Table 2 Progression-free survival and response rates by ASCT status in ASPIRE and ENDEAVOR

From: Efficacy and safety of carfilzomib regimens in multiple myeloma patients relapsing after autologous stem cell transplant: ASPIRE and ENDEAVOR outcomes

 

ASPIRE

ENDEAVOR

 

Prior ASCT

1R1T

No prior ASCT

Prior ASCT

1R1T

No prior ASCT

 

KRd (n=217)

Rd (n=229)

KRd (n=88)

Rd (n=78)

KRd (n=179)

Rd (n=167)

Kd (n=266)

Vd (n=272)

Kd (n=123)

Vd (n =141)

Kd (n=198)

Vd (n=193)

Median PFS

 Months (95% CI)

26.3 (23.1–32.3)

17.8 (14.5–22.2)

29.7 (21.3–38.9)

17.8 (12.9–26.0)

26.4 (20.5–31.4)

16.6 (13.9–21.7)

NE (15.6–NE)

10.2 (8.5–12.2)

NE (16.8–NE)

11.2 (8.5–15.1)

17.7 (14.1–NE)

8.5 (6.5–10.2)

 HR (95% CI)

0.68 (0.53–0.87)

 

0.70 (0.46–1.07)

 

0.76 (0.57–1.01)

 

0.61 (0.47–0.79)

 

0.46 (0.30–0.69)

 

0.43 (0.32–0.59)

 

P-value (one-sided)

0.0012

 

0.0471

 

0.0294

 

<0.0001

 

<0.0001

 

<0.0001

 

 1-year PFS rate (95% CI)

79.2 (73.1–84.1)

63.0 (55.9–69.2)

78.9 (68.6–86.2)

64.5 (52.0–74.5)

73.8 (66.4–79.8)

61.8 (53.6–69.0)

61.8 (55.1–67.8)

46.0 (38.9–52.9)

70.7 (60.6–78.6)

48.4 (38.2–57.8)

63.9 (55.9–70.9)

35.4 (27.4–43.6)

 2-year PFS rate (95% CI)

56.0 (48.9–62.6)

40.5(33.3–47.5)

57.6 (46.1–67.5)

41.4 (29.3–53.1)

53.4 (45.3–60.8)

39.4 (31.5–47.2)

53.0 (44.2–61.0)

25.9 (16.7–36.0)

59.3 (44.8–71.1)

NE (NE–NE)

32.0 (13.2–52.7)

17.1 (8.1–29.0)

Overall response

 CR or better, n (%)

72 (33.2)

25 (10.9)

28 (31.8)

8 (10.3)

54 (30.2)

12 (7.2)

38 (14.3)

20 (7.4)

18 (14.6)

13 (9.2)

20 (10.1)

9 (4.7)

 VGPR or better, n (%)

162 (74.7)

96 (41.9)

69 (78.4)

37 (47.4)

115 (64.2)

64 (38.3)

134 (50.4)

90 (33.1)

76 (61.8)

52 (36.9)

118 (59.6)

43 (22.3)

 ORR, % (95% CI)

90.3 (85.6–93.9)

65.5 (59.0–71.6)

89.8 (81.5–95.2)

69.2 (57.8–79.2)

83.2 (76.9–88.4)

68.3 (60.6–75.2)

73.3 (67.6–78.5)

66.9 (61.0–72.5)

83.7 (76.0–89.8)

68.1 (59.7–75.7)

81.8 (75.7–86.9)

56.5 (49.2–63.6)

  1. Abbreviations: 1R1T, first relapse after frontline ASCT; ASCT, autologous stem cell transplantation; CI, confidence interval; CR, complete response; HR, hazard ratio; Kd, carfilzomib+ dexamethasone; KRd, carfilzomib+lenalidomide+dexamethasone; NE, not estimable; ORR, overall response rate; PFS, progression-free survival; Rd, lenalidomide+dexamethasone; Vd, bortezomib+dexamethasone; VGPR, very good partial response.