Table 7.
N = 34, n (%) | Any Grade | ≥ Grade 3 | Treatment/response | |||||
---|---|---|---|---|---|---|---|---|
Adverse event | Drug related | Adverse event | Drug related | Dose discontinuation | Dose reduction | Patient withdrawn from studyb | Next cycle delayed | |
Blood toxicity | ||||||||
Neutropenia | 14 (41) | 13 (38) | 13 (38) | 12 (35) | 3 (9) | 6 (18) | 1 (3) | 10 (29) |
Thrombocytopenia | 13 (38) | 13 (38) | 8 (24) | 8 (24) | 3 (9) | 4 (12) | 2 (6) | 5 (15) |
Cardiac disorders | ||||||||
Cardiac failure | 1 (3) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Gastrointestinal disorders | ||||||||
Nausea | 10 (29) | 9 (26) | 0 | 0 | 0 | 0 | 0 | 0 |
Vomiting | 5 (15) | 5 (15) | 1 (3) | 1 (3) | 0 | 1 (3) | 1 (3) | 0 |
Diarrhea | 14 (41) | 13 (38) | 5 (15) | 5 (15) | 0 | 2 (6) | 4 (12) | 0 |
Dermatologic disorders | 22 (65) | 20 (59) | 9 (26) | 8 (24) | 0 | 8 (24) | 11 (32) | 2 (6) |
Rash | 12 (35) | 10 (29) | 0 | 0 | 0 | 0 | 2 (6) | 0 |
Maculopapular rash | 5 (15) | 5 (15) | 4 (12) | 4 (12) | 0 | 4 (12) | 4 (12) | 0 |
Urticaria | 4 (12) | 3 (9) | 0 | 0 | 0 | 0 | 0 | 0 |
Erythema multiforme | 3 (9) | 3 (9) | 3 (9) | 3 (9) | 0 | 2 (6) | 3 (9) | 0 |
Generalized rash | 1 (3) | 1 (3) | 1 (3) | 1 (3) | 0 | 1 (3) | 1 (3) | 1 (3) |
Macular rash | 1 (3) | 1 (3) | 1 (3) | 1 (3) | 0 | 1 (3) | 1 (3) | 1 (3) |
Peripheral neuropathy | ||||||||
Peripheral sensory neuropathy | 7 (21) | 7 (21) | 0 | 0 | 0 | 1 (3) | 0 | 1 (3) |
Peripheral neuropathy | 1 (3) | 1 (3) | 0 | 0 | 0 | 0 | 0 | 0 |
TEAE treatment-emergent adverse event
aTEAEs of clinical importance was not based on a safety signal in the review of the clinical data; rather, they were considered of clinical importance owing to other factors that included, but were not limited to: (1) identification by searches of the clinical database considering the context of the intended patient population; (2) common adverse reactions for lenalidomide; (3) AEs reported at higher rates both across ixazomib clinical trials and within the MM1 study; and (4) adverse reactions reported with the commercially available PIs bortezomib and carfilzomib
bSome patients withdrew from the study due to multiple TEAEs