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临床试验/EUCTR2017-000129-12-CZ
EUCTR2017-000129-12-CZ进行中(未招募)1 期

Phase 3 Study of Ibrutinib in Combination with Venetoclax in Subjects with Mantle Cell Lymphoma

Pharmacyclics LLC0 个研究点目标入组 362 人开始时间: 2017年8月4日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
362

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • For SRI and Randomization Phase
  • Disease-Related
  • Pathologically confirmed MCL (in tumor tissue), with documentation of
  • either overexpression of cyclin D1 in association with other relevant
  • markers (eg, CD19, CD20, PAX5, CD5) or evidence of t(11;14) as
  • assessed by cytogenetics, fluorescent in situ hybridization (FISH), or
  • polymerase chain reaction (PCR).
  • At least 1 measurable site of disease that is =2.0 cm in the longest
  • diameter and measurable in 2 perpendicular dimensions per CT
  • At least 1, but no more than 5, prior treatment regimens for MCL
  • including at least 1 prior rituximab/anti-CD20 containing regimen
  • Failure to achieve at least partial response (PR) with, or documented
  • disease progression after, the most recent treatment regimen
  • Subjects must have adequate fresh or paraffin embedded tissue.
  • Adequate hematologic function
  • Adequate hepatic and renal function
  • Demographic
  • Men and women = 18 years of age
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS)
  • For Treatment-naive Open-label Arm:
  • 1. Pathologically confirmed treatment-naive MCL (tumor tissue), with
  • documentation of either overexpression of cyclin D1 in association with
  • other relevant markers (eg, CD19, CD20, PAX5, CD5) or evidence of
  • t(11;14), as assessed by cytogenetics, fluorescent in situ hybridization
  • (FISH), or polymerase chain reaction (PCR)
  • A report from the local laboratory is acceptable if available; however, it
  • must be reviewed and approved by the central pathology laboratory to
  • verify the above criteria prior to enrollment
  • If the report from the local laboratory is not available, a tumor block or
  • slides must be sent to the central pathology laboratory for confirmation
  • of the MCL diagnosis prior to enrollment.
  • 2. Men and women =18 years of age with a TP53 mutation
  • 3. At least 1 measurable site of disease that is =2.0 cm in the longest
  • diameter and measurable in 2 perpendicular dimensions per CT
  • 4. Subjects must have adequate fresh or paraffin-embedded tissue
  • 5. Eastern Cooperative Oncology Group (ECOG) performance status (PS)
  • 6. Adequate hematologic function independent of transfusion and growth
  • factor support for at least 7 days prior to first dose, with the exception of
  • pegylated G CSF (pegfilgrastim) and darbepoeitin which require at least
  • 14 days prior to the first dose defined as:
  • Absolute neutrophil count (ANC) >1000 cells/mm3 (1.0 x 109/L)
  • Platelet count >50,000 cells/mm3 (50 x 109/L)
  • Hemoglobin >8.0 g/dL
  • 7. Adequate hepatic and renal function defined as:
  • Serum aspartate transaminase (AST) or alanine transaminase (ALT) =
  • 3.0 x upper limit of normal (ULN)
  • Estimated Creatinine Clearance (CrCl) =30 mL/min (Cockcroft-Gault)
  • Bilirubin =1.5 x ULN (unless bilirubin rise is due to Gilbert's syndrome
  • or of non hepatic origin)
  • 8. Prothrombin time (PT) or International normal ratio (INR) <1.5 x
  • 另有 10 项未显示

排除标准

  • For SRI and Randomization Phase
  • Disease-Related
  • History or current evidence of central nervous system lymphoma
  • Concurrent Conditions
  • Concurrent enrollment in another therapeutic investigational study or
  • prior therapy with ibrutinib or other BTK inhibitors
  • Prior treatment with venetoclax or other BCL2 inhibitors
  • Anticancer therapy including chemotherapy, radiotherapy, small
  • molecule and investigational agents =21 days prior to receiving the first
  • dose of study drug
  • Treatment with any of the following within 7 days prior to the first
  • dose of study drug:
  • o moderate or strong cytochrome P450 3A (CYP3A) inhibitors
  • o moderate or strong CYP3A inducers
  • For Treatment-naive Open-label Arm:
  • 1. Blastoid variant of MCL
  • 2. History or current evidence of central nervous system lymphoma
  • 3. Concurrent enrollment in another therapeutic investigational study or
  • prior therapy, including ibrutinib or other BTK inhibitors
  • 4. Prior treatment with venetoclax or other BCL2 inhibitors
  • 5. History of other malignancies, except:
  • Malignancy treated with curative intent and with no known active
  • disease present for =3 years before the first dose of study drug and felt
  • to be at low risk for recurrence by treating physician
  • Adequately treated non-melanoma skin cancer or lentigo maligna
  • without evidence of disease.
  • Adequately treated carcinoma in situ without evidence of disease.
  • 6. Vaccinated with live, attenuated vaccines within 4 weeks of the first
  • dose of study drug
  • 7. Clinically significant infection requiring IV systemic treatment that
  • was completed =14 days before the first dose of study drug
  • 8. Any uncontrolled active systemic infection
  • 9. Known bleeding disorders (eg, von Willebrand's disease or
  • hemophilia)
  • 10. History of stroke or intracranial hemorrhage within 6 months prior to
  • 11. Known history of human immunodeficiency virus (HIV) or active with
  • hepatitis C virus (HCV) or hepatitis B virus (HBV). Subjects who are
  • positive for hepatitis B core antibody, or hepatitis C antibody must have
  • a negative polymerase chain reaction (PCR) result before enrollment.
  • Those who are hepatitis B surface antigen (HBsAg) or PCR positive will
  • be excluded.
  • 12. Major surgery within 4 weeks of the first dose of study drug.
  • 13. Any life-threatening illness, medical condition, or organ system
  • dysfunction that, in the investigator's opinion, could compromise the
  • subject's safety or put the study outcomes at undue risk
  • 14. Currently active, clinically significant cardiovascular disease, such as
  • uncontrolled arrhythmia or Class 3 or 4 congestive heart failure as
  • defined by the New York Heart Association Functional Classification; or a
  • history of myocardial infarction, unstable angina, or acute coronary
  • syndrome within 6 months prior to randomization
  • 另有 14 项未显示

研究者

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