INCB050465 in Combination With Rituximab, Bendamustine and Rituximab, or Ibrutinib in Participants With Previously Treated B-Cell Lymphoma (CITADEL-112)

NCT ID: NCT03424122

Last Updated: 2025-08-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-07-02

Study Completion Date

2022-06-27

Brief Summary

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The purpose of this study is to evaluate the safety and tolerability of parsaclisib when combined with rituximab, bendamustine and rituximab, or ibrutinib in participants with relapsed or refractory B-cell lymphoma.

Detailed Description

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Conditions

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B-cell Lymphoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment A

Parsaclisib + Rituximab

Group Type EXPERIMENTAL

Parsaclisib

Intervention Type DRUG

Parsaclisib administered orally once daily for 8 weeks followed by once weekly.

Rituximab

Intervention Type DRUG

Rituximab administered intravenously at the protocol-defined dose regimen according to treatment group.

Treatment B

Parsaclisib + Bendamustine + Rituximab

Group Type EXPERIMENTAL

Parsaclisib

Intervention Type DRUG

Parsaclisib administered orally once daily for 8 weeks followed by once weekly.

Rituximab

Intervention Type DRUG

Rituximab administered intravenously at the protocol-defined dose regimen according to treatment group.

Bendamustine

Intervention Type DRUG

Bendamustine administered intravenously on Days 1 and 2 of each cycle for up to 6 cycles.

Treatment C

Parsaclisib + Ibrutinib

Group Type EXPERIMENTAL

Parsaclisib

Intervention Type DRUG

Parsaclisib administered orally once daily for 8 weeks followed by once weekly.

Ibrutinib

Intervention Type DRUG

Ibrutinib administered orally once daily.

Interventions

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Parsaclisib

Parsaclisib administered orally once daily for 8 weeks followed by once weekly.

Intervention Type DRUG

Rituximab

Rituximab administered intravenously at the protocol-defined dose regimen according to treatment group.

Intervention Type DRUG

Bendamustine

Bendamustine administered intravenously on Days 1 and 2 of each cycle for up to 6 cycles.

Intervention Type DRUG

Ibrutinib

Ibrutinib administered orally once daily.

Intervention Type DRUG

Other Intervention Names

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INCB050465 Rituxan Treanda, Bendeka Imbruvica

Eligibility Criteria

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Inclusion Criteria

* Men and women, aged 18 years or older on the day of signing the Informed Consent Form (ICF).
* Histologically confirmed indolent/aggressive DLBCL, FL, MZL, or MCL.
* Participants with DLBCL, MZL or MCL must have received at least 1 prior line of systemic therapy with documented progression or documented failure to achieve CR or PR after the most recent systemic treatment regimen.
* Participants with FL must have received at least 2 prior lines of systemic therapy with documented progression or documented failure to achieve CR or PR after the most recent systemic treatment regimen.
* Ineligible for stem cell transplant.
* Participants with DLBCL must have failed or refused stem cell transplantation or failed first-line salvage therapy if ineligible for transplantation.
* Must be willing to undergo an incisional or excisional lymph node or tissue biopsy or to provide a lymph node or tissue biopsy from the most recent available archival tissue.
* Life expectancy of \> 3 months.
* Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 2 (see Appendix D).
* Willingness to avoid pregnancy or fathering a child.
* Ability to comprehend and willingness to sign an ICF

Exclusion Criteria

* Evidence of transformed non-Hodgkin lymphoma histologies (with the exception of FL).
* Histologically confirmed rare non-Hodgkin B-cell subtypes.
* History of or central nervous system lymphoma (either primary or metastatic) or leptomeningeal disease.
* Prior treatment with idelalisib, other selective PI3Kδ inhibitors, or a pan-PI3K inhibitor.
* For participants to be treated with bendamustine (Treatment B), prior treatment with bendamustine (within 12 months of the start of study treatment). Participants with prior bendamustine treatment (\> 12 months before the start of study treatment) are eligible if they meet the following criteria:

* Did not discontinue because of tolerability concerns.
* Achieved either partial response (PR) or complete response (CR) to the bendamustine regimen of at least 12 months in duration before relapse/progression.
* Experienced progression following a regimen containing an alkylating agent.
* For participants to be treated with ibrutinib (Treatment C), prior treatment with a Bruton's tyrosine kinase (BTK) inhibitor.
* Allogeneic stem cell transplant within the last 6 months or autologous stem cell transplant within the last 3 months before the date of the first dose of study treatment.
* Active graft-versus-host disease following allogeneic transplant.
* Hepatitis B virus (HBV) or hepatitis C virus (HCV) infection.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Incyte Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter Langmuir, MD

Role: STUDY_DIRECTOR

Incyte Corporation

Locations

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University of Arizona Cancer Center - Out Pt.

Tucson, Arizona, United States

Site Status

Indiana Blood and Marrow Transplantation

Indianapolis, Indiana, United States

Site Status

Comprehensive Cancer Center of Nevada

Las Vegas, Nevada, United States

Site Status

Texas Oncology

Austin, Texas, United States

Site Status

Baylor Charles A. Sammons Cancer Center

Dallas, Texas, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

Smith Clinic

Houston, Texas, United States

Site Status

Cancer Care Centers of South Texas

San Antonio, Texas, United States

Site Status

Texas Oncology San Antonio

San Antonio, Texas, United States

Site Status

Asst Spedali Civili Di Brescia

Brescia, , Italy

Site Status

Azienda Ospedaliera San Gerardo Di Monza

Monza, , Italy

Site Status

Azienda Ospedaliera Universitaria Pisana

Pisa, , Italy

Site Status

Ospedale Delle Croci - Ematologia Ravenna

Ravenna, , Italy

Site Status

Hospital Germans Trias I Pujol

Badalona, , Spain

Site Status

Hospital General Universitari Vall D Hebron

Barcelona, , Spain

Site Status

Hospital Clinic I Provincial

Barcelona, , Spain

Site Status

Fundacion Jimenez Diaz University Hospital

Madrid, , Spain

Site Status

Hospital Universitario Hm Sanchinarro

Madrid, , Spain

Site Status

Hospital Clinico Universitario de Salamanca

Salamanca, , Spain

Site Status

Hospital Universitario Virgen Del Rocio

Seville, , Spain

Site Status

Hospital Universitario Y Politecnic La Fe

Valencia, , Spain

Site Status

Countries

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United States Italy Spain

Other Identifiers

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Parsaclisib

Identifier Type: OTHER

Identifier Source: secondary_id

2017-004088-11

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

INCB 50465-112 (CITADEL-112)

Identifier Type: -

Identifier Source: org_study_id

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