A Study of Ibrutinib (PCI-32765) in Chinese Participants With Relapse or Refractory Waldenstrom's Macroglobulinemia (WM)
NCT ID: NCT04042376
Last Updated: 2025-05-25
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE4
17 participants
INTERVENTIONAL
2019-12-18
2024-03-19
Brief Summary
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Detailed Description
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Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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Ibrutinib 420 milligram (mg)
Participants will receive ibrutinib 420 mg once daily, continuously starting at Day 1 of Week 1 until disease progression or unacceptable toxicity, whichever occurs first.
Ibrutinib
Ibrutinib will be administered orally, once daily, at a dose of 420 mg (140 mg\*3 capsules taken together at one time).
Interventions
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Ibrutinib
Ibrutinib will be administered orally, once daily, at a dose of 420 mg (140 mg\*3 capsules taken together at one time).
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Eastern Cooperative Oncology Group (ECOG) less than or equal to (\<=) 2
* Previously received at least one prior therapy for WM and have had either documented disease progression or had no response to the most recent treatment regimen
* Centrally confirmed clinicopathological diagnosis of WM
* Measurable disease defined as serum monoclonal immunoglobulin M (IgM) \>0.5 gram per deciliter (g/dL)
* Symptomatic disease, requiring treatment
* Hematology and biochemical values within protocol-defined limits
* Female participants of childbearing potential must have a negative serum pregnancy test at screening and agree to use highly effective methods of contraception while taking study drug. Female participants of childbearing potential should avoid becoming pregnant while taking ibrutinib and for up to 1 month after the last dose of study drug. Male participants must use an effective barrier method of contraception during the study and for 3 months following the last dose of ibrutinib if sexually active with a female of childbearing potential
Exclusion Criteria
* Evidence of disease transformation
* Prior exposure to BTK inhibitors
* Known hypersensitivity reaction to ibrutinib or to the excipients in its formulation
* Received any WM-related therapy \<=30 days prior to first administration of study treatment
* Received a prior allogeneic hematopoietic stem cell transplant
* Plasmapheresis \<35 days prior to the initiation of study drug, except when at least one serum IgM central assessment was performed during the screening period and was \>35 days from the most recent plasmapheresis procedure
* History of other malignancies, except: (a) malignancy treated with curative intent and with no known active disease present for \>=2 years before the first dose of study drug and felt to be at low risk for recurrence by treating physician; (b) adequately treated nonmelanoma skin cancer or lentigo maligna without evidence of disease; (c) adequately treated carcinoma in situ without evidence of disease
* Vaccinated with live, attenuated vaccines within 4 weeks of first dose of study drug
* Infection requiring systemic treatment that was completed \<=14 days before the first dose of study drug
* Bleeding disorders or hemophilia
* Stroke or intracranial hemorrhage within 6 months prior to enrollment
* Infection with human immunodeficiency virus (HIV) or active infection with hepatitis B or hepatitis C
* Major surgery within 4 weeks of first dose of study drug
* Any life-threatening illness, medical condition, or organ system dysfunction that, in the investigator's opinion, could compromise the participant's safety or put the study outcomes at undue risk
* Currently active, clinically significant hepatic impairment Child-Pugh Class B or C according to the Child Pugh classification
* Currently active, clinically significant cardiovascular disease
* Requires or receiving anticoagulation with warfarin or other Vitamin K antagonists
* Unable to swallow capsules or malabsorption syndrome, disease significantly affecting gastrointestinal function, or resection of the stomach or small bowel, symptomatic inflammatory bowel disease or ulcerative colitis, or partial or complete bowel obstruction
* Requires treatment with a strong cytochrome P450 (CYP) 3A inhibitor
* Lactating or pregnant
* Unable to understand the purpose and risks of the study and to provide a signed and dated informed consent form (ICF) and authorization to use protected health information (in accordance with national and local participant privacy regulations)
18 Years
ALL
No
Sponsors
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Janssen Research & Development, LLC
INDUSTRY
Responsible Party
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Principal Investigators
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Janssen Research & Development, LLC Clinical Trial
Role: STUDY_DIRECTOR
Janssen Research & Development, LLC
Locations
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The First Hospital of Jilin University
Changchun, , China
First affiliated Hospital of Zhejiang University
Hangzhou, , China
Institute of Hematology and Blood Diseases Hospital
Tianjin, , China
Wuhan Union Hospital
Wuhan, , China
The Second Affiliated Hospital of Xi'an Jiaotong University
Xi'an, , China
Henan Cancer Hospital
Zhengzhou, , China
Countries
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References
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Yi S, Cai Z, Hu Y, He A, Gao S, Li Q, Sha L, Zhang N, Ren Y, Gai X, Yang X, Qin R, Qiu L. Ibrutinib Efficacy, Safety, and Pharmacokinetics in Chinese Patients with Relapsed or Refractory Waldenstrom's Macroglobulinemia: A Multicenter, Single-Arm, Phase 4 Study. Adv Ther. 2024 Feb;41(2):672-685. doi: 10.1007/s12325-023-02720-w. Epub 2023 Dec 11.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Other Identifiers
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54179060WAL4001
Identifier Type: OTHER
Identifier Source: secondary_id
CR108654
Identifier Type: -
Identifier Source: org_study_id
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