Trial Outcomes & Findings for Ibrutinib in Treating Patients With Relapsed or Refractory Classical Hodgkin Lymphoma (NCT NCT02824029)

NCT ID: NCT02824029

Last Updated: 2025-02-17

Results Overview

Overall response rate (ORR) defined as the proportion of participants having a complete (CR) and partial (PR) response. A one-sample binomial test will be used to assess ORR.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

28 participants

Primary outcome timeframe

From date of study entry to date of progression or death up to 24 months

Results posted on

2025-02-17

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment (Ibrutinib)
Patients receive ibrutinib PO QD. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Ibrutinib: Given PO Laboratory Biomarker Analysis: Correlative studies Pharmacological Study: Correlative studies
Overall Study
STARTED
28
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
28

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment (Ibrutinib)
Patients receive ibrutinib PO QD. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Ibrutinib: Given PO Laboratory Biomarker Analysis: Correlative studies Pharmacological Study: Correlative studies
Overall Study
Didn't receive treatment
2
Overall Study
Patient decision to discontinue treatment
3
Overall Study
Non-compliant
5
Overall Study
Progression of disease
15
Overall Study
Inadequate response to therapy
2
Overall Study
Possible progression per treating physician
1

Baseline Characteristics

Ibrutinib in Treating Patients With Relapsed or Refractory Classical Hodgkin Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Ibrutinib)
n=28 Participants
Patients receive ibrutinib PO QD. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Age, Continuous
37.5 years
n=5 Participants
Sex: Female, Male
Female
12 Participants
n=5 Participants
Sex: Female, Male
Male
16 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
22 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · White
20 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Black or African American
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Other
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Unknown or Not reported
4 Participants
n=5 Participants
Region of Enrollment
United States
28 participants
n=5 Participants
Stage at Enrollment
II
4 Participants
n=5 Participants
Stage at Enrollment
III
11 Participants
n=5 Participants
Stage at Enrollment
IV
8 Participants
n=5 Participants
Stage at Enrollment
Unknown
5 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From date of study entry to date of progression or death up to 24 months

Overall response rate (ORR) defined as the proportion of participants having a complete (CR) and partial (PR) response. A one-sample binomial test will be used to assess ORR.

Outcome measures

Outcome measures
Measure
Treatment (Ibrutinib)
n=21 Participants
Patients receive ibrutinib PO QD. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Ibrutinib: Given PO Laboratory Biomarker Analysis: Correlative studies Pharmacological Study: Correlative studies
Overall Response Rate (ORR)
0.05 Proportion of participants
Interval 0.002 to 0.23

SECONDARY outcome

Timeframe: From date of documented tumor response, CR or PR, to date of disease progression or death, up to 24 months

Kaplan-Meier estimate of median DOR will be reported with 95% confidence intervals.

Outcome measures

Outcome measures
Measure
Treatment (Ibrutinib)
n=1 Participants
Patients receive ibrutinib PO QD. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Ibrutinib: Given PO Laboratory Biomarker Analysis: Correlative studies Pharmacological Study: Correlative studies
Duration of Response (DOR)
5.6 months
Since only one patient achieved PR, none achieved CR, the confidence interval is not evaluable.

SECONDARY outcome

Timeframe: From date of study entry to date of progression or death up to 24 months.

Kaplan-Meier estimate of median PFS will be reported with 95% confidence intervals.

Outcome measures

Outcome measures
Measure
Treatment (Ibrutinib)
n=21 Participants
Patients receive ibrutinib PO QD. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Ibrutinib: Given PO Laboratory Biomarker Analysis: Correlative studies Pharmacological Study: Correlative studies
Progression Free Survival (PFS)
4.6 months
Interval 1.9 to 6.4

Adverse Events

Treatment (Ibrutinib)

Serious events: 5 serious events
Other events: 25 other events
Deaths: 8 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Ibrutinib)
n=26 participants at risk
Patients receive ibrutinib PO QD. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Ibrutinib: Given PO Laboratory Biomarker Analysis: Correlative studies Pharmacological Study: Correlative studies
Gastrointestinal disorders
Dental: teeth
3.8%
1/26 • Number of events 1 • From date of study entry to date of progression or death up to 27 months
Gastrointestinal disorders
Obstruction, GI
3.8%
1/26 • Number of events 1 • From date of study entry to date of progression or death up to 27 months
Infections and infestations
Infection
11.5%
3/26 • Number of events 3 • From date of study entry to date of progression or death up to 27 months
Respiratory, thoracic and mediastinal disorders
Pleural effusion
3.8%
1/26 • Number of events 1 • From date of study entry to date of progression or death up to 27 months
Respiratory, thoracic and mediastinal disorders
Pleural effusion (non-malignant)
3.8%
1/26 • Number of events 1 • From date of study entry to date of progression or death up to 27 months

Other adverse events

Other adverse events
Measure
Treatment (Ibrutinib)
n=26 participants at risk
Patients receive ibrutinib PO QD. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Ibrutinib: Given PO Laboratory Biomarker Analysis: Correlative studies Pharmacological Study: Correlative studies
Blood and lymphatic system disorders
Edema
15.4%
4/26 • Number of events 4 • From date of study entry to date of progression or death up to 27 months
Blood and lymphatic system disorders
Hemoglobin
15.4%
4/26 • Number of events 6 • From date of study entry to date of progression or death up to 27 months
Cardiac disorders
Palpitations
7.7%
2/26 • Number of events 2 • From date of study entry to date of progression or death up to 27 months
Eye disorders
Vision-blurred vision
11.5%
3/26 • Number of events 3 • From date of study entry to date of progression or death up to 27 months
Gastrointestinal disorders
Anorexia
11.5%
3/26 • Number of events 3 • From date of study entry to date of progression or death up to 27 months
Gastrointestinal disorders
Constipation
23.1%
6/26 • Number of events 8 • From date of study entry to date of progression or death up to 27 months
Gastrointestinal disorders
Diarrhea
42.3%
11/26 • Number of events 12 • From date of study entry to date of progression or death up to 27 months
Gastrointestinal disorders
Gastrointestinal
7.7%
2/26 • Number of events 3 • From date of study entry to date of progression or death up to 27 months
Gastrointestinal disorders
Heartburn/dyspepsia
19.2%
5/26 • Number of events 5 • From date of study entry to date of progression or death up to 27 months
Gastrointestinal disorders
Mucositis/stomatitis
15.4%
4/26 • Number of events 6 • From date of study entry to date of progression or death up to 27 months
Gastrointestinal disorders
Nausea
42.3%
11/26 • Number of events 20 • From date of study entry to date of progression or death up to 27 months
Gastrointestinal disorders
Pain - Abdomen NOS
15.4%
4/26 • Number of events 4 • From date of study entry to date of progression or death up to 27 months
Gastrointestinal disorders
Vomiting
15.4%
4/26 • Number of events 4 • From date of study entry to date of progression or death up to 27 months
Gastrointestinal disorders
Xerostomia
11.5%
3/26 • Number of events 3 • From date of study entry to date of progression or death up to 27 months
General disorders
Constitutional Symptoms
7.7%
2/26 • Number of events 2 • From date of study entry to date of progression or death up to 27 months
General disorders
Fatigue
26.9%
7/26 • Number of events 8 • From date of study entry to date of progression or death up to 27 months
General disorders
Fever
11.5%
3/26 • Number of events 4 • From date of study entry to date of progression or death up to 27 months
General disorders
Insomnia
15.4%
4/26 • Number of events 4 • From date of study entry to date of progression or death up to 27 months
General disorders
Pain
23.1%
6/26 • Number of events 7 • From date of study entry to date of progression or death up to 27 months
General disorders
Syndromes
7.7%
2/26 • Number of events 2 • From date of study entry to date of progression or death up to 27 months
Immune system disorders
Allergic rhinitis
11.5%
3/26 • Number of events 3 • From date of study entry to date of progression or death up to 27 months
Infections and infestations
Infection
19.2%
5/26 • Number of events 5 • From date of study entry to date of progression or death up to 27 months
Injury, poisoning and procedural complications
Hemorrhage
7.7%
2/26 • Number of events 2 • From date of study entry to date of progression or death up to 27 months
Metabolism and nutrition disorders
ALT, SGPT
15.4%
4/26 • Number of events 4 • From date of study entry to date of progression or death up to 27 months
Metabolism and nutrition disorders
AST, SGOT
15.4%
4/26 • Number of events 4 • From date of study entry to date of progression or death up to 27 months
Metabolism and nutrition disorders
Creatinine
11.5%
3/26 • Number of events 4 • From date of study entry to date of progression or death up to 27 months
Metabolism and nutrition disorders
Hyperglycemia
7.7%
2/26 • Number of events 2 • From date of study entry to date of progression or death up to 27 months
Metabolism and nutrition disorders
Hyperkalemia
7.7%
2/26 • Number of events 2 • From date of study entry to date of progression or death up to 27 months
Metabolism and nutrition disorders
Hypomagnesemia
7.7%
2/26 • Number of events 2 • From date of study entry to date of progression or death up to 27 months
Musculoskeletal and connective tissue disorders
Musculoskeletal/Soft Tissue
11.5%
3/26 • Number of events 3 • From date of study entry to date of progression or death up to 27 months
Musculoskeletal and connective tissue disorders
Pain - Back
15.4%
4/26 • Number of events 4 • From date of study entry to date of progression or death up to 27 months
Musculoskeletal and connective tissue disorders
Pain - Chest wall
7.7%
2/26 • Number of events 2 • From date of study entry to date of progression or death up to 27 months
Musculoskeletal and connective tissue disorders
Pain - Extremity-limb
7.7%
2/26 • Number of events 2 • From date of study entry to date of progression or death up to 27 months
Musculoskeletal and connective tissue disorders
Pain - Joint
15.4%
4/26 • Number of events 5 • From date of study entry to date of progression or death up to 27 months
Musculoskeletal and connective tissue disorders
Pain - Muscle
26.9%
7/26 • Number of events 9 • From date of study entry to date of progression or death up to 27 months
Musculoskeletal and connective tissue disorders
Pain - Neck
11.5%
3/26 • Number of events 3 • From date of study entry to date of progression or death up to 27 months
Nervous system disorders
Dizziness
15.4%
4/26 • Number of events 7 • From date of study entry to date of progression or death up to 27 months
Nervous system disorders
Mood alteration - Anxiety
7.7%
2/26 • Number of events 2 • From date of study entry to date of progression or death up to 27 months
Nervous system disorders
Neuropathy
19.2%
5/26 • Number of events 5 • From date of study entry to date of progression or death up to 27 months
Nervous system disorders
Pain - Head/headache
19.2%
5/26 • Number of events 6 • From date of study entry to date of progression or death up to 27 months
Respiratory, thoracic and mediastinal disorders
Cough
23.1%
6/26 • Number of events 6 • From date of study entry to date of progression or death up to 27 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
23.1%
6/26 • Number of events 7 • From date of study entry to date of progression or death up to 27 months
Respiratory, thoracic and mediastinal disorders
Pain - Throat/pharynx/larynx
7.7%
2/26 • Number of events 2 • From date of study entry to date of progression or death up to 27 months
Respiratory, thoracic and mediastinal disorders
Pulmonary/respiratory
23.1%
6/26 • Number of events 7 • From date of study entry to date of progression or death up to 27 months
Skin and subcutaneous tissue disorders
Dermatology/Skin
15.4%
4/26 • Number of events 7 • From date of study entry to date of progression or death up to 27 months
Skin and subcutaneous tissue disorders
Dry skin
15.4%
4/26 • Number of events 4 • From date of study entry to date of progression or death up to 27 months
Skin and subcutaneous tissue disorders
Pruritus/itching
11.5%
3/26 • Number of events 4 • From date of study entry to date of progression or death up to 27 months
Skin and subcutaneous tissue disorders
Rash
23.1%
6/26 • Number of events 8 • From date of study entry to date of progression or death up to 27 months

Additional Information

Dr. Dipenkumar Modi, MD

Karmanos Cancer Institute

Phone: 313-576-8782

Results disclosure agreements

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