Age
Item
1. male or female patients 18 years or older
boolean
C0001779 (UMLS CUI [1])
Multiple Myeloma
Item
2. patients must have a diagnosis of mm, based on standard criteria2 as follows:
boolean
C0026764 (UMLS CUI [1])
Criteria Major
Item
major criteria:
boolean
C0243161 (UMLS CUI [1,1])
C0205164 (UMLS CUI [1,2])
Plasmacytoma Biopsy tissue
Item
1. plasmacytomas on tissue biopsy
boolean
C0032131 (UMLS CUI [1,1])
C3864006 (UMLS CUI [1,2])
BONE MARROW PLASMACYTOSIS Plasma Cells Percentage
Item
2. bone marrow plasmacytosis (greater than 30% plasma cells)
boolean
C0238803 (UMLS CUI [1,1])
C0032112 (UMLS CUI [1,2])
C0439165 (UMLS CUI [1,3])
Monoclonal immunoglobulin present Serum electrophoresis test Immunoglobulin G measurement | Monoclonal immunoglobulin present Serum electrophoresis test Immunoglobulin A measurement | Kappa light chain measurement 24-hour urine protein electrophoresis | Lambda light chain measurement 24-hour urine protein electrophoresis
Item
3. monoclonal immunoglobulin spike on serum electrophoresis igg greater than 3.5 g/dl or iga greater than 2.0 g/dl; kappa or lambda light chain excretion greater than 1 g/day on 24 hour urine protein electrophoresis
boolean
C0860896 (UMLS CUI [1,1])
C0851095 (UMLS CUI [1,2])
C0202087 (UMLS CUI [1,3])
C0860896 (UMLS CUI [2,1])
C0851095 (UMLS CUI [2,2])
C0202083 (UMLS CUI [2,3])
C1295169 (UMLS CUI [3,1])
C2321676 (UMLS CUI [3,2])
C1295175 (UMLS CUI [4,1])
C2321676 (UMLS CUI [4,2])
Criteria Minor
Item
minor criteria:
boolean
C0243161 (UMLS CUI [1,1])
C0205165 (UMLS CUI [1,2])
BONE MARROW PLASMACYTOSIS Plasma Cells Percentage
Item
1. bone marrow plasmacytosis (10% to 30% plasma cells)
boolean
C0238803 (UMLS CUI [1,1])
C0032112 (UMLS CUI [1,2])
C0439165 (UMLS CUI [1,3])
Monoclonal immunoglobulin Present
Item
2. monoclonal immunoglobulin present but of lesser magnitude than given under major criteria
boolean
C0443737 (UMLS CUI [1,1])
C0150312 (UMLS CUI [1,2])
Lytic bone lesion
Item
3. lytic bone lesions
boolean
C0221204 (UMLS CUI [1])
Immunoglobulin M measurement | Immunoglobulin A measurement | Immunoglobulin G measurement
Item
4. normal igm less than 50 mg/dl, iga less than 100 mg/dl, or igg less than 600 mg/dl
boolean
C0202084 (UMLS CUI [1])
C0202083 (UMLS CUI [2])
C0202087 (UMLS CUI [3])
Criteria Multiple Myeloma
Item
any of the following sets of criteria will confirm the diagnosis of multiple myeloma:
boolean
C0243161 (UMLS CUI [1,1])
C0026764 (UMLS CUI [1,2])
Criteria Major Quantity
Item
any 2 of the major criteria
boolean
C0243161 (UMLS CUI [1,1])
C0205164 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
Criteria Major Quantity | Criteria Minor Quantity
Item
major criterion 1 plus minor criterion 2, 3, or 4
boolean
C0243161 (UMLS CUI [1,1])
C0205164 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
C0243161 (UMLS CUI [2,1])
C0205165 (UMLS CUI [2,2])
C1265611 (UMLS CUI [2,3])
Criteria Major Quantity | Criteria Minor Quantity
Item
major criterion 3 plus minor criterion 1 or 3
boolean
C0243161 (UMLS CUI [1,1])
C0205164 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
C0243161 (UMLS CUI [2,1])
C0205165 (UMLS CUI [2,2])
C1265611 (UMLS CUI [2,3])
Criteria Minor Quantity | Multiple Myeloma Progressive | bortezomib | carfilzomib | Combined Modality Therapy | Multiple Myeloma Refractory Disease
Item
minor criteria 1, 2, and 3, or 1, 2, and 4 3. currently has progressive mm that has previously progressed or is currently progressing while receiving or within 8 weeks of receiving bortezomib or carfilzomib as part of a combination treatment. mm patients that demonstrate refractory disease, as defined below, are both eligible for enrollment provided they fulfill the other eligibility criteria:
boolean
C0243161 (UMLS CUI [1,1])
C0205165 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
C0026764 (UMLS CUI [2,1])
C0205329 (UMLS CUI [2,2])
C1176309 (UMLS CUI [3])
C2001856 (UMLS CUI [4])
C0009429 (UMLS CUI [5])
C0026764 (UMLS CUI [6,1])
C1514815 (UMLS CUI [6,2])
Refractory Bortezomib Combined Modality Therapy | Refractory Carfilzomib Combined Modality Therapy | Disease Progression | Bortezomib Dose Quantity
Item
patients are refractory to a bortezomib or carfilzomib combination regimen, when they progress while currently receiving a bortezomib or carfilzomib combination treatment, or within 8 weeks of its last dose. prior treatment with four days or less of a total of 400 mg of prednisone (or an equivalent potency of another steroid) for mm will not be considered a regimen 4. patients that were on bortezomib-containing regimens must have been administered at least 4 doses of a minimum of 1.0 mg/m2 in no more than 28-days cycles. subjects must have received at least one cycle meeting this definition and have shown pd to be considered eligible 5. patients that were on carfilzomib-containing regimens must have received at least 6 doses of at least 27 mg/m2 in no more than 28 days per cycle. subjects must have received at least one cycle meeting this definition and have shown pd to be considered eligible 6. progressed from one of the specific bortezomib- or carfilzomib-containing regimens as listed on page 44. although bortezomib- and carfilzomib-containing combination regimens that are otherwise identical except for the pi result in the same ixazomib regimen, they will be enrolled separately so that safety/efficacy can be separately determined, thereby allowing comparisons based on the prior pi that subjects were exposed to as part of the regimen that they failed (carfilzomib vs. bortezomib) 7. patient may have received a carfilzomib- or bortezomib-containing regimen at any time and may have received other non-proteasome inhibitor-containing intervening treatments
boolean
C0205269 (UMLS CUI [1,1])
C1176309 (UMLS CUI [1,2])
C0009429 (UMLS CUI [1,3])
C0205269 (UMLS CUI [2,1])
C2001856 (UMLS CUI [2,2])
C0009429 (UMLS CUI [2,3])
C0242656 (UMLS CUI [3])
C1176309 (UMLS CUI [4,1])
C0178602 (UMLS CUI [4,2])
C1265611 (UMLS CUI [4,3])
Exclusion Criteria Main
Item
key exclusion criteria:
boolean
C0680251 (UMLS CUI [1,1])
C1542147 (UMLS CUI [1,2])
Diagnosis
Item
1. patient has been diagnosed with:
boolean
C0011900 (UMLS CUI [1])
Plasma cell dyscrasia | POEMS Syndrome
Item
1. plasma cell dyscrasia with polyneuropathy, organomegaly, endocrinopathy, monoclonal protein (m protein) and skin changes (poems) syndrome.3
boolean
C1136084 (UMLS CUI [1])
C0085404 (UMLS CUI [2])
Primary amyloidosis
Item
2. primary amyloidosis
boolean
C0268381 (UMLS CUI [1])
Leukemia, Plasma Cell
Item
3. plasma cell leukemia
boolean
C0023484 (UMLS CUI [1])
Hypercalcemia Severe | Corrected serum calcium measurement
Item
4. severe hypercalcemia, i.e., serum calcium = 12 mg/dl (3.0 mmol/l) corrected for albumin
boolean
C0020437 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
C0455288 (UMLS CUI [2])
Malignant Neoplasms | Exception Hematologic Neoplasms | Exception Basal cell carcinoma Treated | Exception Squamous cell carcinoma of skin Treated | Exception Thyroid carcinoma Treated | Exception Carcinoma in situ of uterine cervix | Exception Carcinoma in situ of female breast | Exception Prostate carcinoma Gleason Grading System | Exception PSA Level Stable | Exception Malignant Neoplasm Cured Excision | Exception Impact Life Expectancy Unlikely | Exception Transitional cell carcinoma of bladder Localized | Exception Benign neoplasm of adrenal gland | Exception Benign tumor of pancreas
Item
2. non-hematologic malignancy within the past 5 years with the exception of a) adequately treated basal cell carcinoma, squamous cell skin cancer, or thyroid cancer; b) carcinoma in situ of the cervix or breast; c) prostate cancer of gleason grade 6 or less with stable prostate-specific antigen levels; or d) cancer considered cured by surgical resection or unlikely to impact survival during the duration of the study, such as localized transitional cell carcinoma of the bladder or benign tumors of the adrenal or pancreas
boolean
C0006826 (UMLS CUI [1])
C1705847 (UMLS CUI [2,1])
C0376545 (UMLS CUI [2,2])
C1705847 (UMLS CUI [3,1])
C0007117 (UMLS CUI [3,2])
C1522326 (UMLS CUI [3,3])
C1705847 (UMLS CUI [4,1])
C0553723 (UMLS CUI [4,2])
C1522326 (UMLS CUI [4,3])
C1705847 (UMLS CUI [5,1])
C0549473 (UMLS CUI [5,2])
C1522326 (UMLS CUI [5,3])
C1705847 (UMLS CUI [6,1])
C0851140 (UMLS CUI [6,2])
C1705847 (UMLS CUI [7,1])
C0686288 (UMLS CUI [7,2])
C1705847 (UMLS CUI [8,1])
C0600139 (UMLS CUI [8,2])
C0332326 (UMLS CUI [8,3])
C1705847 (UMLS CUI [9,1])
C4086720 (UMLS CUI [9,2])
C0205360 (UMLS CUI [9,3])
C1705847 (UMLS CUI [10,1])
C0006826 (UMLS CUI [10,2])
C1880198 (UMLS CUI [10,3])
C0728940 (UMLS CUI [10,4])
C1705847 (UMLS CUI [11,1])
C4049986 (UMLS CUI [11,2])
C0023671 (UMLS CUI [11,3])
C0750558 (UMLS CUI [11,4])
C1705847 (UMLS CUI [12,1])
C0279680 (UMLS CUI [12,2])
C0392752 (UMLS CUI [12,3])
C1705847 (UMLS CUI [13,1])
C0154040 (UMLS CUI [13,2])
C1705847 (UMLS CUI [14,1])
C0347284 (UMLS CUI [14,2])
Decreased cardiac function | Heart Disease | Myocardial Infarction | Heart failure New York Heart Association Classification | Angina Pectoris Uncontrolled | Disorder of pericardium | Ventricular arrhythmia Severe Uncontrolled | LVEF by echocardiogram | Left ventricular ejection fraction MUGA scan | Ischemia Electrocardiography | Conduction system abnormalities Electrocardiography
Item
3. impaired cardiac function or clinically significant cardiac diseases, including myocardial infarction within 6 months prior to enrollment, new york heart association (nyha) class ii or greater heart failure, uncontrolled angina, clinically significant pericardial disease, severe uncontrolled ventricular arrhythmias, echocardiogram or multigated acquisition scan (muga) evidence of left ventricular ejection fraction (lvef) below institutional normal within 28 days prior to enrollment, electrocardiographic evidence of acute ischemia or active conduction system abnormalities. prior to study entry, any ecg abnormality at screening has to be documented by the investigator as not medically relevant
boolean
C0232166 (UMLS CUI [1])
C0018799 (UMLS CUI [2])
C0027051 (UMLS CUI [3])
C0018801 (UMLS CUI [4,1])
C1275491 (UMLS CUI [4,2])
C0002962 (UMLS CUI [5,1])
C0205318 (UMLS CUI [5,2])
C0265122 (UMLS CUI [6])
C0085612 (UMLS CUI [7,1])
C0205082 (UMLS CUI [7,2])
C0205318 (UMLS CUI [7,3])
C3837263 (UMLS CUI [8])
C0428772 (UMLS CUI [9,1])
C0521317 (UMLS CUI [9,2])
C0022116 (UMLS CUI [10,1])
C1623258 (UMLS CUI [10,2])
C0151236 (UMLS CUI [11,1])
C1623258 (UMLS CUI [11,2])
Peripheral Neuropathy CTCAE Grades | Pain
Item
4. patient has peripheral neuropathy grade 3 or higher or grade 2 with pain on clinical examination during the screening period
boolean
C0031117 (UMLS CUI [1,1])
C1516728 (UMLS CUI [1,2])
C0030193 (UMLS CUI [2])
Prior Therapy
Item
5. patient has received the following prior therapy:
boolean
C1514463 (UMLS CUI [1])
Prior Chemotherapy | Nitrosoureas
Item
1. chemotherapy within 21 days of enrollment (6 weeks for nitrosoureas)
boolean
C1514457 (UMLS CUI [1])
C0028210 (UMLS CUI [2])
Adrenal Cortex Hormones | Prednisone U/day | Equivalent
Item
2. corticosteroids (>10 mg/day prednisone or equivalent) within 21 days of enrollment
boolean
C0001617 (UMLS CUI [1])
C0032952 (UMLS CUI [2,1])
C0456683 (UMLS CUI [2,2])
C0205163 (UMLS CUI [3])
Immunotherapy | Antibody therapy | Thalidomide | pomalidomide | lenalidomide | arsenic trioxide | carfilzomib | bortezomib
Item
3. immunotherapy or antibody therapy as well as thalidomide, pomalidomide, lenalidomide, arsenic trioxide, carfilzomib, or bortezomib within 21 days before enrollment
boolean
C0021083 (UMLS CUI [1])
C0281176 (UMLS CUI [2])
C0039736 (UMLS CUI [3])
C2347624 (UMLS CUI [4])
C1144149 (UMLS CUI [5])
C0052416 (UMLS CUI [6])
C2001856 (UMLS CUI [7])
C1176309 (UMLS CUI [8])
Hypersensitivity Investigational New Drugs | Hypersensitivity Investigational New Drug Analogue | Hypersensitivity Investigational New Drug Excipient | Gastrointestinal Disease Interferes with Absorption Ixazomib | Gastrointestinal procedure Interferes with Absorption Ixazomib | Gastrointestinal Disease Interferes with Tolerance Ixazomib | Gastrointestinal procedure Interferes with Tolerance Ixazomib | Able to swallow Ixazomib Difficult
Item
5. known allergy to any of the study medications, their analogues, or excipients in the various formulations of any agent 6. known gi disease or gi procedure that could interfere with the oral absorption or tolerance of ixazomib including difficulty swallowing
boolean
C0020517 (UMLS CUI [1,1])
C0013230 (UMLS CUI [1,2])
C0020517 (UMLS CUI [2,1])
C0013230 (UMLS CUI [2,2])
C0243071 (UMLS CUI [2,3])
C0020517 (UMLS CUI [3,1])
C0013230 (UMLS CUI [3,2])
C0015237 (UMLS CUI [3,3])
C0017178 (UMLS CUI [4,1])
C0521102 (UMLS CUI [4,2])
C0237442 (UMLS CUI [4,3])
C3273711 (UMLS CUI [4,4])
C1536478 (UMLS CUI [5,1])
C0521102 (UMLS CUI [5,2])
C0237442 (UMLS CUI [5,3])
C3273711 (UMLS CUI [5,4])
C0017178 (UMLS CUI [6,1])
C0521102 (UMLS CUI [6,2])
C0013220 (UMLS CUI [6,3])
C3273711 (UMLS CUI [6,4])
C1536478 (UMLS CUI [7,1])
C0521102 (UMLS CUI [7,2])
C0013220 (UMLS CUI [7,3])
C3273711 (UMLS CUI [7,4])
C2712086 (UMLS CUI [8,1])
C3273711 (UMLS CUI [8,2])
C0332218 (UMLS CUI [8,3])