Clinical Outcomes of Chronic Lymphocytic Leukemia (CCL) and Mantle Cell Lymphoma (MCL) Participants Treated With Ibrutinib: A Medical Chart Review From India

Sponsor
Johnson & Johnson Private Limited (Industry)
Overall Status
Completed
CT.gov ID
NCT03476655
Collaborator
(none)
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Study Details

Study Description

Brief Summary

The purpose of this study is to describe the effectiveness (overall response rate [ORR] and time to progression [TPP]) of Ibrutinib therapy in participants with chronic lymphocytic leukemia (CLL) and mantle cell lymphoma (MCL).

Condition or Disease Intervention/Treatment Phase

Study Design

Study Type:
Observational
Actual Enrollment :
40 participants
Observational Model:
Cohort
Time Perspective:
Retrospective
Official Title:
Clinical Outcomes of CLL and MCL Patients Treated With Ibrutinib: An Observational Retrospective Medical Chart Review From India
Actual Study Start Date :
Apr 28, 2018
Actual Primary Completion Date :
May 14, 2019
Actual Study Completion Date :
May 31, 2019

Arms and Interventions

Arm Intervention/Treatment
Participants with Chronic Lymphocytic Leukemia (CLL)

This study will collect retrospective data on effectiveness and outcome parameters for participants of CLL being managed with ibrutinib in the clinical practice. The primary data source for this observational study will be the medical records of each enrolled participant.

Drug: Ibrutinib
No study treatment will be administered as a part of this study. Participants in this observational study with confirmed diagnosis of CLL and MCL receiving ibrutinib treatment before 30 April 2018 in routine clinical practice settings will be observed.
Other Names:
  • IMBRUVICA
  • Participants with Mantle Cell Lymphoma (MCL)

    This study will collect retrospective data on effectiveness and outcome parameters for participants of MCL being managed with ibrutinib in the clinical practice. The primary data source for this observational study will be the medical records of each enrolled participant.

    Drug: Ibrutinib
    No study treatment will be administered as a part of this study. Participants in this observational study with confirmed diagnosis of CLL and MCL receiving ibrutinib treatment before 30 April 2018 in routine clinical practice settings will be observed.
    Other Names:
  • IMBRUVICA
  • Outcome Measures

    Primary Outcome Measures

    1. Overall Response Rate (ORR) [Up to 14 months]

      ORR is defined as achievement of complete response (CR) or partial response (PR) per International Workshop on Chronic Lymphocytic Leukemia (IWCLL) 2008 guidelines for Chronic Lymphocytic Leukemia (CLL) and Mantle-cell Lymphoma (MCL). CR is defined as resolution of enlarged lymph nodes, spleen and liver; normalization of blood counts (neutrophils, hemoglobin, platelets); no residual CLL/MCL detectable in the bone marrow. PR is defined as 50 percent (%) or more reduction in size of enlarged lymph nodes, liver or spleen; 50% or more improvement of blood counts; 50% or more reduction in the blood lymphocyte count.

    2. Time to Progression (TTP) [Up to 14 months]

      Time to progression will be reported for the observed participants receiving ibrutinib. TTP is defined as the period from study entry until objective disease progression (time from the date of randomization until disease progression or death due to progression, whichever occur first).

    3. Percentage of Participants with Complete Response (CR) [Up to 14 months]

      Percentage of participants with CR will be reported. CR is defined as resolution of enlarged lymph nodes, spleen and liver; normalization of blood counts (neutrophils, hemoglobin, platelets); no residual CLL/MCL detectable in the bone marrow.

    4. Percentage of Participants with Partial Response (PR) [Up to 14 months]

      Percentage of participants with PR will be reported. PR is defined as 50 percent (%) or more reduction in size of enlarged lymph nodes, liver or spleen; 50% or more improvement of blood counts; 50% or more reduction in the blood lymphocyte count.

    5. Percentage of Participants with Stable Disease (SD) [Up to 14 months]

      Percentage of participants with SD will be reported. Participants who have not achieved a CR or a PR, and who have not exhibited progressive disease will be considered to have stable disease.

    6. Percentage of Participants with Progressive Disease (PD) [Up to 14 months]

      Percentage of participants with PD will be reported. PD is defined as 50% or more increase in lymph nodes or the appearance of new enlarged lymph nodes; 50% or more increase in the size of the spleen or liver; 50% or more increase in blood lymphocyte count.

    Secondary Outcome Measures

    1. Median time to Response with Ibrutinib [Up to 14 months]

      Median time to response with ibrutinib in CLL and MCL participants will be reported. Time to response is defined as the time from start of ibrutinib therapy until objective response (CR or PR assessed by the investigator, based on physical examinations, CT scans, laboratory results, and bone marrow examinations, according to the modified 2008 IWCLL response criteria).

    2. Change from Baseline in Hemoglobin Levels [Baseline up to 14 months]

      Change from baseline in blood hemoglobin level will be reported.

    3. Change from Baseline in Platelet Counts [Baseline up to 14 months]

      Change from baseline in blood platelet counts will be reported.

    4. Number of Participants with Response to Ibrutinib by Prior Lines of Therapy [Up to 14 months]

      Number of participants, who progresses on at least one prior line of therapy, with response to ibrutinib will be reported.

    5. Number of Participants with Hematological and Non-hematological Adverse Drug Reactions (ADR) [Up to 14 months]

      Number of participants with hematological and non-hematological ADR will be reported. An adverse drug reaction (ADR) is defined as a response to a medicinal (investigational or non-investigational) product that is noxious and unintended. The phrase "response to a medicinal product" means that a causal relationship between a medicinal product and an adverse event is possible, probable or very likely.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Must have a confirmed diagnosis of Chronic Lymphocytic Leukemia (CLL) or Mantle Cell Lymphoma (MCL)

    • CLL or MCL participants being newly initiated on Imbruvica treatment (ibrutinib capsule 140 mg) based on independent clinical judgment of treating physicians

    Exclusion Criteria:
    • Any contraindications to ibrutinib use according to the current version of the Prescribing information in India

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Apollo Hospitals International Limited Ahmedabad India 382428
    2 Healthcare Global (HCG) Hospital Bangalore India 560013
    3 Fortis Memorial Research Institute Gurgaon India 122002
    4 Basavatarakam Indo-American Hospital Hyderabad India 500034
    5 Bhagwan Mahaveer Hospital & Research Centre Jaipur India 302017
    6 Tata Medical Center Kolkata India 700156
    7 All India Institute of Medical Sciences New Delhi India 110029
    8 Yashoda Hematology Clinic Pune India 411002

    Sponsors and Collaborators

    • Johnson & Johnson Private Limited

    Investigators

    • Study Director: Johnson & Johnson Private Limited Clinical Trial, Johnson & Johnson Private Limited

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Johnson & Johnson Private Limited
    ClinicalTrials.gov Identifier:
    NCT03476655
    Other Study ID Numbers:
    • CR108441
    • 54179060LYM4007
    First Posted:
    Mar 26, 2018
    Last Update Posted:
    Aug 7, 2020
    Last Verified:
    Aug 1, 2020
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Product Manufactured in and Exported from the U.S.:
    Yes
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Aug 7, 2020