Trial Outcomes & Findings for Pembrolizumab Alone or With Idelalisib or Ibrutinib in Treating Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia or Other Low-Grade B-Cell Non-Hodgkin Lymphomas (NCT NCT02332980)

NCT ID: NCT02332980

Last Updated: 2024-01-03

Results Overview

Confirmed response is defined to be a partial response, nodular partial response, clinical complete response, confirmed response with incomplete blood count recovery or confirmed response (Arm A and B), or complete metabolic response, partial metabolic response, partial response, or confirmed response (Arm C). The proportion of successes will be estimated by the number of successes divided by the total number of evaluable patients. Exact binomial confidence intervals for the true success proportion will be calculated.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

65 participants

Primary outcome timeframe

1 year

Results posted on

2024-01-03

Participant Flow

Participant milestones

Participant milestones
Measure
Arm A (CLL)
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm B (NHL)
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (CLL With Richters)
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Initial Study Phase
STARTED
25
23
17
Initial Study Phase
COMPLETED
25
23
17
Initial Study Phase
NOT COMPLETED
0
0
0
Continuation Phase
STARTED
5
0
13
Continuation Phase
COMPLETED
5
0
13
Continuation Phase
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pembrolizumab Alone or With Idelalisib or Ibrutinib in Treating Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia or Other Low-Grade B-Cell Non-Hodgkin Lymphomas

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm A (CLL)
n=25 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm B (NHL)
n=23 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (CLL With Richters)
n=17 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Total
n=65 Participants
Total of all reporting groups
Age, Continuous
69 years
n=5 Participants
67 years
n=7 Participants
68 years
n=5 Participants
69 years
n=4 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
9 Participants
n=7 Participants
6 Participants
n=5 Participants
23 Participants
n=4 Participants
Sex: Female, Male
Male
17 Participants
n=5 Participants
14 Participants
n=7 Participants
11 Participants
n=5 Participants
42 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
22 Participants
n=5 Participants
20 Participants
n=7 Participants
15 Participants
n=5 Participants
57 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
8 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
White
25 Participants
n=5 Participants
22 Participants
n=7 Participants
15 Participants
n=5 Participants
62 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 1 year

Confirmed response is defined to be a partial response, nodular partial response, clinical complete response, confirmed response with incomplete blood count recovery or confirmed response (Arm A and B), or complete metabolic response, partial metabolic response, partial response, or confirmed response (Arm C). The proportion of successes will be estimated by the number of successes divided by the total number of evaluable patients. Exact binomial confidence intervals for the true success proportion will be calculated.

Outcome measures

Outcome measures
Measure
Arm A (CLL)
n=25 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm B (NHL)
n=23 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (CLL With Richters)
n=17 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm A (Continuation Phase)
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (Continuation Phase)
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Proportion of Patients Who Achieve a Confirmed Response
0.0800 proportion of responders
Interval 0.0098 to 0.2603
0 proportion of responders
Interval 0.0 to 0.1482
0 proportion of responders
Interval 0.0 to 0.1951

SECONDARY outcome

Timeframe: 5 years

The distribution of progression-free survival will be estimated using the method of Kaplan-Meier. Progression is defined as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

Outcome measures

Outcome measures
Measure
Arm A (CLL)
n=25 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm B (NHL)
n=23 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (CLL With Richters)
n=17 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm A (Continuation Phase)
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (Continuation Phase)
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Progression-free Survival of Patients Treated in Single Agent Phase
2.8 Months
Interval 1.4 to 4.6
4.2 Months
Interval 2.6 to 6.4
2.2 Months
Interval 0.7 to 2.8

SECONDARY outcome

Timeframe: 5 years

The distribution of progression-free survival will be estimated using the method of Kaplan-Meier. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

Outcome measures

Outcome measures
Measure
Arm A (CLL)
n=5 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm B (NHL)
n=13 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (CLL With Richters)
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm A (Continuation Phase)
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (Continuation Phase)
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Progression-free Survival of Patients Treated With Combination Therapy
7.6 Months
Interval 1.9 to
Not enough events occurred to calculate upper limit
5.4 Months
Interval 0.7 to 15.0

SECONDARY outcome

Timeframe: 5 years

The distribution of treatment-free survival will be estimated using the method of Kaplan-Meier.

Outcome measures

Outcome measures
Measure
Arm A (CLL)
n=25 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm B (NHL)
n=23 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (CLL With Richters)
n=17 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm A (Continuation Phase)
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (Continuation Phase)
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Treatment-free Survival of Patients Treated With Single-agent Pembrolizumab
2.7 Months
Interval 2.1 to 3.2
4.6 Months
Interval 3.1 to 8.1
2.9 Months
Interval 0.8 to 3.4

SECONDARY outcome

Timeframe: 5 years

The distribution of treatment-free survival will be estimated using the method of Kaplan-Meier.

Outcome measures

Outcome measures
Measure
Arm A (CLL)
n=5 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm B (NHL)
n=13 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (CLL With Richters)
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm A (Continuation Phase)
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (Continuation Phase)
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Treatment-free Survival of Patients Treated With Combination Therapy
7.7 Months
Interval 0.7 to
Not enough events occurred to calculate upper limit
3.2 Months
Interval 0.5 to 5.1

SECONDARY outcome

Timeframe: 5 years

The distribution of time to next treatment will be estimated using the method of Kaplan-Meier.

Outcome measures

Outcome measures
Measure
Arm A (CLL)
n=25 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm B (NHL)
n=23 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (CLL With Richters)
n=17 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm A (Continuation Phase)
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (Continuation Phase)
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Time to Next Treatment for Patients Treated With Single-agent Pembrolizumab
3.0 Months
Interval 2.1 to 3.9
5.3 Months
Interval 3.4 to 10.1
3.0 Months
Interval 1.1 to 3.4

SECONDARY outcome

Timeframe: 5 years

The distribution of time to next treatment will be estimated using the method of Kaplan-Meier.

Outcome measures

Outcome measures
Measure
Arm A (CLL)
n=5 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm B (NHL)
n=13 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (CLL With Richters)
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm A (Continuation Phase)
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (Continuation Phase)
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Time to Next Treatment for Patients on Combination Therapy
7.7 Months
Interval 0.7 to
Not enough events occurred to calculate upper limit
3.2 Months
Interval 0.5 to 5.1

SECONDARY outcome

Timeframe: 1 year

Will be defined as complete response or incomplete blood count recovery. Estimated by the number of patients who achieve an incomplete blood count recovery or complete response divided by the total number of evaluable patients. All evaluable patients will be used for this analysis. Exact binomial 95% confidence intervals for the true complete response rate will be calculated in each arm.

Outcome measures

Outcome measures
Measure
Arm A (CLL)
n=25 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm B (NHL)
n=23 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (CLL With Richters)
n=17 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm A (Continuation Phase)
n=5 Participants
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (Continuation Phase)
n=13 Participants
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Complete Response Rate
0.0400 proportion of participants
Interval 0.001 to 0.2035
0 proportion of participants
Interval 0.0 to 0.1482
0 proportion of participants
Interval 0.0 to 0.1951
0.4000 proportion of participants
Interval 0.0527 to 0.8534
0 proportion of participants
Interval 0.0 to 0.2471

SECONDARY outcome

Timeframe: 5 years

Population: Only patients that achieved a response were used in this analysis

The distribution of duration of response will be estimated using the method of Kaplan-Meier. Duration of response (DR) is defined for all evaluable patients who have achieved a PR, nPR, CCR, CRi, or CR (Arms A and B) or PMR, CMR, PR or CR (Arm C) as the date at which the patient's objective status is first noted to be a PR, nPR, CCR, CRi, or CR (Arms A and B) or PMR, CMR, PR or CR (Arm C) to the earliest date relapse is documented.

Outcome measures

Outcome measures
Measure
Arm A (CLL)
n=2 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm B (NHL)
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (CLL With Richters)
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm A (Continuation Phase)
n=5 Participants
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (Continuation Phase)
n=13 Participants
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Duration of Response
6.9 Months
Interval 2.6 to
Not enough events occurred for upper limit calculation
5.9 Months
Interval 2.6 to
Not enough events occurred for upper limit calculation
NA Months
Interval 10.7 to
Not enough events occurred for median or upper limit calculation

SECONDARY outcome

Timeframe: 5 years

The distribution of overall survival will be estimated using the method of Kaplan-Meier.

Outcome measures

Outcome measures
Measure
Arm A (CLL)
n=25 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm B (NHL)
n=23 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (CLL With Richters)
n=17 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm A (Continuation Phase)
n=5 Participants
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (Continuation Phase)
n=13 Participants
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Overall Survival
10.6 Months
Interval 5.4 to 34.4
48.6 Months
Interval 13.0 to
Not enough events to estimate upper confidence limit
11.5 Months
Interval 4.1 to 17.6
11.7 Months
Interval 1.9 to
Not enough events to estimate upper confidence limit
13.3 Months
Interval 5.8 to
Not enough events to estimate upper confidence limit

SECONDARY outcome

Timeframe: 1 year

Confirmed response rate will be estimated by the number of patients with an objective status of complete response, incomplete blood count recovery, nodular partial response, clinical complete response or partial response while on the combination therapy divided by the total number of evaluable patients. Exact binomial 95% confidence intervals for the true overall response rate to the combination will be calculated. In addition, the responders on this study will be further examined in an exploratory manner to determine if there are any patterns in prognostic factors or disease characteristics, including whether the patient had a Richter's transformation or ibrutinib-resistant disease, for both single agent pembrolizumab and combination therapy responders.

Outcome measures

Outcome measures
Measure
Arm A (CLL)
n=5 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm B (NHL)
n=13 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (CLL With Richters)
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm A (Continuation Phase)
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (Continuation Phase)
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Confirmed All Response Rate of Patients Treated With Combination Therapy
0.6000 proportion of participants
Interval 0.1466 to 0.9473
0.1538 proportion of participants
Interval 0.0192 to 0.4545

SECONDARY outcome

Timeframe: 1 year

Will be measured per National Cancer Institute-Common Terminology Criteria for Adverse Events version 4.0. The maximum grade for each type of adverse event will be recorded for each patient, and frequency tables will be reviewed to determine patterns. Additionally, the relationship of the adverse event(s) to the study treatment will be taken into consideration. Adverse events will be evaluated for single-agent pembrolizumab in each arm and also for the combination of pembrolizumab and the signal inhibitor in Arm A and Arm C. This outcome is reported in the adverse events section of this report.

Outcome measures

Outcome measures
Measure
Arm A (CLL)
n=25 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm B (NHL)
n=23 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (CLL With Richters)
n=17 Participants
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm A (Continuation Phase)
n=5 Participants
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (Continuation Phase)
n=13 Participants
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Incidence of Adverse Events
25 Participants
23 Participants
17 Participants
5 Participants
13 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 1 year

Measured at baseline and during treatment. Summarized descriptively by median, minimum, maximum and interquartile range. Overall response and complete response will be correlated with each measure using Wilcoxon rank sum test. The relationship between each measure and time to event measures will be evaluated using Cox proportional hazard models.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 1 year

Measured at baseline and during treatment. Summarized descriptively by median, minimum, maximum and interquartile range. Overall response and complete response will be correlated with each measure using Wilcoxon rank sum test. The relationship between each measure and time to event measures will be evaluated using Cox proportional hazard models.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 1 year

Measured at baseline and during treatment. Summarized descriptively by median, minimum, maximum and interquartile range. Overall response and complete response will be correlated with each measure using Wilcoxon rank sum test. The relationship between each measure and time to event measures will be evaluated using Cox proportional hazard models.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline to up to 1 year

Summarized descriptively by median, minimum, maximum, and interquartile range (continuous factors) or frequency distribution (categorical factors) at each time point. Patterns over time summarized by absolute difference or relative change. Changes across time will be assessed using paired analyses, including Wilcoxon signed rank tests for continuous measures and McNemar's tests for categorical measures. Overall response and complete response will be correlated with continuous factors using Wilcoxon rank sum tests. Jitplots will be used to visually examine differences between groups for continuous factors. Overall response and complete response will be correlated with categorical factors using Fisher's exact tests.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline to up to 1 year

Summarized descriptively by median, minimum, maximum, and interquartile range (continuous factors) or frequency distribution (categorical factors) at each time point. Patterns over time summarized by absolute difference or relative change. Changes across time will be assessed using paired analyses, including Wilcoxon signed rank tests for continuous measures and McNemar's tests for categorical measures. Overall response and complete response will be correlated with continuous factors using Wilcoxon rank sum tests. Jitplots will be used to visually examine differences between groups for continuous factors. Overall response and complete response will be correlated with categorical factors using Fisher's exact tests.

Outcome measures

Outcome data not reported

Adverse Events

Arm A (CLL)

Serious events: 15 serious events
Other events: 25 other events
Deaths: 18 deaths

Arm B (NHL)

Serious events: 9 serious events
Other events: 22 other events
Deaths: 14 deaths

Arm C (CLL With Richters)

Serious events: 8 serious events
Other events: 14 other events
Deaths: 13 deaths

Arm A (Continuation Phase)

Serious events: 3 serious events
Other events: 5 other events
Deaths: 3 deaths

Arm C (Continuation Phase)

Serious events: 6 serious events
Other events: 13 other events
Deaths: 9 deaths

Serious adverse events

Serious adverse events
Measure
Arm A (CLL)
n=25 participants at risk
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm B (NHL)
n=23 participants at risk
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (CLL With Richters)
n=17 participants at risk
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm A (Continuation Phase)
n=5 participants at risk
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (Continuation Phase)
n=13 participants at risk
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Blood and lymphatic system disorders
Anemia
8.0%
2/25 • Number of events 3 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Blood and lymphatic system disorders
Disseminated intravascular coagulation
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
20.0%
1/5 • Number of events 1 • 5 years
0.00%
0/13 • 5 years
Blood and lymphatic system disorders
Febrile neutropenia
8.0%
2/25 • Number of events 2 • 5 years
0.00%
0/23 • 5 years
11.8%
2/17 • Number of events 2 • 5 years
40.0%
2/5 • Number of events 2 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Blood and lymphatic system disorders
Lymph node pain
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Blood and lymphatic system disorders
Spleen disorder
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Cardiac disorders
Atrial fibrillation
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Cardiac disorders
Cardiac arrest
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Eye disorders
Eye disorders - Other, specify
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 2 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Gastrointestinal disorders
Abdominal pain
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Gastrointestinal disorders
Diarrhea
4.0%
1/25 • Number of events 1 • 5 years
4.3%
1/23 • Number of events 2 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Gastrointestinal disorders
Duodenal obstruction
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Gastrointestinal disorders
Dysphagia
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Gastrointestinal disorders
Mucositis oral
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Gastrointestinal disorders
Nausea
4.0%
1/25 • Number of events 1 • 5 years
8.7%
2/23 • Number of events 2 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Gastrointestinal disorders
Vomiting
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
General disorders
Chills
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
General disorders
Fatigue
4.0%
1/25 • Number of events 1 • 5 years
8.7%
2/23 • Number of events 2 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
General disorders
Fever
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
20.0%
1/5 • Number of events 1 • 5 years
0.00%
0/13 • 5 years
Hepatobiliary disorders
Hepatobiliary disorders - Other, specify
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Immune system disorders
Autoimmune disorder
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Infections and infestations
Enterocolitis infectious
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 2 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Infections and infestations
Lung infection
8.0%
2/25 • Number of events 2 • 5 years
8.7%
2/23 • Number of events 3 • 5 years
11.8%
2/17 • Number of events 2 • 5 years
40.0%
2/5 • Number of events 2 • 5 years
0.00%
0/13 • 5 years
Infections and infestations
Peripheral nerve infection
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Infections and infestations
Peritoneal infection
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
20.0%
1/5 • Number of events 1 • 5 years
0.00%
0/13 • 5 years
Infections and infestations
Sepsis
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
20.0%
1/5 • Number of events 2 • 5 years
0.00%
0/13 • 5 years
Infections and infestations
Upper respiratory infection
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Infections and infestations
Urinary tract infection
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
20.0%
1/5 • Number of events 1 • 5 years
0.00%
0/13 • 5 years
Injury, poisoning and procedural complications
Spinal fracture
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
20.0%
1/5 • Number of events 1 • 5 years
0.00%
0/13 • 5 years
Investigations
Alanine aminotransferase increased
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
20.0%
1/5 • Number of events 1 • 5 years
0.00%
0/13 • 5 years
Investigations
Alkaline phosphatase increased
8.0%
2/25 • Number of events 2 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
20.0%
1/5 • Number of events 1 • 5 years
0.00%
0/13 • 5 years
Investigations
Aspartate aminotransferase increased
4.0%
1/25 • Number of events 1 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
20.0%
1/5 • Number of events 1 • 5 years
0.00%
0/13 • 5 years
Investigations
Blood bilirubin increased
8.0%
2/25 • Number of events 2 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Investigations
Creatinine increased
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Investigations
Neutrophil count decreased
8.0%
2/25 • Number of events 2 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
20.0%
1/5 • Number of events 1 • 5 years
0.00%
0/13 • 5 years
Investigations
Platelet count decreased
8.0%
2/25 • Number of events 3 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
40.0%
2/5 • Number of events 2 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Investigations
White blood cell decreased
8.0%
2/25 • Number of events 2 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Metabolism and nutrition disorders
Anorexia
0.00%
0/25 • 5 years
8.7%
2/23 • Number of events 2 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Metabolism and nutrition disorders
Dehydration
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 2 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Metabolism and nutrition disorders
Hypercalcemia
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
11.8%
2/17 • Number of events 2 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Metabolism and nutrition disorders
Hyperuricemia
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Metabolism and nutrition disorders
Hypoalbuminemia
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
20.0%
1/5 • Number of events 1 • 5 years
0.00%
0/13 • 5 years
Metabolism and nutrition disorders
Hypocalcemia
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
20.0%
1/5 • Number of events 1 • 5 years
0.00%
0/13 • 5 years
Metabolism and nutrition disorders
Hyponatremia
8.0%
2/25 • Number of events 2 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
20.0%
1/5 • Number of events 1 • 5 years
0.00%
0/13 • 5 years
Metabolism and nutrition disorders
Hypophosphatemia
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
20.0%
1/5 • Number of events 1 • 5 years
0.00%
0/13 • 5 years
Metabolism and nutrition disorders
Tumor lysis syndrome
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
11.8%
2/17 • Number of events 2 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Musculoskeletal and connective tissue disorders
Back pain
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Musculoskeletal and connective tissue disorders
Flank pain
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Musculoskeletal and connective tissue disorders
Myalgia
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Musculoskeletal and connective tissue disorders
Myositis
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumor pain
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Nervous system disorders
Dizziness
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 2 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Nervous system disorders
Dysarthria
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Nervous system disorders
Headache
4.0%
1/25 • Number of events 1 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Nervous system disorders
Nervous system disorders - Oth spec
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Nervous system disorders
Stroke
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Nervous system disorders
Syncope
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Psychiatric disorders
Confusion
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Renal and urinary disorders
Acute kidney injury
8.0%
2/25 • Number of events 2 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
11.8%
2/17 • Number of events 2 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Respiratory, thoracic and mediastinal disorders
Aspiration
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Respiratory, thoracic and mediastinal disorders
Dyspnea
8.0%
2/25 • Number of events 2 • 5 years
8.7%
2/23 • Number of events 2 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Respiratory, thoracic and mediastinal disorders
Hypoxia
4.0%
1/25 • Number of events 1 • 5 years
13.0%
3/23 • Number of events 3 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Respiratory, thoracic and mediastinal disorders
Pneumonitis
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
Rash maculo-papular
4.0%
1/25 • Number of events 1 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Vascular disorders
Hypotension
0.00%
0/25 • 5 years
8.7%
2/23 • Number of events 2 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Vascular disorders
Thromboembolic event
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
20.0%
1/5 • Number of events 1 • 5 years
0.00%
0/13 • 5 years

Other adverse events

Other adverse events
Measure
Arm A (CLL)
n=25 participants at risk
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm B (NHL)
n=23 participants at risk
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (CLL With Richters)
n=17 participants at risk
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator. Patients on Arm A or Arm C experiencing stable disease without partial remission or progressive disease at 3 months of treatment with pembrolizumab proceed to the treatment continuation phase.
Arm A (Continuation Phase)
n=5 participants at risk
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Arm C (Continuation Phase)
n=13 participants at risk
CONTINUATION PHASE: Patients receive pembrolizumab IV over 30 minutes on day 1. Patients also receive idelalisib PO BID on days 1-21 OR ibrutinib PO QD on days 1-21. Treatment repeats every 21 days for up to 12 or 24 months in the absence of disease progression or unacceptable toxicity. Patients receiving benefit may continue to receive treatment for an additional 12 months at the discretion of the investigator.
Blood and lymphatic system disorders
Anemia
92.0%
23/25 • Number of events 69 • 5 years
73.9%
17/23 • Number of events 87 • 5 years
82.4%
14/17 • Number of events 41 • 5 years
80.0%
4/5 • Number of events 18 • 5 years
100.0%
13/13 • Number of events 52 • 5 years
Blood and lymphatic system disorders
Febrile neutropenia
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
20.0%
1/5 • Number of events 1 • 5 years
0.00%
0/13 • 5 years
Blood and lymphatic system disorders
Leukocytosis
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 2 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 4 • 5 years
Endocrine disorders
Hypothyroidism
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Gastrointestinal disorders
Abdominal pain
4.0%
1/25 • Number of events 1 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Gastrointestinal disorders
Dental caries
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Gastrointestinal disorders
Diarrhea
32.0%
8/25 • Number of events 15 • 5 years
39.1%
9/23 • Number of events 21 • 5 years
29.4%
5/17 • Number of events 9 • 5 years
80.0%
4/5 • Number of events 6 • 5 years
46.2%
6/13 • Number of events 22 • 5 years
Gastrointestinal disorders
Duodenal obstruction
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Gastrointestinal disorders
Nausea
40.0%
10/25 • Number of events 15 • 5 years
39.1%
9/23 • Number of events 16 • 5 years
41.2%
7/17 • Number of events 12 • 5 years
60.0%
3/5 • Number of events 5 • 5 years
15.4%
2/13 • Number of events 3 • 5 years
Gastrointestinal disorders
Vomiting
20.0%
5/25 • Number of events 7 • 5 years
21.7%
5/23 • Number of events 6 • 5 years
29.4%
5/17 • Number of events 5 • 5 years
20.0%
1/5 • Number of events 1 • 5 years
7.7%
1/13 • Number of events 3 • 5 years
General disorders
Chills
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
General disorders
Edema limbs
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 2 • 5 years
General disorders
Fatigue
24.0%
6/25 • Number of events 7 • 5 years
17.4%
4/23 • Number of events 5 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
General disorders
Fever
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Immune system disorders
Autoimmune disorder
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Immune system disorders
Cytokine release syndrome
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Infections and infestations
Lung infection
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
20.0%
1/5 • Number of events 1 • 5 years
23.1%
3/13 • Number of events 3 • 5 years
Infections and infestations
Mucosal infection
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Infections and infestations
Pharyngitis
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Infections and infestations
Sepsis
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Infections and infestations
Sinusitis
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Infections and infestations
Urinary tract infection
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
Spinal fracture
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
20.0%
1/5 • Number of events 4 • 5 years
0.00%
0/13 • 5 years
Investigations
Alanine aminotransferase increased
4.0%
1/25 • Number of events 1 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Investigations
Alkaline phosphatase increased
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Investigations
Blood bilirubin increased
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
15.4%
2/13 • Number of events 2 • 5 years
Investigations
Creatinine increased
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 4 • 5 years
Investigations
Lymphocyte count decreased
12.0%
3/25 • Number of events 4 • 5 years
26.1%
6/23 • Number of events 22 • 5 years
29.4%
5/17 • Number of events 6 • 5 years
0.00%
0/5 • 5 years
23.1%
3/13 • Number of events 3 • 5 years
Investigations
Lymphocyte count increased
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 2 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
30.8%
4/13 • Number of events 34 • 5 years
Investigations
Neutrophil count decreased
44.0%
11/25 • Number of events 20 • 5 years
30.4%
7/23 • Number of events 18 • 5 years
41.2%
7/17 • Number of events 11 • 5 years
80.0%
4/5 • Number of events 10 • 5 years
23.1%
3/13 • Number of events 7 • 5 years
Investigations
Platelet count decreased
76.0%
19/25 • Number of events 65 • 5 years
43.5%
10/23 • Number of events 46 • 5 years
70.6%
12/17 • Number of events 32 • 5 years
100.0%
5/5 • Number of events 39 • 5 years
76.9%
10/13 • Number of events 50 • 5 years
Investigations
White blood cell decreased
20.0%
5/25 • Number of events 8 • 5 years
43.5%
10/23 • Number of events 27 • 5 years
29.4%
5/17 • Number of events 7 • 5 years
60.0%
3/5 • Number of events 3 • 5 years
7.7%
1/13 • Number of events 5 • 5 years
Metabolism and nutrition disorders
Anorexia
4.0%
1/25 • Number of events 1 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Metabolism and nutrition disorders
Dehydration
12.0%
3/25 • Number of events 3 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Metabolism and nutrition disorders
Hyperglycemia
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Metabolism and nutrition disorders
Hyperkalemia
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Metabolism and nutrition disorders
Hypernatremia
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Metabolism and nutrition disorders
Hypoalbuminemia
4.0%
1/25 • Number of events 1 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Metabolism and nutrition disorders
Hypocalcemia
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Metabolism and nutrition disorders
Hypomagnesemia
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Metabolism and nutrition disorders
Tumor lysis syndrome
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 5 • 5 years
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 2 • 5 years
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 2 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumor pain
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Nervous system disorders
Syncope
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Renal and urinary disorders
Acute kidney injury
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
Cough
68.0%
17/25 • Number of events 33 • 5 years
60.9%
14/23 • Number of events 28 • 5 years
52.9%
9/17 • Number of events 15 • 5 years
60.0%
3/5 • Number of events 8 • 5 years
53.8%
7/13 • Number of events 20 • 5 years
Respiratory, thoracic and mediastinal disorders
Dyspnea
56.0%
14/25 • Number of events 23 • 5 years
34.8%
8/23 • Number of events 16 • 5 years
29.4%
5/17 • Number of events 7 • 5 years
60.0%
3/5 • Number of events 3 • 5 years
23.1%
3/13 • Number of events 6 • 5 years
Respiratory, thoracic and mediastinal disorders
Hypoxia
8.0%
2/25 • Number of events 2 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/25 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 1 • 5 years
0.00%
0/5 • 5 years
7.7%
1/13 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
Pneumonitis
8.0%
2/25 • Number of events 3 • 5 years
0.00%
0/23 • 5 years
5.9%
1/17 • Number of events 2 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Respiratory, thoracic and mediastinal disorders
Respiratory failure
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Respiratory, thoracic and mediastinal disorders
Sore throat
0.00%
0/25 • 5 years
4.3%
1/23 • Number of events 1 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years
Skin and subcutaneous tissue disorders
Rash maculo-papular
16.0%
4/25 • Number of events 5 • 5 years
4.3%
1/23 • Number of events 3 • 5 years
11.8%
2/17 • Number of events 4 • 5 years
80.0%
4/5 • Number of events 7 • 5 years
23.1%
3/13 • Number of events 16 • 5 years
Vascular disorders
Hypotension
4.0%
1/25 • Number of events 1 • 5 years
0.00%
0/23 • 5 years
0.00%
0/17 • 5 years
0.00%
0/5 • 5 years
0.00%
0/13 • 5 years

Additional Information

Wei Ding

Mayo Clinic

Phone: 5072845096

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place