Table 4 Clinical studies in patients with multiple myeloma receiving combination regimens that include a proteasome inhibitor and an IMiD

From: Association of response endpoints with survival outcomes in multiple myeloma

Reference

Response criteria

Study type

Treatment arm

n

Maximal response (%)

PFS/TTP (median, mo a /rate, %)

OS (median, mo a /rate, %)

Frontline transplant eligible

   

CR induction

Overall

3-yr PFS

3 yr

 Cavo et al.19

mEBMT

Ph 3

VTD induction/consolidation

TD induction/consolidation

241

239

19

5

P<0.0001

58

41

P=0.0001

68

56

P=0.0057

86

84

P=0.3

   

CR induction

Transplant

mPFS

 Moreau et al.20

IMWG

Ph 3

vtD inductionVD induction

 

13

12

P=0.74

29

31

P=0.77

26

30

P=0.22

 

Transplant ineligible

   

CR induction

mPFS

3-yr PFS

3 yr

 Palumbo et al.65

IMWG

Ph 3

VMPT induction →VT maint

VMP induction

254

257

38

24

P<0.001

NR

27.3

56

41

P=0.008

89

87

P=0.77

   

CR induction

mPFS

3 yr

 

 Mateos et al.21

mEBMT

Ph 3

VTP induction→VT or VP maint

VMP induction→VT or VP maint

130

130

28

20

P=0.2

25

34

P=0.1

65

74

P=0.3

 

Transplant eligible/ineligible

   

CR overall

18-mo PFS

18 mo

 

 Richardson et al.22

mIMWG

Ph 1/2

VRD induction→VRD maint or HD-ASCT

66

29

75

97

 
   

sCR overall

2-yr PFS

  

 Jakubowiak et al.24

mIMWG

Ph 1/2

CRd induction→CRd maint or HD-ASCT

53

42

92

 
    

CR overall

  

 Kumar et al.25

mIMWG

Ph 1/2

IRd→ixazomib maint

65

 

18

Relapsed

   

CR overall

mTTP

24 mo

 

 Garderet et al.23

mEBMT

Ph 3

VTD

TD

135

134

25

14

P=0.024

19.5

13.8

P=0.001

71

65

P=0.093

 
  1. Abbreviations: CRd, carfilzomib, lenalidomide, low-dose dexamethasone; HD-ASCT, high-dose therapy with autologous stem cell transplant; IRd, ixazomib (MLN9708), lenalidomide, low-dose dexamethasone; maint, maintenance therapy; mEBMT, modified European Group for Blood and Marrow Transplantation; mIMWG, modified International Myeloma Working Group; mo, months; mOS, median overall survival; mPFS, median progression-free survival; mTTP, median time to progression; TD, thalidomide, dexamethasone; VGPR, very good partial response; VMP, bortezomib, melphalan, prednisone; vtD, low-dose bortezomib, thalidomide with dexamethasone; VTD, bortezomib, thalidomide, dexamethasone; VTP, bortezomib, thalidomide, prednisone; yr, years.
  2. aConversion to months for studies reporting other time increments.