Athens, Attica, Greece

Location

Pécsi Tudományegyetem

Pécs, Baranya, Hungary

Location

Bács-Kiskun Megyei Kórház Szegedi Tudományegyetem Általános Orvostudományi Kar Oktató Kórháza

Kecskemét, Bács-Kiskun county, Hungary

Location

Szegedi Tudományegyetem

Szeged, Csongrád megye, Hungary

Location

Debreceni Egyetem Klinikai Központ

Debrecen, Hajdú-Bihar, Hungary

Location

Egyesített Szent István és Szent László Kórház-Rendelointézet

Budapest, Hungary

Location

Somogy Megyei Kaposi Mac okato Korhoz

Kaposvár, Hungary

Location

Somogy Megyei Kaposi Mór Oktató Kórház

Kaposvár, Hungary

Location

Rambam Health Corp.

Haifa, Israel

Location

Hadassah Medical Center

Jerusalem, Israel

Location

Meir Medical Center

Kfar Saba, Israel

Location

Tel Aviv Sourasky Medical Center

Tel Aviv, Israel

Location

The Chaim Sheba Medical Center at Tel Hashomer

Tel Litwinsky, Israel

Location

IRCCS Centro di Riferimento Oncologico di Basilicata di Rionero in Vulture

Rionero in Vulture, Potenza, Italy

Location

Azienda Ospedaliero-Univesitaria San Luigi Gonzaga

Orbassano, Torino, Italy

Location

Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona

Ancona, Italy

Location

Azienda Ospedaliero-Universitaria di Bologna - Policlinico S.Orsola-Malpighi

Bologna, Italy

Location

Azienda Ospedaliera Spedali Civili di Brescia

Brescia, Italy

Location

IRCCS Azienda Ospedaliera Universitaria San Martino

Genova, Italy

Location

Azienda Ospedaliera Universitaria Maggiore della Carità

Novara, Italy

Location

Azienda Unità Sanitaria Locale di Piacenza-Ospedale Guglielmo da Saliceto

Piacenza, Italy

Location

Azienda Ospedaliera Pisana Ospedale Santa Chiara

Pisa, Italy

Location

Aienda Policknico Umberto I di Roma

Roma, Italy

Location

Azienda Policknico Umberto l di Roma

Roma, Italy

Location

Università Tor Vergata Ospedale Sant Eugenio

Roma, Italy

Location

Azienda Ospedaliera Universitaria Senese - Policlinico S. Maria alle Scotte

Siena, Italy

Location

Azienda Ospedaliera Città della Salute e della Scienza di Torino

Torino, Italy

Location

Nagoya City University Hospital

Nagoya, Aichi-ken, Japan

Location

Toyohashi Municipal Hospital

Toyohashi, Aichi-ken, Japan

Location

National Hospital Organization Kyushu Cancer Center

Fukuoka, Fukuoka, Japan

Location

Ogaki Municipal Hospital

Ōgaki, Gifu, Japan

Location

Gunma University Hospital

Maebashi, Gunma, Japan

Location

National Hospital Organization Nishigunma National Hospital

Shibukawa, Gunma, Japan

Location

Sapporo Medical University Hospital

Sapporo, Hokkaido, Japan

Location

Kobe City Medical Center General Hospital

Kobe, Hyōgo, Japan

Location

Tokai University Hospital

Isehara, Kanagawa, Japan

Location

Niigata Cancer Center Hospital

Niigata, Niigata, Japan

Location

Osaka University Hospital

Suita, Osaka, Japan

Location

Saitama Medical Center

Kawagoe, Saitama, Japan

Location

Tochigi Cancer Center

Utsunomiya, Tochigi, Japan

Location

National Cancer Center Hospital

Chuo-ku, Tokyo, Japan

Location

The Cancer Institute Hospital Of Japanese Foundation For Cancer Research

Koto-ku, Tokyo, Japan

Location

Toranornon Hospital

Shinagawa, Tokyo, Japan

Location

Tokyo Medical University Hospital

Shinjuku, Tokyo, Japan

Location

National Hospital Organization Disaster Medical Center

Tachikawa, Tokyo, Japan

Location

Kyushu University Hospital

Fukuoka, Japan

Location

Social Insurance Kyoto Hospital of All Japan Federation of Social Insurance Associations

Kyoto, Japan

Location

University Hospital, Kyoto Prefectural University of Medicine

Kyoto, Japan

Location

National Hospital Organization Okayama Medical Center

Okayama, Japan

Location

Tokushima Prefectural Central Hospital

Tokushima, Japan

Location

Japanese Red Cross Medical Center

Tokyo, Japan

Location

North Shore Hospital

North Shore, Auckland, New Zealand

Location

Middlemore Hospital

Otahuhu, Auckland, New Zealand

Location

Auckland City Hospital

Grafton, Aukland, New Zealand

Location

Christchurch Hospital

Christchurch, New Zealand

Location

Dunedin Hospital

Dunedin, New Zealand

Location

Szpital Kliniczny Przemienienia Panskiego Uniwersytetu Medycznego im K. Marcinkowskiego w Poznaniu

Poznan, Greater Poland Voivodeship, Poland

Location

Specjalistyczny Szpital Miejski im. Mikolaja Kopernika

Torun, Kuyavian-Pomeranian Voivodeship, Poland

Location

Szpital Uniwersytecki w Krakowie

Krakow, Lesser Poland Voivodeship, Poland

Location

Zamojski Szpital Niepubliczny Sp. z o.o.

Zamość, Lublin Voivodeship, Poland

Location

Instytut Hematologii i Transfuzjologii

Warsaw, Masovian Voivodeship, Poland

Location

Uniwersyteckie Centrum Kliniczne

Gdansk, Pomeranian Voivodeship, Poland

Location

Samodzielny Publiczny Zaklad Opieki Zdrowotnej Zespól Szpitali Miejskich

Chorzów, Silesian Voivodeship, Poland

Location

Spitalul Universitar de Urgenta Bucuresti

Bucharest, București, Romania

Location

Policlinica de Diagnostic Rapid SA, Compartiment Medical Oncologie-Hematologie

Brasov, Romania

Location

Spitalul Clinic Judetean de Urgenta Brasov (Bumbea, Horia)

Brasov, Romania

Location

Institutul Clinic Fundeni

Bucharest, Romania

Location

Institutul Regional de Oncologie Iasi

Iași, Romania

Location

Republican Clinical Hospital #1

Izhevsk, Russia

Location

City Clinical Hospital n.a. S. P. Botkin

Moscow, Russia

Location

Non-state Healthcare Institution "N.A. Semashko Central Clinical Hospital #2 of JSC "Russian Railway

Moscow, Russia

Location

Ryazan Regional Clinical Hospital

Ryazan, Russia

Location

Clinical Hospital Number 31

Saint Petersburg, Russia

Location

Federal Almazov Medical Research Centre

Saint Petersburg, Russia

Location

FGU Russian Scientific Research Institute of Hematology and Transfusiology

Saint Petersburg, Russia

Location

First Saint Petersburg I.P. Pavlov State Medical University

Saint Petersburg, Russia

Location

GUZ Samara Regional Clinical Hospital n.a. M.I. Kalinin

Samara, Russia

Location

National University Cancer Institute

Singapore, Singapore

Location

Singapore General Hospital

Singapore, Singapore

Location

Singapore Oncology Consultants

Singapore, Singapore

Location

Univerzitná nemocnica Bratislava

Bratislava, Slovakia

Location

Gachon University Gil Medical Center

Incheon, Gyeonggi-do, South Korea

Location

Seoul National University Bundang Hospital

Seongnam-si, Gyeonggi-do, South Korea

Location

Pusan National University Hospital

Pusan, Gyeongsangnam-do, South Korea

Location

Kyungpook National University Hospital

Daegu, South Korea

Location

Asan Medical Center

Seoul, South Korea

Location

Samsung Medical Center

Seoul, South Korea

Location

Seoul National University Hospital

Seoul, South Korea

Location

Seoul Saint Mary's Hospital

Seoul, South Korea

Location

Severance Hospital, Yonsei University Health System

Seoul, South Korea

Location

Hospital Son Llàtzer

Palma de Mallorca, Balearic Islands, Spain

Location

Hospital Universitari Germans Trias i Pujol

Badalona, Barcelona, Spain

Location

Hospital Clinic I Provincial de Barcelona

Barcelona, Spain

Location

Institut Universitari Dexeus

Barcelona, Spain

Location

Centro Integral Oncológico Clara Campal, Hospital de Madrid Norte-San Chinarro

Madrid, Spain

Location

Hospital Universitario 12 de Octubre

Madrid, Spain

Location

Hospital Universitario La Princesa

Madrid, Spain

Location

Hospital Clínico Universitario de Salamanca

Salamanca, Spain

Location

Hospital Universitario Virgen del Rocio

Seville, Spain

Location

Hospital Universitari i Politecnic La Fé de Valencia

Valencia, Spain

Location

Chang Gung Memorial Hospital

Kaohsiung City, Taiwan

Location

China Medical University Hospital

Taichung, Taiwan

Location

National Cheng-Kung University Hospital

Tainan, Taiwan

Location

National Taiwan University Hospital

Taipei, Taiwan

Location

Taipei Veterans General Hospital

Taipei, Taiwan

Location

Chang Gung Medical Foundation-LinKou Branch

Taoyuan District, Taiwan

Location

King Chulalongkorn Memorial Hospital

Bangkok, Bangkok Metropolis, Thailand

Location

Ramathibodi Hospital

Bangkok, Bangkok Metropolis, Thailand

Location

Srinagarind Hospital

Khon Kaen, Thailand

Location

City Hematology Center

Dnipro, Dnipropretrovsk, Ukraine

Location

Municipal Institution of Health Protection "Clinical Hospital #8"

Kharkiv, Kharkivs’ka Oblast’, Ukraine

Location

Cherkassy Regional Oncology Center

Cherkassy, Ukraine

Location

MI "Dnipropetrovsk City Multifield Clinical Hospital #4" of Dnipropetrovsk Regional Council", City Hematology Center

Dnipropetrovsk, Ukraine

Location

Institute of Urgent and Reparative Surgury of Ukraine Academy of Medical Sciences

Donetsk, Ukraine

Location

Khmelnytsky Regional Clinical Hospital

Khmelnytsky, Ukraine

Location

Khmelnytsky Regional Hospital, Department of Hematology

Khmelnytsky, Ukraine

Location

National Institute of Cancer, Oncohematology Department

Kiev, Ukraine

Location

Kyiv Bone Marrow Transplantation Center

Kyiv, Ukraine

Location

Lviv Regional Oncology Dispensary

Lviv, Ukraine

Location

Lviv State Oncology Regional Treatment-Prophylactic Center, Department of Chemotherapy

Lviv, Ukraine

Location

Regional Clinical Hospital

Mykolayiv, Ukraine

Location

Royal Free Hospital

London, England, United Kingdom

Location

University College Hospital

London, England, United Kingdom

Location

Manchester Royal Infirmary

Manchester, England, United Kingdom

Location

Nottingham University Hospitals NHS Trust

Nottingham, England, United Kingdom

Location

Churchill Hospital

Oxford, England, United Kingdom

Location

Derriford Hospital

Plymouth, England, United Kingdom

Location

Royal Hallamshire Hospital

Sheffield, England, United Kingdom

Location

Royal Marsden Hospital

Surrey, England, United Kingdom

Location

Royal Wolverhampton Hospitals Trust

Wolverhampton, England, United Kingdom

Location

Related Publications (21)

  • Moreau P, Joshua D, Chng WJ, Palumbo A, Goldschmidt H, Hajek R, Facon T, Ludwig H, Pour L, Niesvizky R, Oriol A, Rosinol L, Suvorov A, Gaidano G, Pika T, Weisel K, Goranova-Marinova V, Gillenwater HH, Mohamed N, Aggarwal S, Feng S, Dimopoulos MA. Impact of prior treatment on patients with relapsed multiple myeloma treated with carfilzomib and dexamethasone vs bortezomib and dexamethasone in the phase 3 ENDEAVOR study. Leukemia. 2017 Jan;31(1):115-122. doi: 10.1038/leu.2016.186. Epub 2016 Jul 4.

    PMID: 27491641BACKGROUND
  • Chng WJ, Goldschmidt H, Dimopoulos MA, Moreau P, Joshua D, Palumbo A, Facon T, Ludwig H, Pour L, Niesvizky R, Oriol A, Rosinol L, Suvorov A, Gaidano G, Pika T, Weisel K, Goranova-Marinova V, Gillenwater HH, Mohamed N, Feng S, Aggarwal S, Hajek R. Carfilzomib-dexamethasone vs bortezomib-dexamethasone in relapsed or refractory multiple myeloma by cytogenetic risk in the phase 3 study ENDEAVOR. Leukemia. 2017 Jun;31(6):1368-1374. doi: 10.1038/leu.2016.390. Epub 2016 Dec 27.

    PMID: 28025582BACKGROUND
  • Dimopoulos MA, Goldschmidt H, Niesvizky R, Joshua D, Chng WJ, Oriol A, Orlowski RZ, Ludwig H, Facon T, Hajek R, Weisel K, Hungria V, Minuk L, Feng S, Zahlten-Kumeli A, Kimball AS, Moreau P. Carfilzomib or bortezomib in relapsed or refractory multiple myeloma (ENDEAVOR): an interim overall survival analysis of an open-label, randomised, phase 3 trial. Lancet Oncol. 2017 Oct;18(10):1327-1337. doi: 10.1016/S1470-2045(17)30578-8. Epub 2017 Aug 23.

    PMID: 28843768BACKGROUND
  • Ludwig H, Dimopoulos MA, Moreau P, Chng WJ, Goldschmidt H, Hajek R, Facon T, Pour L, Niesvizky R, Oriol A, Rosinol L, Suvorov A, Gaidano G, Pika T, Weisel K, Goranova-Marinova V, Palumbo A, Gillenwater HH, Mohamed N, Aggarwal S, Feng S, Joshua D. Carfilzomib and dexamethasone vs bortezomib and dexamethasone in patients with relapsed multiple myeloma: results of the phase 3 study ENDEAVOR (NCT01568866) according to age subgroup. Leuk Lymphoma. 2017 Oct;58(10):2501-2504. doi: 10.1080/10428194.2017.1298755. Epub 2017 Mar 17. No abstract available.

    PMID: 28306371BACKGROUND
  • Chari A, Stewart AK, Russell SD, Moreau P, Herrmann J, Banchs J, Hajek R, Groarke J, Lyon AR, Batty GN, Ro S, Huang M, Iskander KS, Lenihan D. Analysis of carfilzomib cardiovascular safety profile across relapsed and/or refractory multiple myeloma clinical trials. Blood Adv. 2018 Jul 10;2(13):1633-1644. doi: 10.1182/bloodadvances.2017015545.

    PMID: 29991494BACKGROUND
  • Dimopoulos M, Siegel D, White DJ, Boccia R, Iskander KS, Yang Z, Kimball AS, Mezzi K, Ludwig H, Niesvizky R. Carfilzomib vs bortezomib in patients with multiple myeloma and renal failure: a subgroup analysis of ENDEAVOR. Blood. 2019 Jan 10;133(2):147-155. doi: 10.1182/blood-2018-06-860015. Epub 2018 Nov 26.

    PMID: 30478094BACKGROUND
  • Facon T, Niesvizky R, Mateos MV, Siegel D, Rosenbaum C, Bringhen S, Weisel K, Ho PJ, Ludwig H, Kumar S, Wang K, Obreja M, Yang Z, Klippel Z, Mezzi K, Goldrick A, Tekle C, Dimopoulos MA. Efficacy and safety of carfilzomib-based regimens in frail patients with relapsed and/or refractory multiple myeloma. Blood Adv. 2020 Nov 10;4(21):5449-5459. doi: 10.1182/bloodadvances.2020001965.

    PMID: 33166401BACKGROUND
  • Hari P, Mateos MV, Abonour R, Knop S, Bensinger W, Ludwig H, Song K, Hajek R, Moreau P, Siegel DS, Feng S, Obreja M, Aggarwal SK, Iskander K, Goldschmidt H. Efficacy and safety of carfilzomib regimens in multiple myeloma patients relapsing after autologous stem cell transplant: ASPIRE and ENDEAVOR outcomes. Leukemia. 2017 Dec;31(12):2630-2641. doi: 10.1038/leu.2017.122. Epub 2017 Apr 25.

    PMID: 28439109BACKGROUND
  • Leleu X, Martin TG, Einsele H, Lyons RM, Durie BGM, Iskander KS, Ailawadhi S. Role of Proteasome Inhibitors in Relapsed and/or Refractory Multiple Myeloma. Clin Lymphoma Myeloma Leuk. 2019 Jan;19(1):9-22. doi: 10.1016/j.clml.2018.08.016. Epub 2018 Sep 5.

    PMID: 30287200BACKGROUND
  • Ludwig H, Moreau P, Dimopoulos MA, Mateos MV, Kaiser M, Hajek R, Feng S, Cocks K, Buchanan J, Weisel K. Health-related quality of life in the ENDEAVOR study: carfilzomib-dexamethasone vs bortezomib-dexamethasone in relapsed/refractory multiple myeloma. Blood Cancer J. 2019 Feb 22;9(3):23. doi: 10.1038/s41408-019-0181-0.

    PMID: 30796199BACKGROUND
  • Mateos MV, Goldschmidt H, San-Miguel J, Mikhael J, DeCosta L, Zhou L, Obreja M, Blaedel J, Szabo Z, Leleu X. Carfilzomib in relapsed or refractory multiple myeloma patients with early or late relapse following prior therapy: A subgroup analysis of the randomized phase 3 ASPIRE and ENDEAVOR trials. Hematol Oncol. 2018 Apr;36(2):463-470. doi: 10.1002/hon.2499. Epub 2018 Feb 15.

    PMID: 29446103BACKGROUND
  • Moreau P, Stewart KA, Dimopoulos M, Siegel D, Facon T, Berenson J, Raje N, Berdeja JG, Orlowski RZ, Yang H, Ma H, Klippel Z, Zahlten-Kumeli A, Mezzi K, Iskander K, Mateos MV. Once-weekly (70 mg/m2 ) vs twice-weekly (56 mg/m2 ) dosing of carfilzomib in patients with relapsed or refractory multiple myeloma: A post hoc analysis of the ENDEAVOR, A.R.R.O.W., and CHAMPION-1 trials. Cancer Med. 2020 May;9(9):2989-2996. doi: 10.1002/cam4.2945. Epub 2020 Feb 28.

    PMID: 32108443BACKGROUND
  • Dimopoulos MA, Moreau P, Iida S, Huang SY, Takezako N, Chng WJ, Zahlten-Kumeli A, Sersch MA, Li J, Huang M, Lee JH. Outcomes for Asian patients with multiple myeloma receiving once- or twice-weekly carfilzomib-based therapy: a subgroup analysis of the randomized phase 3 ENDEAVOR and A.R.R.O.W. Trials. Int J Hematol. 2019 Oct;110(4):466-473. doi: 10.1007/s12185-019-02704-z. Epub 2019 Aug 6.

    PMID: 31388932BACKGROUND
  • Goldschmidt H, Moreau P, Ludwig H, Niesvizky R, Chng WJ, Joshua D, Weisel K, Spencer A, Orlowski RZ, Feng S, Iskander KS, Dimopoulos MA. Carfilzomib-dexamethasone versus subcutaneous or intravenous bortezomib in relapsed or refractory multiple myeloma: secondary analysis of the phase 3 ENDEAVOR study. Leuk Lymphoma. 2018 Jun;59(6):1364-1374. doi: 10.1080/10428194.2017.1376743. Epub 2017 Sep 22.

    PMID: 28937327BACKGROUND
  • Jakubowiak AJ, Houisse I, Majer I, Benedict A, Campioni M, Panjabi S, Ailawadhi S. Cost-effectiveness of carfilzomib plus dexamethasone compared with bortezomib plus dexamethasone for patients with relapsed or refractory multiple myeloma in the United States. Expert Rev Hematol. 2017 Dec;10(12):1107-1119. doi: 10.1080/17474086.2017.1391088.

    PMID: 29027825BACKGROUND
  • Weisel K, Mateos MV, Gay F, Delforge M, Cook G, Szabo Z, Desgraz R, DeCosta L, Moreau P. Efficacy and safety profile of deep responders to carfilzomib-based therapy: a subgroup analysis from ASPIRE and ENDEAVOR. Leukemia. 2021 Jun;35(6):1732-1744. doi: 10.1038/s41375-020-01049-5. Epub 2020 Oct 16.

    PMID: 33067574BACKGROUND
  • Weisel K, Majer I, DeCosta L, Oriol A, Goldschmidt H, Ludwig H, Campioni M, Szabo Z, Dimopoulos M. Carfilzomib and dexamethasone versus eight cycles of bortezomib and dexamethasone in patients with relapsed or refractory multiple myeloma: an indirect comparison using data from the phase 3 ENDEAVOR and CASTOR trials. Leuk Lymphoma. 2020 Jan;61(1):37-46. doi: 10.1080/10428194.2019.1648806. Epub 2019 Oct 22.

    PMID: 31640435BACKGROUND
  • Orlowski RZ, Moreau P, Niesvizky R, Ludwig H, Oriol A, Chng WJ, Goldschmidt H, Yang Z, Kimball AS, Dimopoulos M. Carfilzomib-Dexamethasone Versus Bortezomib-Dexamethasone in Relapsed or Refractory Multiple Myeloma: Updated Overall Survival, Safety, and Subgroups. Clin Lymphoma Myeloma Leuk. 2019 Aug;19(8):522-530.e1. doi: 10.1016/j.clml.2019.04.018. Epub 2019 May 2.

    PMID: 31160237BACKGROUND
  • Majer IM, Castaigne JG, Palmer S, DeCosta L, Campioni M. Modeling Covariate-Adjusted Survival for Economic Evaluations in Oncology. Pharmacoeconomics. 2019 May;37(5):727-737. doi: 10.1007/s40273-018-0759-6.

  • Rosenthal A, Luthi J, Belohlavek M, Kortum KM, Mookadam F, Mayo A, Fonseca R, Bergsagel PL, Reeder CB, Mikhael JR, Stewart AK. Carfilzomib and the cardiorenal system in myeloma: an endothelial effect? Blood Cancer J. 2016 Jan 15;6(1):e384. doi: 10.1038/bcj.2015.112.

  • Dimopoulos MA, Moreau P, Palumbo A, Joshua D, Pour L, Hajek R, Facon T, Ludwig H, Oriol A, Goldschmidt H, Rosinol L, Straub J, Suvorov A, Araujo C, Rimashevskaya E, Pika T, Gaidano G, Weisel K, Goranova-Marinova V, Schwarer A, Minuk L, Masszi T, Karamanesht I, Offidani M, Hungria V, Spencer A, Orlowski RZ, Gillenwater HH, Mohamed N, Feng S, Chng WJ; ENDEAVOR Investigators. Carfilzomib and dexamethasone versus bortezomib and dexamethasone for patients with relapsed or refractory multiple myeloma (ENDEAVOR): a randomised, phase 3, open-label, multicentre study. Lancet Oncol. 2016 Jan;17(1):27-38. doi: 10.1016/S1470-2045(15)00464-7. Epub 2015 Dec 5.

Related Links

MeSH Terms

Conditions

Multiple Myeloma

Interventions

carfilzomibBortezomibDexamethasone

Condition Hierarchy (Ancestors)

Neoplasms, Plasma CellNeoplasms by Histologic TypeNeoplasmsHemostatic DisordersVascular DiseasesCardiovascular DiseasesParaproteinemiasBlood Protein DisordersHematologic DiseasesHemic and Lymphatic DiseasesHemorrhagic DisordersLymphoproliferative DisordersImmunoproliferative DisordersImmune System Diseases

Intervention Hierarchy (Ancestors)

Boronic AcidsAcids, NoncarboxylicAcidsInorganic ChemicalsBoron CompoundsOrganic ChemicalsPyrazinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsPregnadienetriolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSteroids, Fluorinated

Results Point of Contact

Title
Study Director
Organization
Amgen Inc.

Study Officials

  • MD

    Amgen

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 28, 2012

First Posted

April 2, 2012

Study Start

June 20, 2012

Primary Completion

November 10, 2014

Study Completion

February 5, 2018

Last Updated

November 14, 2022

Results First Posted

December 11, 2015

Record last verified: 2022-11

Locations