Trial Outcomes & Findings for A Study of Ixazomib and Ibrutinib in Relapsed/Refractory Mantle Cell Lymphoma (NCT NCT03323151)

NCT ID: NCT03323151

Last Updated: 2024-01-18

Results Overview

To determine the maximum tolerable dose (MTD) of ixazomib (mg) in combination with ibrutinib (mg) in patients with relapsed/refractory mantle cell lymphoma (MCL) using DLT endpoint.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

43 participants

Primary outcome timeframe

1 month

Results posted on

2024-01-18

Participant Flow

Participant milestones

Participant milestones
Measure
Phase I: Ixazomib & Ibrutinib (Dose Level 1)
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 3 mg by mouth on days 1, 8 and 15 by mouth days 1-28 of a 28 day cycle. Dose may be escalated (Ixazomib 4 mg) dependent on dose-limiting toxicities. Note: Ixazomib dose will not be de-escalated but remain at 3 mg. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle. Dose may be de-escalated (Ibrutinib 420 mg) or escalated (Ibrutinib 560 mg) dependent on dose-limiting toxicities.
Phase I: Ixazomib & Ibrutinib (Dose Level 2)
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 by mouth days 1-28 of a 28 day cycle. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle. Dose may be de-escalated (Ibrutinib 420 mg) or escalated (Ibrutinib 560 mg) dependent on dose-limiting toxicities.
Phase II: Ixazomib & BTK Pre-Treated
Patients previously treated with a BTK will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Phase II: Ixazomib & BTK-Naive
Patients who are BTK-Naive will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Overall Study
STARTED
3
9
4
27
Overall Study
COMPLETED
3
9
4
27
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study of Ixazomib and Ibrutinib in Relapsed/Refractory Mantle Cell Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Phase I: Ixazomib & Ibrutinib (Dose Level 1)
n=3 Participants
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity.
Phase I: Ixazomib & Ibrutinib (Dose Level 2)
n=9 Participants
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity.
Phase II: Ixazomib & BTK Pre-Treated
n=4 Participants
Patients previously treated with a BTK will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Phase II: Ixazomib & BTK-Naive
n=27 Participants
Patients who are BTK-Naive will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Total
n=43 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
6 Participants
n=4 Participants
9 Participants
n=21 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
8 Participants
n=7 Participants
3 Participants
n=5 Participants
21 Participants
n=4 Participants
34 Participants
n=21 Participants
Age, Continuous
67 years
n=5 Participants
73 years
n=7 Participants
74 years
n=5 Participants
70 years
n=4 Participants
70 years
n=21 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
8 Participants
n=4 Participants
11 Participants
n=21 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
7 Participants
n=7 Participants
4 Participants
n=5 Participants
19 Participants
n=4 Participants
32 Participants
n=21 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
0 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants
n=5 Participants
9 Participants
n=7 Participants
4 Participants
n=5 Participants
27 Participants
n=4 Participants
43 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 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
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
2 Participants
n=21 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
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
White
3 Participants
n=5 Participants
7 Participants
n=7 Participants
4 Participants
n=5 Participants
25 Participants
n=4 Participants
39 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Region of Enrollment
United States
3 participants
n=5 Participants
9 participants
n=7 Participants
4 participants
n=5 Participants
27 participants
n=4 Participants
43 participants
n=21 Participants
Ann Arbor Stage
Stage IE
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
Ann Arbor Stage
Stage II
0 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
4 Participants
n=21 Participants
Ann Arbor Stage
Stage III
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
3 Participants
n=21 Participants
Ann Arbor Stage
Stage IV
2 Participants
n=5 Participants
6 Participants
n=7 Participants
4 Participants
n=5 Participants
23 Participants
n=4 Participants
35 Participants
n=21 Participants
ECOG Performance Status
0
1 Participants
n=5 Participants
4 Participants
n=7 Participants
3 Participants
n=5 Participants
19 Participants
n=4 Participants
27 Participants
n=21 Participants
ECOG Performance Status
1
2 Participants
n=5 Participants
4 Participants
n=7 Participants
1 Participants
n=5 Participants
8 Participants
n=4 Participants
15 Participants
n=21 Participants
ECOG Performance Status
2
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Number of Prior Lines of Treatment
1
1 Participants
n=5 Participants
7 Participants
n=7 Participants
2 Participants
n=5 Participants
18 Participants
n=4 Participants
28 Participants
n=21 Participants
Number of Prior Lines of Treatment
2
1 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
5 Participants
n=4 Participants
8 Participants
n=21 Participants
Number of Prior Lines of Treatment
3
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
4 Participants
n=4 Participants
6 Participants
n=21 Participants
Number of Prior Lines of Treatment
4
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
MCL International Prognostic Index-c (MIPI-c) Category
Low
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
4 Participants
n=4 Participants
5 Participants
n=21 Participants
MCL International Prognostic Index-c (MIPI-c) Category
Low/Intermediate
1 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
5 Participants
n=4 Participants
8 Participants
n=21 Participants
MCL International Prognostic Index-c (MIPI-c) Category
High/intermediate and High
2 Participants
n=5 Participants
5 Participants
n=7 Participants
2 Participants
n=5 Participants
18 Participants
n=4 Participants
27 Participants
n=21 Participants
MCL International Prognostic Index-c (MIPI-c) Category
Indeterminate
0 Participants
n=5 Participants
3 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
3 Participants
n=21 Participants

PRIMARY outcome

Timeframe: 1 month

To determine the maximum tolerable dose (MTD) of ixazomib (mg) in combination with ibrutinib (mg) in patients with relapsed/refractory mantle cell lymphoma (MCL) using DLT endpoint.

Outcome measures

Outcome measures
Measure
Phase I: Ixazomib & Ibrutinib (Dose Level 1)
n=3 Participants
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 3 mg by mouth on days 1, 8 and 15 by mouth days 1-28 of a 28 day cycle. Dose may be escalated (Ixazomib 4 mg) dependent on dose-limiting toxicities. Note: Ixazomib dose will not be de-escalated but remain at 3 mg. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle. Dose may be de-escalated (Ibrutinib 420 mg) or escalated (Ibrutinib 560 mg) dependent on dose-limiting toxicities.
Phase I: Ixazomib & Ibrutinib (Dose Level 2)
n=9 Participants
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 by mouth days 1-28 of a 28 day cycle. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle. Dose may be de-escalated (Ibrutinib 420 mg) or escalated (Ibrutinib 560 mg) dependent on dose-limiting toxicities.
Ixazomib & BTK Pre-Treated
Patients previously treated with a BTK will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Phase II: Ixazomib & BTK-Naive
Patients who are BTK-Naive will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Phase I: Dose Limiting Toxicities (DLT) Rate
Dose Limiting Toxicity = No
3 Participants
5 Participants
Phase I: Dose Limiting Toxicities (DLT) Rate
Dose Limiting Toxicity = Yes
0 Participants
1 Participants
Phase I: Dose Limiting Toxicities (DLT) Rate
Unevaluable for Dose Limiting Toxicity
0 Participants
3 Participants

PRIMARY outcome

Timeframe: 12 months

Population: Eligible and treated patients

CR rate will be the defined as the percentage of patients achieving CR as confirmed by bone marrow biopsy within the first 12 months of initiating treatment. Response to treatment was assessed using the Lugano classification criteria. Patients completed a PET/CT at the time of study enrollment and were restaged at cycles 3, 6, 9, and 12, and then every 6 months while on study therapy. All patients with suspected CR who had bone marrow involvement at screening underwent a bone marrow biopsy to confirm response.

Outcome measures

Outcome measures
Measure
Phase I: Ixazomib & Ibrutinib (Dose Level 1)
n=4 Participants
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 3 mg by mouth on days 1, 8 and 15 by mouth days 1-28 of a 28 day cycle. Dose may be escalated (Ixazomib 4 mg) dependent on dose-limiting toxicities. Note: Ixazomib dose will not be de-escalated but remain at 3 mg. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle. Dose may be de-escalated (Ibrutinib 420 mg) or escalated (Ibrutinib 560 mg) dependent on dose-limiting toxicities.
Phase I: Ixazomib & Ibrutinib (Dose Level 2)
n=27 Participants
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 by mouth days 1-28 of a 28 day cycle. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle. Dose may be de-escalated (Ibrutinib 420 mg) or escalated (Ibrutinib 560 mg) dependent on dose-limiting toxicities.
Ixazomib & BTK Pre-Treated
Patients previously treated with a BTK will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Phase II: Ixazomib & BTK-Naive
Patients who are BTK-Naive will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Phase II: Complete Response Rate
Complete Response
0 Participants
11 Participants
Phase II: Complete Response Rate
Partial Response
2 Participants
10 Participants
Phase II: Complete Response Rate
Stable Disease
1 Participants
0 Participants
Phase II: Complete Response Rate
Progressive Disease
1 Participants
6 Participants
Phase II: Complete Response Rate
Unevaluable
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Phase I: 12 months; Phase II: 36 months

Number of patients with abnormal laboratory values and/or adverse events (defined as a new untoward medical occurrence or worsening of a pre-existing medical condition) related to study treatment. Grades refer to the severity of the adverse event, where grade 1 through 5 signifies mild, moderate, severe, life-threatening, and death respectively.

Outcome measures

Outcome measures
Measure
Phase I: Ixazomib & Ibrutinib (Dose Level 1)
n=3 Participants
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 3 mg by mouth on days 1, 8 and 15 by mouth days 1-28 of a 28 day cycle. Dose may be escalated (Ixazomib 4 mg) dependent on dose-limiting toxicities. Note: Ixazomib dose will not be de-escalated but remain at 3 mg. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle. Dose may be de-escalated (Ibrutinib 420 mg) or escalated (Ibrutinib 560 mg) dependent on dose-limiting toxicities.
Phase I: Ixazomib & Ibrutinib (Dose Level 2)
n=9 Participants
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 by mouth days 1-28 of a 28 day cycle. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle. Dose may be de-escalated (Ibrutinib 420 mg) or escalated (Ibrutinib 560 mg) dependent on dose-limiting toxicities.
Ixazomib & BTK Pre-Treated
n=4 Participants
Patients previously treated with a BTK will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Phase II: Ixazomib & BTK-Naive
n=27 Participants
Patients who are BTK-Naive will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v5.0
Grade 1
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v5.0
Grade 2
0 Participants
1 Participants
1 Participants
6 Participants
Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v5.0
Grade 3
3 Participants
7 Participants
3 Participants
18 Participants
Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v5.0
Grade 4
0 Participants
1 Participants
0 Participants
1 Participants
Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v5.0
Grade 5
0 Participants
0 Participants
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Phase I: 12 months; Phase II: 12 months

ORR assessed in accordance with Lugano classification

Outcome measures

Outcome measures
Measure
Phase I: Ixazomib & Ibrutinib (Dose Level 1)
n=3 Participants
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 3 mg by mouth on days 1, 8 and 15 by mouth days 1-28 of a 28 day cycle. Dose may be escalated (Ixazomib 4 mg) dependent on dose-limiting toxicities. Note: Ixazomib dose will not be de-escalated but remain at 3 mg. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle. Dose may be de-escalated (Ibrutinib 420 mg) or escalated (Ibrutinib 560 mg) dependent on dose-limiting toxicities.
Phase I: Ixazomib & Ibrutinib (Dose Level 2)
n=9 Participants
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 by mouth days 1-28 of a 28 day cycle. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle. Dose may be de-escalated (Ibrutinib 420 mg) or escalated (Ibrutinib 560 mg) dependent on dose-limiting toxicities.
Ixazomib & BTK Pre-Treated
n=4 Participants
Patients previously treated with a BTK will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Phase II: Ixazomib & BTK-Naive
n=27 Participants
Patients who are BTK-Naive will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Overall Response Rate (ORR)
Complete (CR) or Partial Response (PR)
2 Participants
6 Participants
2 Participants
21 Participants
Overall Response Rate (ORR)
Non-CR/-PR
1 Participants
3 Participants
2 Participants
6 Participants

SECONDARY outcome

Timeframe: Phase I & II: 48 months

PFS assessed in accordance with Lugano classification

Outcome measures

Outcome measures
Measure
Phase I: Ixazomib & Ibrutinib (Dose Level 1)
n=3 Participants
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 3 mg by mouth on days 1, 8 and 15 by mouth days 1-28 of a 28 day cycle. Dose may be escalated (Ixazomib 4 mg) dependent on dose-limiting toxicities. Note: Ixazomib dose will not be de-escalated but remain at 3 mg. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle. Dose may be de-escalated (Ibrutinib 420 mg) or escalated (Ibrutinib 560 mg) dependent on dose-limiting toxicities.
Phase I: Ixazomib & Ibrutinib (Dose Level 2)
n=9 Participants
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 by mouth days 1-28 of a 28 day cycle. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle. Dose may be de-escalated (Ibrutinib 420 mg) or escalated (Ibrutinib 560 mg) dependent on dose-limiting toxicities.
Ixazomib & BTK Pre-Treated
n=4 Participants
Patients previously treated with a BTK will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Phase II: Ixazomib & BTK-Naive
n=27 Participants
Patients who are BTK-Naive will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Progression-Free Survival (PFS)
17.12 Months
Interval 2.56 to 36.44
27.43 Months
Interval 5.78 to 29.17
14.16 Months
Interval 2.14 to 14.16
29.83 Months
Interval 8.28 to 35.12

SECONDARY outcome

Timeframe: Phase I & II: 48 months

OS assessed during clinic visit or by reaching out to patients to confirm vital status.

Outcome measures

Outcome measures
Measure
Phase I: Ixazomib & Ibrutinib (Dose Level 1)
n=3 Participants
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 3 mg by mouth on days 1, 8 and 15 by mouth days 1-28 of a 28 day cycle. Dose may be escalated (Ixazomib 4 mg) dependent on dose-limiting toxicities. Note: Ixazomib dose will not be de-escalated but remain at 3 mg. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle. Dose may be de-escalated (Ibrutinib 420 mg) or escalated (Ibrutinib 560 mg) dependent on dose-limiting toxicities.
Phase I: Ixazomib & Ibrutinib (Dose Level 2)
n=9 Participants
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 by mouth days 1-28 of a 28 day cycle. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle. Dose may be de-escalated (Ibrutinib 420 mg) or escalated (Ibrutinib 560 mg) dependent on dose-limiting toxicities.
Ixazomib & BTK Pre-Treated
n=4 Participants
Patients previously treated with a BTK will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Phase II: Ixazomib & BTK-Naive
n=27 Participants
Patients who are BTK-Naive will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Overall Survival (OS)
27.01 Months
Interval 20.01 to 51.15
47.74 Months
Interval 25.17 to 47.74
29.17 Months
Interval 14.16 to 37.06
35.68 Months
Interval 29.83 to 35.68

Adverse Events

Phase I: Ixazomib & Ibrutinib (Dose Level 1)

Serious events: 2 serious events
Other events: 3 other events
Deaths: 3 deaths

Phase I: Ixazomib & Ibrutinib (Dose Level 2)

Serious events: 7 serious events
Other events: 9 other events
Deaths: 4 deaths

Phase II: Ixazomib & BTK Pre-Treated

Serious events: 1 serious events
Other events: 4 other events
Deaths: 1 deaths

Phase II: Ixazomib & BTK-Naive

Serious events: 10 serious events
Other events: 27 other events
Deaths: 5 deaths

Serious adverse events

Serious adverse events
Measure
Phase I: Ixazomib & Ibrutinib (Dose Level 1)
n=3 participants at risk
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 3 mg by mouth on days 1, 8 and 15 by mouth days 1-28 of a 28 day cycle. Dose may be escalated (Ixazomib 4 mg) dependent on dose-limiting toxicities. Note: Ixazomib dose will not be de-escalated but remain at 3 mg. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle. Dose may be de-escalated (Ibrutinib 420 mg) or escalated (Ibrutinib 560 mg) dependent on dose-limiting toxicities.
Phase I: Ixazomib & Ibrutinib (Dose Level 2)
n=9 participants at risk
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 by mouth days 1-28 of a 28 day cycle. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle. Dose may be de-escalated (Ibrutinib 420 mg) or escalated (Ibrutinib 560 mg) dependent on dose-limiting toxicities.
Phase II: Ixazomib & BTK Pre-Treated
n=4 participants at risk
Patients previously treated with a BTK will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Phase II: Ixazomib & BTK-Naive
n=27 participants at risk
Patients who are BTK-Naive will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Cardiac disorders
Atrial fibrillation
33.3%
1/3 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
1/9 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
7.4%
2/27 • Number of events 2 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Infections and infestations
Lung infection
33.3%
1/3 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
1/9 • Number of events 2 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Renal and urinary disorders
Acute kidney injury
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
1/9 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Injury, poisoning and procedural complications
Aortic injury
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
3.7%
1/27 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Infections and infestations
Clostridium difficile infection
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
3.7%
1/27 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Infections and infestations
Corona virus infection
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
3.7%
1/27 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Gastrointestinal disorders
Gastric perforation
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
3.7%
1/27 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Infections and infestations
Gastroenteritis salmonella
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
3.7%
1/27 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Gastrointestinal disorders
Haematochezia
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
3.7%
1/27 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Hepatobiliary disorders
Hepatic failure
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
1/9 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Infections and infestations
Herpes zoster
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
1/9 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Psychiatric disorders
Mental status changes
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
3.7%
1/27 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Cardiac disorders
Pericarditis
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
3.7%
1/27 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Infections and infestations
Pneumonia bacterial
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
3.7%
1/27 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Skin and subcutaneous tissue disorders
Rash
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
3.7%
1/27 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Nervous system disorders
Syncope
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
3.7%
1/27 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Infections and infestations
Upper respiratory tract infection
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
3.7%
1/27 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Investigations
White blood cell count increased
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
3.7%
1/27 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Blood and lymphatic system disorders
Haemolytic anaemia
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
25.0%
1/4 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Infections and infestations
Pneumonia fungal
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
1/9 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Infections and infestations
Abdominal sepsis
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
3.7%
1/27 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
1/9 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Gastrointestinal disorders
Intestinal perforation
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
3.7%
1/27 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Respiratory, thoracic and mediastinal disorders
Wheezing
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
1/9 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute myeloid leukaemia
33.3%
1/3 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
General disorders
Pyrexia
33.3%
1/3 • Number of events 1 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported

Other adverse events

Other adverse events
Measure
Phase I: Ixazomib & Ibrutinib (Dose Level 1)
n=3 participants at risk
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 3 mg by mouth on days 1, 8 and 15 by mouth days 1-28 of a 28 day cycle. Dose may be escalated (Ixazomib 4 mg) dependent on dose-limiting toxicities. Note: Ixazomib dose will not be de-escalated but remain at 3 mg. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle. Dose may be de-escalated (Ibrutinib 420 mg) or escalated (Ibrutinib 560 mg) dependent on dose-limiting toxicities.
Phase I: Ixazomib & Ibrutinib (Dose Level 2)
n=9 participants at risk
Ixazomib and Ibrutinib will be given by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 by mouth days 1-28 of a 28 day cycle. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle. Dose may be de-escalated (Ibrutinib 420 mg) or escalated (Ibrutinib 560 mg) dependent on dose-limiting toxicities.
Phase II: Ixazomib & BTK Pre-Treated
n=4 participants at risk
Patients previously treated with a BTK will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Phase II: Ixazomib & BTK-Naive
n=27 participants at risk
Patients who are BTK-Naive will receive Ixazomib and Ibrutinib by mouth until progression or unacceptable toxicity. Ixazomib: Ixazomib 4 mg by mouth on days 1, 8 and 15 of a 28 day cycle until progression or unacceptable toxicity. Ibrutinib: Ibrutinib 560 mg by mouth days 1-28 of a 28 day cycle until progression or unacceptable toxicity.
Gastrointestinal disorders
Diarrhoea
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
44.4%
4/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
50.0%
2/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
55.6%
15/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Blood and lymphatic system disorders
Anaemia
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
25.0%
1/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
25.9%
7/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Musculoskeletal and connective tissue disorders
Arthralgia
33.3%
1/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
1/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
33.3%
9/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
General disorders
Asthenia
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
1/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
7.4%
2/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Cardiac disorders
Atrial Fibrillation
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
3/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Gastrointestinal disorders
Constipation
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
29.6%
8/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Injury, poisoning and procedural complications
Contusion
66.7%
2/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
33.3%
3/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
25.9%
7/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Metabolism and nutrition disorders
Decreased Appetite
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
1/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
14.8%
4/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Nervous system disorders
Dizziness
33.3%
1/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
22.2%
2/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
18.5%
5/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Gastrointestinal disorders
Dyspepsia
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
1/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
18.5%
5/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
18.5%
5/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
General disorders
Fatigue
33.3%
1/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
44.4%
4/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
75.0%
3/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
59.3%
16/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Gastrointestinal disorders
Gastrooesophageal Reflux Disease
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
1/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
3/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Nervous system disorders
Headache
33.3%
1/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
25.9%
7/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Vascular disorders
Hypertension
33.3%
1/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
1/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
25.0%
1/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
29.6%
8/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Metabolism and nutrition disorders
Hyperuricaemia
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
1/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
7.4%
2/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Investigations
Lymphocyte Count Decreased
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
14.8%
4/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Musculoskeletal and connective tissue disorders
Muscle Spasms
33.3%
1/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
1/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
3/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
18.5%
5/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Gastrointestinal disorders
Nausea
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
33.3%
3/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
25.0%
1/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
55.6%
15/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Investigations
Neutrophil Count Decreased
33.3%
1/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
22.2%
2/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
14.8%
4/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
General disorders
Oedema Peripheral
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
22.2%
2/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
25.9%
7/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Musculoskeletal and connective tissue disorders
Pain In Extremity
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
33.3%
3/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
25.0%
1/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
25.9%
7/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Nervous system disorders
Peripheral Sensory Neuropathy
33.3%
1/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
22.2%
2/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
14.8%
4/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Investigations
Platelet Count Decreased
33.3%
1/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
22.2%
2/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
50.0%
2/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
37.0%
10/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Skin and subcutaneous tissue disorders
Rash
33.3%
1/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
44.4%
4/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
25.0%
1/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
22.2%
6/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Nervous system disorders
Syncope
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
18.5%
5/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Blood and lymphatic system disorders
Thrombocytopenia
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
3/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Infections and infestations
Upper Respiratory Tract Infection
33.3%
1/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
44.4%
4/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
7.4%
2/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Gastrointestinal disorders
Vomiting
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
22.2%
2/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
33.3%
9/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Respiratory, thoracic and mediastinal disorders
Dyspnoea
33.3%
1/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
22.2%
2/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
25.0%
1/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
7.4%
2/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Infections and infestations
Sinusitis
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
22.2%
2/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
3.7%
1/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Gastrointestinal disorders
Abdominal pain
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
1/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
7.4%
2/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Gastrointestinal disorders
Abdominal pain upper
33.3%
1/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
7.4%
2/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Psychiatric disorders
Anxiety
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
25.0%
1/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
7.4%
2/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
General disorders
Chills
33.3%
1/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
1/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
18.5%
5/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Respiratory, thoracic and mediastinal disorders
Cough
33.3%
1/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
22.2%
2/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
18.5%
5/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Psychiatric disorders
Depression
33.3%
1/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
7.4%
2/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Gastrointestinal disorders
Dry mouth
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
3/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
Skin and subcutaneous tissue disorders
Dry skin
0.00%
0/3 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
11.1%
1/9 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
0.00%
0/4 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported
7.4%
2/27 • Adverse event data was collected after each treatment cycle and for 30 days beyond treatment for up to 60 months.
All serious adverse events and all-cause mortality, regardless of treatment attribution, are reported

Additional Information

Opeyemi Jegede, Statistician

ECOG-ACRIN Statistical Center

Phone: 617-582-7613

Results disclosure agreements

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