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Panobinostat or Placebo With Bortezomib and Dexamethasone in Patients With Relapsed Multiple Myeloma

A Multicenter, Randomized, Double Blind, Placebo Controlled Phase III Study of Panobinostat in Combination With Bortezomib and Dexamethasone in Patients With Relapsed Multiple Myeloma

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01023308
Acronym
PANORAMA-1
Enrollment
767
Registered
2009-12-02
Start date
2009-12-21
Completion date
2015-07-30
Last updated
2020-03-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Multiple Myeloma

Keywords

Myeloma, DACi, Bortezomib, Combination, Panobinostat, LBH589D, relapsed, Velcade®, Combination,

Brief summary

Panobinostat (LBH589) is a highly potent pan-deacetylase inhibitor (pan-DACi), inclusive of HDAC6, which disrupts aggresome function, promotes accumulation of cytotoxic misfolded protein aggregates and triggers myeloma cell death. Combination of pan-DAC and protease inhibition by co-treatment with panobinostat (PAN) and bortezomib (BTZ) has demonstrated synergistic cytotoxicity in vitro and in vivo in pre-clinical experiments. Furthermore, clinical experience in advanced multiple myeloma (MM) patients treated by oral panobinostat and i.v bortezomib ± dexamethasone showed very encouraging results for efficacy and manageable toxicity profile. Given the medical need for improved treatment strategies for patients with previously treated and relapsed MM, the purpose of this prospective, multinational, randomized, double-blind, placebo-controlled, parallel group Phase III study is to compare the results in progression-free survival of 2 combination therapies, panobinostat with bortezomib and dexamethasone or placebo with bortezomib and dexamethasone, in patients with previously treated MM whose disease has recurred or progressed.

Interventions

DRUGPanobinostat

Panobinostat was administered 3x week ( 2 weeks on 1 week off)

DRUGBortezomib

Bortezomib was administered 2 x week ( 2weeks on 1 week off)

DRUGDexamethasone

Dexamethasone was adminstered on day of Bortezomib and the day after Bortezomib administration

DRUGPlacebo

Placebo was administered 3x week ( 2 weeks on 1 week off)

Sponsors

Novartis Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Patient has a previous diagnosis of multiple myeloma. 2. Patient requires retreatment for multiple myeloma 3. Patient has measurable M component in serum or urine at study screening

Exclusion criteria

1. Patient who has progressed under all prior lines of anti MM therapy 2. Patient who has been treated by bortezomib before, and did not reach at least a minor response under this therapy, or progressed under it or within 60 days of last dose 3. Patient has shown intolerance to bortezomib or to dexamethasone or components of these drugs or has any contraindication to one or the other drug , following locally applicable prescribing information 4. Patient received prior treatment with DAC inhibitors including panobinostat 5. Patient has impaired cardiac function, or a prolonged QTc interval at screening ECG 6. Patient taking medications with relative risk of prolonging the QT interval or inducing Torsade de pointes 7. Female patient who is pregnant or breast feeding or with childbearing potential and not willing to use a double method of contraception up to 3 months after the end of study treatment. Male patient who is not willing to use a barrier method of contraception up to 3 months after the end of study treatment. Other protocol-defined inclusion/

Design outcomes

Primary

MeasureTime frame
Progression-free Survival Events in Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.45 months
Progression Free Survival in Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.45 months

Secondary

MeasureTime frameDescription
Time to Response Per Investigator Assessment (mEBMT Criteria) of Response Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.45 months
Duration of Response Per Investigator Assessment (mEBMT Criteria) Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.45 months
Time to Progression/Relapse Per Investigator Assessment (mEBMT Criteria) Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.45 months
Overall Survival in Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone45 monthsNumber of OS events
European Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment Group12, 24 and 48 weeksThe EORTC QLQ-C30 measures functional dimensions (physical, role, emotional, cognitive, and social), three multi-item symptom scales (fatigue, nausea/vomiting, and pain), six single-item symptom scales (dyspnea, sleep disturbance, appetite loss, constipation, diarrhea and financial impact) and a global health status/QoL scale. Disease Symptom is the sum of 30 questions, total score ranges from 0 (best possible outcome) to 100 (worst possible outcome), All subscales of EORTC QLQ-C30 have the same score range of 0 -100. For global health status and other functional scales,an increase from baseline indicates improvement of QoL. Whereas for symptoms scales, fatigue, dyspnea, insomnia, appetite loss, constipation and diarrhea, decrease in scores from baseline indicate improvement in symptoms.
Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment Group12, 24 and 48 weeksChronic Illness Therapy (FACIT) Measurement System and focuses on four general quality of life domains for physical well being, functional well-being, social/family well-being, and emotional well-being, and includes additional items to characterize treatment-related neurotoxicity. Higher subscales/total scores represent higher QOL. In the case of the neurotoxicity subscale, lower scores correspond to higher neurotoxicity. The recall period referenced in the questionnaire is the past 7 days.Ranges for FACT-G subscales are as follows:.PWB, scale 0 -28, , NtxS scale 0-44, FACT/GOG-Ntx trial outcome index scale is 0-100 and FACT-G scale is also scaled 0-100. An increase from baseline in these scores indicate improvement.
European Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment Group12, 24 and 48 weeksHigher values in the disease symptoms and side effects of treatment scores indicate worsening. Higher scores in the future perspective and body image scores indicate improvement. LS Means and SEM are estimated from the repeated measures model. Following factors and covariates are included in the repeated measurement model: time, treatment, treatment by time interaction, number of prior lines of anti-MM therapy (1/ 2 and 3), prior use of BTZ (Yes/ No), baseline score.Disease Symptom is the sum of 20 questions, total score ranges from 0 (best possible outcome) to 100 (worst possible outcome), All subscales of EORTC QLQ-MY20 have the same score range of 0 -100. Decrease in symptom scores from baseline indicate improvement in symptoms.
Overall Response Rate in Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.45 monthsBest overall response based on mEBMT criteria per investigator assessment

Countries

Argentina, Australia, Austria, Belgium, Brazil, Canada, China, Czechia, Denmark, Egypt, Finland, France, Germany, Greece, Hong Kong, Israel, Italy, Japan, Lebanon, Mexico, Netherlands, Norway, Poland, Russia, Singapore, South Africa, South Korea, Spain, Sweden, Taiwan, Thailand, Turkey (Türkiye), United Kingdom, United States

Participant flow

Participants by arm

ArmCount
Panobinostat + Bortezomib
Panobinostat was given 20 mg hard gelatin capsules . Bortezomib was given at 1.3 mg/m2 as a 3 to 5 second bolus intravenous (IV)injection. Dexamethasone was given as an oral dose of 20 mg/day.
387
Placebo + Bortezomib
Placebo was given as a hard gelatin capsule in the image of Panobinostat . Bortezomib was given at 1.3 mg/m2 as a 3 to 5 second bolus intravenous (IV) injection. Dexamethasone was given as an oral dose of 20 mg/day.
381
Total768

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAbnormal test proceedure results38
Overall StudyAdministrative problems21
Overall StudyAdverse Event13066
Overall StudyDeath2117
Overall StudyDisease progression82153
Overall StudyLost to Follow-up10
Overall StudyNew Cancer therapy47
Overall StudyProtocol Violation34
Overall StudyUntreated55
Overall StudyWithdrawal by Subject3418

Baseline characteristics

CharacteristicPlacebo + BortezomibPanobinostat + BortezomibTotal
Age, Continuous61.8 years
STANDARD_DEVIATION 9.43
62.4 years
STANDARD_DEVIATION 9.34
62.1 years
STANDARD_DEVIATION 9.38
Race/Ethnicity, Customized
Asian
104 Participants128 Participants232 Participants
Race/Ethnicity, Customized
Black
17 Participants5 Participants22 Participants
Race/Ethnicity, Customized
Caucasian
250 Participants249 Participants499 Participants
Race/Ethnicity, Customized
Other
10 Participants5 Participants15 Participants
Sex: Female, Male
Female
176 Participants185 Participants361 Participants
Sex: Female, Male
Male
205 Participants202 Participants407 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
379 / 381366 / 377
serious
Total, serious adverse events
228 / 381157 / 377

Outcome results

Primary

Progression-free Survival Events in Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.

Time frame: 45 months

ArmMeasureValue (NUMBER)
Panobinostat + BortezomibProgression-free Survival Events in Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.207 number of events
Placebo + BortezomibProgression-free Survival Events in Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.260 number of events
Primary

Progression Free Survival in Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.

Time frame: 45 months

Population: Full Analysis Set

ArmMeasureValue (MEDIAN)
Panobinostat + BortezomibProgression Free Survival in Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.11.99 months
Placebo + BortezomibProgression Free Survival in Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.8.80 months
Secondary

Duration of Response Per Investigator Assessment (mEBMT Criteria) Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.

Time frame: 45 months

ArmMeasureValue (MEDIAN)
Panobinostat + BortezomibDuration of Response Per Investigator Assessment (mEBMT Criteria) Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.13.14 duration of response in months
Placebo + BortezomibDuration of Response Per Investigator Assessment (mEBMT Criteria) Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.10.87 duration of response in months
Secondary

European Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment Group

The EORTC QLQ-C30 measures functional dimensions (physical, role, emotional, cognitive, and social), three multi-item symptom scales (fatigue, nausea/vomiting, and pain), six single-item symptom scales (dyspnea, sleep disturbance, appetite loss, constipation, diarrhea and financial impact) and a global health status/QoL scale. Disease Symptom is the sum of 30 questions, total score ranges from 0 (best possible outcome) to 100 (worst possible outcome), All subscales of EORTC QLQ-C30 have the same score range of 0 -100. For global health status and other functional scales,an increase from baseline indicates improvement of QoL. Whereas for symptoms scales, fatigue, dyspnea, insomnia, appetite loss, constipation and diarrhea, decrease in scores from baseline indicate improvement in symptoms.

Time frame: 12, 24 and 48 weeks

Population: Full Analysis Set

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupGlobal health wk 24 change baseline (n=150,176)-7.867 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupFatigue wk 48 chge(n=38,26)4.646 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupCognitive functioning wk 12 chge (n=216,240)-4.464 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupDyspnea wk 12 chge (n=217,240)13.964 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupPhysical functioning wk 48 chge (n=38,26)-2.88 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupDyspnea wk 24 chge (n=151,177)7.939 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupCognitive functioning wk 24 chge (n=149,176)-6.053 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupDyspnea wk 48 chge (n=38,26)4.118 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupPhysical functioning wk 12 chge (n=217,242)-9.67 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupInsomnia wk 12 chge (n=216,239)6.283 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupCognitive functioning wk 48 chge (n=38,26)-5.568 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupInsomnia wk 24 chge (n=149,176)10.023 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupRole functioning wk 12 chge (n=215,237)-11.159 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupInsomnia wk 48 chge (n=38,26)-2.464 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupSocial functioning wk 12 chge (n=216,240)-8.502 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupAppetite loss wk 12 chge (n=217,239)15.167 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupGlobal health wk 48 change baseline (n=38,26)-2.986 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupAppetite loss wk 24 chge (n=151,176)16.574 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupSocial functioning wk 24 chge (n=148,171)-8.925 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupAppetite loss wk 48 chge (n=38,26)3.999 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupRole functioning wk 24 chge (n=150,176)-11.875 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupConstipation wk 12 chge (n=215,240)4.135 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupSocial functioning wk 48 chge (n=37,26)-6.104 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupConstipation wk 24 chge (n=151,177)-0.153 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupPhysical functioning wk 24 chge (n=151,177)-9.516 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupConstipation wk 48 chge (n=38,25)-0.358 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupFatigue wk 12 chge (n=217,241)15.122 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupDiarrhea wk 12 chge (n=217,241)18.888 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupRole functioning wk 48 chge (n=38,26)-5.927 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupDiarrhea wk 24 chge (n=150,177)23.163 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupFatigue wk 24 chge (n=151,176)12.677 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupDiarrhea wk 48 chge (n=38,26)20.48 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupGlobal health wk 12 change baseline (n=216,239)-9.853 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupDiarrhea wk 48 chge (n=38,26)10.996 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupGlobal health wk 12 change baseline (n=216,239)-4.044 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupGlobal health wk 24 change baseline (n=150,176)-1.518 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupGlobal health wk 48 change baseline (n=38,26)4.345 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupPhysical functioning wk 12 chge (n=217,242)-5.393 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupPhysical functioning wk 24 chge (n=151,177)-6.456 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupPhysical functioning wk 48 chge (n=38,26)2.037 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupRole functioning wk 12 chge (n=215,237)-6.762 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupRole functioning wk 24 chge (n=150,176)-11.263 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupRole functioning wk 48 chge (n=38,26)-0.401 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupCognitive functioning wk 12 chge (n=216,240)-1.023 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupCognitive functioning wk 24 chge (n=149,176)-3.542 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupCognitive functioning wk 48 chge (n=38,26)-4.042 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupSocial functioning wk 12 chge (n=216,240)-3.991 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupSocial functioning wk 24 chge (n=148,171)-6.338 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupSocial functioning wk 48 chge (n=37,26)4.617 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupFatigue wk 12 chge (n=217,241)7.939 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupFatigue wk 24 chge (n=151,176)9.203 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupFatigue wk 48 chge(n=38,26)-2.625 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupDyspnea wk 12 chge (n=217,240)6.266 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupDyspnea wk 24 chge (n=151,177)5.308 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupDyspnea wk 48 chge (n=38,26)2.82 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupInsomnia wk 12 chge (n=216,239)7.625 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupInsomnia wk 24 chge (n=149,176)6.104 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupInsomnia wk 48 chge (n=38,26)-3.442 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupAppetite loss wk 12 chge (n=217,239)5.383 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupAppetite loss wk 24 chge (n=151,176)5.861 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupAppetite loss wk 48 chge (n=38,26)-2.963 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupConstipation wk 12 chge (n=215,240)6.42 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupConstipation wk 24 chge (n=151,177)0.524 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupConstipation wk 48 chge (n=38,25)-0.946 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupDiarrhea wk 12 chge (n=217,241)10.206 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC ) QLQ-C30 - Summary Statistics by Treatment GroupDiarrhea wk 24 chge (n=150,177)16.406 score on a scale
Secondary

European Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment Group

Higher values in the disease symptoms and side effects of treatment scores indicate worsening. Higher scores in the future perspective and body image scores indicate improvement. LS Means and SEM are estimated from the repeated measures model. Following factors and covariates are included in the repeated measurement model: time, treatment, treatment by time interaction, number of prior lines of anti-MM therapy (1/ 2 and 3), prior use of BTZ (Yes/ No), baseline score.Disease Symptom is the sum of 20 questions, total score ranges from 0 (best possible outcome) to 100 (worst possible outcome), All subscales of EORTC QLQ-MY20 have the same score range of 0 -100. Decrease in symptom scores from baseline indicate improvement in symptoms.

Time frame: 12, 24 and 48 weeks

Population: Full Analysis Set

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupBody image wk 48 chge (n=37,26)-2.161 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupDisease Symptom wk 12 change baseline (n=215,243)-4.795 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupDisease Symptom wk 24 change baseline (n=148,177)-4.401 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupDisease Symptom wk 48 change baseline (n=37,26)-2.836 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupSide effects of treatment wk 12 chge (n=213,242)8.162 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupSide effects of treatment wk 24 chge (n=148,175)9.016 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupSide effects of treatment wk 48 chge (n=37,26)3.357 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupFuture perspective wk 12 chge (n=214,242)5.319 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupFuture perspective wk 24 chge (n=148,176)3.877 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupFuture perspective wk 48 chge (n=37,26)4.331 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupBody image wk 12 chge (n=213,240)-7.178 score on a scale
Panobinostat + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupBody image wk 24 chge (n=147,175)-11.463 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupBody image wk 12 chge (n=213,240)-6.22 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupBody image wk 48 chge (n=37,26)-4.666 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupSide effects of treatment wk 48 chge (n=37,26)3.654 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupDisease Symptom wk 12 change baseline (n=215,243)-4.865 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupFuture perspective wk 48 chge (n=37,26)6.951 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupDisease Symptom wk 24 change baseline (n=148,177)-6.797 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupFuture perspective wk 12 chge (n=214,242)6.194 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupDisease Symptom wk 48 change baseline (n=37,26)-6.626 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupBody image wk 24 chge (n=147,175)-7.358 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupSide effects of treatment wk 12 chge (n=213,242)5.524 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupFuture perspective wk 24 chge (n=148,176)5.839 score on a scale
Placebo + BortezomibEuropean Organization for Research and Treatment of Cancer Multiple Myeloma Module (EORTC) QLQ-MY20-Change From Baseline by Treatment GroupSide effects of treatment wk 24 chge (n=148,175)7.731 score on a scale
Secondary

Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment Group

Chronic Illness Therapy (FACIT) Measurement System and focuses on four general quality of life domains for physical well being, functional well-being, social/family well-being, and emotional well-being, and includes additional items to characterize treatment-related neurotoxicity. Higher subscales/total scores represent higher QOL. In the case of the neurotoxicity subscale, lower scores correspond to higher neurotoxicity. The recall period referenced in the questionnaire is the past 7 days.Ranges for FACT-G subscales are as follows:.PWB, scale 0 -28, , NtxS scale 0-44, FACT/GOG-Ntx trial outcome index scale is 0-100 and FACT-G scale is also scaled 0-100. An increase from baseline in these scores indicate improvement.

Time frame: 12, 24 and 48 weeks

Population: Full Analysis Set

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
Panobinostat + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupPhysical wellbeing wk 12 chge (n=215,240)-3.29 score on a scale
Panobinostat + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupTrial Outcomes wk 24 chge (n=148,173)-9.84 score on a scale
Panobinostat + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupNeurotoxicity wk 12 change baseline (n=212,240)-4.481 score on a scale
Panobinostat + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupTrial Outcomes wk 48 chge (n=35,26)-6.633 score on a scale
Panobinostat + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupPhysical wellbeingwk 24 chge (n=150,176)-3.044 score on a scale
Panobinostat + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupFACT-G Total wk 12 chge (n=213,240)-6.658 score on a scale
Panobinostat + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupNeurotoxicity wk 48 change baseline (n=35,26)-3.158 score on a scale
Panobinostat + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupFACT-G Totalwk 24 chge (n=147,175)-6.076 score on a scale
Panobinostat + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupPhysical wellbeing wk 48 chge (n=38,26)-2.037 score on a scale
Panobinostat + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupFACT-G Total wk 48 chge (n=37,26)-2.704 score on a scale
Panobinostat + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupNeurotoxicity wk 24 change baseline (n=148,174)-4.564 score on a scale
Panobinostat + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupFACT/GOGNTX Total wk 12 chge (n=206,230)-11.176 score on a scale
Panobinostat + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupTrial Outcomes wk 12 chge (n=209,236)-10.573 score on a scale
Panobinostat + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupFACT/GOGNTX Total wk 24 chge (n=146,172)-10.581 score on a scale
Panobinostat + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupFACT/GOGNTX Total wk 48 chge (n=35,26)-5.871 score on a scale
Placebo + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupFACT/GOGNTX Total wk 24 chge (n=146,172)-9.179 score on a scale
Placebo + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupFACT/GOGNTX Total wk 48 chge (n=35,26)-3.151 score on a scale
Placebo + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupNeurotoxicity wk 12 change baseline (n=212,240)-3.337 score on a scale
Placebo + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupNeurotoxicity wk 24 change baseline (n=148,174)-4.739 score on a scale
Placebo + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupNeurotoxicity wk 48 change baseline (n=35,26)-2.133 score on a scale
Placebo + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupPhysical wellbeing wk 12 chge (n=215,240)-1.952 score on a scale
Placebo + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupPhysical wellbeingwk 24 chge (n=150,176)-2.259 score on a scale
Placebo + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupPhysical wellbeing wk 48 chge (n=38,26)0.203 score on a scale
Placebo + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupTrial Outcomes wk 12 chge (n=209,236)-6.874 score on a scale
Placebo + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupTrial Outcomes wk 24 chge (n=148,173)-8.894 score on a scale
Placebo + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupTrial Outcomes wk 48 chge (n=35,26)-2.821 score on a scale
Placebo + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupFACT-G Total wk 12 chge (n=213,240)-4.106 score on a scale
Placebo + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupFACT-G Totalwk 24 chge (n=147,175)-4.609 score on a scale
Placebo + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupFACT-G Total wk 48 chge (n=37,26)-1.435 score on a scale
Placebo + BortezomibFunctional Assessment of Chronic Illness Therapy (FACIT) Measurement System : FACT/GOG-NTX-Change From Baseline by Treatment GroupFACT/GOGNTX Total wk 12 chge (n=206,230)-7.524 score on a scale
Secondary

Overall Response Rate in Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.

Best overall response based on mEBMT criteria per investigator assessment

Time frame: 45 months

ArmMeasureValue (NUMBER)
Panobinostat + BortezomibOverall Response Rate in Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.60.7 % participants with response
Placebo + BortezomibOverall Response Rate in Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.54.6 % participants with response
Secondary

Overall Survival in Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone

survival time in months

Time frame: 45 months

Population: FAS

ArmMeasureValue (MEDIAN)
Panobinostat + BortezomibOverall Survival in Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone40.28 months
Placebo + BortezomibOverall Survival in Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone35.78 months
Secondary

Overall Survival in Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone

Number of OS events

Time frame: 45 months

ArmMeasureValue (NUMBER)
Panobinostat + BortezomibOverall Survival in Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone134 Number of OS events
Placebo + BortezomibOverall Survival in Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone152 Number of OS events
Secondary

Time to Progression/Relapse Per Investigator Assessment (mEBMT Criteria) Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.

Time frame: 45 months

ArmMeasureValue (MEDIAN)
Panobinostat + BortezomibTime to Progression/Relapse Per Investigator Assessment (mEBMT Criteria) Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.12.71 months
Placebo + BortezomibTime to Progression/Relapse Per Investigator Assessment (mEBMT Criteria) Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.8.54 months
Secondary

Time to Response Per Investigator Assessment (mEBMT Criteria) of Response Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.

Time frame: 45 months

ArmMeasureValue (MEDIAN)
Panobinostat + BortezomibTime to Response Per Investigator Assessment (mEBMT Criteria) of Response Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.1.51 time to response in months
Placebo + BortezomibTime to Response Per Investigator Assessment (mEBMT Criteria) of Response Patients Treated With Panobinostat in Combination With Bortezomib and Dexamethasone vs. Patients Treated by Placebo in Combination With Bortezomib and Dexamethasone.2.00 time to response in months

Source: ClinicalTrials.gov · Data processed: Mar 19, 2026