- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT02180711
Studie av Acalabrutinib ensamt eller i kombinationsterapi hos personer med B-cells non-Hodgkin-lymfom
En öppen fas 1b/2-studie av acalabrutinib ensamt eller i kombinationsterapi hos patienter med B-cells non-Hodgkin-lymfom
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
Studieöversikt
Status
Betingelser
Intervention / Behandling
Detaljerad beskrivning
An Open-label, Phase 1b/2 Study of Acalabrutinib Alone or in Combination Therapy in Subjects with B-cell Non-Hodgkin Lymphoma
Studietyp
Inskrivning (Faktisk)
Fas
- Fas 2
- Fas 1
Kontakter och platser
Studieorter
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Arizona
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Tucson, Arizona, Förenta staterna, 85719
- Research Site
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California
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Downey, California, Förenta staterna, 90241
- Research Site
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Duarte, California, Förenta staterna, 91010
- Research Site
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Fountain Valley, California, Förenta staterna, 92708
- Research Site
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Santa Monica, California, Förenta staterna, 90404
- Research Site
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Florida
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Coral Gables FL, Florida, Förenta staterna, 33146
- Research Site
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Illinois
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Chicago, Illinois, Förenta staterna, 60612
- Research Site
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Chicago, Illinois, Förenta staterna, 60637
- Research Site
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Chicago, Illinois, Förenta staterna, 60611
- Research Site
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Kentucky
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Louisville, Kentucky, Förenta staterna, 40207
- Research Site
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Louisiana
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New Orleans, Louisiana, Förenta staterna, 70112
- Research Site
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Michigan
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Ann Arbor, Michigan, Förenta staterna, 48109
- Research Site
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New Jersey
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Morristown, New Jersey, Förenta staterna, 07960
- Research Site
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New York
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Lake Success, New York, Förenta staterna, 11042
- Research Site
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New York, New York, Förenta staterna, 10021
- Research Site
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Ohio
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Columbus, Ohio, Förenta staterna, 43210
- Research Site
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South Carolina
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Greenville, South Carolina, Förenta staterna, 29615
- Research Site
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Texas
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Dallas, Texas, Förenta staterna, 75235
- Research Site
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Houston, Texas, Förenta staterna, 77030
- Research Site
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San Antonio, Texas, Förenta staterna, 78217
- Research Site
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Temple, Texas, Förenta staterna, 76508
- Research Site
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Utah
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Salt Lake City, Utah, Förenta staterna, 84112
- Research Site
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Washington
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Spokane, Washington, Förenta staterna, 99208
- Research Site
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Bologna, Italien, 40138
- Research Site
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Milan, Italien, 20132
- Research Site
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Palermo, Italien, 90146
- Research Site
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Alberta
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Edmonton, Alberta, Kanada, t6G1Z2
- Research Site
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Ontario
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London, Ontario, Kanada, N6A 5W9
- Research Site
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Toronto, Ontario, Kanada, M5G 2M9
- Research Site
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
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
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: N/A
- Interventionsmodell: Parallellt uppdrag
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: Part 1: acalabrutinib Regimen 1
acalabrutinib Regimen 1 for relapsed, refractory Follicular Lymphoma subjects |
Andra namn:
|
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Experimentell: Part 1: acalabrutinib Regimen 2
acalabrutinib Regimen 2 + rituximab for relapsed, refractory, or treatment naive Follicular Lymphoma subjects |
Andra namn:
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Experimentell: Part 2: acalabrutinib Regimen 1
acalabrutinib Regimen 1 for relapsed, refractory Marginal Zone Lymphoma subjects |
Andra namn:
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Experimentell: Part 2: acalabrutinib Regimen 2
acalabrutinib Regimen 2 + rituximab for relapsed, refractory Marginal Zone Lymphoma subjects |
Andra namn:
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Experimentell: Part 3: acalabrutinib Regimen 1
acalabrutinib Regimen + lenalidomide + rituximab for relapsed, refractory Follicular Lymphoma subjects |
Andra namn:
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Part 1: Incidence of Treatment-emergent Adverse Events.
Tidsram: 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).
|
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).
Tidsram: 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.
Tidsram: 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).
|
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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Samarbetspartners och utredare
Sponsor
Samarbetspartners
Publikationer och användbara länkar
Användbara länkar
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Faktisk)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Beräknad)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
- Neoplasmer
- Immunsystemets sjukdomar
- Neoplasmer efter histologisk typ
- Lymfatiska sjukdomar
- Lymfoproliferativa störningar
- Immunproliferativa störningar
- Lymfom, B-cell
- Lymfom
- Hemiska och lymfsjukdomar
- Lymfom, icke-Hodgkin
- Lymfom, follikulärt
- Lymfom, B-cell, marginalzon
- Aminosyror, peptider och proteiner
- Proteiner
- Organiska kemikalier
- Heterocykliska föreningar, 1-ring
- Heterocykliska föreningar
- Heterocykliska föreningar, 2-ring
- Heterocykliska föreningar, smältring
- Karboxylsyror
- Piperidiner
- Antikroppar, monoklonal
- Antikroppar
- Immunglobuliner
- Immunoproteiner
- Blodproteiner
- Serumglobuliner
- Globuliner
- Antikroppar, monoklonal, murin härledd
- Ftalimider
- Ftalinsyror
- Syror, karbocyklisk
- Piperidoner
- Isoindol
- Lenalidomid
- Rituximab
- acalabrutinib
Andra studie-ID-nummer
- ACE-LY-003
- 2023-509350-63-00 (Registeridentifierare: CTIS (EU))
- 2019-000111-84 (EudraCT-nummer)
- 2023 (U.S.S. NIH-anslag/kontrakt)
- 2019 (U.S.S. NIH-anslag/kontrakt)
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