The proposed study is a single-arm, multi-center, open-label phase II study of the combination of palbociclib and ibrutinib in patients with previously treated mantle cell lymphoma to evaluate the efficacy of this combination, with the primary objective of the study being to assess median PFS and the secondary objectives to include ORR, CR, DOR, OS and toxicity. Subjects will be enrolled and treated with palbociclib and ibrutinib with each cycle of therapy being 28 days. Treatment will be based on the recommended phase II dose (RP2D) from the phase I combination trial.
Treatment will consist of: * Palbociclib administered at 100 mg oral once daily for 21 days on followed by 7 days off * Ibrutinib administered at 560 mg oral continuously Patients will continue to receive study drugs until disease progression, unacceptable toxicity, or withdrawal of consent. If at any time one of the agents is held due to toxicity, the other agent may be continued in those patients who are receiving clinical benefit. Response will be assessed by PET/CT and/or CT every 3 cycles while on therapy for the first year and then every 6 cycles thereafter until disease progression or at the investigator's discretion if otherwise medically indicated. A PET will be required to confirm CR. A bone marrow biopsy will be performed in patients with bone marrow involvement at the start of therapy to confirm complete response once patients have otherwise met criteria for CR.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
39
Taken at 100 mg once daily for 21 days, followed by 7 days off
560 mg taken orally all patients throughout the study
City of Hope National Medical Center
Duarte, California, United States
University of Maryland, Greenebaum Comprehensive Cancer Center
Baltimore, Maryland, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
St. Joseph Mercy Hospital Cancer Care Center
Ypsilanti, Michigan, United States
Roswell Park Comprehensive Cancer Center
Buffalo, New York, United States
Weill Cornell Medical College
New York, New York, United States
University of North Carolina
Chapel Hill, North Carolina, United States
Ohio State University
Columbus, Ohio, United States
Medical University of South Carolina - Hollings Cancer Center
Charleston, South Carolina, United States
Progression free survival
Time interval between registration and progression or death
Time frame: 42 months
Overall survival
time from registration to death due to any cause
Time frame: 42 months
Duration of response
Time from documentation of tumor response to disease progression
Time frame: 42 months
Overall Response Rate
Proportion of patients with reduction in tumor burden of a predefined amount
Time frame: 42 Months
Complete Response
Disappearance of all non-target lesions and normalization of tumor marker level
Time frame: 42 Months
Toxicity: Incidence and severity of adverse events by summaries of toxicity data/contingency tables
Evaluation of incidence and severity of adverse events by summaries of toxicity data/contingency tables
Time frame: 42 Months
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