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Trial · NCT03256045

Panobinostat, Carfilzomib, and Dexamethasone in Patients With Relapsed or Refractory Multiple Myeloma

NCT03256045, Phase 2, Terminated, University of Washington; results first posted 2022-05-09

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Panobinostat, Carfilzomib, and Dexamethasone in Patients With Relapsed or Refractory Multiple Myeloma. Trials, record NCT03256045. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03256045

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Panobinostat, Carfilzomib, and Dexamethasone in Patients With Relapsed or Refractory Multiple Myeloma
NCT number
NCT03256045
Status
Terminated
Phases
Phase 2
Enrollment
9 participants, actual
Lead sponsor
University of Washington
Conditions
Recurrent Plasma Cell Myeloma, Refractory Plasma Cell Myeloma
Interventions
Carfilzomib, Chemosensitivity Assay, Dexamethasone, Laboratory Biomarker Analysis, Panobinostat
First posted
2017-08-21
Last updated
2022-05-09
Results first posted
2022-05-09
Limitations and caveats
Study was limited by lower accrual than expected due to: competing studies, other investigators' treatment preferences, and ultimately, the departure of the initial PI from the institution. Because of PI's departure and lab closure, the study closed to accrual after the 9th patient enrolled. Because only 9 subjects were enrolled and some in-vitro assay results are unavailable, it is difficult to analyze the in-vitro assay results and determine the parameters that predict disease response.

Source ClinicalTrials.gov

Registered outcomes6

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryBest Overall Response, by Subject14 months
Assessed using the International Myeloma Working Group Uniform Response Criteria for Multiple Myeloma. Key: 1 = very good partial response (VGPR); 2 = partial response (PR); 3 = minimal response (MR); 4 = stable disease (SD); 5 = progressive disease (PD). Please see IC50 and CI results in the other primary outcome measures.
PrimaryMultiple Myeloma Cells In-vitro Drug Sensitivity to Panobinostat, by SubjectAt baseline
Multiple myeloma cells are added to assay with panobinostat. Cell viability and IC50 is determined. IC50 is the inhibitory concentration that kills 50% of cells. Results are reported in concentrations E-9.
PrimaryMultiple Myeloma Cells In-vitro Drug Sensitivity to Carfilzomib, by SubjectAt baselineMultiple myeloma cells are added to assay with carfilzomib. Cell viability and IC50 is determined. IC50 is the inhibitory concentration that kills 50% of cells.
PrimaryMultiple Myeloma Cells In-vitro Drug Sensitivity to Dexamethasone, by SubjectAt baseline
Multiple myeloma cells are added to assay with dexamethasone. Cell viability and IC50 is determined. IC50 is the inhibitory concentration that kills 50% of cells. Results are reported in concentrations E-6.
PrimarySynergy of Panobinostat and Carfilzomib in Combination, Per Subject.At baseline
Concentration of carfilzomib and panobinostat in combination leading to 90% growth inhibition of multiple myeloma cells in-vitro. The combination index (CI) is calculated using formula: CI = (\[D1\] in the combination / \[D1\] alone) + (\[D2\] in the combination / \[D2\] alone). Key: CI = 1 no synergy; CI\<1 synergy; CI\>1 antagonism.
PrimarySynergy of Panobinostat and Dexamethasone in Combination, Per SubjectAt baseline
Concentration of panobinostat and dexamethasone in combination leading to 90% growth inhibition of multiple myeloma cells in-vitro. The combination index (CI) is calculated using formula: CI = (\[D1\] in the combination / \[D1\] alone) + (\[D2\] in the combination / \[D2\] alone). Key: CI = 1 no synergy; CI\<1 synergy; CI\>1 antagonism.

Outcomes6

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYBest Overall Response, by Subject14 monthsIMWG Uniform Response GradeNUMBER
PRIMARYMultiple Myeloma Cells In-vitro Drug Sensitivity to Panobinostat, by SubjectAt baselinenMNUMBER
PRIMARYMultiple Myeloma Cells In-vitro Drug Sensitivity to Carfilzomib, by SubjectAt baselinenMNUMBER
PRIMARYMultiple Myeloma Cells In-vitro Drug Sensitivity to Dexamethasone, by SubjectAt baselineResults for subject MM-92 were not reported.uMNUMBER
PRIMARYSynergy of Panobinostat and Carfilzomib in Combination, Per Subject.At baselineCI score was not reported for subject MM-82.Combination indexNUMBER
PRIMARYSynergy of Panobinostat and Dexamethasone in Combination, Per SubjectAt baselineCI score was not reported for subject MM-82CI scoreNUMBER

Results by group51

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Best Overall Response, by SubjectChemo Assay and Treatment With Panobinostat, Carfilzomib, and DexamethasoneSubject MM-824IMWG Uniform Response Grade
Best Overall Response, by SubjectChemo Assay and Treatment With Panobinostat, Carfilzomib, and DexamethasoneSubject MM-912IMWG Uniform Response Grade
Best Overall Response, by SubjectChemo Assay and Treatment With Panobinostat, Carfilzomib, and DexamethasoneSubject MM-922IMWG Uniform Response Grade
Best Overall Response, by SubjectChemo Assay and Treatment With Panobinostat, Carfilzomib, and DexamethasoneSubject MM-951IMWG Uniform Response Grade
Best Overall Response, by SubjectChemo Assay and Treatment With Panobinostat, Carfilzomib, and DexamethasoneSubject MM-961IMWG Uniform Response Grade
Best Overall Response, by SubjectChemo Assay and Treatment With Panobinostat, Carfilzomib, and DexamethasoneSubject MM-981IMWG Uniform Response Grade
Best Overall Response, by SubjectChemo Assay and Treatment With Panobinostat, Carfilzomib, and DexamethasoneSubject MM-993IMWG Uniform Response Grade
Best Overall Response, by SubjectChemo Assay and Treatment With Panobinostat, Carfilzomib, and DexamethasoneSubject MM-1094IMWG Uniform Response Grade
Best Overall Response, by SubjectChemo Assay and Treatment With Panobinostat, Carfilzomib, and DexamethasoneSubject M-1111IMWG Uniform Response Grade
Multiple Myeloma Cells In-vitro Drug Sensitivity to Panobinostat, by SubjectChemo Assay and Treatment With Panobinostat, Carfilzomib, and DexamethasoneSubject MM-823.8nM

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDChemo Assay and Treatment With Panobinostat, Carfilzomib, and Dexamethasone9
Overall StudyCOMPLETEDChemo Assay and Treatment With Panobinostat, Carfilzomib, and Dexamethasone9
Overall StudyNOT COMPLETEDChemo Assay and Treatment With Panobinostat, Carfilzomib, and Dexamethasone0

Adverse events7

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherHypertensionVascular disordersChemo Assay and Treatment With Panobinostat, Carfilzomib, and Dexamethasone292
otherDiarrheaGastrointestinal disordersChemo Assay and Treatment With Panobinostat, Carfilzomib, and Dexamethasone191
otherSyncopeNervous system disordersChemo Assay and Treatment With Panobinostat, Carfilzomib, and Dexamethasone191
seriousNon-ST segment elevation myocardial infarctionCardiac disordersChemo Assay and Treatment With Panobinostat, Carfilzomib, and Dexamethasone191
seriousFracture, pathologicInjury, poisoning and procedural complicationsChemo Assay and Treatment With Panobinostat, Carfilzomib, and Dexamethasone191
seriousFracture, non-pathologicInjury, poisoning and procedural complicationsChemo Assay and Treatment With Panobinostat, Carfilzomib, and Dexamethasone191
seriousFallInjury, poisoning and procedural complicationsChemo Assay and Treatment With Panobinostat, Carfilzomib, and Dexamethasone191

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityChemo Assay and Treatment With Panobinostat, Carfilzomib, and Dexamethasone09
Total, other adverse eventsChemo Assay and Treatment With Panobinostat, Carfilzomib, and Dexamethasone49
Total, serious adverse eventsChemo Assay and Treatment With Panobinostat, Carfilzomib, and Dexamethasone39

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
P30CA015704Cancer Center Support GrantLYNCH, THOMAS JAMESFRED HUTCHINSON CANCER CENTERNATIONAL CANCER INSTITUTE1985 to 2025

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03256045

GET https://conductscience.org/api/trials/v1/NCT03256045/results?page=2