1. Study identification
EU PAS Register NumberEUPAS21443
Official titleReal-life efficacy and safety of patients treated with ixazomib in combination with lenalidomide and dexamethasone, for relapsed and/or refractory multiple myeloma: a prospective, non-interventional, real-life study
Study title acronymREMIX
Study typeObservational study
Brief description of the studyREMIX is a non-interventional, multicentre study conducted in France in sites specialized in the management of multiple myeloma.
It aims to evaluate ixazomib use in combination with lenalidomide and dexamethasone in real life within its market authorization.
The primary objective is to evaluate median progression-free survival (PFS) of ixazomib in combination with lenalidomide and dexamethasone in patients treated for relapsed and/or refractory multiple myeloma.
Secondary objectives are to evaluate mPFS and overall survival rate of these patients at different time points (i.e. 12, 24 and 36 months), to evaluate response to treatment, to describe the safety of these patients and the health care resource use of these patients for management of multiple myeloma. Analyzes will be made globally and according to subgroups of interest (age of patients, number of previous line of treatment, presence or absence of renal failure, presence of comorbidities, participation or not in compassionate use program).
A total number of 500 patients is expected in the study. Patients will be followed up for a minimum duration of 24 months (for the last patient in). Patients' follow-up will be continued up to the end of the study or death, to collect long-term efficacy and safety data (total follow-up duration between 24 and 48 months). Response and progression will be evaluated periodically and will be determined by the study site on the basis of assessments at its disposal. Visits will be completed every 3 months during the first 24 months then every 6 months after 24 months as per standard practice at sites.
Was this study requested by a regulator?No
Is the study required by a Risk Management Plan (RMP)?
Not applicable
Regulatory procedure number (RMP Category 1 and 2 studies only)
Other study registration identification numbers and URLs as applicable
2. Research centres and Investigator details
Coordinating study entity
Department/Research groupKappa Santé
Organisation/affiliationKappa Santé
Details of (Primary) lead investigator
Title Dr
Last name SCHÜCK
First name Stéphane
Is this study being carried out with the collaboration of a research network?
No
Other centres where this study is being conducted
Multiple centres
In total how many centres are involved in this Study?60
Countries in which this study is being conducted
National study
France
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed04/09/2017
Start date of data collection22/12/2017
Start date of data analysis31/01/2022
Date of interim report, if expected31/03/2020
Date of final study report31/12/2022
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesTakeda France100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name SCHÜCK
First name Stéphane
Address line 14 rue de Cléry
Address line 2
Address line 3
CityParis
Postcode75002
CountryFrance
Phone number (incl. country code)0033144827474
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name SCHÜCK
First name Stéphane
Address line 14 rue de Cléry
Address line 2
Address line 3
CityParis
Postcode75002
CountryFrance
Phone number (incl. country code)0033144827474
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Product NameNinlaro
CountryFrance
Substance INN(s)IXAZOMIB
7. Medical conditions to be studied
Medical condition(s)Yes
Plasma cell myeloma
8. Population under study
Age
Adults (18 - 44 years)
Adults (45 - 64 years)
Adults (65 - 74 years)
Adults (75 years and over)
Sex
Male
Female
9. Number of subjects
Estimated total number of subjects500
10. Source of data
Is this study being carried out with an established data source?No
Sources of data
Prospective patient-based data collection
11. Scope of the study
What is the scope of the study?
Risk assessment
Drug utilisation study
Effectiveness evaluation
Primary scope : Effectiveness evaluation
12. Main objective(s)
What is the main objective of the study?
The primary objective is to evaluate median progression-free survival (PFS) of ixazomib in combination with lenalidomide and dexamethasone in patients treated for relapsed and/or refractory multiple myeloma
Are there primary outcomes?No
Are there secondary outcomes?No
13. Study design
What is the design of the study?
Cohort study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
Patients will be followed up for a minimum duration of 24 months (for the last patient in). Patients’ follow-up will be continued up to the end of the study or to death, to collect long term efficacy and safety data (total follow-up duration between 24 and 48 months).
15. Data analysis plan
Please provide a brief summary of the analysis method
This study is observational and epidemiological methods will be employed for data analyses. Descriptive analysis of qualitative and ordinal variables will comprise sample size and the frequency of each modality. All patients included in the study will be described. The reference population for the analysis of the primary endpoint will correspond to patients meeting the eligibility criteria. The safety analysis will be carried out on all patients having received at least one dose of ixazomib.
For the primary endpoints, PFS will be assessed using the Kaplan-Meier method. This method will be applied to derive, survival curves, median event time and a 95% confidence interval for the median. Kaplan-Meier estimates will also be provided for sub-group analysis of interest.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
Not submitted
18. Study Results
Not submitted
Please list the 5 most relevant publications using data from your study
ReferenceLink to web-publication
None
19. Other relevant documents
Conflict(s) of interest of
investigator(s)Not submitted
Composition of Steering Group and
ObserversNot submitted
Other documentsNot
submitted
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted