Study of the Bruton's Tyrosine Kinase Inhibitor in Subjects With Relapsed/Refractory Marginal Zone Lymphoma

NCT ID: NCT01980628

Last Updated: 2019-10-16

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

63 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-12-31

Study Completion Date

2017-10-02

Brief Summary

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Phase 2, open-label, non-randomized, monotherapy study to evaluate the safety and efficacy of ibrutinib in subject with relapsed/refractory Marginal Zone Lymphoma (MZL).

Detailed Description

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Ibrutinib is a first-in-class, potent, orally administered covalent inhibitor of Bruton's tyrosine kinase (BTK). Inhibition of BTK blocks downstream B-cell receptor (BCR) signaling pathways and thus prevents B-cell proliferation. In vitro, ibrutinib inhibits purified BTK and selected members of the kinase family with 10-fold specificity compared with non-BTK kinases. Phase 1 and 2 studies of ibrutinib in B-cell malignancies demonstrate modest toxicity and significant single agent activity in a variety of B-cell malignancies, including NHL.

Conditions

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Marginal Zone Lymphoma B-cell Lymphoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ibrutinib

ibrutinib capsules: 560 mg once daily

Group Type EXPERIMENTAL

ibrutinib

Intervention Type DRUG

Interventions

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ibrutinib

Intervention Type DRUG

Other Intervention Names

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PCI-32765

Eligibility Criteria

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Inclusion Criteria

* Previously received one or more lines of therapy including at least one CD20-directed regimen (either as monotherapy or as chemoimmunotherapy) with documented failure to achieve at least PR or documented PD after, the most recent systemic treatment regimen
* Men and women ≥18 years of age
* ECOG performance status of ≤2
* ≥1 measurable lesion site on CT scan (\>1.5 cm in longest dimension). Lesions in anatomical locations (such as extremities or soft tissue lesions) that are not well visualized by CT may be measured by MRI instead. (Subjects with spleen-only disease are considered as not having measurable disease.)
* Life expectancy of \>3 months, in the opinion of the investigator

Exclusion Criteria

* Medically apparent CNS lymphoma or leptomeningeal disease
* History of other malignancies except adequately treated non melanoma skin cancer, curatively treated in-situ cancer, or other solid tumors curatively treated with no evidence of disease for ≥2 years
* History of allogeneic stem-cell (or other organ) transplantation
* Any chemotherapy, anticancer antibodies, or other systemic anticancer therapy within 21 days of the first dose of study drug
* Any external beam radiation therapy within 6 weeks prior to the first dose of the study drug
* Concurrent use of warfarin or other vitamin K antagonists
* Concurrent use of a strong CYP3A inhibitor. Subjects who have received a strong CYP3A inhibitor prior to entering the study must have discontinued therapy for at least 5 half lives of the prohibited medication.
* Recent infection requiring IV anti-infective treatment that was completed ≤14 days before the first dose of study drug
* Unresolved toxicities from prior anti-cancer therapy, defined as having not resolved to CTCAE Grade 0 or 1, or to the levels dictated in the eligibility criteria with the exception of alopecia
* Inadequate organ function as defined on laboratory tests
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role collaborator

Pharmacyclics LLC.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Isaiah Dimery, MD

Role: STUDY_DIRECTOR

Pharmacyclics LLC.

Locations

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Site Reference ID/Investigator# 837

Tucson, Arizona, United States

Site Status

Site Reference ID/Investigator# 047

Duarte, California, United States

Site Status

Site Reference ID/Investigator# 377

Santa Monica, California, United States

Site Status

Site Reference ID/Investigator# 763

West Palm Beach, Florida, United States

Site Status

Site Reference ID/Investigator# 033

Atlanta, Georgia, United States

Site Status

Site Reference ID/Investigator# 370

Chicago, Illinois, United States

Site Status

Site Reference ID/Investigator# 195

Detroit, Michigan, United States

Site Status

Site Reference ID/Investigator# 350

New Hyde Park, New York, United States

Site Status

Site Reference ID/Investigator# 745

New York, New York, United States

Site Status

Site Reference ID/Investigator # 200

New York, New York, United States

Site Status

Site Reference ID/Investigator # 407

New York, New York, United States

Site Status

Site Reference ID/Investigator# 220

Hershey, Pennsylvania, United States

Site Status

Site Reference ID/Investigator# 348

Seattle, Washington, United States

Site Status

Site Reference ID/Investigator# 560

Ghent, Oost-vlaanderen, Belgium

Site Status

Site Reference ID/Investigator# 142

Pierre-Bénite, Auvergne-Rhône-Alpes, France

Site Status

Site Reference ID/Investigator# 737

Rouen, Haute-normandie, France

Site Status

Site Reference ID/Investigator# 750

Lille, Hauts-de-France, France

Site Status

Site Reference ID/Investigator# 749

La Roche-sur-Yon, Pays de la Loire Region, France

Site Status

Site Reference ID/Investigator# 736

Nantes, Pays de la Loire Region, France

Site Status

Site Reference ID/Investigator# 742

Rennes, , France

Site Status

Site Reference ID/Investigator# 735

Paris, Île-de-France Region, France

Site Status

Site Reference ID/Investigator# 669

Mainz, Rhineland-Palatinate, Germany

Site Status

Site Reference ID/Investigator# 030

Manchester, England, United Kingdom

Site Status

Site Reference ID/Investigator# 814

Oxford, England, United Kingdom

Site Status

Site Reference ID/Investigator# 368

Plymouth, England, United Kingdom

Site Status

Countries

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United States Belgium France Germany United Kingdom

References

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Noy A, de Vos S, Coleman M, Martin P, Flowers CR, Thieblemont C, Morschhauser F, Collins GP, Ma S, Peles S, Smith SD, Barrientos JC, Chong E, Wu S, Cheung LW, Kwei K, Hauns B, Arango-Hisijara I, Chen R. Durable ibrutinib responses in relapsed/refractory marginal zone lymphoma: long-term follow-up and biomarker analysis. Blood Adv. 2020 Nov 24;4(22):5773-5784. doi: 10.1182/bloodadvances.2020003121.

Reference Type DERIVED
PMID: 33227125 (View on PubMed)

Noy A, de Vos S, Thieblemont C, Martin P, Flowers CR, Morschhauser F, Collins GP, Ma S, Coleman M, Peles S, Smith S, Barrientos JC, Smith A, Munneke B, Dimery I, Beaupre DM, Chen R. Targeting Bruton tyrosine kinase with ibrutinib in relapsed/refractory marginal zone lymphoma. Blood. 2017 Apr 20;129(16):2224-2232. doi: 10.1182/blood-2016-10-747345. Epub 2017 Feb 6.

Reference Type DERIVED
PMID: 28167659 (View on PubMed)

Other Identifiers

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PCYC-1121-CA

Identifier Type: -

Identifier Source: org_study_id

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