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

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

17 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-12-18

Study Completion Date

2024-03-19

Brief Summary

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The purpose of this study is to evaluate the efficacy of ibrutinib based on overall response rate (ORR) (partial response \[PR\] or better) by investigator assessment per the modified Consensus Response Criteria from the Sixth International Workshop on Waldenstrom's Macroglobulinemia (IWWM) (NCCN 2019), in Chinese participants with relapsed or refractory waldenstrom's macroglobulinemia.

Detailed Description

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Conditions

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Waldenstrom Macroglobulinemia

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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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.

Group Type EXPERIMENTAL

Ibrutinib

Intervention Type DRUG

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).

Intervention Type DRUG

Other Intervention Names

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JNJ-54179060 PCI-32765

Eligibility Criteria

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Inclusion Criteria

* Men and women greater than or equal to (\>=) 18 years of age
* 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

* Involvement of the central nervous system by WM
* 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)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

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

Site Status

First affiliated Hospital of Zhejiang University

Hangzhou, , China

Site Status

Institute of Hematology and Blood Diseases Hospital

Tianjin, , China

Site Status

Wuhan Union Hospital

Wuhan, , China

Site Status

The Second Affiliated Hospital of Xi'an Jiaotong University

Xi'an, , China

Site Status

Henan Cancer Hospital

Zhengzhou, , China

Site Status

Countries

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China

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.

Reference Type DERIVED
PMID: 38079089 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

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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