Oral therapy for multiple myeloma: ixazomib arriving soon

Blood. 2014 Aug 14;124(7):986-7. doi: 10.1182/blood-2014-06-581611.

Abstract

In this issue of Blood, Kumar et al and Richardson et al report the results of 2 phase 1 trials that investigated 2 different administration schedules of ixazomib in patients with relapsed/refractory multiple myeloma (MM): weekly and biweekly dosing., Kumar et al determined that the maximum tolerated dose (MTD) of single-agent oral ixazomib given weekly for 3 of 4 weeks was 2.97 mg/m2. Detailed pharmacokinetic analyses showed that after multiple dosing, the terminal half-life was long (3.6-11.3 days), supporting once-weekly dosing. In the trial by Richardson et al, the MTD of single-agent, oral ixazomib, given on days 1, 4, 8, 11 of a 21-day cycle was found to be 2 mg/m2.

Publication types

  • Comment

MeSH terms

  • Boron Compounds / therapeutic use*
  • Drugs, Investigational / therapeutic use*
  • Female
  • Glycine / analogs & derivatives*
  • Glycine / therapeutic use
  • Humans
  • Male
  • Multiple Myeloma / drug therapy*
  • Proteasome Inhibitors / therapeutic use*

Substances

  • Boron Compounds
  • Drugs, Investigational
  • Proteasome Inhibitors
  • ixazomib
  • Glycine