Table 4.

Overall safety profile with IRd and placebo-Rd among high-risk and standard-risk patients

High riskStandard risk
IRd, n = 74Placebo-Rd, n = 62IRd, n = 200Placebo-Rd, n = 214
Median treatment duration, mo 16.3 9.9 16.1 14.7 
Any adverse event 73 (99) 61 (98) 197 (99) 214 (100) 
Any grade ≥3 adverse event 49 (66) 45 (73) 149 (75) 140 (65) 
Any serious adverse event 31 (42) 32 (52) 90 (45) 101 (47) 
Adverse event resulting in dose reduction of any drug 30 (41) 26 (42) 119 (60) 110 (51) 
Adverse event resulting in discontinuation of any drug 13 (18) 16 (26) 55 (28) 42 (20) 
Adverse event resulting in discontinuation of regimen 6 (8) 8 (13) 42 (21) 31 (14) 
On-study death 6 (10) 9 (5) 13 (6) 
High riskStandard risk
IRd, n = 74Placebo-Rd, n = 62IRd, n = 200Placebo-Rd, n = 214
Median treatment duration, mo 16.3 9.9 16.1 14.7 
Any adverse event 73 (99) 61 (98) 197 (99) 214 (100) 
Any grade ≥3 adverse event 49 (66) 45 (73) 149 (75) 140 (65) 
Any serious adverse event 31 (42) 32 (52) 90 (45) 101 (47) 
Adverse event resulting in dose reduction of any drug 30 (41) 26 (42) 119 (60) 110 (51) 
Adverse event resulting in discontinuation of any drug 13 (18) 16 (26) 55 (28) 42 (20) 
Adverse event resulting in discontinuation of regimen 6 (8) 8 (13) 42 (21) 31 (14) 
On-study death 6 (10) 9 (5) 13 (6) 

Per the primary report from the study, exposure and safety data are reported from a prespecified analysis at a median follow up of ∼23 months. One patient with high-risk cytogenetics who was randomized to the ixazomib arm did not receive ixazomib and was not included in the ixazomib group safety population. Among patients with standard-risk cytogenetics, 1 patient randomized to the ixazomib arm did not receive ixazomib, and 2 patients randomized to the placebo arm accidentally received ixazomib and were conservatively included in the ixazomib group for analyses of exposure and safety.

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