Duvelisib With Obinutuzumab in Patients With CLL/SLL Previously Treated With a BTKi (SYNCHRONY)
Study Details
Study Description
Brief Summary
To evaluate the safety, pharmacokinetics, and pharmacodynamics of Duvelisib (IPI-145) in combination with obinutuzumab in patients with Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma previously treated with a BTKi.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
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Phase 1 |
Detailed Description
This is a Phase 1b, open-label, dose escalation, safety and tolerability study of Duvelisib (IPI-145) in combination with obinutuzumab in subjects with Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma previously treated with a BTKi therapy.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: IPI-145 in Combination with Obinutuzumab
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Drug: IPI-145 (duvelisib)
25mg and/or 5mg oral capsule
Other Names:
Drug: Obinutuzumab
1000mg/40mL single-use vials
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Dose-limiting toxicities (DLTs) [28 days]
- Treatment-emergent adverse events (TEAEs) [Up to 30 days from last dose of study treatment]
Secondary Outcome Measures
- Overall response rate (ORR) [Up to 2 years from the first dose of study treatment]
- Duration of response (DOR) [Up to 2 years from the first dose of study treatment]
- Progression-free survival (PFS) [Up to 2 years from the first dose of study treatment]
- Overall survival (OS) [Up to 2 years from the first dose of study treatment or until study treatment is completed, whichever is later]
- BTK mutation status [Baseline]
- Pharmacokinetic (PK) parameters of duvelisib and IPI-656 (major metabolite) [Week 1, Week 2, Months 2, 4, 7, 11, 15, 19]
Eligibility Criteria
Criteria
Inclusion Criteria:
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≥18 years of age
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Diagnosis of Chronic lymphocytic leukemia or Small lymphocytic lymphoma that meets at least one of the International Workshop on Chronic Lymphocytic Leukemia (IWCLL) 2008 criteria for treatment (Binet Stage ≥ B and/or Rai Stage ≥ I with symptoms)
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Measurable disease with a lymph node or tumor mass >1.5 cm in at least one dimension as assessed by computed tomography (CT)
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Previous exposure to BTKi therapy and meets at least one of the below criteria:
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Progressive disease while receiving a BTKi therapy, or stable disease as best response after 12 months of receiving a BTKi therapy
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Discontinued a BTKi therapy due to BTKi treatment-related intolerance
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Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2 (corresponds to Karnofsky Performance Status [KPS] ≥60%)
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Subjects must be able to receive outpatient treatment and laboratory monitoring (where specifically indicated) at the institution that administers study drug for the entire treatment period
Exclusion Criteria:
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Richter's transformation or prolymphocytic leukemia
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Refractory to obinutuzumab (defined as progression or relapse <12 months of receiving obinutuzumab monotherapy or <24 months of receiving an obinutuzumab-containing regimen)
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Progressive disease while previously receiving a PI3K inhibitor (e.g. GS-1101 [idelalisib], duvelisib) or a serious/severe AE related to PI3K inhibitor treatment
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History of severe reaction to prior monoclonal antibody therapy (defined as a Grade 4 event and/or requiring permanent discontinuation)
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Human immunodeficiency virus (HIV) or Human T Cell Lymphotropic Virus 1 (HTLV-1) infection
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Prior, current, or chronic hepatitis B or hepatitis C infection
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History of tuberculosis treatment within the preceding 2 years
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | La Jolla | California | United States | 92093 | |
2 | Boston | Massachusetts | United States | 02115 | |
3 | Hackensack | New Jersey | United States | 07601 | |
4 | New Hyde Park | New York | United States | 11042 | |
5 | Columbus | Ohio | United States | 43210 | |
6 | Houston | Texas | United States | 77030 | |
7 | Montreal | Quebec | Canada | H3T 1E2 |
Sponsors and Collaborators
- SecuraBio
Investigators
- Study Director: David Cohan, MD, SecuraBio Chief Medical Officer
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- IPI-145-18