Study Evaluating the Safety and Efficacy of iR2 in Untreated and Unfit Elderly Patients With DLBCL

NCT ID: NCT03949062

Last Updated: 2021-02-17

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-13

Study Completion Date

2022-05-31

Brief Summary

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This is a single-arm, open-label phase 2 study of iR2 in the treatment of unfit and elderly patients with untreated diffuse large B-cell lymphoma。

Detailed Description

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This open-label, single arm study will evaluate the efficacy and safety of ibrutinib, lenalidomide, rituximab (iR2) in previously untreated and unfit elderly subjects with diffuse large B-cell lymphoma. Subjects will receive 6 cycles of ibrutinib 560mg, day 1-21, orally (PO) , lenalidomide 25mg, day 1-10, rituximab 375mg/m2, intravenously, every 21 days.

Conditions

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Diffuse Large B Cell Lymphoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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iR2

Participants received six 21-day cycles of ibrutinib, lenalidomide, and rituximab (iR2) treatment (21-day cycles).

Group Type EXPERIMENTAL

Ibrutinib

Intervention Type DRUG

Ibrutinib 560mg per day administered orally on Day 1-21 of each 21-day cycle for 6 cycles

Lenalidomide

Intervention Type DRUG

Lenalidomide 25mg per day administered orally on Day 1-10 of each 21-day cycle for 6 cycles

Rituximab

Intervention Type DRUG

Rituximab 375mg/m2 per day administered intraveneously on Day 1 of each 21-day cycle for 6 cycles

Interventions

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Ibrutinib

Ibrutinib 560mg per day administered orally on Day 1-21 of each 21-day cycle for 6 cycles

Intervention Type DRUG

Lenalidomide

Lenalidomide 25mg per day administered orally on Day 1-10 of each 21-day cycle for 6 cycles

Intervention Type DRUG

Rituximab

Rituximab 375mg/m2 per day administered intraveneously on Day 1 of each 21-day cycle for 6 cycles

Intervention Type DRUG

Other Intervention Names

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Imbruvica Relvimid Rituxan

Eligibility Criteria

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Inclusion Criteria

1. Pathologically confirmed diffuse large B cell lymphoma, treatment naive
2. Age \> 75 years
3. Ineligible for standard chemotherapy
4. Must has measurable lesion in CT or PET-CT prior to treatment
5. At least 3 months life expectation
6. Informed consented
7. No previous use of study drug

Exclusion Criteria

1. Has accepted Chemotherapy before
2. Uncontrollable cardio-cerebral vascular, coagulative, autoimmune, serious infectious disease
3. Lab at enrollment (Unless caused by lymphoma): Neutrophile\<1.5\*10\^9/L ;Platelet\<80\*10\^9/L; ALT or AST \>2\*ULN; AKP or bilirubin \>1.5\*ULN ;Creatinine\>1.5\*ULN
4. Not able to comply to the protocol for mental or other unknown reasons Pregnant or lactation
5. HIV infection
6. If HbsAg positive, should check HBV DNA, DNA positive patients cannot be enrolled. If HBsAg negative but HBcAb positive (whatever HBsAb status), should check HBV DNA,DNA positive patients cannot be enrolled.
7. Other uncontrollable medical condition that may that may interfere the participation of the study
Minimum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ruijin Hospital

OTHER

Sponsor Role lead

Responsible Party

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Zhao Weili

First Deputy Director,Hematology Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Weili Zhao, PhD

Role: STUDY_CHAIR

Ruijin Hospital

Locations

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Ruijin hospital

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

References

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Xu PP, Shi ZY, Qian Y, Cheng S, Zhu Y, Jiang L, Li JF, Fang H, Huang HY, Yi HM, Ouyang BS, Wang L, Zhao WL. Ibrutinib, rituximab, and lenalidomide in unfit or frail patients aged 75 years or older with de novo diffuse large B-cell lymphoma: a phase 2, single-arm study. Lancet Healthy Longev. 2022 Jul;3(7):e481-e490. doi: 10.1016/S2666-7568(22)00123-4.

Reference Type DERIVED
PMID: 36102758 (View on PubMed)

Other Identifiers

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NHL-iR2

Identifier Type: -

Identifier Source: org_study_id

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