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Clinical Trials/NCT01105247
NCT01105247CompletedPhase 1

A Phase 1b/2 Fixed-dose Study of Bruton's Tyrosine Kinase (Btk) Inhibitor, PCI-32765, in Chronic Lymphocytic Leukemia

Pharmacyclics LLC.10 sites in 1 country133 target enrollmentStarted: May 2010Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 1
Status
Completed
Enrollment
133
Locations
10
Primary Endpoint
Number of Participants With Treatment Emergent Adverse Events (AEs)

Study Overview

Brief Summary

The purpose of this study is to establish the safety and efficacy of orally administered PCI-32765 in patients with chronic lymphocytic leukemia/small lymphocytic lymphoma.

Study Design

Study Type
Interventional
Allocation
Non Randomized
Intervention Model
Single Group
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • FOR TREATMENT-NAIVE GROUP ONLY: Men and women ≥ 65 years of age with confirmed diagnosis of CLL/SLL, who require treatment per NCI or International Working Group guidelines 15-18
  • FOR RELAPSED/REFRACTORY GROUP ONLY: Men and women ≥ 18 years of age with a confirmed diagnosis of relapsed/refractory CLL/SLL following previous therapy(ie, failed ≥ 2 previous treatments for CLL/SLL and at least 1 regimen had to have had a purine analog [eg, fludarabine] for subjects with CLL)
  • FOR HIGH-RISK RELAPSED/ REFRACTORYGROUP ONLY: Men and women ≥ 18 years of age with a confirmed diagnosis of relapsed/refractory CLL/SLL with suboptimal response to chemoimmunotherapy, defined as progression of disease within 24 months of initiation of a regimen containing at least a nucleoside analogue or bendamustine in combination with a monoclonal antibody or failure to respond to such a regimen. (Note: a minimum of 2 cycles of chemoimmunotherapy required for eligibility)
  • ECOG performance status of ≤ 2
  • Willing and able to participate in all required evaluations and procedures in this study protocol including swallowing capsules without difficulty

Exclusion Criteria

  • Prior malignancy, except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or other cancer from which the subject has been disease free for at least 2 years or which will not limit survival to < 2 years
  • Any immunotherapy, chemotherapy, radiotherapy, or experimental therapy within 4 weeks before first dose of study drug (corticosteroids for disease-related symptoms allowed but require 1-week washout before study drug administration)
  • Central nervous system (CNS) involvement by lymphoma
  • Major surgery within 4 weeks before first dose of study drug
  • Concomitant use of medicines known to cause QT prolongation or torsades de pointes
  • Significant screening electrocardiogram (ECG) abnormalities including left bundle branch block, 2nd degree AV block type II, 3rd degree block, bradycardia, and QTc > 470 msec
  • Lactating or pregnant

Arms & Interventions

PCI-32765

Experimental

Intervention: PCI-32765 (Drug)

Outcomes

Primary Outcomes

Number of Participants With Treatment Emergent Adverse Events (AEs)

Time Frame: From first dose to within 30 days of last dose of PCI-32765

Number of participants who had experienced at least one treatment emergent AEs.

Secondary Outcomes

  • Food Effect Cohort Assessments(Fed was assessed on either Day 8 or Day 15 and Fasted was assessed on the remaining day as cross-over design.)
  • Progression Free Survival Rate at 24 Months(The median follow-up time for all treated patients are 21 month, range (0.7 month, 29 months).)
  • Percentage of Participants Achieving Response(The median follow-up time for all treated patients are 21 month, range (0.7 month, 29 months).)

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (10)

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