The purpose of this study is to determine the safety and recommended Phase 2 dose (RP2D) of JNJ-67856633 and ibrutinib in combination in participants with B cell non-Hodgkin lymphoma (NHL) and chronic lymphocytic leukemia (CLL).
Non-Hodgkin lymphoma (NHL) represents the most frequent hematologic malignancy in the world and represents a diverse set of diseases. JNJ-67856633-ZAF (referred as JNJ-67856633) is an orally bioavailable, potent, and selective first-in-class mucosa-associated lymphoid tissue lymphoma translocation protein-1 (MALT1) inhibitor. JNJ-67856633 binds to an allosteric site on MALT1 with a mixed-type mechanism. Ibrutinib is a first-in-class, orally administered, potent, orally administered covalently binding small-molecule inhibitor of Bruton's tyrosine kinase (BTK), as well as interleukin-2-inducible kinase (ITK), a tyrosine protein (Tec) kinase family member present in T cells. The doses will be escalated in the study and one or more recommended Phase 2 dose (RP2Ds) of JNJ-67856633 will be determined. The study is divided into 3 periods: a screening phase, a treatment phase, and a post-treatment follow-up phase. Efficacy assessments will include radiographic image assessments, positron emission tomography scan, bone marrow assessment, endoscopy etc. Safety assessment like physical examination, vital signs, electrocardiogram (ECG), eastern cooperative oncology group (ECOG) performance status, and adverse events monitoring will be performed during the study. Total duration of the study will be up to 2 years and 9 months.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
45
Participants will receive JNJ-67856633 orally.
Participants will receive Ibrutinib orally.
Rigshospitalet
Copenhagen, Denmark
CHRU de Lille Hopital Claude Huriez
Lille, France
Institut Paoli Calmettes
Marseille, France
CHU de Nantes hotel Dieu
Nantes, France
Percentage of Participants with Dose-Limiting Toxicity (DLT)
Percentage of Participants with DLT will be reported. The DLTs are specific adverse events and are defined as any of the following: high grade non-hematological toxicity or hematological toxicity.
Time frame: Up to 21 days
Percentage of Participants with Adverse Events (AEs) by Severity
Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0.
Time frame: Up to 2 years and 9 months
Plasma Concentration of JNJ-67856633 and Ibrutinib
Plasma samples will be analyzed to determine concentrations of JNJ-67856633 and Ibrutinib.
Time frame: Up to 2 years and 9 months
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Hopital St Louis
Paris, France
CHU de Bordeaux - Hospital Haut-Leveque
Pessac, France
Gustave Roussy
Villejuif, France
Pratia MCM Krakow
Krakow, Poland
Centrum Medyczne Pratia Poznan
Skorzewo, Poland
Universitetssjukhuset Lund, Onkologiska Kliniken, Lund
Lund, Sweden