New hope for myeloma patients Who've run out of options?
NCT ID NCT02461888
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 trial tested a three-drug combination (ixazomib, cyclophosphamide, and dexamethasone) in 112 patients with multiple myeloma that had returned or stopped responding to three previous treatments. The goal was to see if adding ixazomib to standard chemotherapy could help control the disease longer. The study is now complete.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ixazomib, cyclophosphamide, and dexamethasone
- What this could lead to
- If successful, this could offer a new treatment option for multiple myeloma patients who have stopped responding to other therapies.
- What could go wrong
- This is a phase 2 trial with only 112 participants, so results are preliminary. The combination may not work better than existing treatments and could have side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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112 people
The number who actually took part.
- Started
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Dec 2015
- Finished
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Jan 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Able to give informed consent and willing to follow study protocol assessments * Aged 18 years or over * Participants with confirmed multiple myeloma based on International Myeloma Working Group (IMWG) criteria, 2009 * Measurable disease * Participants with relapsed or relapsed refractory myeloma and now require further treatment following exposure to thalidomide, lenalidomide and bortezomib regardless of response to these * Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 2 * Required laboratory values within 14 days prior to Randomisation: * Platelet count ≥50x109/L. Platelet support is permitted within 14 days prior to Randomisation * Absolute neutrophil count ≥1.0 x 109/L * Haemoglobin \> 9 g/dL. Blood support is permitted * Alanine aminotransferase (ALT) and / or Aspartate aminotransferase (AST) ≤3 x upper limit of normal * Creatinine clearance ≥ 30 ml/min (using Cockcroft Gault formula) * Bilirubin ≤1.5 x upper limit of normal * Both non-sterilised and sterilised females and males of reproductive age should use effective methods of contraception during the entire trial treatment (including treatment breaks) and up to 90 days after the last dose of trial treatment * Post allograft patients may be included Exclusion Criteria: * Those with non-measurable disease * Those with a solitary bone or solitary extramedullary plasmacytoma * Plasma cell leukaemia * Prior malignancy other than those treated with curative surgery. * Participants with a known or underlying uncontrolled concurrent illness that, in the investigators opinion, would make the administration of the study drug hazardous or circumstances that could limit compliance with the study * Patients who have previously received MLN9708/Ixazomib in a trial. Previous experimental agents or approved anti-tumour treatment within 30 days before the date of randomisation. * A maximum of 160mg of dexamethasone (in 40mg blocks) may be given between screening and the beginning of treatment if medically required but should be stopped before trial treatment starts. Bisphosphonates for bone disease and radiotherapy for palliative intent are also permitted * Participants with a history of a refractory nausea, diarrhoea, vomiting, malabsorption, gastrointestinal surgery or other procedures that might, in the opinion of the Investigator, interfere with the absorption or swallowing of the study drug(s) * Peripheral neuropathy of ≥ grade 2 severity * Gastrointestinal disorders that may interfere with absorption of the study drug * Active symptomatic fungal, bacterial, and/or viral infection including known active HIV or known viral (A, B or C) hepatitis * Female patients who are lactating or have a positive serum pregnancy test during the screening period * Known allergy to any of the study medications, their analogues, or excipients in the various formulations of any agent * Systemic treatment, within 14 days before the first dose of MLN9708, with strong inhibitors of CYP1A2 (fluvoxamine, enoxacin, ciprofloxacin), strong inhibitors of CYP3A (clarithromycin, telithromycin, itraconazole, voriconazole, ketoconazole, nefazodone, posaconazole) or strong CYP3A inducers (rifampin, rifapentine, rifabutin, carbamazepine, phenytoin, phenobarbital), or use of Ginkgo biloba or St. John's wort * Major surgery within 14 days prior to the date of randomisation * Radiotherapy within 14 days prior to randomisation * Disease involving the Central Nervous System
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Barts and the London NHS Trust
London, E1 1BB, United Kingdom
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Churchill Hospital
Oxford, OX3 7LE, United Kingdom
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Guy's and St Thomas's NHS Foundation Trust
London, SE1 9RT, United Kingdom
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Heart of England NHS Foundation Trust
Birmingham, B9 5ST, United Kingdom
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Imperial College Healthcare NHS Trust
London, W2 1NY, United Kingdom
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Leeds Teaching Hospitals NHS Trust
Leeds, LS9 7TF, United Kingdom
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North Tees and Hartlepool NHS Foundation Trust
Hartlepool, TS24 9AH, United Kingdom
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Nottingham University Hospital NHS Trust
Nottingham, NG7 2UH, United Kingdom
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Queen Elizabeth Medical Centre
Birmingham, B15 2TH, United Kingdom
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Royal Bournemouth General Hospital
Bournemouth, BH7 7DW, United Kingdom
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Royal Liverpool and Broadgreen University Hospital NHS Trust
Liverpool, L7 8XP, United Kingdom
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Royal Marsden Hospital
London, SW3 6JJ, United Kingdom
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Sheffield Teaching Hospitals NHS Foundation Trust
Sheffield, S5 7AU, United Kingdom
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Southampton University Hospital NHS Trust
Southampton, SO16 6YD, United Kingdom
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The Christie NHS Foundation Trust
Manchester, M20 4BX, United Kingdom
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The Royal Wolverhampton Hospital NHS Trust
Wolverhampton, WV10 0QP, United Kingdom
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University College London Hospitals NHS Foundation Trust
London, NW1 2PG, United Kingdom
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University Hospital Bristol NHS Foundation Trust
Bristol, BS1 3NU, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Cheap blood count ratios eyed as window into Myeloma's inflammatory grip
- Can a t-cell engager rescue myeloma that outsmarted CAR-T?
- Can myeloma treatment work without steroids?
- Double-Drug attack on Hard-to-Treat lymphomas
- Banking blood and bone marrow to decode plasma cell disorders
- Which scan sees hidden myeloma better: PET or MRI?