Study of the Pharmacokinetics and Safety of Carfilzomib in Patients With Multiple Myeloma and Renal Disease
Relapsed Multiple Myeloma, End-stage Renal Disease
About this trial
This is an interventional other trial for Relapsed Multiple Myeloma
Eligibility Criteria
Key Inclusion Criteria:
- Relapsed multiple myeloma
- Evaluable disease (serum protein electrophoresis [SPEP]/urine protein electrophoresis [UPEP]/serum free light chain [SFLC] criteria)
- Received at least 1 prior treatment regimen or line of therapy for multiple myeloma
- End-stage renal disease (ESRD) on hemodialysis or CrCl ≥ 75 mL/min
- Eastern Cooperative Oncology Group (ECOG) performance status 0 - 2
- Adequate organ and bone marrow function
- Active congestive heart failure (New York Heart Association [NYHA] Class III to IV), symptomatic ischemia, conduction abnormalities uncontrolled by conventional intervention or myocardial infarction within the protocol-specified period prior to enrollment
Key Exclusion Criteria:
- Immunoglobulin M (IgM) multiple myeloma
- POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes)
- Waldenström Macroglobulinemia
- Active congestive heart failure (NYHA Class III-IV) ischemia, conduction abnormalities
- Known human immunodeficiency virus (HIV), recent hepatitis B virus (HBV), hepatitis C virus (HCV)
- Myelodysplastic Syndrome
- Contraindication to test article, constituents, or required concomitant medications
- Other investigational drugs
Sites / Locations
- Karmanos Cancer Institute
- North Shore-LIJ Health System/Center for Advanced Medicine - North Shore University Hospital
- Gabrail Cancer Center
- Vanderbilt-Ingram Cancer Center, Henry-Joyce Cancer Clinic
- Baylor Charles A. Sammons Cancer Center
- UT Southwestern Medical Center
- Royal Prince Alfred Hospital
- Royal Brisbane and Women's Hospital
- Monash Health, Monash Medical Centre
- St. Vincent's Hospital Melbourne
- The Alfred Hospital, Malignant Haematology and Stem Cell Transplant Department
- QEII Health Sciences Centre
- Sir Mortimer B. Davis-Jewish General Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Normal Renal Function
End Stage Renal Disease
Participants with normal renal function (creatinine clearance [CrCl] ≥ 75 mL/min) received carfilzomib 20 mg/m² intravenous infusion (IV) on days 1 and 2 of cycle 1, followed by 27 mg/m² IV on days 8, 9, 15, and 16 of cycle 1. Participants who adequately tolerated dosing at 27 mg/m² received carfilzomib 56 mg/m² IV on days 1, 2, 8, 9, 15 and 16 of cycle 2 and all subsequent cycles. Participants continued treatment until confirmed progressive disease, unacceptable toxicity, withdrawal of consent, study closure, or death.
Participants with end-stage renal disease (on hemodialysis) received carfilzomib 20 mg/m² intravenous infusion (IV) on days 1 and 2 of cycle 1, followed by 27 mg/m² IV on days 8, 9, 15, and 16 of cycle 1. Participants who adequately tolerated dosing at 27 mg/m² received carfilzomib 56 mg/m² IV on days 1, 2, 8, 9, 15 and 16 of cycle 2 and all subsequent cycles. Participants continued treatment until confirmed progressive disease, unacceptable toxicity, withdrawal of consent, study closure, or death.