The primary objective of this study was to evaluate the efficacy of ibrutinib in participants with relapsed or refractory MCL. The secondary objective was to evaluate the safety of a fixed daily dosing regimen (560 mg daily) of PCI-32765 in this population.
This is a Phase 2, open-label, nonrandomized, multicenter, monotherapy study in subjects with histologically documented MCL who have relapsed after ≥ 1 (but not \> 5) prior treatment regimens. All subjects meeting eligibility criteria will receive PCI-32765 capsules at a dosage of 560 mg/day once daily for a 28-day cycle until disease progression, unacceptable toxicity, or enrollment in a long-term extension study, whichever occurs earlier.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
115
560 mg daily
Stanford University School of Medicine
Stanford, California, United States
Hackensack University Medical Center
Hackensack, New Jersey, United States
Percentage of Participants Achieving Response
The primary endpoint of the study was overall response rate (ORR), defined as the proportion of participants who achieved a best overall response of complete response (CR) or partial response (PR), according to the revised International Working Group Criteria for non-Hodgkin's lymphoma (Cheson et al, 2007), as assessed by the investigator. CR is a complete disappearance of all disease, no new lesions, lymph nodes must have regressed and be PET negative, spleen and liver should not be palpable and without nodules, and bone marrow must be negative. PR is a \>/= 50% decrease in the sum of the product of diameters of the target lesions, and \>/= 50% decrease of splenic and hepatic nodules from baseline, no new lesions and no increase in the size of liver, spleen or non-target lesions.
Time frame: The median follow-up time on study for all treated participants is 15.3 (range 1.9 - 22.3) months
Number of Participants With Treatment Emergent Adverse Events (AEs)
Number of participants who had experienced at least one treatment emergent AE
Time frame: From first dose of PCI-32765 to within 30 days of last dose for each participant or until study closure
PCI-32765 and Its Metabolite (PCI-45227) AUC0-24h After Repeat Dosing of PCI-32765
Area under the plasma concentration-time curve using data collected at 0, 1, 2, 4, 6-8, and 24 hours post dose (AUC0-24h)
Time frame: Performed During the First Month of Receiving PCI-32765
Mean Change From Baseline to Cycle 5 in EORTC QLQ-C30 Global Health Status Score
Mean change from baseline to Cycle 5 in the European Organisation for Research and Treatment of Cancer quality of life questionnaire (EORTC QLQ-C30) Global Health Status Score according to EORTC QLQ-C30 Scoring Manual (3rd Edition, 2001). For global health status, positive changes indicated better health status or functioning, and negative changes indicated worsening of health status or functioning. Scale scores range from 0 to 100. A change in 5 to 10 points in either direction represents a small change; 10 to 20 points represents a moderate change and greater than 20 points represents a large change.
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Cll Research and Treatment Program
New Hyde Park, New York, United States
New York Presbyterian Hospital/Cornell Medical Center
New York, New York, United States
The Ohio Sate university
Columbus, Ohio, United States
Oregon Health & Science University
Portland, Oregon, United States
MD Anderson Cancer Center
Houston, Texas, United States
University of Virginia School of Medicine Hospital
Charlottesville, Virginia, United States
University of Wisconsin
Madison, Wisconsin, United States
Klinikum der Universitat Munchen - Campus Grosshadern
München, Germany
...and 8 more locations
Time frame: From Baseline to Cycle 5 (Week 20)