Study of Ibrutinib and Rituximab in Treatment Naïve Follicular Lymphoma

Sponsor
Pharmacyclics LLC. (Industry)
Overall Status
Active, not recruiting
CT.gov ID
NCT02947347
Collaborator
(none)
431
169
4
113
2.6
0

Study Details

Study Description

Brief Summary

The purpose of this study is to evaluate whether the addition of ibrutinib will result in prolongation of progression-free survival (PFS) when compared with rituximab alone in treatment naïve subjects with follicular lymphoma.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
431 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Care Provider, Investigator)
Primary Purpose:
Treatment
Official Title:
A Multicenter, Randomized, Double-blind, Placebo-controlled Phase 3 Study of the Bruton's Tyrosine Kinase (BTK) Inhibitor, Ibrutinib, in Combination With Rituximab Versus Placebo in Combination With Rituximab in Treatment Naïve Subjects With Follicular Lymphoma (PERSPECTIVE)
Actual Study Start Date :
Jan 1, 2017
Anticipated Primary Completion Date :
Jun 1, 2026
Anticipated Study Completion Date :
Jun 1, 2026

Arms and Interventions

Arm Intervention/Treatment
Experimental: (Part 1 : Arm A) ibrutinib + rituximab

Subjects will receive 560mg of ibrutinib and rituximab 375mg/m^2 weekly x4 with maintenance. In Part 1, Arm A to Arm B ratio is 3:1

Drug: ibrutinib
ibrutinib 560mg administered orally
Other Names:
  • Imbruvica
  • Drug: rituximab
    rituximab 375mg/m^2 IV

    Placebo Comparator: (Part 1 : Arm B) placebo + rituximab

    Subjects will receive placebo and rituximab 375mg/m^2 weekly x4 with maintenance. In Part 1, Arm A to Arm B ratio is 3:1

    Drug: placebo to match ibrutinib
    placebo capsules to match ibrutinib administered orally

    Drug: rituximab
    rituximab 375mg/m^2 IV

    Experimental: (Part 2 : Arm A1) ibrutinib

    Subjects will receive 560mg of ibrutinib Part 1 Arm A subjects will be re-randomized 1:1 into Part 1 Arm A1 or Arm A2

    Drug: ibrutinib
    ibrutinib 560mg administered orally
    Other Names:
  • Imbruvica
  • Placebo Comparator: (Part 2 : Arm A2) placebo

    Subjects will receive placebo Part 1 Arm A subjects will be re-randomized 1:1 into Part 2 Arm A1 or Arm A2

    Drug: placebo to match ibrutinib
    placebo capsules to match ibrutinib administered orally

    Outcome Measures

    Primary Outcome Measures

    1. Progression-free survival [2-5 years]

    Secondary Outcome Measures

    1. Overall Response Rate (ORR) [2-5 years]

      Part 1

    2. Overall Survival [2-5 years]

      Part 1

    3. Infusion-Related Reaction Rate [2-5 years]

      Arm A vs. Arm B (Part 1)

    4. Adverse Events [2-5 years]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    60 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Histologically confirmed diagnosis of follicular lymphoma CD20+ (Grade 1, 2 or 3a) Ann Arbor Stage II, III or IV disease.

    • Measurable disease

    • Subjects 70 years of age or older; OR subjects 60-69 years of age who have one or more comorbidities.

    • Meets one or more Groupe d'Etude des Lymphomes Folliculaire (GELF) criteria.

    • Adequate hematologic function within protocol-defined parameters.

    • Adequate hepatic and renal function within protocol-defined parameters.

    • ECOG performance status score of 0-2.

    Exclusion Criteria:
    • Transformed lymphoma

    • Prior treatment for follicular lymphoma

    • Central nervous system lymphoma or leptomeningeal disease

    • Currently active, clinically significant cardiovascular disease

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Southern Cancer Center Mobile Alabama United States
    2 Roy and Patricia Disney Family Cancer Center Burbank California United States
    3 City of Hope Duarte California United States
    4 Sansum Clinic Santa Barbara California United States
    5 UCLA Hematology/Oncology Santa Monica California United States
    6 Helen F. Graham Cancer Center and Research Institute Newark Delaware United States
    7 SCRI Florida Cancer Specialists South Fort Myers Florida United States
    8 Florida Cancer Affiliates Ocala Florida United States
    9 SCRI Florida Cancer Specialists North Saint Petersburg Florida United States
    10 Rush University Medical Center Chicago Illinois United States
    11 Ingalls Memorial Hospital Harvey Illinois United States
    12 Norton Cancer Institute Louisville Kentucky United States
    13 Tulane Medical Center New Orleans Louisiana United States
    14 St Joseph Mercy Hospital Ypsilanti Michigan United States
    15 Goldschmidt Cancer Center Jefferson City Missouri United States
    16 Southeast Nebraska Cancer Center Lincoln Nebraska United States
    17 Summit Medical Group Morristown New Jersey United States
    18 Oncology Hematology Care Inc Cincinnati Ohio United States
    19 OHSU Knight Cancer Institute Beaverton Clinic Beaverton Oregon United States
    20 Greenville Health System Greenville South Carolina United States
    21 SCRI Tennessee Oncology Chattanooga Chattanooga Tennessee United States
    22 SCRI Tennessee Oncology Nashville Nashville Tennessee United States
    23 Texas Oncology (Medical City) Dallas Texas United States
    24 Texas Oncology-Dallas Presbyterian Hospital Dallas Texas United States
    25 University of Texas Southwestern Medical Center Dallas Texas United States
    26 SCRI The Center For Cancer and Blood Disorders Fort Worth Texas United States
    27 MD Anderson Cancer Center Houston Texas United States
    28 Texas Oncology (Sherman) Sherman Texas United States
    29 Texas Oncology (Tyler) Tyler Texas United States
    30 Oncology and Hematology Associates of Southwest Virginia (Blacksburg) Blacksburg Virginia United States
    31 Swedish Cancer Institute Seattle Washington United States
    32 Medical Oncology Associates Spokane Washington United States
    33 W VA University Mary Babb Randolph Cancer Center Morgantown West Virginia United States
    34 ProHealth Care Cancer Services Waukesha Wisconsin United States
    35 The Canberra Hospital Garran Australian Capital Territory Australia
    36 The Townsville Hospital Douglas Queensland Australia
    37 Mater Misericordiae Health Services South Brisbane Queensland Australia
    38 Royal Adelaide Hospital Adelaide South Australia Australia
    39 Royal Hobart Hospital Hobart Tasmania Australia
    40 Ballarat Health Services Ballarat Victoria Australia
    41 Monash Medical Centre Clayton Campus Clayton Victoria Australia
    42 Andrew Love Cancer Center Geelong Victoria Australia
    43 Fiona Stanley Hospital Murdoch Western Australia Australia
    44 Kepler Universitätsklinikum Linz Oberösterreich Austria
    45 Universitätsklinikum Innsbruck Innsbruck Tirol Austria
    46 Elisabethinen Hospital Linz Linz Austria
    47 Uniklinikum Salzburg Salzburg Austria
    48 Cliniques Universitaires Saint-Luc Bruxelles Brussels Belgium
    49 ZNA Stuivenberg Antwerpen Belgium
    50 AZ Sint-Jan Brugge Oostende AV Bruges Belgium
    51 UZ Gent Gent Belgium
    52 CHU de Liège Liège Belgium
    53 AZ Nikolaas Sint-Niklaas Belgium
    54 Gasthuis Zusters Antwerpen Wilrijk Belgium
    55 Moncton Hospital Moncton New Brunswick Canada
    56 CIUSSS-de-l'Est-de-l'Île-de-Montréal Montreal Quebec Canada
    57 CHUM Notre Dame Hospital Montréal Quebec Canada
    58 Fakultni nemocnice Hradec Kralove Hradec Kralove Czechia
    59 Fakultni nemocnice Ostrava Ostrava Czechia
    60 Fakultni nemocnice v Motole Praha 5 Czechia
    61 Fakultni nemocnice Kralovske Vinohrady Praha Czechia
    62 Centre Hospitalier de Valence Valence Drôme France
    63 CHRU de Poitiers La Miletrie Poitiers Vienne France
    64 Polyclinique Bordeaux Nord Aquitaine Bordeaux France
    65 CHU de Limoges Hôpital Dupuytren Limoges France
    66 Centre Hospitalier de Perigueux Perigueux France 24019
    67 CHU Bordeaux Pessac France
    68 Hôpital Civil Strasbourg France
    69 University General Hospital of Patras Patras Achaïa Greece
    70 Laiko General Hospital of Athens Athens Attiki Greece
    71 Theageneio Anticancer Oncology Hospital of Thessaloniki Thessaloníki Thessaloniki Greece
    72 Attikon University General Hospital Athens Greece
    73 University General Hospital of Larissa Larissa Greece
    74 Georgios Papanikolaou General Hospital of Thessaloniki Thessaloníki Greece
    75 Somogy Megyei Kaposi Mór Oktató Kórház Kaposvár Somogy Hungary 7400
    76 Országos Onkológiai Intézet Budapest Hungary
    77 Debreceni Egyetem Klinikai Kozpont Debrecen Hungary
    78 Petz Aladár Megyei Oktató Kórház Gyor Hungary
    79 Bekes Megyei Kozponti Korhaz Gyula Hungary
    80 Pécsi Tudományegyetem Pecs Hungary
    81 Barzilai Medical Center Ashkelon Israel
    82 Hillel Yaffe Medical Center Hadera Israel 38100
    83 Bnei Zion Medical Center Haifa Israel
    84 Lady Davis Carmel Medical Center Haifa Israel
    85 Rabin Medical Center Beilinson Campus Petah Tikva Israel
    86 Assuta Medical Center Tel Aviv Israel
    87 Tel Aviv Sourasky Medical Center Tel Aviv Israel
    88 Assaf Harofe Medical Center Zerifin Israel
    89 Ospedale Infermi di Rimini Rimini Emilia-Romagna Italy
    90 Ospedale Policlinico San Martino Genova Liguria Italy
    91 Istituto Europeo Di Oncologia Milan Lombardia Italy
    92 Azienda Ospedaliera Città della Salute e della Scienza di Torino Torino Piemonte Italy
    93 Azienda ospedaliera Universiataria Senese Siena Toscana Italy
    94 Centro Di Riferimento Oncologico Aviano Italy
    95 Azienda Ospedaliero Universitaria Di Bologna - Policlinico S Orsola Malpighi Bologna Italy
    96 Azienda Sanitaria Ospedaliera S. Croce e Carle Cuneo Italy 12100
    97 Istituto Scientifico Romagnolo Per Lo Studio E La Cura Dei Tumori IRST Meldola Italy 47014
    98 ASST Grande Ospedale Metropolitano Niguarda - Presidio Ospedaliero Ospedale Niguarda Ca' Granda Milano Italy
    99 San Raffaele Scientific Institute Milan Italy
    100 Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello Palermo Italy 90146
    101 Azienda Ospedaliero Universitaria di Parma Parma Italy
    102 Farmacia Polo Ematologico Policlinico Umberto I Roma Italy
    103 Policlinico Universitario Campus Biomedico di Roma Roma Italy
    104 Azienda Ospedaliera Città della Salute e della Scienza di Torino Torino Italy
    105 Gelre Ziekenhuizen Apeldoorn Gelderland Netherlands
    106 Maasstad Ziekenhuis Rotterdam Zuid-Holland Netherlands
    107 Leids Universitair Medisch Centrum Leiden Netherlands
    108 Franciscus Vlietland Schiedam Netherlands
    109 ETZ-Elisabeth Tilburg Netherlands
    110 Gelre Ziekenhuizen Zutphen Netherlands
    111 Palmerston North Hospital Palmerston North New Zealand
    112 Centrum Onkologii Ziemi Lubelskiej Lublin Lubelskie Poland
    113 Copernicus PL Sp. z o.o. Wojewodzkie Centrum Onkologii Gdansk Pomorskie Poland
    114 Szpitale Pomorskie Sp. z o. o. Gdynia Pomorskie Poland
    115 Malopolskie Centrum Medyczne Krakow Poland
    116 Samodzielny Publiczny Szpital Kliniczny Nr 1 we Wroclawiu Wroclaw Poland
    117 Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im.M.Kopernika Łódź Poland
    118 Centro Hospitalar Lisboa Norte, E.P.E. Hospital de Santa Maria Lisboa Portugal
    119 Hospital CUF Descobertas Lisboa Portugal
    120 Unidade Local de Saúde de Matosinhos SA Matosinhos Portugal
    121 Centro Hospitalar de São João, E.P.E. Porto Portugal 4200-319
    122 Centro Hospitalar do Porto - Hospital de Santo António Porto Portugal
    123 Instituto Portugues de Oncologia Do Porto Francisco Gentil Epe Porto Portugal
    124 Regional Clinical Hospital Krasnoyarsk Russian Federation
    125 City Clinical Hospital n a S P Botkin Moscow Russian Federation
    126 Russian Oncology Research Center n a N N Blokhin Moscow Russian Federation
    127 Nizhegorodskaya Regional Clinical Hospital n.a. Semashko Nizhniy Novgorod Russian Federation
    128 City Hospital #31 Saint Petersburg Russian Federation
    129 North-West Federal Medical Research Center n.a. V.A. Almazov Saint Petersburg Russian Federation
    130 Tula Regional Hospital Tula Russian Federation
    131 Volgograd Regional Clinical Oncology Dispensary Volgograd Russian Federation
    132 Hospital de Cabueñes Gijón Asturias Spain
    133 Hospital Universitario Donostia San Sebastián Guipúzcoa Spain
    134 Hospital Universitario Virgen de Valme Seville Sevilla Spain
    135 Hospital del Mar Barcelona Spain
    136 Hospital Universitario Germans Trias i Pujol Barcelona Spain
    137 Hospital Vall dHebron Barcelona Spain
    138 ICO L'Hospitalet Barcelona Spain
    139 Hospital General Universitario Gregorio Maranon Madrid Spain 28007
    140 Hospital Universitario HM Sanchinarro - CIOCC Madrid Spain
    141 Hospital Universitario Infanta Leonor Madrid Spain
    142 Hospital Universitario La Paz Madrid Spain
    143 Hospital Arnau de Vilanova Valencia Spain
    144 Hospital Clinico Universitario de Valladolid Valladolid Spain
    145 Hospital Quironsalud La Floresta Zaragoza Spain
    146 Koo Foundation Sun Yat-Sen Cancer Center Taipei City Taipei Taiwan
    147 Chang Gung Medical Foundation Kaohsiung Chang Gung Memorial Hospital Kaohsiung City Taiwan
    148 Kaohsiung Medical University Hospital Kaohsiung Taiwan
    149 Chi Mei Medical Center, Liouying Liuying Taiwan
    150 National Taiwan University Hospital Taipei Taiwan
    151 Taipei Veterans General Hospital Taipei Taiwan
    152 Istanbul Universitesi Istanbul Tip Fakultesi Hastanesi Fatih Istanbul Turkey
    153 Gazi Universitesi Tip Fakultesi Hastanesi Ankara Turkey
    154 Ege Universitesi Tip Fakultesi Hastanesi Bornova Turkey
    155 Mersin Universitesi Tip Fakultesi Hastanesi Gaziantep Turkey
    156 Dokuz Eylul Universitesi Tip Fakultesi Hastanesi İzmir Turkey
    157 Erciyes Universitesi Tip Fakultesi Hastanesi Kayseri Turkey
    158 Kocaeli Universitesi Tip Fakultesi Arastirma ve Uygulama Hastanesi Kocaeli Turkey
    159 Ondokuz Mayis Universitesi Tip Fakultesi Hastanesi Samsun Turkey
    160 Namik Kemal Universitesi Tip Fakultesi Hastanesi Tekirdağ Turkey
    161 Royal Cornwall Hospital - Hospital Treliske Tururo Cornwall United Kingdom TR1 3LJ
    162 Norfolk and Norwich University Hospital Norwich Norfolk United Kingdom
    163 The Royal Marsden NHS Foundation Trust Sutton Surrey United Kingdom
    164 Addenbrooke's Hospital Cambridge United Kingdom
    165 Leeds Teaching Hospitals NHS Trust Leeds United Kingdom
    166 Barts and The London NHS Trust London United Kingdom
    167 Derriford Hospital Plymouth United Kingdom
    168 Royal Berkshire Hospital NHS Foundation Trust Reading United Kingdom
    169 Royal Marsden Hospital - Surrey Sutton United Kingdom

    Sponsors and Collaborators

    • Pharmacyclics LLC.

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Pharmacyclics LLC.
    ClinicalTrials.gov Identifier:
    NCT02947347
    Other Study ID Numbers:
    • PCYC-1141-CA
    • 2016-003202-14
    First Posted:
    Oct 27, 2016
    Last Update Posted:
    Oct 8, 2021
    Last Verified:
    Oct 1, 2021
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Oct 8, 2021