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- Klinische proef NCT02180711
Studie van acalabrutinib alleen of in combinatietherapie bij proefpersonen met B-cel non-hodgkinlymfoom
Een open-label, fase 1b/2-studie van acalabrutinib alleen of in combinatietherapie bij proefpersonen met B-cel non-hodgkinlymfoom
Part 1: To characterize the safety profile of acalabrutinib alone or in combination with rituximab in subjects with R/R FL.
Part 2: To characterize the activity of acalabrutinib alone or in combination with rituximab in subjects with R/R MZL, as measured by ORR.
Part 3: To characterize the safety of acalabrutinib in combination with rituximab and lenalidomide in subjects with R/R FL
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
An Open-label, Phase 1b/2 Study of Acalabrutinib Alone or in Combination Therapy in Subjects with B-cell Non-Hodgkin Lymphoma
Studietype
Inschrijving (Werkelijk)
Fase
- Fase 2
- Fase 1
Contacten en locaties
Studie Locaties
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Alberta
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Edmonton, Alberta, Canada, t6G1Z2
- Research Site
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Ontario
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London, Ontario, Canada, N6A 5W9
- Research Site
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Toronto, Ontario, Canada, M5G 2M9
- Research Site
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Bologna, Italië, 40138
- Research Site
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Milan, Italië, 20132
- Research Site
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Palermo, Italië, 90146
- Research Site
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Arizona
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Tucson, Arizona, Verenigde Staten, 85719
- Research Site
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California
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Downey, California, Verenigde Staten, 90241
- Research Site
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Duarte, California, Verenigde Staten, 91010
- Research Site
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Fountain Valley, California, Verenigde Staten, 92708
- Research Site
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Santa Monica, California, Verenigde Staten, 90404
- Research Site
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Florida
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Coral Gables FL, Florida, Verenigde Staten, 33146
- Research Site
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Illinois
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Chicago, Illinois, Verenigde Staten, 60612
- Research Site
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Chicago, Illinois, Verenigde Staten, 60637
- Research Site
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Chicago, Illinois, Verenigde Staten, 60611
- Research Site
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Kentucky
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Louisville, Kentucky, Verenigde Staten, 40207
- Research Site
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Louisiana
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New Orleans, Louisiana, Verenigde Staten, 70112
- Research Site
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Michigan
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Ann Arbor, Michigan, Verenigde Staten, 48109
- Research Site
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New Jersey
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Morristown, New Jersey, Verenigde Staten, 07960
- Research Site
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New York
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Lake Success, New York, Verenigde Staten, 11042
- Research Site
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New York, New York, Verenigde Staten, 10021
- Research Site
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Ohio
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Columbus, Ohio, Verenigde Staten, 43210
- Research Site
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South Carolina
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Greenville, South Carolina, Verenigde Staten, 29615
- Research Site
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Texas
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Dallas, Texas, Verenigde Staten, 75235
- Research Site
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Houston, Texas, Verenigde Staten, 77030
- Research Site
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San Antonio, Texas, Verenigde Staten, 78217
- Research Site
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Temple, Texas, Verenigde Staten, 76508
- Research Site
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Utah
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Salt Lake City, Utah, Verenigde Staten, 84112
- Research Site
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Washington
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Spokane, Washington, Verenigde Staten, 99208
- Research Site
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
- Men and women ≥ 18 years of age.
- Part 1: A confirmed diagnosis of FL Grade 1, 2, or 3a, which has relapsed after, or been refractory to ≥ 1 prior therapy for FL, or subjects who have not previously received systemic anticancer therapy for FL., and which requires treatment.
- Part 2: For subject with relapsed or refractory MZL:
Histologically confirmed MZL including splenic, nodal, and extranodal sub-types
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Subjects with splenic MZL must have an additional measurable lesion, nodal or extranodal, as described in inclusion criterion #4;
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Subjects with gastric mucosa-associated lymphoid tissue (MALT) lymphoma must be Helicobacter pylori (HP)-negative
- Part 3: For subjects with FL: Pathologically confirmed diagnosis of FL Grade 1, 2, or 3a, which has relapsed after, or been refractory to ≥ 1 prior therapy for FL and which requires treatment per National Cancer Institute or ESMO clinical practice guidelines.
- Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2.
- Agreement to use contraception during the study and for 30 days after the last dose of study drugs if sexually active and able to bear or beget children.
Exclusion Criteria:
- •A life-threatening illness, medical condition or organ system dysfunction which, in the investigator's opinion, could compromise the subject's safety, interfere with the absorption or metabolism of acalabrutinib, or put the study outcomes at undue risk
- Significant cardiovascular disease such as uncontrolled or symptomatic arrhythmias, congestive heart failure, or myocardial infarction within 6 months of screening, or any Class 3 or 4 cardiac disease as defined by the New York Heart Association Functional Classification, or Qtc >480 msec
- Malabsorption syndrome, disease significantly affecting gastrointestinal function, or resection of the stomach or small bowel, gastric bypass, symptomatic inflammatory bowel disease, or partial or complete bowel obstruction.
- Breast feeding or pregnant
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: NVT
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: Part 1: acalabrutinib Regimen 1
acalabrutinib Regimen 1 for relapsed, refractory Follicular Lymphoma subjects |
Andere namen:
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Experimenteel: Part 1: acalabrutinib Regimen 2
acalabrutinib Regimen 2 + rituximab for relapsed, refractory, or treatment naive Follicular Lymphoma subjects |
Andere namen:
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Experimenteel: Part 2: acalabrutinib Regimen 1
acalabrutinib Regimen 1 for relapsed, refractory Marginal Zone Lymphoma subjects |
Andere namen:
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Experimenteel: Part 2: acalabrutinib Regimen 2
acalabrutinib Regimen 2 + rituximab for relapsed, refractory Marginal Zone Lymphoma subjects |
Andere namen:
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Experimenteel: Part 3: acalabrutinib Regimen 1
acalabrutinib Regimen + lenalidomide + rituximab for relapsed, refractory Follicular Lymphoma subjects |
Andere namen:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Part 1: Incidence of Treatment-emergent Adverse Events.
Tijdsspanne: From the first dose of study drug until study discontinuation, 30 days after the last dose of study drug or one day before the first subsequent anticancer therapy, whichever was earlier, up to 80.7 months (the maximum participant's time on this study).
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Treatment-emergent adverse events were used to characterize the safety profile of acalabrutinib alone or in combination with rituximab in participants with relapsed/refractory follicular lymphoma (R/R FL). |
From the first dose of study drug until study discontinuation, 30 days after the last dose of study drug or one day before the first subsequent anticancer therapy, whichever was earlier, up to 80.7 months (the maximum participant's time on this study).
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Part 2: Investigator Assessed Objective Response Rate (ORR) According to the Lugano Classification for Non-Hodgkin Lymphoma (NHL).
Tijdsspanne: Based on all response assessments since the first dose of study drug until study discontinuation or the initiation of subsequent anticancer therapy, whichever was earlier, up to 65.1 months (the maximum participant's time on this study).
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The objective response rate (ORR) is used to characterize the activity of acalabrutinib alone or in combination with rituximab in participants with relapsed/refractory marginal zone lymphoma (R/R MZL). |
Based on all response assessments since the first dose of study drug until study discontinuation or the initiation of subsequent anticancer therapy, whichever was earlier, up to 65.1 months (the maximum participant's time on this study).
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Part 3: Incidence of Treatment-emergent Adverse Events.
Tijdsspanne: From the first dose of study drug until study discontinuation, 30 days after the last dose of study drug or one day before the first subsequent anticancer therapy, whichever was earlier, up to 54.3 months (the maximum participant's time on this study).
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Treatment-emergent adverse events were used to characterize the safety of acalabrutinib in combination with rituximab and lenalidomide in participants with relapsed/refractory follicular lymphoma (R/R FL). |
From the first dose of study drug until study discontinuation, 30 days after the last dose of study drug or one day before the first subsequent anticancer therapy, whichever was earlier, up to 54.3 months (the maximum participant's time on this study).
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Medewerkers en onderzoekers
Sponsor
Medewerkers
Publicaties en nuttige links
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Werkelijk)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Geschat)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Neoplasmata
- Ziekten van het immuunsysteem
- Neoplasmata per histologisch type
- Lymfatische ziekten
- Lymfoproliferatieve aandoeningen
- Immunoproliferatieve aandoeningen
- Lymfoom, B-cel
- Lymfoom
- Hemische en lymfatische ziekten
- Lymfoom, non-Hodgkin
- Lymfoom, folliculair
- Lymfoom, B-cel, marginale zone
- Aminozuren, peptiden en eiwitten
- Eiwitten
- Organische chemicaliën
- Heterocyclische verbindingen, 1-ring
- Heterocyclische verbindingen
- Heterocyclische verbindingen, 2-ring
- Heterocyclische verbindingen, gefuseerd ring
- Carbonzuren
- Piperidines
- Antilichamen, monoklonaal
- Antilichamen
- Immunoglobulinen
- Immunoproteïnen
- Bloedeiwitten
- Serum -globulines
- Globulines
- Antilichamen, monoklonaal, van murine afgeleid
- Phtalimiden
- Phtaliczuren
- Zuren, carbocyclisch
- Piperidones
- Isoindoles
- Lenalidomide
- Rituximab
- acalabrutinib
Andere studie-ID-nummers
- ACE-LY-003
- 2023-509350-63-00 (Register-ID: CTIS (EU))
- 2019-000111-84 (EudraCT-nummer)
- 2023 (Subsidie/contract van de Amerikaanse NIH)
- 2019 (Subsidie/contract van de Amerikaanse NIH)
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