ASH Clinical News Focus on Myeloma | Page 9

CLINICAL TRIAL UPDATES A look at the ongoing clinical trials in multiple myeloma PHASE III TRIALS A Phase 3 Study Comparing Oral Ixazomib Plus Lenalidomide and Dexamethasone Versus Placebo Plus Lenalidomide and Dexamethasone in Adult Patients With Relapsed and/or Refractory Multiple Myeloma (NCT01564537) • STUDY DESIGN: Randomized, doubleblind, parallel assignment safety/efficacy study • STUDY START DATE: August 2012 • ESTIMATED STUDY COMPLETION DATE: May 2019 • STUDY STATUS: This study is ongoing, but not recruiting participants. • ESTIMATED ENROLLMENT: 837 • SPONSOR: Millennium Pharmaceuticals, Inc. This trial compares the use of ixazomib (the first oral proteasome inhibitor) in combination with lenalidomide and weekly dexamethasone with the standard of care. Once again, this three-drug regimen is first being studied in the relapsed/refractory multiple myeloma population, but trials in newly diagnosed patients are also underway. A positive study would launch the first oral combination therapy incorporating the most active targeted pathways in this disease – with the potential to dramatically improve convenience for patients. Ixazomib is also being investigated in newly diagnosed multiple myeloma (NCT01850524) and as maintenance therapy in patients with multiple myeloma following autologous stem cell transplantation (NCT02181413). Phase III Study of Lenalidomide and Dexamethasone With or Without Elotuzumab to Treat Newly Diagnosed, Previously Untreated Multiple Myeloma (ELOQUENT - 1) (NCT01335399) • STUDY DESIGN: Randomized, open-label, parallel assignment efficacy study • STUDY START DATE: May 2011 • ESTIMATED STUDY COMPLETION DATE: July 2020 • STUDY STATUS: This study is ongoing, but not recruiting participants. • ESTIMATED ENROLLMENT: 750 • SPONSOR: Bristol-Myers Squibb The purpose of this study is to determine whether the addition of elotuzumab to lenalidomide and low-dose dexamethasone will increase the progression-free survival compared with lenalidomide and low-dose dexamethasone alone in patients with newly diagnosed multiple myeloma. Randomized Trial of Lenalidomide, Bortezomib, Dexamethasone vs High-Dose Treatment With SCT in MM Patients up to Age 65 (DFCI 10-106) (NCT01208662) • STUDY DESIGN: Randomized, open-label, parallel assignment safety/efficacy study • STUDY START DATE: September 2010 • ESTIMATED STUDY COMPLETION DATE: September 2018 • STUDY STATUS: Currently recruiting participants • ESTIMATED ENROLLMENT: 660 • SPONSOR: Dana-Farber Cancer Institute This study is exploring the safety and efficacy of the combination of lenalidomide, bortezomib, and dexamethasone alone or when combined with autologous stem cell transplantation in patients with newly diagnosed multiple myeloma. Specifically, the objective of this trial is to determine if, in the era of novel drugs, high-dose therapy is still necessary in the initial management of multiple myeloma in younger patients. In this study, high-dose therapy will be considered superior to conventional-dose treatment if it prolongs progression-free survival by at least nine months or more. Study Comparing Daratumumab, Lenalidomide, and Dexamethasone With Lenalidomide and Dexamethasone in Participants With Previously Untreated Multiple Myeloma (NCT02252172) • STUDY DESIGN: Randomized, open-label, parallel assignment efficacy study • STUDY START DATE: February 2015 • ESTIMATED STUDY COMPLETION DATE: November 2022 • STUDY STATUS: Currently recruiting participants • ESTIMATED ENROLLMENT: 730 • SPONSOR: Janssen Research & Development, LLC The purpose of this study is to compare the efficacy of daratumumab in combination with lenalidomide and dexamethasone with that of lenalidomide and dexamethasone in terms of progression-free survival (the primary endpoint) in patients with newly diagnosed multiple myeloma who are not candidates for high-dose chemotherapy autologous hematopoietic cell transplantation. A Study in Subjects With Relapsed and Refractory Multiple Myeloma Receiving Carfilzomib in Combination With Dexamethasone, Comparing Once-Weekly Versus Twice-Weekly Carfilzomib Dosi