Table 1.
Demographic and baseline disease characteristics and prior therapies
Phase 1 dose escalation (all doses) (N=31) |
Phase 2- Filanesib (N=32) |
Phase 2- Filanesib/Dex (N=55) |
|
---|---|---|---|
Male, n(%) | 20 (65) | 18 (56) | 27 (49) |
White, n(%) | 24 (77) | 25 (78) | 39 (71) |
Median age, years (range) | 60 (43, 79) | 65 (51, 82) | 63 (33, 82) |
Heavy chain at diagnosis, n(%) | |||
IgA | 7 (23) | 11 (34) | 14 (25) |
IgD | 2 (6) | 0 (0) | 1 (2) |
IgG | 17 (55) | 18 (56) | 28 (51) |
IgM | 0 (0) | 1 (3) | 0 (0) |
None | 5 (16) | 2 (6) | 12 (22) |
Light chain at diagnosis, n(%) | |||
Kappa | 22 (71) | 22 (69) | 38 (69) |
Lambda | 8 (26) | 10 (31) | 17 (31) |
Both or none | 1 (3) | 0 (0) | 0 (0) |
Oligo- or non-secretory disease at diagnosis, n(%) | 1 (3) | 0 (0) | 0 (0) |
ECOG status, n(%) | |||
0 | 6 (19) | 5 (16) | 6 (11) |
1 | 25 (81) | 26 (81) | 49 (89) |
2 | 0 (0) | 1 (3) | 0 (0) |
ISS stage at study baseline, n(%) | |||
I | 17 (55) | 10 (31) | 16 (29) |
II | 12 (39) | 13 (41) | 22 (40) |
III | 1 (3) | 9 (28) | 16 (29) |
Missing | 1 (3) | 0 (0) | 1 (2) |
High-risk cytogenetics at baseline, n(%)* | |||
Yes | 0 (0) | 3 (9) | 17 (31) |
No | 21 (68) | 25 (78) | 36 (65) |
Missing | 10 (32) | 4 (12) | 2 (4) |
Prior therapies, median (range) | 6 (2, 16) | 6 (2, 19) | 8 (2, 22) |
Prior stem cell transplant, n(%) | 24 (77) | 26 (81) | 49 (89) |
Prior carfilzomib, n(%) | 4 (13) | 2 (6) | 14 (25) |
Prior pomalidomide, n(%) | 1 (3) | 1 (3) | 7 (13) |
Prior bortezomib | |||
Refractory† | 22 (71) | 18 (56) | 54 (98) |
Relapsed | 8 (26) | 11 (34) | 1 (2) |
Not applicable | 1 (3) | 3 (9) | 0 (0) |
Prior dexamethasone | |||
Refractory†,‡ | 23 (74) | 22 (69) | 54 (98) |
Relapsed | 7 (23) | 10 (31) | 0 (0) |
Not applicable | 1 (3) | 0 (0) | 1 (2) |
Prior lenalidomide | |||
Refractory† | 21 (68) | 25 (78) | 55 (100) |
Relapsed | 8 (26) | 6 (19) | 0 (0) |
Not applicable | 2 (6) | 1 (3) | 0 (0) |
Defined as one or more of the following: del(17p), t(4;14), t(14;16), 1q21 gain.
Documented progressive disease on therapy or within 60 days of completing treatment.
The required dexamethasone dose was ≥ 40 mg per week on treatment weeks.
Abbreviations: Dex = dexamethasone; IgA = immunoglobulin A; IgD = immunoglobulin D; IgG = immunoglobulin G; IgM = immunoglobulin M; ECOG = Eastern Cooperative Oncology Group; ISS = International Staging System; n = number