PH III Study of Lenalidomide and Dexamethasone With or Without Elotuzumab to Treat Previously Untreated Multiple Myeloma (ELO 1 Substudy)

Sponsor
Bristol-Myers Squibb (Industry)
Overall Status
Terminated
CT.gov ID
NCT01891643
Collaborator
Abbott (Industry)
23
14
2
80.8
1.6
0

Study Details

Study Description

Brief Summary

The purpose of the study is to look at subjects who receive Lenalidomide, Dexamethasone, and Elotuzumab and determine if they will have lower surface CS1 expression on malignant plasma cells at the time of progression than those who receive Lenalidomide and Dexamethasone without Elotuzumab

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
23 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Basic Science
Official Title:
A Phase 3, Randomized, Open Label Trial of Lenalidomide/Dexamethasone With or Without Elotuzumab in Subjects With Previously Untreated Multiple Myeloma
Actual Study Start Date :
Sep 30, 2013
Actual Primary Completion Date :
Jun 25, 2020
Actual Study Completion Date :
Jun 25, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: Arm 1: Lenalidomide + Dexamethasone

Lenalidomide 25 mg capsules by mouth once daily (on Days 1-21), repeat every 28 days until subject meets criteria for discontinuation of study drug Dexamethasone 40 mg tablets by mouth weekly (on Days 1, 8, 15, 22), repeat every 28 days until subject meets criteria for discontinuation of study drug

Drug: Lenalidomide
Other Names:
  • Revlimid®
  • Drug: Dexamethasone
    Other Names:
  • Decadron®
  • Dexamethasone Intensol®
  • Dexpak®
  • Taperpak®
  • Experimental: Arm 2: Lenalidomide + Dexamethasone + Elotuzumab

    Lenalidomide 25 mg capsules by mouth once daily (Days 1-21) Dexamethasone 28 mg tablets by mouth once daily [Days 1, 8, 15, 22 (cycles 1 & 2); Days 1 & 15(cycles 3-18); Day 1 (cycle 19 & beyond)] Dexamethasone 40 mg tablets by mouth once daily [Days 8 & 22 (cycles 3-18); Days 8, 15, 22 (cycle 19 & beyond)] Dexamethasone 8 mg IV (intravenous) solution once daily [Days 1, 8, 15, 22 (cycles 1 & 2); Days 1 & 15 (cycles 3-18); Day 1 (cycle 19 & beyond)] Elotuzumab 10 mg/kg IV solution weekly [Days 1, 8, 15, 22 (cycles 1 & 2); Days 1 & 15 (cycles 3-18)] Elotuzumab 20 mg/kg IV solution on Day 1 (cycle 19 & beyond) Repeat above-mentioned dose cycles every 28 days until subject meets criteria for discontinuation of study drug

    Drug: Lenalidomide
    Other Names:
  • Revlimid®
  • Drug: Dexamethasone
    Other Names:
  • Decadron®
  • Dexamethasone Intensol®
  • Dexpak®
  • Taperpak®
  • Biological: Elotuzumab
    Other Names:
  • BMS-901608
  • Outcome Measures

    Primary Outcome Measures

    1. Change From Baseline to Progression of the Cell Surface Expression of CS1 From Bone Marrow-Derived Multiple Myeloma (MM) Cells [From baseline (screening) to time of progression (up to approximately 54 months)]

      CS1 (CD2 subset-1, also known as CRACC, SLAMF7, CD319) expression levels in multiple myeloma cells were analyzed from bone-marrow aspirates collected at baseline and at time of progression through mean fluorescent intensity. The following conditions were considered to describe multiple myeloma cells expressing CS1 (CS1+/CD38++/CD138+/CD56+/CD19-/CD45DIM)

    Secondary Outcome Measures

    1. Percent of Bone Marrow-Derived Multiple Myeloma (MM) Cells Expressing Cell Surface CS1 at Time of Progression [Time of progression (up to approximately 54 months from pre-treatment screening)]

      CS1 (CD2 subset-1, also known as CRACC, SLAMF7, CD319) expression levels in multiple myeloma cells were analyzed from bone-marrow aspirates collected at time of progression. The following conditions were considered to describe multiple myeloma cells expressing CS1 (CS1+/CD38++/CD138+/CD56+/CD19-/CD45DIM)

    2. Levels of CS1 Soluble Form (sCS1) in Serum [At baseline (screening), during main study therapy (cycle 3 day 1, up to 64 days) and at time of progression (up to approximately 31 months)]

      Expression levels of the free form of soluble CS1 were analyzed at different timepoints from serum samples derived from peripheral blood collection

    3. Change From Baseline in the Levels of CS1 Soluble Form (sCS1) in Serum During Therapy and At Progression [From baseline (screening) to cycle 3 day 1 of the main study therapy (up to 64 days) and from baseline (screening) to time of progression (up to approximately 31 months)]

      Expression levels of the free form of soluble CS1 were analyzed at different timepoints from serum samples derived from peripheral blood collection

    4. Change From Baseline in the Number of Circulating Multiple Myeloma (MM) Cells [From baseline (screening) to cycle 3 day 1 of the main study therapy (up to 64 days) and from baseline (screening) to the time of progression (up to approximately 54 months)]

      Circulating MM cells isolated from peripheral blood

    5. Change From Baseline in Cell Surface CS1 Expression Levels in Circulating Multiple Myeloma (MM) Cells [From baseline (screening) to cycle 3 day 1 of the main study therapy (up to 64 days) and from baseline (screening) to the time of progression (up to approximately 54 months)]

      Circulating MM cells isolated from peripheral blood

    6. CS1 Expression Levels in Matched Samples of Bone Marrow-Derived Multiple Myeloma (MM) Cells and Circulating MM Cells [At baseline (screening), during main study therapy (cycle 3 day 1) and at time of progression (up to approximately 54 months)]

      CS1 expression levels analyzed from matching bone marrow aspirates (for bone marrow-derived MM cells) and from peripheral blood (for circulating tumor cells) collected from the same participants

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No

    For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com.

    Inclusion Criteria:
    Subjects who are newly diagnosed with symptomatic MM and who:
    • Have not received any prior systemic anti-myeloma therapy

    • Have measurable disease

    • And are not candidates for high-dose therapy plus stem-cell transplantation (SCT) because of age (≥65 years) or coexisting conditions. Refusal to undergo high dose therapy with SCT is NOT sufficient for entry onto CA204-006 for a subject <65 years old. There must be a comorbidity that prevents SCT for a subject <65 years old

    Exclusion Criteria:
    • Subjects with non-secretory or oligo-secretory or free light-chain only myeloma

    • Smoldering MM, defined as asymptomatic MM with absence of lytic bone lesions

    • Monoclonal Gammopathy of Undetermined Significance (MGUS)

    • Active plasma cell leukemia

    • Known Human Immunodeficiency Virus (HIV) infection or active hepatitis A, B, or C

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Pacific Hematology Oncology Associates San Francisco California United States 94115
    2 Memorial Cancer Institute Hollywood Florida United States 33021
    3 Illinois Cancercare, Pc Peoria Illinois United States 61615
    4 Franciscan St. Francis Health Indianapolis Indiana United States 46237
    5 Crescent City Research Consortium, LLC Marrero Louisiana United States 70072
    6 Ohio State University Medical Center Columbus Ohio United States 43210
    7 Medical University Of South Carolina Hollings Cancer Center Charleston South Carolina United States 29425
    8 Baptist Cancer Center Memphis Tennessee United States 38120
    9 Northern Utah Associates Ogden Utah United States 84405
    10 Local Institution Athens Greece 11528
    11 Local Institution Genova Italy 16132
    12 Local Institution Rome Italy 00161
    13 Local Institution Chorzow Poland 41-500
    14 Local Institution Lublin Poland 20-081

    Sponsors and Collaborators

    • Bristol-Myers Squibb
    • Abbott

    Investigators

    • Study Director: Bristol-Myers Squibb, Bristol-Myers Squibb

    Study Documents (Full-Text)

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Bristol-Myers Squibb
    ClinicalTrials.gov Identifier:
    NCT01891643
    Other Study ID Numbers:
    • CA204-006 (Biomarker Substudy)
    • 2010-022445-20
    First Posted:
    Jul 3, 2013
    Last Update Posted:
    Jul 1, 2021
    Last Verified:
    Jun 1, 2021

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail 23 participants treated in the main CA204-006 study (NCT01335399) were recruited for the CA204-006 biomarker sub-study (NCT01891643). No additional treatment (other than what administered in the main study) was dosed during the biomarker sub-study.
    Arm/Group Title E-Ld Cohort Ld Cohort
    Arm/Group Description Participants receiving a combination of Elotuzumab (E) Lenalidomide (L) Dexamethasone (d) in a 28 day cycle Participants receiving a combination of Lenalidomide (L) Dexamethasone (d) in a 28 day cycle
    Period Title: Overall Study
    STARTED 13 10
    COMPLETED 3 0
    NOT COMPLETED 10 10

    Baseline Characteristics

    Arm/Group Title E-Ld Cohort Ld Cohort Total
    Arm/Group Description Participants receiving a combination of Elotuzumab (E) Lenalidomide (L) Dexamethasone (d) in a 28 day cycle Participants receiving a combination of Lenalidomide (L) Dexamethasone (d) in a 28 day cycle Total of all reporting groups
    Overall Participants 13 10 23
    Age (Years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [Years]
    74.8
    (6.77)
    71.3
    (6.53)
    73.3
    (6.75)
    Sex: Female, Male (Count of Participants)
    Female
    6
    46.2%
    6
    60%
    12
    52.2%
    Male
    7
    53.8%
    4
    40%
    11
    47.8%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    0
    0%
    0
    0%
    0
    0%
    Not Hispanic or Latino
    2
    15.4%
    3
    30%
    5
    21.7%
    Unknown or Not Reported
    11
    84.6%
    7
    70%
    18
    78.3%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    0
    0%
    0
    0%
    Asian
    0
    0%
    0
    0%
    0
    0%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    Black or African American
    1
    7.7%
    1
    10%
    2
    8.7%
    White
    12
    92.3%
    9
    90%
    21
    91.3%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%

    Outcome Measures

    1. Primary Outcome
    Title Change From Baseline to Progression of the Cell Surface Expression of CS1 From Bone Marrow-Derived Multiple Myeloma (MM) Cells
    Description CS1 (CD2 subset-1, also known as CRACC, SLAMF7, CD319) expression levels in multiple myeloma cells were analyzed from bone-marrow aspirates collected at baseline and at time of progression through mean fluorescent intensity. The following conditions were considered to describe multiple myeloma cells expressing CS1 (CS1+/CD38++/CD138+/CD56+/CD19-/CD45DIM)
    Time Frame From baseline (screening) to time of progression (up to approximately 54 months)

    Outcome Measure Data

    Analysis Population Description
    All treated participants with measurements available at baseline and at time of progression. No participants in any of the 2 cohorts had available measurements both at baseline and time of progression
    Arm/Group Title E-Ld Cohort Ld Cohort
    Arm/Group Description Participants receiving a combination of Elotuzumab (E) Lenalidomide (L) Dexamethasone (d) in a 28 day cycle Participants receiving a combination of Lenalidomide (L) Dexamethasone (d) in a 28 day cycle
    Measure Participants 0 0
    2. Secondary Outcome
    Title Percent of Bone Marrow-Derived Multiple Myeloma (MM) Cells Expressing Cell Surface CS1 at Time of Progression
    Description CS1 (CD2 subset-1, also known as CRACC, SLAMF7, CD319) expression levels in multiple myeloma cells were analyzed from bone-marrow aspirates collected at time of progression. The following conditions were considered to describe multiple myeloma cells expressing CS1 (CS1+/CD38++/CD138+/CD56+/CD19-/CD45DIM)
    Time Frame Time of progression (up to approximately 54 months from pre-treatment screening)

    Outcome Measure Data

    Analysis Population Description
    All treated participants with measurements available at time of progression.
    Arm/Group Title E-Ld Cohort Ld Cohort
    Arm/Group Description Participants receiving a combination of Elotuzumab (E) Lenalidomide (L) Dexamethasone (d) in a 28 day cycle Participants receiving a combination of Lenalidomide (L) Dexamethasone (d) in a 28 day cycle
    Measure Participants 4 1
    Median (Full Range) [Percent of cells expressing CS1]
    46.59
    84.62
    3. Secondary Outcome
    Title Levels of CS1 Soluble Form (sCS1) in Serum
    Description Expression levels of the free form of soluble CS1 were analyzed at different timepoints from serum samples derived from peripheral blood collection
    Time Frame At baseline (screening), during main study therapy (cycle 3 day 1, up to 64 days) and at time of progression (up to approximately 31 months)

    Outcome Measure Data

    Analysis Population Description
    All treated participants with measurements available either at baseline, at cycle 3 day 1 of study therapy or at time of progression.
    Arm/Group Title E-Ld Cohort Ld Cohort
    Arm/Group Description Participants receiving a combination of Elotuzumab (E) Lenalidomide (L) Dexamethasone (d) in a 28 day cycle Participants receiving a combination of Lenalidomide (L) Dexamethasone (d) in a 28 day cycle
    Measure Participants 13 10
    Baseline
    3.60
    13.27
    Cycle 3 day 1 of main study therapy
    0.15
    0.72
    Time of progression
    0.39
    49.85
    4. Secondary Outcome
    Title Change From Baseline in the Levels of CS1 Soluble Form (sCS1) in Serum During Therapy and At Progression
    Description Expression levels of the free form of soluble CS1 were analyzed at different timepoints from serum samples derived from peripheral blood collection
    Time Frame From baseline (screening) to cycle 3 day 1 of the main study therapy (up to 64 days) and from baseline (screening) to time of progression (up to approximately 31 months)

    Outcome Measure Data

    Analysis Population Description
    All treated participants with measurements available at baseline and at cycle 3 day 1 of study therapy or at baseline and at the time of progression.
    Arm/Group Title E-Ld Cohort Ld Cohort
    Arm/Group Description Participants receiving a combination of Elotuzumab (E) Lenalidomide (L) Dexamethasone (d) in a 28 day cycle Participants receiving a combination of Lenalidomide (L) Dexamethasone (d) in a 28 day cycle
    Measure Participants 13 10
    From baseline to Cycle 3 day 1 of main study therapy
    -3.51
    -4.08
    From baseline to time of progression
    -0.85
    -17.41
    5. Secondary Outcome
    Title Change From Baseline in the Number of Circulating Multiple Myeloma (MM) Cells
    Description Circulating MM cells isolated from peripheral blood
    Time Frame From baseline (screening) to cycle 3 day 1 of the main study therapy (up to 64 days) and from baseline (screening) to the time of progression (up to approximately 54 months)

    Outcome Measure Data

    Analysis Population Description
    All treated participants with available circulating MM cells. Circulating MM cells were not collected for any of the participants.
    Arm/Group Title E-Ld Cohort Ld Cohort
    Arm/Group Description Participants receiving a combination of Elotuzumab (E) Lenalidomide (L) Dexamethasone (d) in a 28 day cycle Participants receiving a combination of Lenalidomide (L) Dexamethasone (d) in a 28 day cycle
    Measure Participants 0 0
    6. Secondary Outcome
    Title Change From Baseline in Cell Surface CS1 Expression Levels in Circulating Multiple Myeloma (MM) Cells
    Description Circulating MM cells isolated from peripheral blood
    Time Frame From baseline (screening) to cycle 3 day 1 of the main study therapy (up to 64 days) and from baseline (screening) to the time of progression (up to approximately 54 months)

    Outcome Measure Data

    Analysis Population Description
    All treated participants with available circulating MM cells and CS1 expression levels. Circulating MM cells were not collected for any of the participants.
    Arm/Group Title E-Ld Cohort Ld Cohort
    Arm/Group Description Participants receiving a combination of Elotuzumab (E) Lenalidomide (L) Dexamethasone (d) in a 28 day cycle Participants receiving a combination of Lenalidomide (L) Dexamethasone (d) in a 28 day cycle
    Measure Participants 0 0
    7. Secondary Outcome
    Title CS1 Expression Levels in Matched Samples of Bone Marrow-Derived Multiple Myeloma (MM) Cells and Circulating MM Cells
    Description CS1 expression levels analyzed from matching bone marrow aspirates (for bone marrow-derived MM cells) and from peripheral blood (for circulating tumor cells) collected from the same participants
    Time Frame At baseline (screening), during main study therapy (cycle 3 day 1) and at time of progression (up to approximately 54 months)

    Outcome Measure Data

    Analysis Population Description
    All treated participants with matched samples of bone marrow-derived MM cells and circulating MM cells. Circulating MM cells were not collected for any of the participants.
    Arm/Group Title E-Ld Cohort Ld Cohort
    Arm/Group Description Participants receiving a combination of Elotuzumab (E) Lenalidomide (L) Dexamethasone (d) in a 28 day cycle Participants receiving a combination of Lenalidomide (L) Dexamethasone (d) in a 28 day cycle
    Measure Participants 0 0

    Adverse Events

    Time Frame From first dose to 60 days following last dose (up to approximately 80 months)
    Adverse Event Reporting Description
    Arm/Group Title E-Ld Cohort Ld Cohort
    Arm/Group Description Participants receiving a combination of Elotuzumab (E) Lenalidomide (L) Dexamethasone (d) in a 28 day cycle Participants receiving a combination of Lenalidomide (L) Dexamethasone (d) in a 28 day cycle
    All Cause Mortality
    E-Ld Cohort Ld Cohort
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 8/13 (61.5%) 5/10 (50%)
    Serious Adverse Events
    E-Ld Cohort Ld Cohort
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 9/13 (69.2%) 7/10 (70%)
    Blood and lymphatic system disorders
    Anaemia 1/13 (7.7%) 1/10 (10%)
    Cardiac disorders
    Atrial flutter 1/13 (7.7%) 0/10 (0%)
    Cardiac arrest 1/13 (7.7%) 0/10 (0%)
    Sinus tachycardia 0/13 (0%) 1/10 (10%)
    Eye disorders
    Cataract 1/13 (7.7%) 1/10 (10%)
    Gastrointestinal disorders
    Colitis 1/13 (7.7%) 0/10 (0%)
    Inguinal hernia 1/13 (7.7%) 0/10 (0%)
    General disorders
    Multiple organ dysfunction syndrome 0/13 (0%) 1/10 (10%)
    Infections and infestations
    Bronchitis 1/13 (7.7%) 1/10 (10%)
    Pneumonia 1/13 (7.7%) 2/10 (20%)
    Septic shock 1/13 (7.7%) 0/10 (0%)
    Urinary tract infection 1/13 (7.7%) 0/10 (0%)
    Injury, poisoning and procedural complications
    Femur fracture 0/13 (0%) 2/10 (20%)
    Pelvic fracture 1/13 (7.7%) 0/10 (0%)
    Metabolism and nutrition disorders
    Electrolyte imbalance 0/13 (0%) 1/10 (10%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Acute lymphocytic leukaemia 0/13 (0%) 1/10 (10%)
    Refractory anaemia with ringed sideroblasts 1/13 (7.7%) 0/10 (0%)
    Nervous system disorders
    Syncope 1/13 (7.7%) 0/10 (0%)
    Transient ischaemic attack 0/13 (0%) 1/10 (10%)
    Psychiatric disorders
    Delusional disorder, unspecified type 1/13 (7.7%) 0/10 (0%)
    Renal and urinary disorders
    Acute kidney injury 0/13 (0%) 1/10 (10%)
    Renal failure 1/13 (7.7%) 0/10 (0%)
    Respiratory, thoracic and mediastinal disorders
    Chronic obstructive pulmonary disease 0/13 (0%) 1/10 (10%)
    Pleural effusion 0/13 (0%) 1/10 (10%)
    Pulmonary congestion 0/13 (0%) 1/10 (10%)
    Pulmonary embolism 0/13 (0%) 1/10 (10%)
    Respiratory failure 0/13 (0%) 1/10 (10%)
    Restrictive pulmonary disease 1/13 (7.7%) 0/10 (0%)
    Vascular disorders
    Deep vein thrombosis 0/13 (0%) 1/10 (10%)
    Thrombosis 0/13 (0%) 1/10 (10%)
    Other (Not Including Serious) Adverse Events
    E-Ld Cohort Ld Cohort
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 13/13 (100%) 10/10 (100%)
    Blood and lymphatic system disorders
    Anaemia 3/13 (23.1%) 6/10 (60%)
    Lymphopenia 1/13 (7.7%) 0/10 (0%)
    Neutropenia 2/13 (15.4%) 2/10 (20%)
    Thrombocytopenia 1/13 (7.7%) 0/10 (0%)
    Cardiac disorders
    Arrhythmia 0/13 (0%) 1/10 (10%)
    Atrial tachycardia 0/13 (0%) 1/10 (10%)
    Left ventricular dysfunction 0/13 (0%) 1/10 (10%)
    Palpitations 0/13 (0%) 1/10 (10%)
    Tachycardia 0/13 (0%) 1/10 (10%)
    Ear and labyrinth disorders
    Hypoacusis 0/13 (0%) 1/10 (10%)
    Endocrine disorders
    Hypothyroidism 0/13 (0%) 1/10 (10%)
    Eye disorders
    Cataract 2/13 (15.4%) 1/10 (10%)
    Macular degeneration 0/13 (0%) 1/10 (10%)
    Gastrointestinal disorders
    Abdominal pain 1/13 (7.7%) 0/10 (0%)
    Abdominal pain upper 2/13 (15.4%) 1/10 (10%)
    Constipation 4/13 (30.8%) 3/10 (30%)
    Diarrhoea 5/13 (38.5%) 6/10 (60%)
    Dyspepsia 0/13 (0%) 1/10 (10%)
    Gastritis 1/13 (7.7%) 0/10 (0%)
    Gastrooesophageal reflux disease 0/13 (0%) 1/10 (10%)
    Inguinal hernia 1/13 (7.7%) 0/10 (0%)
    Nausea 2/13 (15.4%) 3/10 (30%)
    Retching 0/13 (0%) 1/10 (10%)
    Vomiting 0/13 (0%) 2/10 (20%)
    General disorders
    Asthenia 0/13 (0%) 2/10 (20%)
    Chest pain 0/13 (0%) 1/10 (10%)
    Fatigue 6/13 (46.2%) 2/10 (20%)
    Fibrosis 0/13 (0%) 1/10 (10%)
    Influenza like illness 1/13 (7.7%) 0/10 (0%)
    Mucosal inflammation 1/13 (7.7%) 0/10 (0%)
    Oedema 1/13 (7.7%) 0/10 (0%)
    Oedema peripheral 2/13 (15.4%) 5/10 (50%)
    Pyrexia 1/13 (7.7%) 3/10 (30%)
    Immune system disorders
    Hypersensitivity 2/13 (15.4%) 0/10 (0%)
    Hypogammaglobulinaemia 0/13 (0%) 1/10 (10%)
    Infections and infestations
    Bronchitis 1/13 (7.7%) 0/10 (0%)
    Cellulitis 0/13 (0%) 2/10 (20%)
    Conjunctivitis 0/13 (0%) 1/10 (10%)
    Gastrointestinal infection 0/13 (0%) 1/10 (10%)
    Genitourinary tract infection 1/13 (7.7%) 0/10 (0%)
    Herpes zoster 1/13 (7.7%) 0/10 (0%)
    Influenza 0/13 (0%) 2/10 (20%)
    Intervertebral discitis 1/13 (7.7%) 0/10 (0%)
    Nasopharyngitis 0/13 (0%) 1/10 (10%)
    Onychomycosis 1/13 (7.7%) 0/10 (0%)
    Oral herpes 1/13 (7.7%) 0/10 (0%)
    Otitis externa 0/13 (0%) 1/10 (10%)
    Pharyngitis 1/13 (7.7%) 1/10 (10%)
    Pneumonia 0/13 (0%) 1/10 (10%)
    Respiratory tract infection 2/13 (15.4%) 0/10 (0%)
    Skin infection 0/13 (0%) 1/10 (10%)
    Upper respiratory tract infection 3/13 (23.1%) 2/10 (20%)
    Urinary tract infection 2/13 (15.4%) 1/10 (10%)
    Injury, poisoning and procedural complications
    Infusion related reaction 1/13 (7.7%) 0/10 (0%)
    Pelvic fracture 2/13 (15.4%) 0/10 (0%)
    Skin abrasion 1/13 (7.7%) 0/10 (0%)
    Investigations
    Alanine aminotransferase increased 0/13 (0%) 1/10 (10%)
    Aspartate aminotransferase increased 0/13 (0%) 1/10 (10%)
    Blood albumin decreased 0/13 (0%) 1/10 (10%)
    Blood creatinine increased 2/13 (15.4%) 1/10 (10%)
    Blood lactate dehydrogenase decreased 0/13 (0%) 1/10 (10%)
    Blood magnesium decreased 0/13 (0%) 1/10 (10%)
    Blood uric acid increased 0/13 (0%) 1/10 (10%)
    Creatinine renal clearance decreased 1/13 (7.7%) 0/10 (0%)
    Glomerular filtration rate decreased 2/13 (15.4%) 2/10 (20%)
    Neutrophil count decreased 1/13 (7.7%) 2/10 (20%)
    Neutrophil count increased 0/13 (0%) 1/10 (10%)
    Transaminases increased 0/13 (0%) 1/10 (10%)
    Weight decreased 2/13 (15.4%) 0/10 (0%)
    Weight increased 1/13 (7.7%) 1/10 (10%)
    White blood cell count decreased 0/13 (0%) 1/10 (10%)
    Metabolism and nutrition disorders
    Decreased appetite 2/13 (15.4%) 1/10 (10%)
    Dehydration 1/13 (7.7%) 0/10 (0%)
    Hyperglycaemia 3/13 (23.1%) 2/10 (20%)
    Hyperphosphataemia 1/13 (7.7%) 0/10 (0%)
    Hyperuricaemia 1/13 (7.7%) 1/10 (10%)
    Hypocalcaemia 1/13 (7.7%) 1/10 (10%)
    Hypokalaemia 1/13 (7.7%) 3/10 (30%)
    Metabolic acidosis 1/13 (7.7%) 0/10 (0%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 2/13 (15.4%) 1/10 (10%)
    Arthritis 2/13 (15.4%) 0/10 (0%)
    Back pain 2/13 (15.4%) 4/10 (40%)
    Bone pain 1/13 (7.7%) 2/10 (20%)
    Groin pain 1/13 (7.7%) 0/10 (0%)
    Joint effusion 0/13 (0%) 1/10 (10%)
    Kyphosis 1/13 (7.7%) 0/10 (0%)
    Muscle spasms 1/13 (7.7%) 2/10 (20%)
    Muscular weakness 2/13 (15.4%) 1/10 (10%)
    Musculoskeletal chest pain 1/13 (7.7%) 0/10 (0%)
    Myalgia 0/13 (0%) 1/10 (10%)
    Neck pain 1/13 (7.7%) 0/10 (0%)
    Osteoarthritis 0/13 (0%) 1/10 (10%)
    Osteonecrosis of jaw 1/13 (7.7%) 0/10 (0%)
    Pain in extremity 1/13 (7.7%) 1/10 (10%)
    Spinal pain 1/13 (7.7%) 1/10 (10%)
    Nervous system disorders
    Carotid arteriosclerosis 0/13 (0%) 1/10 (10%)
    Cerebrovascular disorder 0/13 (0%) 1/10 (10%)
    Dizziness 0/13 (0%) 1/10 (10%)
    Facial paralysis 0/13 (0%) 1/10 (10%)
    Headache 0/13 (0%) 1/10 (10%)
    Memory impairment 1/13 (7.7%) 0/10 (0%)
    Neuralgia 1/13 (7.7%) 1/10 (10%)
    Neuropathy peripheral 1/13 (7.7%) 0/10 (0%)
    Paraesthesia 1/13 (7.7%) 1/10 (10%)
    Peripheral sensory neuropathy 3/13 (23.1%) 1/10 (10%)
    Sciatica 1/13 (7.7%) 0/10 (0%)
    Speech disorder 1/13 (7.7%) 0/10 (0%)
    Spinal cord compression 1/13 (7.7%) 0/10 (0%)
    Spinal cord herniation 0/13 (0%) 1/10 (10%)
    Syncope 1/13 (7.7%) 1/10 (10%)
    Tremor 1/13 (7.7%) 2/10 (20%)
    Psychiatric disorders
    Agitation 0/13 (0%) 1/10 (10%)
    Anxiety 1/13 (7.7%) 0/10 (0%)
    Confusional state 2/13 (15.4%) 0/10 (0%)
    Depressed mood 1/13 (7.7%) 0/10 (0%)
    Depression 1/13 (7.7%) 0/10 (0%)
    Insomnia 0/13 (0%) 3/10 (30%)
    Mood altered 1/13 (7.7%) 1/10 (10%)
    Renal and urinary disorders
    Dysuria 0/13 (0%) 1/10 (10%)
    Glomerulonephritis minimal lesion 1/13 (7.7%) 0/10 (0%)
    Renal tubular necrosis 1/13 (7.7%) 0/10 (0%)
    Reproductive system and breast disorders
    Pelvic pain 0/13 (0%) 1/10 (10%)
    Respiratory, thoracic and mediastinal disorders
    Cough 3/13 (23.1%) 3/10 (30%)
    Dysphonia 1/13 (7.7%) 0/10 (0%)
    Dyspnoea 0/13 (0%) 2/10 (20%)
    Dyspnoea exertional 0/13 (0%) 1/10 (10%)
    Hiccups 1/13 (7.7%) 0/10 (0%)
    Hypoxia 0/13 (0%) 1/10 (10%)
    Oropharyngeal pain 1/13 (7.7%) 0/10 (0%)
    Pneumonitis 0/13 (0%) 2/10 (20%)
    Pulmonary hypertension 0/13 (0%) 1/10 (10%)
    Rales 1/13 (7.7%) 0/10 (0%)
    Restrictive pulmonary disease 1/13 (7.7%) 0/10 (0%)
    Skin and subcutaneous tissue disorders
    Acne 1/13 (7.7%) 0/10 (0%)
    Angioedema 0/13 (0%) 1/10 (10%)
    Eczema 0/13 (0%) 1/10 (10%)
    Erythema 1/13 (7.7%) 0/10 (0%)
    Hyperhidrosis 1/13 (7.7%) 1/10 (10%)
    Pruritus 1/13 (7.7%) 1/10 (10%)
    Rash 4/13 (30.8%) 1/10 (10%)
    Skin hyperpigmentation 0/13 (0%) 1/10 (10%)
    Skin lesion 0/13 (0%) 1/10 (10%)
    Skin ulcer 0/13 (0%) 1/10 (10%)
    Vascular disorders
    Haematoma 1/13 (7.7%) 0/10 (0%)
    Hypertension 2/13 (15.4%) 2/10 (20%)
    Orthostatic hypotension 1/13 (7.7%) 0/10 (0%)
    Venous thrombosis limb 1/13 (7.7%) 0/10 (0%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication.

    Results Point of Contact

    Name/Title Bristol-Myers Squibb Study Director
    Organization Bristol-Myers Squibb
    Phone Please email
    Email Clinical.Trials@bms.com
    Responsible Party:
    Bristol-Myers Squibb
    ClinicalTrials.gov Identifier:
    NCT01891643
    Other Study ID Numbers:
    • CA204-006 (Biomarker Substudy)
    • 2010-022445-20
    First Posted:
    Jul 3, 2013
    Last Update Posted:
    Jul 1, 2021
    Last Verified:
    Jun 1, 2021