PMID- 30531133 OWN - NLM STAT- MEDLINE DCOM- 20190507 LR - 20190507 IS - 0485-1439 (Print) IS - 0485-1439 (Linking) VI - 59 IP - 11 DP - 2018 TI - [Safety and management of adverse events of ixazomib/lenalidomide/dexamethasone therapy in Japanese patients with relapsed/refractory multiple myeloma]. PG - 2399-2407 LID - 10.11406/rinketsu.59.2399 [doi] AB - Based on the outcomes of the TOURMALINE-MM1 trial-a global, randomized, double-blind, placebo-controlled phase III clinical study-the use of an oral proteasome inhibitor has been approved in combination with lenalidomide and dexamethasone (Rd) for the treatment of relapsed/refractory multiple myeloma (MM). In this study, we enrolled 41 Japanese patients, who constituted the safety population. The overall incidence of adverse events (AEs) was similar in IRd and placebo-Rd groups. AEs including thrombocytopenia, skin disorders (rash), vomiting, nausea, and diarrhea occurred more frequently in the IRd group than in the placebo-Rd group. There were no cumulative toxicities, and most toxicities were usually manageable with close monitoring, supportive care, and dose modifications. Compared with the overall safety population, the safety profile of Japanese patients was consistent. Moreover, in Japanese patients, there were no on-study deaths and the incidence of serious AEs was less frequent. FAU - Iida, Shinsuke AU - Iida S AD - Department of Hematology and Oncology, Nagoya City University Graduate School of Medical Sciences. FAU - Izumi, Tohru AU - Izumi T AD - Department of Hematology, Tochigi Cancer Center. FAU - Aotsuka, Nobuyuki AU - Aotsuka N AD - Department of Hematology and Oncology, Japanese Red Cross Narita Hospital. FAU - Komeno, Takuya AU - Komeno T AD - Department of Hematology, National Hospital Organization Mito Medical Center. FAU - Ishida, Tadao AU - Ishida T AD - Department of Hematology, Japanese Red Cross Medical Center. FAU - Sunami, Kazutaka AU - Sunami K AD - Department of Hematology, National Hospital Organization Okayama Medical Center. FAU - Handa, Hiroshi AU - Handa H AD - Department of Medicine and Clinical Science, Gunma University Graduate School of Medicine. FAU - Berg, Deborah AU - Berg D AD - Millennium Pharmaceuticals Inc., a Wholly Owned Subsidiary of Takeda Pharmaceutical Company Limited. FAU - Kase, Yoichi AU - Kase Y AD - Oncology Clinical Research Department, Oncology Therapeutic Area Unit for Japan and Asia, Takeda Pharmaceutical Company Limited. FAU - Soeda, Junpei AU - Soeda J AD - Japan Medical Affairs, Japan Oncology Business Unit, Takeda Pharmaceutical Company Limited. LA - jpn PT - Journal Article PT - Randomized Controlled Trial PL - Japan TA - Rinsho Ketsueki JT - [Rinsho ketsueki] The Japanese journal of clinical hematology JID - 2984782R RN - 0 (Boron Compounds) RN - 4Z8R6ORS6L (Thalidomide) RN - 71050168A2 (ixazomib) RN - 7S5I7G3JQL (Dexamethasone) RN - F0P408N6V4 (Lenalidomide) RN - TE7660XO1C (Glycine) SB - IM MH - Antineoplastic Combined Chemotherapy Protocols/*adverse effects/therapeutic use MH - Boron Compounds/administration & dosage/adverse effects MH - Dexamethasone MH - Double-Blind Method MH - Glycine/administration & dosage/adverse effects/analogs & derivatives MH - Humans MH - Lenalidomide/administration & dosage/adverse effects MH - *Multiple Myeloma/drug therapy MH - Thalidomide/administration & dosage/adverse effects OTO - NOTNLM OT - AE management OT - Ixazomib OT - Multiple myeloma OT - TOURMALINE MM1study EDAT- 2018/12/12 06:00 MHDA- 2019/05/08 06:00 CRDT- 2018/12/12 06:00 PHST- 2018/12/12 06:00 [entrez] PHST- 2018/12/12 06:00 [pubmed] PHST- 2019/05/08 06:00 [medline] AID - 10.11406/rinketsu.59.2399 [doi] PST - ppublish SO - Rinsho Ketsueki. 2018;59(11):2399-2407. doi: 10.11406/rinketsu.59.2399.