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A Post-Approval Pharmacokinetic Study of Bortezomib in Participants With Multiple Myeloma

A Post Approval Commitment Study for Pharmacokinetic Analysis and Providing Expanded Access to Bortezomib (Velcade) for Patients With Multiple Myeloma Who Have Received at Least Two Previous Lines of Therapy and Are Refractory to or Have Relapsed After Their Last Therapy for Multiple Myeloma in Taiwan

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01801436
Enrollment
14
Registered
2013-02-28
Start date
2006-12-31
Completion date
2008-04-30
Last updated
2013-05-16

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

Conditions

Multiple Myeloma

Keywords

Multiple Myeloma, Bortezomib, Velcade

Brief summary

The purpose of this post marketing study is to determine the plasma concentration of bortezomib (unchanged drug) to assess the pharmacokinetic (PK - the study of the way a drug enters and leaves the blood and tissues over time) properties in the Taiwanese population. It will also provide expanded access (expanded access, sometimes called compassionate use, is the use of an investigational drug outside of a clinical trial to treat a participant with a serious or immediately life-threatening disease or condition who has no comparable or satisfactory alternative treatment options) to bortezomib for the same group of participants with multiple myeloma (cancer of the types of cells normally found in bone marrow).

Detailed description

This is an open-label (all people know the identity of the intervention), single-arm, multi-center (conducted in more than 1 center) study to assess the PK of bortezomib and to provide expanded access to bortezomib for 14 Taiwanese participants with multiple myeloma who have received at least 2 previous lines of therapy (medicine or medical care given to a participant for a disease or condition) and are refractory (not responding to treatment) to or have relapsed (the return of a medical problem) after their last therapy. Eligible participants will receive bortezomib 1.3 milligram (mg) per meter square (m\^2) on Days 1, 4, 8, and 11 of each 3-week cycle for up to 8 cycles. Blood samples for PK assessment will be collected on specified time points of Day 1, Day 8, and Day 11 of Cycle 1. Efficacy of the participants will primarily be evaluated by recording 'response to treatment' and 'Karnofsky Performance Status'. Participants' safety will be monitored throughout the study.

Interventions

DRUGBortezomib

Bortezomib 1.3 mg per (m\^2) on Days 1, 4, 8, and 11 of each 3-week cycle for up to 8 cycles.

Sponsors

Johnson & Johnson Taiwan Ltd
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Participants previously diagnosed with multiple myeloma based on standard criteria * Participant has received at least 2 previous lines of therapy for multiple myeloma and, in the Investigator's opinion, currently requires therapy because of relapsed (the return of a medical problem) or progressive disease * Female participants either postmenopausal or surgically sterilized or willing to use an acceptable method of birth control from Screening through the Final Visit * If male, the participant agrees to use an acceptable barrier method for contraception from Screening through the Final Visit * Participant has a Karnofsky performance status classifies participants as to their functional impairment and is used to compare effectiveness of different therapies and to assess the prognosis \[outlook, probable outcomes\] in individual participants) greater than 60

Exclusion criteria

* If the participant received bortezomib in a previous trial, the Participants' best response to bortezomib must be progressive disease * If the participant received bortezomib in a previous trial, the participant must have experienced 1 or more serious adverse events * Participants who have received nitrosoureas within 6 weeks or any other chemotherapy (treatment of disease, usually cancer, by chemical agents) within 3 weeks before enrollment * Participants who have received corticosteroids (greater than 10 milligram per day prednisone or equivalent) within 3 weeks before enrollment * Human Immunodeficiency Virus (HIV - a life-threatening infection which you can get from an infected person's blood or from having sex with an infected person)-positive or hepatitis-B surface antigen-positive participants or participants with known active hepatitis-C infection

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Response to Treatment at Day 1 of Cycle 5Day 1 of Cycle 5Response to treatment was based on the changes in monoclonal protein (M-protein) in serum and urine. Response categories were complete response: complete clearance of M-protein for at least 6 weeks, response: at least 75 percent reduction in M-protein for at least 2 determinations 6 weeks apart, partial response: 50 to 74 percent reduction in M-protein, minimal response: 25 to 49 percent reduction in M-protein, stable disease: not qualifying minimal response or progression and progression: increased M-protein level in serum or urine or clinical signs of disease progression.
Number of Participants With Response to Treatment at Day 1 of Cycle 7Day 1 of Cycle 7Response to treatment was based on the changes in monoclonal protein (M-protein) in serum and urine. Response categories were complete response: complete clearance of M-protein for at least 6 weeks, response: at least 75 percent reduction in M-protein for at least 2 determinations 6 weeks apart, partial response: 50 to 74 percent reduction in M-protein, minimal response: 25 to 49 percent reduction in M-protein, stable disease: not qualifying minimal response or progression and progression: increased M-protein level in serum or urine or clinical signs of disease progression.
Number of Participants With Response to Treatment at Day 11 of Cycle 8Day 11 of Cycle 8Response to treatment was based on the changes in monoclonal protein (M-protein) in serum and urine. Response categories were complete response: complete clearance of M-protein for at least 6 weeks, response: at least 75 percent reduction in M-protein for at least 2 determinations 6 weeks apart, partial response: 50 to 74 percent reduction in M-protein, minimal response: 25 to 49 percent reduction in M-protein, stable disease: not qualifying minimal response or progression and progression: increased M-protein level in serum or urine or clinical signs of disease progression.
Number of Participants With Karnofsky Performance Status (KPS) Score at BaselineBaselineThe KPS Index allows participants to be classified as per their functional impairment (abnormal function). This can be used to compare effectiveness of different therapies (medicine or medical care given to a participant for a disease or condition) and to assess the prognosis (outlook, probable outcomes) in individual participants. KPS was recorded on an 11-point scale (0, 10, 20, 30, 40, 50, 60, 70, 80, 90, and 100.) where '0=Dead' and '100=Normal, no complaints, no evidence of disease'. The lower the Karnofsky score, the worse the survival for most serious illnesses.
Number of Participants With KPS Score at Day 1 of Cycle 1Day 1 of Cycle 1The KPS Index allows participants to be classified as per their functional impairment (abnormal function). This can be used to compare effectiveness of different therapies (medicine or medical care given to a participant for a disease or condition) and to assess the prognosis (outlook, probable outcomes) in individual participants. KPS was recorded on an 11-point scale (0, 10, 20, 30, 40, 50, 60, 70, 80, 90, and 100.) where '0=Dead' and '100=Normal, no complaints, no evidence of disease'. The lower the Karnofsky score, the worse the survival for most serious illnesses.
Number of Participants With KPS Score at Day 1 of Cycle 3Day 1 of Cycle 3The KPS Index allows participants to be classified as per their functional impairment (abnormal function). This can be used to compare effectiveness of different therapies (medicine or medical care given to a participant for a disease or condition) and to assess the prognosis (outlook, probable outcomes) in individual participants. KPS was recorded on an 11-point scale (0, 10, 20, 30, 40, 50, 60, 70, 80, 90, and 100.) where '0=Dead' and '100=Normal, no complaints, no evidence of disease'. The lower the Karnofsky score, the worse the survival for most serious illnesses.
Number of Participants With KPS Score at Day 1 of Cycle 5Day 1 of Cycle 5The KPS Index allows participants to be classified as per their functional impairment (abnormal function). This can be used to compare effectiveness of different therapies (medicine or medical care given to a participant for a disease or condition) and to assess the prognosis (outlook, probable outcomes) in individual participants. KPS was recorded on an 11-point scale (0, 10, 20, 30, 40, 50, 60, 70, 80, 90, and 100.) where '0=Dead' and '100=Normal, no complaints, no evidence of disease'. The lower the Karnofsky score, the worse the survival for most serious illnesses.
Number of Participants With KPS Score at Day 1 of Cycle 7Day 1 of Cycle 7The KPS Index allows participants to be classified as per their functional impairment (abnormal function). This can be used to compare effectiveness of different therapies (medicine or medical care given to a participant for a disease or condition) and to assess the prognosis (outlook, probable outcomes) in individual participants. KPS was recorded on an 11-point scale (0, 10, 20, 30, 40, 50, 60, 70, 80, 90, and 100.) where '0=Dead' and '100=Normal, no complaints, no evidence of disease'. The lower the Karnofsky score, the worse the survival for most serious illnesses.
Number of Participants With KPS Score at Day 11 of Cycle 8Day 11 of Cycle 8The KPS Index allows participants to be classified as per their functional impairment (abnormal function). This can be used to compare effectiveness of different therapies (medicine or medical care given to a participant for a disease or condition) and to assess the prognosis (outlook, probable outcomes) in individual participants. KPS was recorded on an 11-point scale (0, 10, 20, 30, 40, 50, 60, 70, 80, 90, and 100.) where '0=Dead' and '100=Normal, no complaints, no evidence of disease'. The lower the Karnofsky score, the worse the survival for most serious illnesses.
Maximum Observed Plasma Concentration (Cmax) of Bortezomib on Day 1 of Cycle 10 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 1 of Cycle 1The Cmax is observed maximum plasma concentration, taken directly from the plasma concentration-time profile.
Maximum Observed Plasma Concentration (Cmax) of Bortezomib on Day 11 of Cycle 10 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1The Cmax is observed maximum plasma concentration, taken directly from the plasma concentration-time profile.
Time to Reach Maximum Observed Plasma Concentration (Tmax) of Bortezomib on Day 1 of Cycle 10 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 1 of Cycle 1Tmax is the time when Cmax is observed, taken directly from the plasma concentration-time profile.
Time to Reach Maximum Observed Plasma Concentration (Tmax) of Bortezomib on Day 11 of Cycle 10 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1Tmax is the time when Cmax is observed, taken directly from the plasma concentration-time profile.
Elimination Half-Life Period (T1/2) of Bortezomib on Day 1 of Cycle 10 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 1 of Cycle 1The T1/2 is the time measured for the plasma concentration to decrease by 1 half to its original concentration. It is associated with the terminal rate-constant (lambda\[z\]) of the semi logarithmic drug concentration-time curve, and is calculated as 0.693/lambda(z).
Elimination Half-Life Period (T1/2) of Bortezomib on Day 11 of Cycle 10 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1The T1/2 is the time measured for the plasma concentration to decrease by 1 half to its original concentration. It is associated with the terminal rate-constant (lambda\[z\]) of the semi logarithmic drug concentration-time curve, and is calculated as 0.693/lambda(z).
Terminal Rate Constant (Lambda[z]) of Bortezomib on Day 1 of Cycle 10 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 1 of Cycle 1Lambda(z) is defined as terminal rate-constant which reflect the speed of drug elimination in vivo (within the living), and is estimated by log-linear regression analysis of the terminal phase of the plasma concentration versus time curve for at least 3 points.
Terminal Rate Constant (Lambda[z]) of Bortezomib on Day 11 of Cycle 10 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1Lambda(z) is defined as terminal rate-constant which reflect the speed of drug elimination in vivo (within the living), and is estimated by log-linear regression analysis of the terminal phase of the plasma concentration versus time curve for at least 3 points.
Area Under the Plasma Concentration-Time Curve From Time Zero to Time at Last Observed Quantifiable Concentration (AUC[0-t]) of Bortezomib on Day 1 of Cycle 10 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 1 of Cycle 1The AUC(0-t) is area under the plasma concentration-time curve from time zero to the last quantifiable concentration determined by the trapezoidal rule.
Area Under the Plasma Concentration-Time Curve From Time Zero to Time at Last Observed Quantifiable Concentration (AUC[0-t]) of Bortezomib on Day 11 of Cycle 10 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1The AUC(0-t) is area under the plasma concentration-time curve from zero to the last quantifiable concentration determined by the trapezoidal rule.
Area Under the Plasma Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]) of Bortezomib on Day 1 of Cycle 1Day 1 of Cycle 1The AUC(0-infinity) is area under the plasma concentration-time curve from time zero to infinite time, calculated as the sum of AUC(last) and C(last)/lambda(z), in which C(last) is the last observed quantifiable concentration.
Area Under the Plasma Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]) of Bortezomib on Day 11 of Cycle 10 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1The AUC(0-infinity) is area under the plasma concentration-time curve from time zero to infinite time, calculated as the sum of AUC(last) and C(last)/lambda(z), in which C(last) is the last observed quantifiable concentration.
Area Under First Moment Plasma Concentration-Time Curve (AUMC) of Bortezomib on Day 1 of Cycle 10 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 1 of Cycle 1AUMC is defined as the area under first moment plasma concentration-time curve from time of dosing up to definite time t, to infinity, or to the time of last measurable concentration determined by the following equation: AUMC(0 to infinity)=Cntn/k elimination(el) + Cn/k(el\^2) summation\[(tn - tn\^-1) (Cn\^-1) (tn\^-1)\] + Cntn/2 where Cn=last quantifiable concentration, tn=time at which Cn is measured, k=rate constant.
Area Under First Moment Plasma Concentration-Time Curve (AUMC) of Bortezomib on Day 11 of Cycle 10 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1AUMC is defined as the area under first moment plasma concentration-time curve from time of dosing up to definite time t, to infinity, or to the time of last measurable concentration determined by the following equation: AUMC(0 to infinity)=Cntn/k elimination(el) + Cn/k(el\^2) summation\[(tn - tn\^-1) (Cn\^-1) (tn\^-1)\] + Cntn/2 where Cn=last quantifiable concentration, tn=time at which Cn is measured, k=rate constant.
Mean Residence Time (MRT) of Bortezomib in the Body on Day 1 of Cycle 10 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 1 of Cycle 1The MRT is the average time at which the number of absorbed molecules reside in the body, after single-dose administration, and calculated as AUMC(infinity)/AUC(infinity) where AUMC(infinity) is area under the plasma concentration-time first moment curve from time zero to infinite time and AUC(infinity) is the area under the plasma concentration-time curve from time zero to infinite time.
Mean Residence Time (MRT) of Bortezomib in the Body on Day 11 of Cycle 10 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1The MRT is the average time at which the number of absorbed molecules reside in the body, after single-dose administration, and calculated as AUMC(infinity)/AUC(infinity) where AUMC(infinity) is area under the plasma concentration-time first moment curve from time zero to infinite time and AUC(infinity) is the area under the plasma concentration-time curve from time zero to infinite time.
Systemic Clearance (CL) of Bortezomib on Day 1 of Cycle 10 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 1 of Cycle 1Systemic CL is a quantitative measure of the rate at which a drug substance is removed from the body. The total systemic clearance after intravenous dose was estimated by dividing the total administered dose by the plasma AUC(0-infinity).
Systemic Clearance (CL) of Bortezomib on Day 11 of Cycle 10 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1Systemic CL is a quantitative measure of the rate at which a drug substance is removed from the body. The total systemic clearance after intravenous dose was estimated by dividing the total administered dose by the plasma AUC(0-infinity).
Volume of Distribution at Steady-State (Vss) of Bortezomib on Day 1 of Cycle 10 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 1 of Cycle 1Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Steady state volume of distribution (Vss) is the apparent volume of distribution at steady-state which is estimated by (D/AUC\[0-infinity\])\*(AUMC\[0-infinity\])/AUC\[0-infinity\]) where D is the dose of study drug, AUMC(0-infinity) is the area under the first moment curve extrapolated to infinity and AUC(0-infinity) is the area under the plasma concentration-time curve from time zero to infinite time.
Volume of Distribution at Steady-State (Vss) of Bortezomib on Day 11 of Cycle 10 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Steady state volume of distribution (Vss) is the apparent volume of distribution at steady-state which is estimated by (D/AUC\[0-infinity\])\*(AUMC\[0-infinity\])/AUC\[0-infinity\]) where D is the dose of study drug, AUMC(0-infinity) is the area under the first moment curve extrapolated to infinity and AUC(0-infinity) is the area under the plasma concentration-time curve from time zero to infinite time.

Participant flow

Participants by arm

ArmCount
Bortezomib
Participants received 1.3 mg per m\^2 of bortezomib on Days 1, 4, 8, and 11 of each 3-week cycle for up to 8 cycles.
14
Total14

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event2
Overall StudyProgressive disease4
Overall StudyWithdrawal by Subject3

Baseline characteristics

CharacteristicBortezomib
Age Continuous62.63 Years
STANDARD_DEVIATION 8.31
Sex: Female, Male
Female
8 Participants
Sex: Female, Male
Male
6 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
โ€” / โ€”
other
Total, other adverse events
14 / 14
serious
Total, serious adverse events
14 / 14

Outcome results

Primary

Area Under First Moment Plasma Concentration-Time Curve (AUMC) of Bortezomib on Day 11 of Cycle 1

AUMC is defined as the area under first moment plasma concentration-time curve from time of dosing up to definite time t, to infinity, or to the time of last measurable concentration determined by the following equation: AUMC(0 to infinity)=Cntn/k elimination(el) + Cn/k(el\^2) summation\[(tn - tn\^-1) (Cn\^-1) (tn\^-1)\] + Cntn/2 where Cn=last quantifiable concentration, tn=time at which Cn is measured, k=rate constant.

Time frame: 0 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1

Population: The PP population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibArea Under First Moment Plasma Concentration-Time Curve (AUMC) of Bortezomib on Day 11 of Cycle 139414.06 Hour square*ng per mlStandard Deviation 51021.07
Primary

Area Under First Moment Plasma Concentration-Time Curve (AUMC) of Bortezomib on Day 1 of Cycle 1

AUMC is defined as the area under first moment plasma concentration-time curve from time of dosing up to definite time t, to infinity, or to the time of last measurable concentration determined by the following equation: AUMC(0 to infinity)=Cntn/k elimination(el) + Cn/k(el\^2) summation\[(tn - tn\^-1) (Cn\^-1) (tn\^-1)\] + Cntn/2 where Cn=last quantifiable concentration, tn=time at which Cn is measured, k=rate constant.

Time frame: 0 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 1 of Cycle 1

Population: The PP population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibArea Under First Moment Plasma Concentration-Time Curve (AUMC) of Bortezomib on Day 1 of Cycle 120678.41 Hour square*ng per mlStandard Deviation 54596.1
Primary

Area Under the Plasma Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]) of Bortezomib on Day 11 of Cycle 1

The AUC(0-infinity) is area under the plasma concentration-time curve from time zero to infinite time, calculated as the sum of AUC(last) and C(last)/lambda(z), in which C(last) is the last observed quantifiable concentration.

Time frame: 0 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1

Population: The PP population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibArea Under the Plasma Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]) of Bortezomib on Day 11 of Cycle 1349.62 Hour*ng per mlStandard Deviation 178.81
Primary

Area Under the Plasma Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]) of Bortezomib on Day 1 of Cycle 1

The AUC(0-infinity) is area under the plasma concentration-time curve from time zero to infinite time, calculated as the sum of AUC(last) and C(last)/lambda(z), in which C(last) is the last observed quantifiable concentration.

Time frame: Day 1 of Cycle 1

Population: The PP population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibArea Under the Plasma Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]) of Bortezomib on Day 1 of Cycle 1106.99 Hour*ng per mlStandard Deviation 126.91
Primary

Area Under the Plasma Concentration-Time Curve From Time Zero to Time at Last Observed Quantifiable Concentration (AUC[0-t]) of Bortezomib on Day 11 of Cycle 1

The AUC(0-t) is area under the plasma concentration-time curve from zero to the last quantifiable concentration determined by the trapezoidal rule.

Time frame: 0 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1

Population: The PP population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibArea Under the Plasma Concentration-Time Curve From Time Zero to Time at Last Observed Quantifiable Concentration (AUC[0-t]) of Bortezomib on Day 11 of Cycle 1190.39 Hour*ng per mLStandard Deviation 55.27
Primary

Area Under the Plasma Concentration-Time Curve From Time Zero to Time at Last Observed Quantifiable Concentration (AUC[0-t]) of Bortezomib on Day 1 of Cycle 1

The AUC(0-t) is area under the plasma concentration-time curve from time zero to the last quantifiable concentration determined by the trapezoidal rule.

Time frame: 0 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 1 of Cycle 1

Population: PP population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibArea Under the Plasma Concentration-Time Curve From Time Zero to Time at Last Observed Quantifiable Concentration (AUC[0-t]) of Bortezomib on Day 1 of Cycle 151.86 Hour*ng per mlStandard Deviation 30.56
Primary

Elimination Half-Life Period (T1/2) of Bortezomib on Day 11 of Cycle 1

The T1/2 is the time measured for the plasma concentration to decrease by 1 half to its original concentration. It is associated with the terminal rate-constant (lambda\[z\]) of the semi logarithmic drug concentration-time curve, and is calculated as 0.693/lambda(z).

Time frame: 0 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1

Population: The PP population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibElimination Half-Life Period (T1/2) of Bortezomib on Day 11 of Cycle 151.55 HoursStandard Deviation 87.2
Primary

Elimination Half-Life Period (T1/2) of Bortezomib on Day 1 of Cycle 1

The T1/2 is the time measured for the plasma concentration to decrease by 1 half to its original concentration. It is associated with the terminal rate-constant (lambda\[z\]) of the semi logarithmic drug concentration-time curve, and is calculated as 0.693/lambda(z).

Time frame: 0 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 1 of Cycle 1

Population: The PP population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibElimination Half-Life Period (T1/2) of Bortezomib on Day 1 of Cycle 10.08 HoursStandard Deviation 0.07
Primary

Maximum Observed Plasma Concentration (Cmax) of Bortezomib on Day 11 of Cycle 1

The Cmax is observed maximum plasma concentration, taken directly from the plasma concentration-time profile.

Time frame: 0 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1

Population: The PP population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibMaximum Observed Plasma Concentration (Cmax) of Bortezomib on Day 11 of Cycle 1127.02 ng per mlStandard Deviation 59.8
Primary

Maximum Observed Plasma Concentration (Cmax) of Bortezomib on Day 1 of Cycle 1

The Cmax is observed maximum plasma concentration, taken directly from the plasma concentration-time profile.

Time frame: 0 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 1 of Cycle 1

Population: The Per-protocol (PP) population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibMaximum Observed Plasma Concentration (Cmax) of Bortezomib on Day 1 of Cycle 176.43 Nanogram per millileter (ng per ml)Standard Deviation 38.47
Primary

Mean Residence Time (MRT) of Bortezomib in the Body on Day 11 of Cycle 1

The MRT is the average time at which the number of absorbed molecules reside in the body, after single-dose administration, and calculated as AUMC(infinity)/AUC(infinity) where AUMC(infinity) is area under the plasma concentration-time first moment curve from time zero to infinite time and AUC(infinity) is the area under the plasma concentration-time curve from time zero to infinite time.

Time frame: 0 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1

Population: PP population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibMean Residence Time (MRT) of Bortezomib in the Body on Day 11 of Cycle 188.74 HourStandard Deviation 58.38
Primary

Mean Residence Time (MRT) of Bortezomib in the Body on Day 1 of Cycle 1

The MRT is the average time at which the number of absorbed molecules reside in the body, after single-dose administration, and calculated as AUMC(infinity)/AUC(infinity) where AUMC(infinity) is area under the plasma concentration-time first moment curve from time zero to infinite time and AUC(infinity) is the area under the plasma concentration-time curve from time zero to infinite time.

Time frame: 0 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 1 of Cycle 1

Population: The PP population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibMean Residence Time (MRT) of Bortezomib in the Body on Day 1 of Cycle 165.97 HourStandard Deviation 121.65
Primary

Number of Participants With Karnofsky Performance Status (KPS) Score at Baseline

The KPS Index allows participants to be classified as per their functional impairment (abnormal function). This can be used to compare effectiveness of different therapies (medicine or medical care given to a participant for a disease or condition) and to assess the prognosis (outlook, probable outcomes) in individual participants. KPS was recorded on an 11-point scale (0, 10, 20, 30, 40, 50, 60, 70, 80, 90, and 100.) where '0=Dead' and '100=Normal, no complaints, no evidence of disease'. The lower the Karnofsky score, the worse the survival for most serious illnesses.

Time frame: Baseline

Population: The FAS population included all the participants who received 1 dose of study medication and had post-dose efficacy data.

ArmMeasureGroupValue (NUMBER)
BortezomibNumber of Participants With Karnofsky Performance Status (KPS) Score at BaselineKPS Score = 803 Participants
BortezomibNumber of Participants With Karnofsky Performance Status (KPS) Score at BaselineKPS Score = 907 Participants
BortezomibNumber of Participants With Karnofsky Performance Status (KPS) Score at BaselineKPS Score = 1002 Participants
BortezomibNumber of Participants With Karnofsky Performance Status (KPS) Score at BaselineKPS Score = 702 Participants
Primary

Number of Participants With KPS Score at Day 11 of Cycle 8

The KPS Index allows participants to be classified as per their functional impairment (abnormal function). This can be used to compare effectiveness of different therapies (medicine or medical care given to a participant for a disease or condition) and to assess the prognosis (outlook, probable outcomes) in individual participants. KPS was recorded on an 11-point scale (0, 10, 20, 30, 40, 50, 60, 70, 80, 90, and 100.) where '0=Dead' and '100=Normal, no complaints, no evidence of disease'. The lower the Karnofsky score, the worse the survival for most serious illnesses.

Time frame: Day 11 of Cycle 8

Population: The FAS population included all the participants who received 1 dose of study medication and had post-dose efficacy data.

ArmMeasureGroupValue (NUMBER)
BortezomibNumber of Participants With KPS Score at Day 11 of Cycle 8KPS Score = 502 Participants
BortezomibNumber of Participants With KPS Score at Day 11 of Cycle 8KPS Score = 604 Participants
BortezomibNumber of Participants With KPS Score at Day 11 of Cycle 8KPS Score = 701 Participants
BortezomibNumber of Participants With KPS Score at Day 11 of Cycle 8KPS Score = 803 Participants
BortezomibNumber of Participants With KPS Score at Day 11 of Cycle 8KPS Score = 902 Participants
BortezomibNumber of Participants With KPS Score at Day 11 of Cycle 8KPS Score = 1002 Participants
Primary

Number of Participants With KPS Score at Day 1 of Cycle 1

The KPS Index allows participants to be classified as per their functional impairment (abnormal function). This can be used to compare effectiveness of different therapies (medicine or medical care given to a participant for a disease or condition) and to assess the prognosis (outlook, probable outcomes) in individual participants. KPS was recorded on an 11-point scale (0, 10, 20, 30, 40, 50, 60, 70, 80, 90, and 100.) where '0=Dead' and '100=Normal, no complaints, no evidence of disease'. The lower the Karnofsky score, the worse the survival for most serious illnesses.

Time frame: Day 1 of Cycle 1

Population: The FAS population included all the participants who received 1 dose of study medication and had post-dose efficacy data.

ArmMeasureGroupValue (NUMBER)
BortezomibNumber of Participants With KPS Score at Day 1 of Cycle 1KPS Score = 702 Participants
BortezomibNumber of Participants With KPS Score at Day 1 of Cycle 1KPS Score = 805 Participants
BortezomibNumber of Participants With KPS Score at Day 1 of Cycle 1KPS Score = 905 Participants
BortezomibNumber of Participants With KPS Score at Day 1 of Cycle 1KPS Score = 1002 Participants
Primary

Number of Participants With KPS Score at Day 1 of Cycle 3

The KPS Index allows participants to be classified as per their functional impairment (abnormal function). This can be used to compare effectiveness of different therapies (medicine or medical care given to a participant for a disease or condition) and to assess the prognosis (outlook, probable outcomes) in individual participants. KPS was recorded on an 11-point scale (0, 10, 20, 30, 40, 50, 60, 70, 80, 90, and 100.) where '0=Dead' and '100=Normal, no complaints, no evidence of disease'. The lower the Karnofsky score, the worse the survival for most serious illnesses.

Time frame: Day 1 of Cycle 3

Population: The FAS population included all the participants who received 1 dose of study medication and had post-dose efficacy data. Here 'N' signifies those participants who were evaluated for this outcome measures.

ArmMeasureGroupValue (NUMBER)
BortezomibNumber of Participants With KPS Score at Day 1 of Cycle 3KPS Score = 1002 Participants
BortezomibNumber of Participants With KPS Score at Day 1 of Cycle 3KPS Score = 601 Participants
BortezomibNumber of Participants With KPS Score at Day 1 of Cycle 3KPS Score = 701 Participants
BortezomibNumber of Participants With KPS Score at Day 1 of Cycle 3KPS Score = 806 Participants
BortezomibNumber of Participants With KPS Score at Day 1 of Cycle 3KPS Score = 902 Participants
Primary

Number of Participants With KPS Score at Day 1 of Cycle 5

The KPS Index allows participants to be classified as per their functional impairment (abnormal function). This can be used to compare effectiveness of different therapies (medicine or medical care given to a participant for a disease or condition) and to assess the prognosis (outlook, probable outcomes) in individual participants. KPS was recorded on an 11-point scale (0, 10, 20, 30, 40, 50, 60, 70, 80, 90, and 100.) where '0=Dead' and '100=Normal, no complaints, no evidence of disease'. The lower the Karnofsky score, the worse the survival for most serious illnesses.

Time frame: Day 1 of Cycle 5

Population: The FAS population included all the participants who received 1 dose of study medication and had post-dose efficacy data. Here 'N' signifies those participants who were evaluated for this outcome measures.

ArmMeasureGroupValue (NUMBER)
BortezomibNumber of Participants With KPS Score at Day 1 of Cycle 5KPS Score = 601 Participants
BortezomibNumber of Participants With KPS Score at Day 1 of Cycle 5KPS Score = 701 Participants
BortezomibNumber of Participants With KPS Score at Day 1 of Cycle 5KPS Score = 804 Participants
BortezomibNumber of Participants With KPS Score at Day 1 of Cycle 5KPS Score = 1001 Participants
Primary

Number of Participants With KPS Score at Day 1 of Cycle 7

The KPS Index allows participants to be classified as per their functional impairment (abnormal function). This can be used to compare effectiveness of different therapies (medicine or medical care given to a participant for a disease or condition) and to assess the prognosis (outlook, probable outcomes) in individual participants. KPS was recorded on an 11-point scale (0, 10, 20, 30, 40, 50, 60, 70, 80, 90, and 100.) where '0=Dead' and '100=Normal, no complaints, no evidence of disease'. The lower the Karnofsky score, the worse the survival for most serious illnesses.

Time frame: Day 1 of Cycle 7

Population: The FAS population included all the participants who received 1 dose of study medication and had post-dose efficacy data. Here 'N' signifies those participants who were evaluated for this outcome measures.

ArmMeasureGroupValue (NUMBER)
BortezomibNumber of Participants With KPS Score at Day 1 of Cycle 7KPS Score = 601 Participants
BortezomibNumber of Participants With KPS Score at Day 1 of Cycle 7KPS Score = 802 Participants
BortezomibNumber of Participants With KPS Score at Day 1 of Cycle 7KPS Score = 901 Participants
BortezomibNumber of Participants With KPS Score at Day 1 of Cycle 7KPS Score = 1001 Participants
Primary

Number of Participants With Response to Treatment at Day 11 of Cycle 8

Response to treatment was based on the changes in monoclonal protein (M-protein) in serum and urine. Response categories were complete response: complete clearance of M-protein for at least 6 weeks, response: at least 75 percent reduction in M-protein for at least 2 determinations 6 weeks apart, partial response: 50 to 74 percent reduction in M-protein, minimal response: 25 to 49 percent reduction in M-protein, stable disease: not qualifying minimal response or progression and progression: increased M-protein level in serum or urine or clinical signs of disease progression.

Time frame: Day 11 of Cycle 8

Population: The FAS population included all the participants who received 1 dose of study medication and had post-dose efficacy data.

ArmMeasureGroupValue (NUMBER)
BortezomibNumber of Participants With Response to Treatment at Day 11 of Cycle 8Response2 Participants
BortezomibNumber of Participants With Response to Treatment at Day 11 of Cycle 8Partial response3 Participants
BortezomibNumber of Participants With Response to Treatment at Day 11 of Cycle 8Minimal response2 Participants
BortezomibNumber of Participants With Response to Treatment at Day 11 of Cycle 8Stable disease1 Participants
BortezomibNumber of Participants With Response to Treatment at Day 11 of Cycle 8Progression6 Participants
Primary

Number of Participants With Response to Treatment at Day 1 of Cycle 5

Response to treatment was based on the changes in monoclonal protein (M-protein) in serum and urine. Response categories were complete response: complete clearance of M-protein for at least 6 weeks, response: at least 75 percent reduction in M-protein for at least 2 determinations 6 weeks apart, partial response: 50 to 74 percent reduction in M-protein, minimal response: 25 to 49 percent reduction in M-protein, stable disease: not qualifying minimal response or progression and progression: increased M-protein level in serum or urine or clinical signs of disease progression.

Time frame: Day 1 of Cycle 5

Population: The full analysis set (FAS) population included all the participants who received 1 dose of study medication and had post-dose efficacy data. Here 'N' signifies those participants who were evaluated for this outcome measures.

ArmMeasureGroupValue (NUMBER)
BortezomibNumber of Participants With Response to Treatment at Day 1 of Cycle 5Progression1 Participants
BortezomibNumber of Participants With Response to Treatment at Day 1 of Cycle 5Complete response1 Participants
BortezomibNumber of Participants With Response to Treatment at Day 1 of Cycle 5Response2 Participants
BortezomibNumber of Participants With Response to Treatment at Day 1 of Cycle 5Partial Response2 Participants
BortezomibNumber of Participants With Response to Treatment at Day 1 of Cycle 5Stable disease1 Participants
Primary

Number of Participants With Response to Treatment at Day 1 of Cycle 7

Response to treatment was based on the changes in monoclonal protein (M-protein) in serum and urine. Response categories were complete response: complete clearance of M-protein for at least 6 weeks, response: at least 75 percent reduction in M-protein for at least 2 determinations 6 weeks apart, partial response: 50 to 74 percent reduction in M-protein, minimal response: 25 to 49 percent reduction in M-protein, stable disease: not qualifying minimal response or progression and progression: increased M-protein level in serum or urine or clinical signs of disease progression.

Time frame: Day 1 of Cycle 7

Population: The FAS population included all the participants who received 1 dose of study medication and had post-dose efficacy data. Here 'N' signifies those participants who were evaluated for this outcome measures.

ArmMeasureGroupValue (NUMBER)
BortezomibNumber of Participants With Response to Treatment at Day 1 of Cycle 7Stable disease1 Participants
BortezomibNumber of Participants With Response to Treatment at Day 1 of Cycle 7Response1 Participants
BortezomibNumber of Participants With Response to Treatment at Day 1 of Cycle 7Partial Response3 Participants
Primary

Systemic Clearance (CL) of Bortezomib on Day 11 of Cycle 1

Systemic CL is a quantitative measure of the rate at which a drug substance is removed from the body. The total systemic clearance after intravenous dose was estimated by dividing the total administered dose by the plasma AUC(0-infinity).

Time frame: 0 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1

Population: The PP population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibSystemic Clearance (CL) of Bortezomib on Day 11 of Cycle 14.68 Liter per HourStandard Deviation 2.46
Primary

Systemic Clearance (CL) of Bortezomib on Day 1 of Cycle 1

Systemic CL is a quantitative measure of the rate at which a drug substance is removed from the body. The total systemic clearance after intravenous dose was estimated by dividing the total administered dose by the plasma AUC(0-infinity).

Time frame: 0 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 1 of Cycle 1

Population: The PP population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibSystemic Clearance (CL) of Bortezomib on Day 1 of Cycle 125.99 Liter per HourStandard Deviation 18.54
Primary

Terminal Rate Constant (Lambda[z]) of Bortezomib on Day 11 of Cycle 1

Lambda(z) is defined as terminal rate-constant which reflect the speed of drug elimination in vivo (within the living), and is estimated by log-linear regression analysis of the terminal phase of the plasma concentration versus time curve for at least 3 points.

Time frame: 0 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1

Population: The PP population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibTerminal Rate Constant (Lambda[z]) of Bortezomib on Day 11 of Cycle 10.01 Per HourStandard Deviation 0.01
Primary

Terminal Rate Constant (Lambda[z]) of Bortezomib on Day 1 of Cycle 1

Lambda(z) is defined as terminal rate-constant which reflect the speed of drug elimination in vivo (within the living), and is estimated by log-linear regression analysis of the terminal phase of the plasma concentration versus time curve for at least 3 points.

Time frame: 0 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 1 of Cycle 1

Population: The PP population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibTerminal Rate Constant (Lambda[z]) of Bortezomib on Day 1 of Cycle 10.08 Per HourStandard Deviation 0.07
Primary

Time to Reach Maximum Observed Plasma Concentration (Tmax) of Bortezomib on Day 11 of Cycle 1

Tmax is the time when Cmax is observed, taken directly from the plasma concentration-time profile.

Time frame: 0 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1

Population: The PP population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibTime to Reach Maximum Observed Plasma Concentration (Tmax) of Bortezomib on Day 11 of Cycle 10.08 HoursStandard Deviation 0.01
Primary

Time to Reach Maximum Observed Plasma Concentration (Tmax) of Bortezomib on Day 1 of Cycle 1

Tmax is the time when Cmax is observed, taken directly from the plasma concentration-time profile.

Time frame: 0 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 1 of Cycle 1

Population: The PP population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibTime to Reach Maximum Observed Plasma Concentration (Tmax) of Bortezomib on Day 1 of Cycle 10.08 HoursStandard Deviation 0
Primary

Volume of Distribution at Steady-State (Vss) of Bortezomib on Day 11 of Cycle 1

Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Steady state volume of distribution (Vss) is the apparent volume of distribution at steady-state which is estimated by (D/AUC\[0-infinity\])\*(AUMC\[0-infinity\])/AUC\[0-infinity\]) where D is the dose of study drug, AUMC(0-infinity) is the area under the first moment curve extrapolated to infinity and AUC(0-infinity) is the area under the plasma concentration-time curve from time zero to infinite time.

Time frame: 0 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 11 of Cycle 1

Population: The PP population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibVolume of Distribution at Steady-State (Vss) of Bortezomib on Day 11 of Cycle 1331.68 LiterStandard Deviation 85.81
Primary

Volume of Distribution at Steady-State (Vss) of Bortezomib on Day 1 of Cycle 1

Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Steady state volume of distribution (Vss) is the apparent volume of distribution at steady-state which is estimated by (D/AUC\[0-infinity\])\*(AUMC\[0-infinity\])/AUC\[0-infinity\]) where D is the dose of study drug, AUMC(0-infinity) is the area under the first moment curve extrapolated to infinity and AUC(0-infinity) is the area under the plasma concentration-time curve from time zero to infinite time.

Time frame: 0 hour (Pre-dose) and 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 hours (post-dose) on Day 1 of Cycle 1

Population: The PP population included all the participants who received study medications as per the administration schedule and for whom blood samples were collected at all scheduled time points.

ArmMeasureValue (MEAN)Dispersion
BortezomibVolume of Distribution at Steady-State (Vss) of Bortezomib on Day 1 of Cycle 1483.71 LiterStandard Deviation 403.04

Source: ClinicalTrials.gov ยท Data processed: Feb 4, 2026