A Phase 3 Study of Ibrutinib (PCI-32765) Versus Ofatumumab in Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia



Status:Completed
Conditions:Blood Cancer, Lymphoma
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:2/14/2019
Start Date:June 2012
End Date:October 25, 2018

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A Randomized, Multicenter, Open-label, Phase 3 Study of the Bruton's Tyrosine Kinase (BTK) Inhibitor Ibrutinib (PCI-32765) Versus Ofatumumab in Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma

The purpose of the study is to evaluate whether treatment with ibrutinib as a monotherapy
results in a clinically significant improvement in progression free survival (PFS) as
compared to treatment with ofatumumab in patients with relapsed or refractory Chronic
Lymphocytic Leukemia (CLL) or Small Lymphocytic Lymphoma (SLL)

Study PCYC-1112-CA is a randomized, multicenter, open-label, phase 3 study of the Bruton's
Tyrosine Kinase (BTK) inhibitor Ibrutinib (PCI-32765) versus Ofatumumab in patients with
Relapsed or Refractory Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma.

Patients randomized to the ofatumumab arm may be considered to receive next subsequent
therapy with ibrutinib.

Inclusion Criteria:

- ECOG performance status of 0-1.

- Diagnosis of CLL or SLL that meets IWCLL 2008 criteria.

- Active disease meeting at least 1 of the IWCLL 2008 criteria for requiring treatment.

- Must have received at least one prior therapy for CLL/SLL.

- Considered not appropriate for treatment or retreatment with purine analog based
therapy.

- Measurable nodal disease by CT.

- Patients must be able to receive outpatient treatment and laboratory monitoring at the
institution that administers study drug for the entire study.

Exclusion Criteria:

- Known CNS lymphoma or leukemia.

- No documentation of cytogenetic and/or FISH in patient records prior to first dose of
study drug.

- Any history of Richter's transformation or prolymphocytic leukemia.

- Uncontrolled Autoimmune Hemolytic Anemia (AIHA) or idiopathic thrombocytopenia purpura
(ITP).

- Prior exposure to ofatumumab or to ibrutinib.

- Prior autologous transplant within 6 months prior to first dose of study drug.

- Prior allogeneic stem cell transplant within 6 months or with any evidence of active
graft versus host disease or requirement for immunosuppressants within 28 days prior
to first dose of study drug.

- History of prior malignancy, with the exception of certain skin cancers and
malignancies treated with curative intent and with no evidence of active disease for
more than 3 years.

- Serologic status reflecting active hepatitis B or C infection.

- Unable to swallow capsules or disease significantly affecting gastrointestinal
function.

- Uncontrolled active systemic fungal, bacterial, viral, or other infection.

- History of stroke or intracranial hemorrhage within 6 months prior to the first dose
of study drug.

- Requires anticoagulation with warfarin.
We found this trial at
24
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Greenville, South Carolina 29605
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New Brunswick, New Jersey 08901
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St. Leonards, New South Wales 2065
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Stanford, CA
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