Trial Outcomes & Findings for Ibrutinib Before and After Stem Cell Transplant in Treating Patients With Relapsed or Refractory Diffuse Large B-cell Lymphoma (NCT NCT02443077)

NCT ID: NCT02443077

Last Updated: 2025-12-04

Results Overview

Will be assessed using the Lugano classification.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE3

Target enrollment

94 participants

Primary outcome timeframe

Time between registration and disease progression or death, whichever comes first, assessed at 24 months

Results posted on

2025-12-04

Participant Flow

Participant milestones

Participant milestones
Measure
Arm I (Ibrutinib, Chemotherapy, autoHCT)
CONDITIONING REGIMEN: Investigators may choose to use either the BEAMi or CBVi regimen.\> BEAMi: Patients receive ibrutinib PO on days -6 to -1 or days -7 to -2 if a day of rest is planned, carmustine IV over 2 hours on day -6, etoposide IV BID over 1-2 hours and cytarabine IV BID over 1-2 hours on days -5 to -2, and melphalan IV over 20-30 minutes on day -1. \> CBVi: Patients receive ibrutinib PO on days -6 to -1 or days -7 to -2 if a day of rest is planned, carmustine IV over 2 hours on day -6, etoposide IV over 4 hours on day -4, and cyclophosphamide IV on day -2.\> TRANSPLANT: In both arms, patients undergo autologous hematopoietic progenitor cell or bone marrow transplant on day 0.\> CONTINUATION REGIMEN: Beginning 30-60 days after transplant, patients receive ibrutinib PO on days 1-28. Treatment repeats every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity.\> Autologous Bone Marrow Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> Autologous Hematopoietic Stem Cell Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> Carmustine: Given IV\> Cyclophosphamide: Given IV\> Cytarabine: Given IV\> Etoposide: Given IV\> Ibrutinib: Given PO\> Laboratory Biomarker Analysis: Correlative studies\> Melphalan: Given IV\> Pharmacogenomic Study: Correlative studies
Arm II (Placebo, Chemotherapy, autoHCT)
CONDITIONING REGIMEN: Patients receive placebo PO on days -6 to -1 and receive 1 of the 2 conditioning regimens as in Arm I.\> \>\> TRANSPLANT: Patients undergo autologous hematopoietic progenitor cell or bone marrow transplant on day 0.\> \>\> \>\> \>\> \> \>\> \>\> \>\> CONTINUATION REGIMEN: Beginning 30-60 days after transplant, patients receive placebo PO on days 1-28. Treatment repeats every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity. Patients experiencing disease progression may crossover Arm I.\> \>\> \>\> \>\> \> \>\> \>\> \>\> Autologous Bone Marrow Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> \>\> \>\> \>\> \> \>\> \>\> \>\> Autologous Hematopoietic Stem Cell Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> \>\> \>\> \>\> \> \>\> \>\> \>\> Carmustine: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Cyclophosphamide: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Cytarabine: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Etoposide: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Laboratory Biomarker Analysis: Correlative studies\> \>\> \>\> \>\> \> \>\> \>\> \>\> Melphalan: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Pharmacogenomic Study: Correlative studies\> \>\> \>\> \>\> \> \>\> \>\> \>\> Placebo Administration: Given PO
Safety Cohort
AutoHCT + Ibrutinib (Cycle 1)\> \>\> Ibrutinib 560 mg† days -6 to -1\> \>\> Ibrutinib Continuation\> \>\> (Cycles 2-13)\*\*\> \>\> Ibrutinib 560 mg daily
Overall Study
STARTED
45
43
6
Overall Study
Crossover
2
0
0
Overall Study
COMPLETED
10
9
6
Overall Study
NOT COMPLETED
35
34
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Ibrutinib Before and After Stem Cell Transplant in Treating Patients With Relapsed or Refractory Diffuse Large B-cell Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm I (Ibrutinib, Chemotherapy, autoHCT)
n=45 Participants
CONDITIONING REGIMEN: Investigators may choose to use either the BEAMi or CBVi regimen.\> BEAMi: Patients receive ibrutinib PO on days -6 to -1 or days -7 to -2 if a day of rest is planned, carmustine IV over 2 hours on day -6, etoposide IV BID over 1-2 hours and cytarabine IV BID over 1-2 hours on days -5 to -2, and melphalan IV over 20-30 minutes on day -1. \> CBVi: Patients receive ibrutinib PO on days -6 to -1 or days -7 to -2 if a day of rest is planned, carmustine IV over 2 hours on day -6, etoposide IV over 4 hours on day -4, and cyclophosphamide IV on day -2.\> TRANSPLANT: In both arms, patients undergo autologous hematopoietic progenitor cell or bone marrow transplant on day 0.\> CONTINUATION REGIMEN: Beginning 30-60 days after transplant, patients receive ibrutinib PO on days 1-28. Treatment repeats every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity.\> Autologous Bone Marrow Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> Autologous Hematopoietic Stem Cell Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> Carmustine: Given IV\> Cyclophosphamide: Given IV\> Cytarabine: Given IV\> Etoposide: Given IV\> Ibrutinib: Given PO\> Laboratory Biomarker Analysis: Correlative studies\> Melphalan: Given IV\> Pharmacogenomic Study: Correlative studies
Arm II (Placebo, Chemotherapy, autoHCT)
n=43 Participants
CONDITIONING REGIMEN: Patients receive placebo PO on days -6 to -1 and receive 1 of the 2 conditioning regimens as in Arm I.\> \>\> TRANSPLANT: Patients undergo autologous hematopoietic progenitor cell or bone marrow transplant on day 0.\> \>\> \>\> \>\> \> \>\> \>\> \>\> CONTINUATION REGIMEN: Beginning 30-60 days after transplant, patients receive placebo PO on days 1-28. Treatment repeats every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity. Patients experiencing disease progression may crossover Arm I.\> \>\> \>\> \>\> \> \>\> \>\> \>\> Autologous Bone Marrow Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> \>\> \>\> \>\> \> \>\> \>\> \>\> Autologous Hematopoietic Stem Cell Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> \>\> \>\> \>\> \> \>\> \>\> \>\> Carmustine: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Cyclophosphamide: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Cytarabine: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Etoposide: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Laboratory Biomarker Analysis: Correlative studies\> \>\> \>\> \>\> \> \>\> \>\> \>\> Melphalan: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Pharmacogenomic Study: Correlative studies\> \>\> \>\> \>\> \> \>\> \>\> \>\> Placebo Administration: Given PO
Safety Cohort
n=6 Participants
AutoHCT + Ibrutinib (Cycle 1) Ibrutinib 560 mg† days -6 to -1 Ibrutinib Continuation (Cycles 2-13)\*\* Ibrutinib 560 mg daily
Total
n=94 Participants
Total of all reporting groups
Age, Continuous
61 years
n=3 Participants
59 years
n=3 Participants
52.5 years
n=6 Participants
61 years
n=3 Participants
Sex: Female, Male
Female
20 Participants
n=3 Participants
20 Participants
n=3 Participants
1 Participants
n=6 Participants
41 Participants
n=3 Participants
Sex: Female, Male
Male
25 Participants
n=3 Participants
23 Participants
n=3 Participants
5 Participants
n=6 Participants
53 Participants
n=3 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=3 Participants
3 Participants
n=3 Participants
0 Participants
n=6 Participants
5 Participants
n=3 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
43 Participants
n=3 Participants
40 Participants
n=3 Participants
6 Participants
n=6 Participants
89 Participants
n=3 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=3 Participants
0 Participants
n=3 Participants
0 Participants
n=6 Participants
0 Participants
n=3 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=3 Participants
0 Participants
n=3 Participants
0 Participants
n=6 Participants
0 Participants
n=3 Participants
Race (NIH/OMB)
Asian
1 Participants
n=3 Participants
0 Participants
n=3 Participants
0 Participants
n=6 Participants
1 Participants
n=3 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=3 Participants
0 Participants
n=3 Participants
0 Participants
n=6 Participants
0 Participants
n=3 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=3 Participants
1 Participants
n=3 Participants
0 Participants
n=6 Participants
4 Participants
n=3 Participants
Race (NIH/OMB)
White
38 Participants
n=3 Participants
39 Participants
n=3 Participants
3 Participants
n=6 Participants
80 Participants
n=3 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=3 Participants
0 Participants
n=3 Participants
0 Participants
n=6 Participants
0 Participants
n=3 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=3 Participants
3 Participants
n=3 Participants
3 Participants
n=6 Participants
9 Participants
n=3 Participants
Prior Ibrutinib
1 Participants
n=3 Participants
0 Participants
n=3 Participants
0 Participants
n=6 Participants
1 Participants
n=3 Participants
Time to relapse
<= 12 months (includes refractory)
21 Participants
n=3 Participants
21 Participants
n=3 Participants
5 Participants
n=6 Participants
47 Participants
n=3 Participants
Time to relapse
> 12 months
24 Participants
n=3 Participants
22 Participants
n=3 Participants
1 Participants
n=6 Participants
47 Participants
n=3 Participants
Type of transplant regimen planned
BEAM
42 Participants
n=3 Participants
41 Participants
n=3 Participants
5 Participants
n=6 Participants
88 Participants
n=3 Participants
Type of transplant regimen planned
CBV
3 Participants
n=3 Participants
2 Participants
n=3 Participants
1 Participants
n=6 Participants
6 Participants
n=3 Participants
Number of prior lines of chemo
2 chemo lines
n=3 Participants
2 chemo lines
n=3 Participants
2 chemo lines
n=6 Participants
2 chemo lines
n=3 Participants
ECOG Performance Status
0
14 Participants
n=3 Participants
18 Participants
n=3 Participants
2 Participants
n=6 Participants
34 Participants
n=3 Participants
ECOG Performance Status
1
27 Participants
n=3 Participants
23 Participants
n=3 Participants
4 Participants
n=6 Participants
54 Participants
n=3 Participants
ECOG Performance Status
2
4 Participants
n=3 Participants
2 Participants
n=3 Participants
0 Participants
n=6 Participants
6 Participants
n=3 Participants
LDH
251 U/L
n=3 Participants
229.5 U/L
n=3 Participants
292.5 U/L
n=6 Participants
235 U/L
n=3 Participants
Refractory Disease
10 Participants
n=3 Participants
8 Participants
n=3 Participants
2 Participants
n=6 Participants
20 Participants
n=3 Participants
Stage of Disease at Relapse
I
3 Participants
n=3 Participants
4 Participants
n=3 Participants
0 Participants
n=6 Participants
7 Participants
n=3 Participants
Stage of Disease at Relapse
II
11 Participants
n=3 Participants
7 Participants
n=3 Participants
1 Participants
n=6 Participants
19 Participants
n=3 Participants
Stage of Disease at Relapse
III
11 Participants
n=3 Participants
11 Participants
n=3 Participants
2 Participants
n=6 Participants
24 Participants
n=3 Participants
Stage of Disease at Relapse
IV
20 Participants
n=3 Participants
21 Participants
n=3 Participants
3 Participants
n=6 Participants
44 Participants
n=3 Participants
Baseline Deauville Score
Score 1-2
18 Participants
n=3 Participants
12 Participants
n=3 Participants
0 Participants
n=6 Participants
30 Participants
n=3 Participants
Baseline Deauville Score
Score 3-4
12 Participants
n=3 Participants
11 Participants
n=3 Participants
0 Participants
n=6 Participants
23 Participants
n=3 Participants
Baseline Deauville Score
Score 5
3 Participants
n=3 Participants
5 Participants
n=3 Participants
0 Participants
n=6 Participants
8 Participants
n=3 Participants
Extranodal Involvement
Bone marrow
7 Participants
n=3 Participants
3 Participants
n=3 Participants
0 Participants
n=6 Participants
10 Participants
n=3 Participants
Extranodal Involvement
Liver
0 Participants
n=3 Participants
1 Participants
n=3 Participants
0 Participants
n=6 Participants
1 Participants
n=3 Participants
Extranodal Involvement
Lung
6 Participants
n=3 Participants
2 Participants
n=3 Participants
0 Participants
n=6 Participants
8 Participants
n=3 Participants
Extranodal Involvement
Subcutaneous Tissue
4 Participants
n=3 Participants
1 Participants
n=3 Participants
1 Participants
n=6 Participants
6 Participants
n=3 Participants
Extranodal Involvement
Pleura
2 Participants
n=3 Participants
0 Participants
n=3 Participants
0 Participants
n=6 Participants
2 Participants
n=3 Participants
Extranodal Involvement
Spleen
3 Participants
n=3 Participants
3 Participants
n=3 Participants
2 Participants
n=6 Participants
8 Participants
n=3 Participants
Extranodal Involvement
Other
9 Participants
n=3 Participants
6 Participants
n=3 Participants
2 Participants
n=6 Participants
17 Participants
n=3 Participants

PRIMARY outcome

Timeframe: Time between registration and disease progression or death, whichever comes first, assessed at 24 months

Population: Participants that completed at least one cycle of treatment

Will be assessed using the Lugano classification.

Outcome measures

Outcome measures
Measure
Arm I (Ibrutinib, Chemotherapy, autoHCT)
n=39 Participants
CONDITIONING REGIMEN: Investigators may choose to use either the BEAMi or CBVi regimen.\> BEAMi: Patients receive ibrutinib PO on days -6 to -1 or days -7 to -2 if a day of rest is planned, carmustine IV over 2 hours on day -6, etoposide IV BID over 1-2 hours and cytarabine IV BID over 1-2 hours on days -5 to -2, and melphalan IV over 20-30 minutes on day -1.\> CBVi: Patients receive ibrutinib PO on days -6 to -1 or days -7 to -2 if a day of rest is planned, carmustine IV over 2 hours on day -6, etoposide IV over 4 hours on day -4, and cyclophosphamide IV on day -2.\> TRANSPLANT: In both arms, patients undergo autologous hematopoietic progenitor cell or bone marrow transplant on day 0.\> CONTINUATION REGIMEN: Beginning 30-60 days after transplant, patients receive ibrutinib PO on days 1-28. Treatment repeats every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity.\> Autologous Bone Marrow Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant Autologous Hematopoietic Stem Cell Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant Carmustine: Given IV Cyclophosphamide: Given IV Cytarabine: Given IV Etoposide: Given IV Ibrutinib: Given PO Laboratory Biomarker Analysis: Correlative studies Melphalan: Given IV Pharmacogenomic Study: Correlative studies
Arm II (Placebo, Chemotherapy, autoHCT)
n=38 Participants
CONDITIONING REGIMEN: Patients receive placebo PO on days -6 to -1 and receive 1 of the 2 conditioning regimens as in Arm I.\> \>\> TRANSPLANT: Patients undergo autologous hematopoietic progenitor cell or bone marrow transplant on day 0.\> \>\> \>\> \>\> \> \>\> \>\> \>\> CONTINUATION REGIMEN: Beginning 30-60 days after transplant, patients receive placebo PO on days 1-28. Treatment repeats every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity. Patients experiencing disease progression may crossover Arm I.\> \>\> \>\> \>\> \> \>\> \>\> \>\> Autologous Bone Marrow Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> \>\> \>\> \>\> \> \>\> \>\> \>\> Autologous Hematopoietic Stem Cell Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> \>\> \>\> \>\> \> \>\> \>\> \>\> Carmustine: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Cyclophosphamide: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Cytarabine: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Etoposide: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Laboratory Biomarker Analysis: Correlative studies\> \>\> \>\> \>\> \> \>\> \>\> \>\> Melphalan: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Pharmacogenomic Study: Correlative studies\> \>\> \>\> \>\> \> \>\> \>\> \>\> Placebo Administration: Given PO
24-month Progression-free Survival (PFS), Defined as the Proportion of Patients Who Are Alive and Progression-free 2 Years From Randomization
0.576 proportion of participants
Interval 0.421 to 0.788
0.408 proportion of participants
Interval 0.265 to 0.628

SECONDARY outcome

Timeframe: The time between randomization and death from any cause, assessed up to 5 years (60 months)

For each arm, the distribution of OS will be estimated using the Kaplan-Meier method. OS will be compared between the two arms using the log-rank test and Cox regression method adjusting for the known predictors.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: First day of one week without platelet transfusion, assessed up to 5 years

Will be defined as platelet count greater than or equal to 20,000/uL following nadir.

Outcome measures

Outcome measures
Measure
Arm I (Ibrutinib, Chemotherapy, autoHCT)
n=39 Participants
CONDITIONING REGIMEN: Investigators may choose to use either the BEAMi or CBVi regimen.\> BEAMi: Patients receive ibrutinib PO on days -6 to -1 or days -7 to -2 if a day of rest is planned, carmustine IV over 2 hours on day -6, etoposide IV BID over 1-2 hours and cytarabine IV BID over 1-2 hours on days -5 to -2, and melphalan IV over 20-30 minutes on day -1.\> CBVi: Patients receive ibrutinib PO on days -6 to -1 or days -7 to -2 if a day of rest is planned, carmustine IV over 2 hours on day -6, etoposide IV over 4 hours on day -4, and cyclophosphamide IV on day -2.\> TRANSPLANT: In both arms, patients undergo autologous hematopoietic progenitor cell or bone marrow transplant on day 0.\> CONTINUATION REGIMEN: Beginning 30-60 days after transplant, patients receive ibrutinib PO on days 1-28. Treatment repeats every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity.\> Autologous Bone Marrow Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant Autologous Hematopoietic Stem Cell Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant Carmustine: Given IV Cyclophosphamide: Given IV Cytarabine: Given IV Etoposide: Given IV Ibrutinib: Given PO Laboratory Biomarker Analysis: Correlative studies Melphalan: Given IV Pharmacogenomic Study: Correlative studies
Arm II (Placebo, Chemotherapy, autoHCT)
n=38 Participants
CONDITIONING REGIMEN: Patients receive placebo PO on days -6 to -1 and receive 1 of the 2 conditioning regimens as in Arm I.\> \>\> TRANSPLANT: Patients undergo autologous hematopoietic progenitor cell or bone marrow transplant on day 0.\> \>\> \>\> \>\> \> \>\> \>\> \>\> CONTINUATION REGIMEN: Beginning 30-60 days after transplant, patients receive placebo PO on days 1-28. Treatment repeats every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity. Patients experiencing disease progression may crossover Arm I.\> \>\> \>\> \>\> \> \>\> \>\> \>\> Autologous Bone Marrow Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> \>\> \>\> \>\> \> \>\> \>\> \>\> Autologous Hematopoietic Stem Cell Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> \>\> \>\> \>\> \> \>\> \>\> \>\> Carmustine: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Cyclophosphamide: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Cytarabine: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Etoposide: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Laboratory Biomarker Analysis: Correlative studies\> \>\> \>\> \>\> \> \>\> \>\> \>\> Melphalan: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Pharmacogenomic Study: Correlative studies\> \>\> \>\> \>\> \> \>\> \>\> \>\> Placebo Administration: Given PO
Time to Hematopoietic Engraftment
14.0 days
Interval 12.0 to 17.0
14.5 days
Interval 13.0 to 19.0

SECONDARY outcome

Timeframe: Time between registration and disease progression or death, whichever comes first, assessed up to 5 years (60 months)

For each arm, the distribution of PFS will be estimated using the Kaplan-Meier method. PFS will be compared between the two arms using the log-rank test and Cox regression method adjusting for the known predictors.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 60 months

The metabolic response proportion following AutoHCT will be compared between the two arms using chi-squared test.

Outcome measures

Outcome measures
Measure
Arm I (Ibrutinib, Chemotherapy, autoHCT)
n=39 Participants
CONDITIONING REGIMEN: Investigators may choose to use either the BEAMi or CBVi regimen.\> BEAMi: Patients receive ibrutinib PO on days -6 to -1 or days -7 to -2 if a day of rest is planned, carmustine IV over 2 hours on day -6, etoposide IV BID over 1-2 hours and cytarabine IV BID over 1-2 hours on days -5 to -2, and melphalan IV over 20-30 minutes on day -1.\> CBVi: Patients receive ibrutinib PO on days -6 to -1 or days -7 to -2 if a day of rest is planned, carmustine IV over 2 hours on day -6, etoposide IV over 4 hours on day -4, and cyclophosphamide IV on day -2.\> TRANSPLANT: In both arms, patients undergo autologous hematopoietic progenitor cell or bone marrow transplant on day 0.\> CONTINUATION REGIMEN: Beginning 30-60 days after transplant, patients receive ibrutinib PO on days 1-28. Treatment repeats every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity.\> Autologous Bone Marrow Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant Autologous Hematopoietic Stem Cell Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant Carmustine: Given IV Cyclophosphamide: Given IV Cytarabine: Given IV Etoposide: Given IV Ibrutinib: Given PO Laboratory Biomarker Analysis: Correlative studies Melphalan: Given IV Pharmacogenomic Study: Correlative studies
Arm II (Placebo, Chemotherapy, autoHCT)
n=38 Participants
CONDITIONING REGIMEN: Patients receive placebo PO on days -6 to -1 and receive 1 of the 2 conditioning regimens as in Arm I.\> \>\> TRANSPLANT: Patients undergo autologous hematopoietic progenitor cell or bone marrow transplant on day 0.\> \>\> \>\> \>\> \> \>\> \>\> \>\> CONTINUATION REGIMEN: Beginning 30-60 days after transplant, patients receive placebo PO on days 1-28. Treatment repeats every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity. Patients experiencing disease progression may crossover Arm I.\> \>\> \>\> \>\> \> \>\> \>\> \>\> Autologous Bone Marrow Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> \>\> \>\> \>\> \> \>\> \>\> \>\> Autologous Hematopoietic Stem Cell Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> \>\> \>\> \>\> \> \>\> \>\> \>\> Carmustine: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Cyclophosphamide: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Cytarabine: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Etoposide: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Laboratory Biomarker Analysis: Correlative studies\> \>\> \>\> \>\> \> \>\> \>\> \>\> Melphalan: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Pharmacogenomic Study: Correlative studies\> \>\> \>\> \>\> \> \>\> \>\> \>\> Placebo Administration: Given PO
Response Rate Using the Lugano Classification
0.590 proportion of participants
Interval 0.421 to 0.744
0.553 proportion of participants
Interval 0.383 to 0.714

SECONDARY outcome

Timeframe: Up to 60 months

Treatment-related mortality will be summarized using contingency tables.

Outcome measures

Outcome measures
Measure
Arm I (Ibrutinib, Chemotherapy, autoHCT)
n=13 Participants
CONDITIONING REGIMEN: Investigators may choose to use either the BEAMi or CBVi regimen.\> BEAMi: Patients receive ibrutinib PO on days -6 to -1 or days -7 to -2 if a day of rest is planned, carmustine IV over 2 hours on day -6, etoposide IV BID over 1-2 hours and cytarabine IV BID over 1-2 hours on days -5 to -2, and melphalan IV over 20-30 minutes on day -1.\> CBVi: Patients receive ibrutinib PO on days -6 to -1 or days -7 to -2 if a day of rest is planned, carmustine IV over 2 hours on day -6, etoposide IV over 4 hours on day -4, and cyclophosphamide IV on day -2.\> TRANSPLANT: In both arms, patients undergo autologous hematopoietic progenitor cell or bone marrow transplant on day 0.\> CONTINUATION REGIMEN: Beginning 30-60 days after transplant, patients receive ibrutinib PO on days 1-28. Treatment repeats every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity.\> Autologous Bone Marrow Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant Autologous Hematopoietic Stem Cell Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant Carmustine: Given IV Cyclophosphamide: Given IV Cytarabine: Given IV Etoposide: Given IV Ibrutinib: Given PO Laboratory Biomarker Analysis: Correlative studies Melphalan: Given IV Pharmacogenomic Study: Correlative studies
Arm II (Placebo, Chemotherapy, autoHCT)
n=12 Participants
CONDITIONING REGIMEN: Patients receive placebo PO on days -6 to -1 and receive 1 of the 2 conditioning regimens as in Arm I.\> \>\> TRANSPLANT: Patients undergo autologous hematopoietic progenitor cell or bone marrow transplant on day 0.\> \>\> \>\> \>\> \> \>\> \>\> \>\> CONTINUATION REGIMEN: Beginning 30-60 days after transplant, patients receive placebo PO on days 1-28. Treatment repeats every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity. Patients experiencing disease progression may crossover Arm I.\> \>\> \>\> \>\> \> \>\> \>\> \>\> Autologous Bone Marrow Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> \>\> \>\> \>\> \> \>\> \>\> \>\> Autologous Hematopoietic Stem Cell Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> \>\> \>\> \>\> \> \>\> \>\> \>\> Carmustine: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Cyclophosphamide: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Cytarabine: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Etoposide: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Laboratory Biomarker Analysis: Correlative studies\> \>\> \>\> \>\> \> \>\> \>\> \>\> Melphalan: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Pharmacogenomic Study: Correlative studies\> \>\> \>\> \>\> \> \>\> \>\> \>\> Placebo Administration: Given PO
Treatment-related Mortality
Disease-related
6 participants
8 participants
Treatment-related Mortality
Infection
4 participants
0 participants
Treatment-related Mortality
New Primary
1 participants
0 participants
Treatment-related Mortality
Other/Unknown
2 participants
4 participants

SECONDARY outcome

Timeframe: Up to 60 months

Hematologic toxicity will be summarized using contingency tables.

Outcome measures

Outcome measures
Measure
Arm I (Ibrutinib, Chemotherapy, autoHCT)
n=39 Participants
CONDITIONING REGIMEN: Investigators may choose to use either the BEAMi or CBVi regimen.\> BEAMi: Patients receive ibrutinib PO on days -6 to -1 or days -7 to -2 if a day of rest is planned, carmustine IV over 2 hours on day -6, etoposide IV BID over 1-2 hours and cytarabine IV BID over 1-2 hours on days -5 to -2, and melphalan IV over 20-30 minutes on day -1.\> CBVi: Patients receive ibrutinib PO on days -6 to -1 or days -7 to -2 if a day of rest is planned, carmustine IV over 2 hours on day -6, etoposide IV over 4 hours on day -4, and cyclophosphamide IV on day -2.\> TRANSPLANT: In both arms, patients undergo autologous hematopoietic progenitor cell or bone marrow transplant on day 0.\> CONTINUATION REGIMEN: Beginning 30-60 days after transplant, patients receive ibrutinib PO on days 1-28. Treatment repeats every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity.\> Autologous Bone Marrow Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant Autologous Hematopoietic Stem Cell Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant Carmustine: Given IV Cyclophosphamide: Given IV Cytarabine: Given IV Etoposide: Given IV Ibrutinib: Given PO Laboratory Biomarker Analysis: Correlative studies Melphalan: Given IV Pharmacogenomic Study: Correlative studies
Arm II (Placebo, Chemotherapy, autoHCT)
n=38 Participants
CONDITIONING REGIMEN: Patients receive placebo PO on days -6 to -1 and receive 1 of the 2 conditioning regimens as in Arm I.\> \>\> TRANSPLANT: Patients undergo autologous hematopoietic progenitor cell or bone marrow transplant on day 0.\> \>\> \>\> \>\> \> \>\> \>\> \>\> CONTINUATION REGIMEN: Beginning 30-60 days after transplant, patients receive placebo PO on days 1-28. Treatment repeats every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity. Patients experiencing disease progression may crossover Arm I.\> \>\> \>\> \>\> \> \>\> \>\> \>\> Autologous Bone Marrow Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> \>\> \>\> \>\> \> \>\> \>\> \>\> Autologous Hematopoietic Stem Cell Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> \>\> \>\> \>\> \> \>\> \>\> \>\> Carmustine: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Cyclophosphamide: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Cytarabine: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Etoposide: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Laboratory Biomarker Analysis: Correlative studies\> \>\> \>\> \>\> \> \>\> \>\> \>\> Melphalan: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Pharmacogenomic Study: Correlative studies\> \>\> \>\> \>\> \> \>\> \>\> \>\> Placebo Administration: Given PO
Incidence of Hematologic Toxicity of Ibrutinib Therapy
Grade 3 Event
6 Participants
9 Participants
Incidence of Hematologic Toxicity of Ibrutinib Therapy
Grade 4 Event
13 Participants
11 Participants
Incidence of Hematologic Toxicity of Ibrutinib Therapy
Grade 5 Event
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to 60 months

Incidence of secondary malignancies will be summarized using contingency tables.

Outcome measures

Outcome measures
Measure
Arm I (Ibrutinib, Chemotherapy, autoHCT)
n=39 Participants
CONDITIONING REGIMEN: Investigators may choose to use either the BEAMi or CBVi regimen.\> BEAMi: Patients receive ibrutinib PO on days -6 to -1 or days -7 to -2 if a day of rest is planned, carmustine IV over 2 hours on day -6, etoposide IV BID over 1-2 hours and cytarabine IV BID over 1-2 hours on days -5 to -2, and melphalan IV over 20-30 minutes on day -1.\> CBVi: Patients receive ibrutinib PO on days -6 to -1 or days -7 to -2 if a day of rest is planned, carmustine IV over 2 hours on day -6, etoposide IV over 4 hours on day -4, and cyclophosphamide IV on day -2.\> TRANSPLANT: In both arms, patients undergo autologous hematopoietic progenitor cell or bone marrow transplant on day 0.\> CONTINUATION REGIMEN: Beginning 30-60 days after transplant, patients receive ibrutinib PO on days 1-28. Treatment repeats every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity.\> Autologous Bone Marrow Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant Autologous Hematopoietic Stem Cell Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant Carmustine: Given IV Cyclophosphamide: Given IV Cytarabine: Given IV Etoposide: Given IV Ibrutinib: Given PO Laboratory Biomarker Analysis: Correlative studies Melphalan: Given IV Pharmacogenomic Study: Correlative studies
Arm II (Placebo, Chemotherapy, autoHCT)
n=38 Participants
CONDITIONING REGIMEN: Patients receive placebo PO on days -6 to -1 and receive 1 of the 2 conditioning regimens as in Arm I.\> \>\> TRANSPLANT: Patients undergo autologous hematopoietic progenitor cell or bone marrow transplant on day 0.\> \>\> \>\> \>\> \> \>\> \>\> \>\> CONTINUATION REGIMEN: Beginning 30-60 days after transplant, patients receive placebo PO on days 1-28. Treatment repeats every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity. Patients experiencing disease progression may crossover Arm I.\> \>\> \>\> \>\> \> \>\> \>\> \>\> Autologous Bone Marrow Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> \>\> \>\> \>\> \> \>\> \>\> \>\> Autologous Hematopoietic Stem Cell Transplantation: Undergo autologous hematopoietic progenitor cells or bone marrow transplant\> \>\> \>\> \>\> \> \>\> \>\> \>\> Carmustine: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Cyclophosphamide: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Cytarabine: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Etoposide: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Laboratory Biomarker Analysis: Correlative studies\> \>\> \>\> \>\> \> \>\> \>\> \>\> Melphalan: Given IV\> \>\> \>\> \>\> \> \>\> \>\> \>\> Pharmacogenomic Study: Correlative studies\> \>\> \>\> \>\> \> \>\> \>\> \>\> Placebo Administration: Given PO
Incidence of Secondary Malignancies
1 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

PFS and OS will be compared between PET/computed tomography (CT) positive and negative groups using the two-sample log-rank test with a 2-sided alpha of 5%. A Cox regression model will be conducted to regress PFS and OS on PET/CT positivity. Deauville criteria analyses will be conducted with cutoffs at scores of 2 and 3, and quantitative measurements, e.g. delta standard uptake value (SUV), %SUV decline and %MTV decline, in place of the dichotomous FDG-PET/CT outcome. Positive/negative predictive values, sensitivity and specificity of PET/CT further estimated by dichotomizing the PFS and OS at 2 years.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

GSTT1 null allele expression will be associated with carmustine toxicity. Quantified using the standard Common Terminology Criteria for Adverse Events and changes in diffusing capacity of the lungs for carbon monoxide from baseline.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

All SNPs will be evaluated for deviation from Hardy-Weinberg. In the absence of a hypothesized effect, analyses will be powered for allele dosing (i.e., additive) effects. The Cochran-Armitage test (for binary endpoints), Jonkheere-Terpstra test (for quantitative traits including biomarker or gene expressions in serum or tumor ribonucleic acid) and the Cox score test (for censored time-to-event outcomes) will be used to quantify marginal associations. Multivariable models, with molecular, clinical and demographic variables, will be constructed using conditional inference trees and random forests.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

The mutation of CD79a/b, caspase recruitment domain family, member 11 (CARD11), tumor necrosis factor, alpha-induced protein 3 TNFAIP3), and myeloid differentiation primary response 88 (MYD88) will be associated with each outcome in the ibrutinib arm (Arm A) using the chi-squared test for response rate and the log-rank test for each censored outcome. Similar analyses will be conducted for the placebo arm (Arm B) to show that the association between mutation and the outcomes observed in the ibrutinib arm is not observed in the placebo arm.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

The expression of BCL2, MYC, and Ki67 will be analyzed to assess whether they affect clinical outcomes.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

Translocations in MYC with or without BCL2, and BCL6 will be analyzed to determine whether they are related to poor outcomes and whether ibrutinib modifies the prognosis.

Outcome measures

Outcome data not reported

Adverse Events

Arm I (Ibrutinib, Chemotherapy, autoHCT)

Serious events: 22 serious events
Other events: 36 other events
Deaths: 14 deaths

Arm II (Placebo, Chemotherapy, autoHCT)

Serious events: 23 serious events
Other events: 38 other events
Deaths: 10 deaths

Safety Cohort

Serious events: 4 serious events
Other events: 6 other events
Deaths: 3 deaths

Crossover Arm

Serious events: 1 serious events
Other events: 1 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Arm I (Ibrutinib, Chemotherapy, autoHCT)
n=45 participants at risk
Pharmacogenomic Study: Correlative studies
Arm II (Placebo, Chemotherapy, autoHCT)
n=43 participants at risk
Placebo Administration: Given PO
Safety Cohort
n=6 participants at risk
AutoHCT + Ibrutinib (Cycle 1) Ibrutinib 560 mg† days -6 to -1 Ibrutinib Continuation (Cycles 2-13)\*\* Ibrutinib 560 mg daily
Crossover Arm
n=2 participants at risk
Pharmacogenomic Study: Correlative studies
Metabolism and nutrition disorders
Metabolism, nutrition disord - Oth spec
0.00%
0/45 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
50.0%
1/2 • Number of events 1 • Up to 60 months
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, mal, uncpec - Oth spec
2.2%
1/45 • Number of events 1 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Blood and lymphatic system disorders
Anemia
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Blood and lymphatic system disorders
Blood and lymph sys disorders - Oth Spec
2.2%
1/45 • Number of events 1 • Up to 60 months
7.0%
3/43 • Number of events 3 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Blood and lymphatic system disorders
Febrile neutropenia
13.3%
6/45 • Number of events 7 • Up to 60 months
9.3%
4/43 • Number of events 4 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Cardiac disorders
Atrial fibrillation
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Abdominal pain
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
50.0%
1/2 • Number of events 1 • Up to 60 months
Gastrointestinal disorders
Colitis
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Diarrhea
4.4%
2/45 • Number of events 2 • Up to 60 months
9.3%
4/43 • Number of events 4 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Mucositis oral
4.4%
2/45 • Number of events 2 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Nausea
2.2%
1/45 • Number of events 1 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Retroperitoneal hemorrhage
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Vomiting
2.2%
1/45 • Number of events 1 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
General disorders
Chills
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
General disorders
Fatigue
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
General disorders
Fever
11.1%
5/45 • Number of events 5 • Up to 60 months
4.7%
2/43 • Number of events 2 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
General disorders
Flu like symptoms
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
General disorders
Localized edema
0.00%
0/45 • Up to 60 months
0.00%
0/43 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Hepatobiliary disorders
Cholecystitis
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Infections and infestations
Device related infection
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Infections and infestations
Enterocolitis infectious
4.4%
2/45 • Number of events 2 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Infections and infestations
Infections and infestations - Oth spec
4.4%
2/45 • Number of events 2 • Up to 60 months
9.3%
4/43 • Number of events 4 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Infections and infestations
Lung infection
4.4%
2/45 • Number of events 2 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Infections and infestations
Sepsis
6.7%
3/45 • Number of events 3 • Up to 60 months
4.7%
2/43 • Number of events 2 • Up to 60 months
33.3%
2/6 • Number of events 2 • Up to 60 months
0.00%
0/2 • Up to 60 months
Infections and infestations
Upper respiratory infection
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Infections and infestations
Urinary tract infection
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Injury, poisoning and procedural complications
Hip fracture
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
Alanine aminotransferase increased
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
Alkaline phosphatase increased
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
Aspartate aminotransferase increased
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
Blood bilirubin increased
0.00%
0/45 • Up to 60 months
4.7%
2/43 • Number of events 2 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
Creatinine increased
0.00%
0/45 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
50.0%
1/2 • Number of events 1 • Up to 60 months
Investigations
Neutrophil count decreased
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
Platelet count decreased
2.2%
1/45 • Number of events 1 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
White blood cell decreased
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Metabolism and nutrition disorders
Anorexia
4.4%
2/45 • Number of events 2 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Metabolism and nutrition disorders
Dehydration
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Nervous system disorders
Dizziness
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Nervous system disorders
Intracranial hemorrhage
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Nervous system disorders
Nervous system disorders - Oth spec
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Nervous system disorders
Presyncope
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Nervous system disorders
Radiculitis
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Nervous system disorders
Syncope
0.00%
0/45 • Up to 60 months
4.7%
2/43 • Number of events 2 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Psychiatric disorders
Confusion
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Renal and urinary disorders
Acute kidney injury
2.2%
1/45 • Number of events 1 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
50.0%
1/2 • Number of events 1 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
2.2%
1/45 • Number of events 1 • Up to 60 months
7.0%
3/43 • Number of events 3 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Laryngeal mucositis
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Pharyngeal mucositis
0.00%
0/45 • Up to 60 months
0.00%
0/43 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Pneumonitis
2.2%
1/45 • Number of events 1 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Resp, thoracic, mediastinal - Oth spec
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Respiratory failure
2.2%
1/45 • Number of events 1 • Up to 60 months
4.7%
2/43 • Number of events 2 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Skin and subcutaneous tissue disorders
Rash maculo-papular
4.4%
2/45 • Number of events 2 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Skin and subcutaneous tissue disorders
Skin and subcut tissue disord - Oth spec
0.00%
0/45 • Up to 60 months
0.00%
0/43 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Vascular disorders
Hypotension
6.7%
3/45 • Number of events 3 • Up to 60 months
2.3%
1/43 • Number of events 2 • Up to 60 months
33.3%
2/6 • Number of events 2 • Up to 60 months
0.00%
0/2 • Up to 60 months
Vascular disorders
Thromboembolic event
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months

Other adverse events

Other adverse events
Measure
Arm I (Ibrutinib, Chemotherapy, autoHCT)
n=45 participants at risk
Pharmacogenomic Study: Correlative studies
Arm II (Placebo, Chemotherapy, autoHCT)
n=43 participants at risk
Placebo Administration: Given PO
Safety Cohort
n=6 participants at risk
AutoHCT + Ibrutinib (Cycle 1) Ibrutinib 560 mg† days -6 to -1 Ibrutinib Continuation (Cycles 2-13)\*\* Ibrutinib 560 mg daily
Crossover Arm
n=2 participants at risk
Pharmacogenomic Study: Correlative studies
Hepatobiliary disorders
Hepatobiliary disorders - Other, specify
0.00%
0/45 • Up to 60 months
4.7%
2/43 • Number of events 8 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Hepatobiliary disorders
Portal vein thrombosis
2.2%
1/45 • Number of events 2 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Immune system disorders
Immune system disorders - Other, specify
4.4%
2/45 • Number of events 3 • Up to 60 months
0.00%
0/43 • Up to 60 months
16.7%
1/6 • Number of events 3 • Up to 60 months
0.00%
0/2 • Up to 60 months
Infections and infestations
Catheter related infection
0.00%
0/45 • Up to 60 months
0.00%
0/43 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Infections and infestations
Conjunctivitis
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Infections and infestations
Enterocolitis infectious
4.4%
2/45 • Number of events 3 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Infections and infestations
Eye infection
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Infections and infestations
Infections and infestations - Oth spec
11.1%
5/45 • Number of events 9 • Up to 60 months
4.7%
2/43 • Number of events 2 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Infections and infestations
Lung infection
2.2%
1/45 • Number of events 1 • Up to 60 months
2.3%
1/43 • Number of events 2 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Infections and infestations
Mucosal infection
4.4%
2/45 • Number of events 4 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Infections and infestations
Nail infection
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Infections and infestations
Sinusitis
2.2%
1/45 • Number of events 1 • Up to 60 months
4.7%
2/43 • Number of events 2 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Infections and infestations
Skin infection
0.00%
0/45 • Up to 60 months
0.00%
0/43 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Infections and infestations
Upper respiratory infection
2.2%
1/45 • Number of events 2 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Infections and infestations
Vaginal infection
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Injury, poisoning and procedural complications
Bruising
13.3%
6/45 • Number of events 13 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Injury, poisoning and procedural complications
Fall
4.4%
2/45 • Number of events 2 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Injury, poisoning and procedural complications
Infusion related reaction
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Injury, poisoning and procedural complications
Inj, pois and proced complic - Oth spec
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
Alanine aminotransferase increased
2.2%
1/45 • Number of events 1 • Up to 60 months
7.0%
3/43 • Number of events 11 • Up to 60 months
33.3%
2/6 • Number of events 4 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
Alkaline phosphatase increased
4.4%
2/45 • Number of events 2 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
Aspartate aminotransferase increased
2.2%
1/45 • Number of events 1 • Up to 60 months
4.7%
2/43 • Number of events 10 • Up to 60 months
33.3%
2/6 • Number of events 4 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
Blood bilirubin increased
0.00%
0/45 • Up to 60 months
0.00%
0/43 • Up to 60 months
33.3%
2/6 • Number of events 2 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
Cardiac troponin I increased
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
Creatinine increased
2.2%
1/45 • Number of events 10 • Up to 60 months
4.7%
2/43 • Number of events 2 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
Ejection fraction decreased
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
Investigations - Other, specify
8.9%
4/45 • Number of events 15 • Up to 60 months
4.7%
2/43 • Number of events 5 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
Lymphocyte count decreased
15.6%
7/45 • Number of events 13 • Up to 60 months
14.0%
6/43 • Number of events 16 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
50.0%
1/2 • Number of events 2 • Up to 60 months
Investigations
Lymphocyte count increased
4.4%
2/45 • Number of events 3 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
Neutrophil count decreased
35.6%
16/45 • Number of events 33 • Up to 60 months
34.9%
15/43 • Number of events 21 • Up to 60 months
33.3%
2/6 • Number of events 7 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
Platelet count decreased
40.0%
18/45 • Number of events 46 • Up to 60 months
23.3%
10/43 • Number of events 28 • Up to 60 months
16.7%
1/6 • Number of events 9 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
Weight loss
2.2%
1/45 • Number of events 1 • Up to 60 months
7.0%
3/43 • Number of events 11 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Investigations
White blood cell decreased
26.7%
12/45 • Number of events 25 • Up to 60 months
14.0%
6/43 • Number of events 19 • Up to 60 months
33.3%
2/6 • Number of events 5 • Up to 60 months
0.00%
0/2 • Up to 60 months
Metabolism and nutrition disorders
Acidosis
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Metabolism and nutrition disorders
Anorexia
33.3%
15/45 • Number of events 38 • Up to 60 months
39.5%
17/43 • Number of events 29 • Up to 60 months
66.7%
4/6 • Number of events 5 • Up to 60 months
0.00%
0/2 • Up to 60 months
Metabolism and nutrition disorders
Dehydration
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Metabolism and nutrition disorders
Hyperglycemia
11.1%
5/45 • Number of events 8 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Metabolism and nutrition disorders
Hyperuricemia
2.2%
1/45 • Number of events 5 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Metabolism and nutrition disorders
Hypoalbuminemia
13.3%
6/45 • Number of events 8 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Metabolism and nutrition disorders
Hypocalcemia
6.7%
3/45 • Number of events 3 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Metabolism and nutrition disorders
Hypoglycemia
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Metabolism and nutrition disorders
Hypokalemia
22.2%
10/45 • Number of events 16 • Up to 60 months
7.0%
3/43 • Number of events 3 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Metabolism and nutrition disorders
Hypomagnesemia
11.1%
5/45 • Number of events 7 • Up to 60 months
7.0%
3/43 • Number of events 9 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Metabolism and nutrition disorders
Hyponatremia
6.7%
3/45 • Number of events 3 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Metabolism and nutrition disorders
Hypophosphatemia
4.4%
2/45 • Number of events 2 • Up to 60 months
4.7%
2/43 • Number of events 2 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Metabolism and nutrition disorders
Metabolism, nutrition disord - Oth spec
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Metabolism and nutrition disorders
Obesity
4.4%
2/45 • Number of events 4 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Musculoskeletal and connective tissue disorders
Arthralgia
2.2%
1/45 • Number of events 1 • Up to 60 months
4.7%
2/43 • Number of events 4 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Musculoskeletal and connective tissue disorders
Back pain
4.4%
2/45 • Number of events 2 • Up to 60 months
2.3%
1/43 • Number of events 2 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
6.7%
3/45 • Number of events 5 • Up to 60 months
2.3%
1/43 • Number of events 3 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Musculoskeletal and connective tissue disorders
Musculoskeletal, conn tissue - Oth spec
4.4%
2/45 • Number of events 3 • Up to 60 months
0.00%
0/43 • Up to 60 months
16.7%
1/6 • Number of events 2 • Up to 60 months
0.00%
0/2 • Up to 60 months
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Musculoskeletal and connective tissue disorders
Neck pain
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Musculoskeletal and connective tissue disorders
Pain in extremity
8.9%
4/45 • Number of events 8 • Up to 60 months
2.3%
1/43 • Number of events 3 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Nervous system disorders
Dizziness
8.9%
4/45 • Number of events 6 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Nervous system disorders
Dysgeusia
4.4%
2/45 • Number of events 3 • Up to 60 months
2.3%
1/43 • Number of events 2 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Nervous system disorders
Headache
2.2%
1/45 • Number of events 1 • Up to 60 months
2.3%
1/43 • Number of events 4 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Nervous system disorders
Paresthesia
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Nervous system disorders
Peripheral motor neuropathy
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Nervous system disorders
Peripheral sensory neuropathy
6.7%
3/45 • Number of events 5 • Up to 60 months
0.00%
0/43 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Nervous system disorders
Presyncope
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Nervous system disorders
Spasticity
2.2%
1/45 • Number of events 2 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Nervous system disorders
Syncope
2.2%
1/45 • Number of events 1 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Psychiatric disorders
Anxiety
4.4%
2/45 • Number of events 6 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
33.3%
2/6 • Number of events 2 • Up to 60 months
0.00%
0/2 • Up to 60 months
Psychiatric disorders
Confusion
4.4%
2/45 • Number of events 2 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Psychiatric disorders
Delirium
0.00%
0/45 • Up to 60 months
0.00%
0/43 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Psychiatric disorders
Depression
4.4%
2/45 • Number of events 2 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Psychiatric disorders
Insomnia
11.1%
5/45 • Number of events 5 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Renal and urinary disorders
Acute kidney injury
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Renal and urinary disorders
Chronic kidney disease
2.2%
1/45 • Number of events 2 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Renal and urinary disorders
Hematuria
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Renal and urinary disorders
Renal and urinary disorders - Oth spec
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Renal and urinary disorders
Urinary retention
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Atelectasis
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Bronchospasm
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Cough
31.1%
14/45 • Number of events 35 • Up to 60 months
27.9%
12/43 • Number of events 24 • Up to 60 months
66.7%
4/6 • Number of events 5 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
33.3%
15/45 • Number of events 37 • Up to 60 months
23.3%
10/43 • Number of events 14 • Up to 60 months
33.3%
2/6 • Number of events 2 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Epistaxis
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.00%
0/45 • Up to 60 months
9.3%
4/43 • Number of events 4 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.00%
0/45 • Up to 60 months
0.00%
0/43 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Pneumonitis
2.2%
1/45 • Number of events 1 • Up to 60 months
4.7%
2/43 • Number of events 2 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Productive cough
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Pulmonary edema
0.00%
0/45 • Up to 60 months
0.00%
0/43 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Resp, thoracic, mediastinal - Oth spec
2.2%
1/45 • Number of events 1 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Sinus pain
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Sore throat
4.4%
2/45 • Number of events 2 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Respiratory, thoracic and mediastinal disorders
Wheezing
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Skin and subcutaneous tissue disorders
Alopecia
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Skin and subcutaneous tissue disorders
Dry skin
2.2%
1/45 • Number of events 4 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Skin and subcutaneous tissue disorders
Erythroderma
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Skin and subcutaneous tissue disorders
Hyperhidrosis
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Skin and subcutaneous tissue disorders
Pruritus
4.4%
2/45 • Number of events 7 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Skin and subcutaneous tissue disorders
Purpura
2.2%
1/45 • Number of events 4 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Skin and subcutaneous tissue disorders
Rash maculo-papular
26.7%
12/45 • Number of events 25 • Up to 60 months
16.3%
7/43 • Number of events 17 • Up to 60 months
33.3%
2/6 • Number of events 2 • Up to 60 months
0.00%
0/2 • Up to 60 months
Skin and subcutaneous tissue disorders
Skin and subcut tissue disord - Oth spec
2.2%
1/45 • Number of events 1 • Up to 60 months
7.0%
3/43 • Number of events 6 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Vascular disorders
Hot flashes
2.2%
1/45 • Number of events 2 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Vascular disorders
Hypertension
8.9%
4/45 • Number of events 6 • Up to 60 months
9.3%
4/43 • Number of events 10 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Vascular disorders
Hypotension
8.9%
4/45 • Number of events 20 • Up to 60 months
9.3%
4/43 • Number of events 4 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
General disorders
Malaise
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
General disorders
Pain
6.7%
3/45 • Number of events 3 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Cardiac disorders
Sinus tachycardia
8.9%
4/45 • Number of events 4 • Up to 60 months
11.6%
5/43 • Number of events 10 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Endocrine disorders
Endocrine disorders - Other, specify
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Eye disorders
Blurred vision
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Eye disorders
Eye disorders - Other, specify
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Abdominal pain
4.4%
2/45 • Number of events 2 • Up to 60 months
7.0%
3/43 • Number of events 5 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Bloating
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Colitis
4.4%
2/45 • Number of events 2 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Constipation
26.7%
12/45 • Number of events 17 • Up to 60 months
27.9%
12/43 • Number of events 21 • Up to 60 months
33.3%
2/6 • Number of events 2 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Diarrhea
64.4%
29/45 • Number of events 60 • Up to 60 months
65.1%
28/43 • Number of events 52 • Up to 60 months
100.0%
6/6 • Number of events 8 • Up to 60 months
50.0%
1/2 • Number of events 2 • Up to 60 months
Gastrointestinal disorders
Dry mouth
2.2%
1/45 • Number of events 1 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Dysphagia
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Esophagitis
0.00%
0/45 • Up to 60 months
0.00%
0/43 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Gastroesophageal reflux disease
8.9%
4/45 • Number of events 5 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Gastrointestinal disorders - Oth spec
4.4%
2/45 • Number of events 2 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
General disorders
Gen disord and admin site conds-Oth spec
4.4%
2/45 • Number of events 3 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Hemorrhoids
0.00%
0/45 • Up to 60 months
0.00%
0/43 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Lower gastrointestinal hemorrhage
0.00%
0/45 • Up to 60 months
0.00%
0/43 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Mucositis oral
13.3%
6/45 • Number of events 8 • Up to 60 months
4.7%
2/43 • Number of events 2 • Up to 60 months
33.3%
2/6 • Number of events 2 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Nausea
60.0%
27/45 • Number of events 59 • Up to 60 months
60.5%
26/43 • Number of events 40 • Up to 60 months
83.3%
5/6 • Number of events 8 • Up to 60 months
50.0%
1/2 • Number of events 1 • Up to 60 months
Gastrointestinal disorders
Oral dysesthesia
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Oral pain
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Rectal pain
0.00%
0/45 • Up to 60 months
0.00%
0/43 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Small intestinal mucositis
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Stomach pain
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Typhlitis
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Gastrointestinal disorders
Vomiting
28.9%
13/45 • Number of events 18 • Up to 60 months
32.6%
14/43 • Number of events 19 • Up to 60 months
50.0%
3/6 • Number of events 4 • Up to 60 months
0.00%
0/2 • Up to 60 months
General disorders
Chills
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
33.3%
2/6 • Number of events 2 • Up to 60 months
0.00%
0/2 • Up to 60 months
General disorders
Edema limbs
8.9%
4/45 • Number of events 11 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
General disorders
Fatigue
75.6%
34/45 • Number of events 111 • Up to 60 months
69.8%
30/43 • Number of events 78 • Up to 60 months
100.0%
6/6 • Number of events 13 • Up to 60 months
50.0%
1/2 • Number of events 1 • Up to 60 months
General disorders
Fever
40.0%
18/45 • Number of events 21 • Up to 60 months
46.5%
20/43 • Number of events 25 • Up to 60 months
83.3%
5/6 • Number of events 6 • Up to 60 months
0.00%
0/2 • Up to 60 months
General disorders
Gait disturbance
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Blood and lymphatic system disorders
Febrile neutropenia
11.1%
5/45 • Number of events 6 • Up to 60 months
11.6%
5/43 • Number of events 5 • Up to 60 months
33.3%
2/6 • Number of events 2 • Up to 60 months
0.00%
0/2 • Up to 60 months
Blood and lymphatic system disorders
Hemolytic uremic syndrome
0.00%
0/45 • Up to 60 months
2.3%
1/43 • Number of events 1 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Blood and lymphatic system disorders
Leukocytosis
2.2%
1/45 • Number of events 2 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Blood and lymphatic system disorders
Lymph node pain
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Cardiac disorders
Atrial fibrillation
11.1%
5/45 • Number of events 7 • Up to 60 months
7.0%
3/43 • Number of events 5 • Up to 60 months
16.7%
1/6 • Number of events 1 • Up to 60 months
0.00%
0/2 • Up to 60 months
Cardiac disorders
Cardiac disorders - Other, specify
4.4%
2/45 • Number of events 3 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Cardiac disorders
Palpitations
2.2%
1/45 • Number of events 1 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Cardiac disorders
Paroxysmal atrial tachycardia
2.2%
1/45 • Number of events 5 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Cardiac disorders
Sinus bradycardia
2.2%
1/45 • Number of events 6 • Up to 60 months
0.00%
0/43 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Blood and lymphatic system disorders
Anemia
40.0%
18/45 • Number of events 50 • Up to 60 months
20.9%
9/43 • Number of events 20 • Up to 60 months
16.7%
1/6 • Number of events 6 • Up to 60 months
0.00%
0/2 • Up to 60 months
Blood and lymphatic system disorders
Blood and lymph sys disorders - Oth Spec
11.1%
5/45 • Number of events 11 • Up to 60 months
4.7%
2/43 • Number of events 10 • Up to 60 months
0.00%
0/6 • Up to 60 months
0.00%
0/2 • Up to 60 months

Additional Information

Dr. Charalambos Andreadis

University of California

Phone: 415-353-8363

Results disclosure agreements

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

Restriction type: LTE60