高级检索
当前位置: 首页 > 详情页

Aponermin or placebo in combination with thalidomide and dexamethasone in the treatment of relapsed or refractory multiple myeloma (CPT-MM301): a randomised, double-blinded, placebo-controlled, phase 3 trial

文献详情

资源类型:
WOS体系:
Pubmed体系:

收录情况: ◇ SCIE

机构: [1]Department of Hematologic Oncology, Sun Yat-Sen University Cancer Center,Guangzhou, China [2]Department of Hematology, Beijing Chao-Yang HospitalCapital Medical University, Beijing, China [3]Department of Hematology, HenanCancer Hospital, Henan Cancer Hospital Afliated to Zhengzhou University,Zhengzhou, China [4]Department of Hematology, The First Hospital of JilinUniversity, Changchun, China [5]Department of Hematology, The First AfliatedHospital of Soochow University, Jiangsu Institute of Hematology National Clinical Research Center for Hematologic Diseases, Suzhou, China [6]Departmentof Hematology, Second Hospital of Shanxi Medical University, Taiyuan, China [7]Department of Hematology and Lymphoma Research Center, Peking University Third Hospital, Beijing, China [8]Department of Hematology, ChangzhengHospital, Second Military Medical University, Shanghai, China [9]Departmentof Hematology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China [10]Department of Hematology,Tangdu Hospital, Fourth Military Medical University, Xi’an, China [11]Instituteof Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, China [12]Department of Hematology, The Second Hospital of Hebei Medical University, Shijiazhuang, China [13]Department of Hematology, Harbin Medical University Cancer Hospital,Harbin, China [14]Department of Hematology, The Second Afliated Hospitalof Nanchang University, Nanchang, China [15]Department of Hematology,Fourth Hospital of Hebei Medical University, Shijiazhuang, China [16]Department of Hematology, XiJing Hospital, Fourth Military Medical University, Xi’an,China [17]Department of Hematology, West China Hospital, Sichuan University,Chengdu, China [18]Bone Marrow Transplantation Center, The First AfliatedHospital, School of Medicine, Zhejiang University, Hangzhou, China [19]Department of Hematology, Beijing Friendship Hospital, Capital Medical University,Beijing, China [20]Department of Hematology, Tianjin Medical University CancerInstitute and Hospital, Tianjin, China [21]Department of Hematology, The FirstAfliated Hospital of Xiamen University and Institute of Hematology, MedicalCollege of Xiamen University, Xiamen, China [22]Department of Hematology,Qilu Hospital of Shandong University, Jinan, China [23]Department of Hematology, China-Japan Friendship Hospital, Beijing, China [24]Fujian Medical University Union Hospital, Fujian Institute of Hematology, Fujian Province Key Laboratory of Hematology, Fuzhou, China [25]Department of Hematology, The ThirdXiangya Hospital of Central South University, Changsha, China [26]Departmentof Hematology, Tongji Hospital of Tongji Medical College, Huazhong Universityof Science and Technology, Wuhan, China [27]Department of Hematology, TheSecond Afliated Hospital of Zhejiang University School of Medicine, Hangzhou, China [28]Department of Hematology, The First Afliated Hospital, Schoolof Medicine, Zhejiang University, Hangzhou, China [29]Department of Hematology, The Afliated Changzhou No.2 People’s Hospital of Nanjing MedicalUniversity, Changzhou, China [30]Department of Hematology, First AfliatedHospital of Nanchang University, Nanchang, China [31]Department of Hematology, Peking University First Hospital, Beijing, China [32]Department of Hematology, The Afliated Hospital of Inner Mongolia Medical University, Hohhot,China [33]Department of Hematology, General Hospital of Tianjin MedicalUniversity, Tianjin, China [34]Department of Hematology, Beijing Luhe Hospital,Capital Medical University, Beijing, China [35]Department of Hematology, UnionHospital, Tongji Medical College, Huazhong University of Science and Technology, Wunan, China [36]Beijing Sunbio Biotech Co.,Ltd.,Beijing, China
出处:
ISSN:

关键词: Aponermin TNF-related apoptosis-inducing ligand Multiple myeloma Relapsed/refractory Phase 3

摘要:
Aponermin, a circularly permuted tumor necrosis factor-related apoptosis-inducing ligand, is a potential death receptor 4/5-targeted antitumour candidate. Previous phase 1/2 studies have demonstrated the efficacy of aponermin in patients with relapsed or refractory multiple myeloma (RRMM). To confirm the superiority of aponermin plus thalidomide and dexamethasone (aponermin group) over placebo plus thalidomide and dexamethasone (placebo group) in RRMM, a randomized, double-blinded, placebo controlled phase 3 trial was performed.Four hundred seventeen patients with RRMM who had previously received at least two regimens were randomly assigned (2:1) to receive aponermin, thalidomide, and dexamethasone or placebo, thalidomide, and dexamethasone. The primary endpoint was progression-free survival (PFS). Key secondary endpoints included overall survival (OS) and overall response rate (ORR).A total of 415 patients received at least one dose of trial treatment (276 vs. 139). The median PFS was 5.5 months in the aponermin group and 3.1 months in the placebo group (hazard ratio, 0.62; 95% confidence interval [CI], 0.49-0.78; P < 0.001). The median OS was 22.4 months for the aponermin group and 16.4 months for the placebo group (hazard ratio, 0.70; 95% CI, 0.55-0.89; P = 0.003). Significantly higher rates of ORR (30.4% vs. 13.7%, P < 0.001) and very good partial response or better (14.1% vs. 2.2%, P < 0.0001) were achieved in the aponermin group than in the placebo group. Treatment with aponermin caused hepatotoxicity in some patients, as indicated by the elevated alanine transaminase, aspartate transaminase, or lactate dehydrogenase levels (52.2% vs. 24.5%, 51.1% vs. 19.4% and 44.9% vs. 21.6%, respectively), mostly grade 1/2, transient and reversible. The main grade 3/4 adverse events included neutropenia, pneumonia and hyperglycemia. The incidence of serious adverse events was similar between the two groups (40.6% vs. 37.4%). There was no evidence that aponermin leads to hematological toxicity, nephrotoxicity, cardiotoxicity, or secondary tumors.Aponermin plus thalidomide and dexamethasone significantly improved PFS, OS and ORR with manageable side effects in RRMM patients who had received at least two prior therapies. These results support the use of aponermin, thalidomide, and dexamethasone as a treatment option for RRMM patients.The trial was registered at http://www.chictr.org.cn as ChiCTR-IPR-15006024, 17/11/2014.© 2023. BioMed Central Ltd., part of Springer Nature.

基金:
语种:
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2023]版:
大类 | 2 区 医学
小类 | 3 区 肿瘤学
最新[2023]版:
大类 | 2 区 医学
小类 | 3 区 肿瘤学
JCR分区:
出版当年[2023]版:
Q2 ONCOLOGY
最新[2023]版:
Q2 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

第一作者:
第一作者机构: [1]Department of Hematologic Oncology, Sun Yat-Sen University Cancer Center,Guangzhou, China
共同第一作者:
通讯作者:
推荐引用方式(GB/T 7714):
APA:
MLA:

相关文献

[1]Daratumumab, Bortezomib, and Dexamethasone Versus Bortezomib and Dexamethasone in Chinese Patients with Relapsed or Refractory Multiple Myeloma: Phase 3 LEPUS (MMY3009) Study. [2]Efficacy and safety of pomalidomide and low-dose dexamethasone in Chinese patients with relapsed or refractory multiple myeloma: a multicenter, prospective, single-arm, phase 2 trial [3]A study of carfilzomib and dexamethasone in patients with relapsed and refractory multiple myeloma in China [4]Circularly permuted TRAIL plus thalidomide and dexamethasone versus thalidomide and dexamethasone for relapsed/refractory multiple myeloma: a phase 2 study [5]Circularly permuted TRAIL plus thalidomide and dexamethasone versus thalidomide and dexamethasone for relapsed/refractory multiple myeloma: a phase 2 study. [6]Efficacy and safety of anti-CD38 monoclonal antibodies in patients with relapsed/refractory multiple myeloma: a systematic review and meta-analysis with trial sequential analysis of randomized controlled trials [7]Efficacy and safety of generic pomalidomide plus low-dose dexamethasone in relapsed or refractory multiple myeloma: a multicenter, open-label, single-arm trial [8]The efficacy and safety of triplet regimens based on pomalidomide and dexamethasone for treatment of relapsed/refractory multiple myeloma: a systematic review and meta-analysis [9]Daratumumab, Bortezomib, and Dexamethasone versus Bortezomib and Dexamethasone in Chinese Patients With Relapsed or Refractory Multiple Myeloma: Updated Analysis of LEPUS [10]Phase II open-label study of recombinant circularly permuted TRAIL as a single-agent treatment for relapsed or refractory multiple myeloma.

资源点击量:43389 今日访问量:0 总访问量:3120 更新日期:2024-09-01 建议使用谷歌、火狐浏览器 常见问题

版权所有©2020 四川省肿瘤医院 技术支持:重庆聚合科技有限公司 地址:成都市人民南路四段55号