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Phase 2 Completed N=144 Treatment

A Study to Evaluate Safety, Pharmacokinetics, Pharmacodynamics and Preliminary Efficacy of the Combination of Ibrutinib With Nivolumab in Participants With Hematologic Malignancies

Hematologic Neoplasms
Source: ClinicalTrials.gov NCT02329847 ↗
Enrolled (actual)
144
Serious AEs
58.9%
Results posted
Jun 2023
Primary outcomePrimary: Overall Response Rate (ORR) as Assessed International Workshop on Chronic Lymphocytic Leukemia (IWCLL) 2008: Disease Cohort — 63.3 Percentage of Participants

Summary

The purpose of this study is to determine the safety and to establish the recommended phase 2 dose (RP2D) for the combination of ibrutinib and nivolumab in participants with chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL), follicular cell lymphoma (FL) and diffuse large B-cell lymphoma (DLBCL). Once the dose is optimized, the combination will be assessed for Pharmacokinetics, Pharmacodynamics, and preliminary efficacy, further safety in participants with CLL/SLL, FL or DLBCL and in participants with Richter syndrome.

Outcome Measures

OutcomeResultp-value
PRIMARY
Overall Response Rate (ORR) as Assessed International Workshop on Chronic Lymphocytic Leukemia (IWCLL) 2008: Disease Cohort
63.3
PRIMARY
Overall Response Rate (ORR) as Assessed Non-Hodgkin Lymphoma (NHL), Cheson 2014: Disease Cohort
50.0; 32.5; 37.8; 65.0
PRIMARY
Percentage of Participants With Treatment-emergent Adverse Event (TEAEs): Study Cohort
100; 100; 100; 100; 97.3; 95.0
SECONDARY
Duration of Response (DoR): Study Cohort
11.5; NA; 19.2; 10.2; NA; 6.9
SECONDARY
Duration of Stable Disease or Better: Study Cohort
24.8; 20.8; 17.38; 14.55; 14.1
SECONDARY
Progression-free Survival (PFS): Study Cohort
2.0; 9.1; 21.6; 7.6; 3.2; 5.0
SECONDARY
Overall Survival (OS): Study Cohort
12.4; NA; NA; NA; 19.0; 10.3
SECONDARY
Percentage of Participants With Lymphoma-related Symptoms: Study Cohort
14.3; 42.9; 74.3; 25.7; 54.1; 60.0

Eligibility Criteria

Inclusion Criteria

  • Eastern Cooperative Oncology Group (ECOG) performance status grade 0, 1, or 2
  • Adequate bone marrow, liver, and renal function defined as: 1) Absolute neutrophil count (ANC) greater than equal to (>=) 1.5* 10^9cells/litre (L); 2) Platelets >=75 x 109cells/L without transfusion support within 7 days prior to test; 3) Hemoglobin >= 8 gram/deciliter (g/dL) without transfusion support within 7 days prior to test 4) Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) less than equal to ( = 50 mL/min/1.73 m^2
  • Histologically confirmed B-cell non-Hodgkin lymphoma (B-NHL), Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL)
  • Relapsed refractory disease after at least 1 but not more than 4 lines of previous systemic therapy
  • Measurable disease (NHL: At least 1 measurable site of disease [>1.5 centimeter [cm] in the long axis regardless of short axis measurement or >1.0 cm in the short axis regardless of long axis measurement, and clearly measurable in 2 perpendicular dimensions])
  • Cohort B-1: SLL/CLL: 1) Deletion of short arm of chromosome 17 or 11 q based on institutional assessment 2) Relapsed/refractory after at least 1 prior systemic therapy 3) Active disease based in IWCLL criteria
  • Cohort B-2: 1) B- cell follicular lymphoma Grade 1, 2, or 3a (WHO criteria) 2) Relapsed/refractory disease >= 2 lines separated by Progression, prior treatment (or not eligible for receiving) CD20 antibody 3) Measurable disease (IWG -Lugano 2014)
  • Cohort B-3: 1) Histologically-confirmed DLBCL 2) Prior standard rituximab + anthracyclin containing regimen, received or not eligible or considered candidate of HD-ASCT 3) Measurable disease (IWG -Lugano 2014)
  • Cohort B-4: 1) Histologically-confirmed Richter syndrome defined as transformation of CLL or SLL into an aggressive lymphoma 2) Previously treated with at least one line of standard, systemic chemotherapy or not eligible for standard therapy 3) At least 1 measurable site of disease based on the Revised Response Criteria for Malignant Lymphoma

Exclusion Criteria

  • Prior therapy or surgery (3 to 10 weeks depending type)
  • Prior BTK inhibitor or anti PD1, anti PDL1, anti PD-L2 and anti-CD137, anti-cytotoxic T-lymphocyte associated antigen (CTLA-4) antibody
  • Clinically significant cardiovascular disease such as uncontrolled or symptomatic arrhythmias, congestive heart failure, or myocardial infarction within 6 months of Screening, or any Class 3 (moderate) or Class 4 (severe) cardiac disease as defined by the New York Heart Association Functional Classification, or congenital long QT syndrome, or QT interval corrected for heart rate, using Fridericia formula (QTcF) at Screening greater than (>) 470 milliseconds (ms)
  • History of stroke or intracranial hemorrhage within 6 months prior to the first dose of ibrutinib
  • Requires treatment with anticoagulation with warfarin or equivalent vitamin K antagonists
  • Requires treatment with strong cytochrome P450 3A (CYP3A) inhibitors
  • Known history of Human Immunodeficiency Virus (HIV), Hepatitis B or Hepatitis C
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02329847). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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