RESONATE™: A Phase 3 Study of Ibrutinib (PCI-32765) Versus Ofatumumab in Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia

Sponsor
Pharmacyclics LLC. (Industry)
Overall Status
Completed
CT.gov ID
NCT01578707
Collaborator
Janssen Research & Development, LLC (Industry)
391
76
2
76.8
5.1
0.1

Study Details

Study Description

Brief Summary

The purpose of the study is to evaluate whether treatment with ibrutinib as a monotherapy results in a clinically significant improvement in progression free survival (PFS) as compared to treatment with ofatumumab in patients with relapsed or refractory Chronic Lymphocytic Leukemia (CLL) or Small Lymphocytic Lymphoma (SLL)

Detailed Description

Study PCYC-1112-CA is a randomized, multicenter, open-label, phase 3 study of the Bruton's Tyrosine Kinase (BTK) inhibitor Ibrutinib (PCI-32765) versus Ofatumumab in patients with Relapsed or Refractory Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma.

Patients randomized to the ofatumumab arm may be considered to receive next subsequent therapy with ibrutinib.

Study Design

Study Type:
Interventional
Actual Enrollment :
391 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Randomized, Multicenter, Open-label, Phase 3 Study of the Bruton's Tyrosine Kinase (BTK) Inhibitor Ibrutinib (PCI-32765) Versus Ofatumumab in Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
Actual Study Start Date :
Jun 1, 2012
Actual Primary Completion Date :
Nov 1, 2013
Actual Study Completion Date :
Oct 25, 2018

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Ofatumumab (Arm A)

An anti-CD20 monoclonal antibody

Drug: ofatumumab
The ofatumumab (IV) dosage and schedule is 12 doses administered over 24 weeks or until disease progression, unacceptable toxicity. Week 1: 300 mg initial dose Week 2 through 8: 2,000 mg (once weekly) Week 12, 16, 20 and 24: 2,000 mg (every 4 weeks)

Experimental: ibrutinib (Arm B)

A Bruton Tyrosine Kinase Inhibitor

Drug: ibrutinib
ibrutinib 420 mg (3 x 140-mg capsules) will be administered orally once daily until disease progression or unacceptable toxicity

Outcome Measures

Primary Outcome Measures

  1. PFS (Progression Free Survival) by Independent Review Committee (IRC), Limited to the Time of Primary Analysis 06 November 2013 [Analysis was conducted after observing approximately 117 PFS events, which occurred about 18 months after the first subject was enrolled.]

    The primary objective of this study was to evaluate the efficacy of ibrutinib compared to ofatumumab based on independent review committee (IRC) assessment of progression-free survival (PFS) according to 2008 IWCLL guidelines.

Secondary Outcome Measures

  1. Overall Response Rate (ORR) by Independent Review Committee (IRC) [About 18 months after the first subject was enrolled]

    Overall Response Rate per the IWCLL 2008 criteria as assessed by IRC, limited to the time of primary analysis 06 November 2013

  2. OS (Overall Survival) [OS analysis was conducted at the time of study closure, including up to 6 years of study follow-up]

    OS analysis was conducted at the time of study closure, with no adjustment for crossover from the ofatumumab arm to the ibrutinib arm

  3. Rate of Sustained Hemoglobin and Platelet Improvement [From study initiation to study closure, including up to 6 years of study follow-up]

    Proportion of subjects with hemoglobin (HgB) increase >=20 g/L and platelet (PLT) increase >=50% over baseline continuously for >=56 days without blood transfusions or growth factors.

Other Outcome Measures

  1. Progression Free Survival (PFS) by Investigator With up to 6 Years of Study Follow-up [From study initiation to study closure, including up to 6 years of study follow-up]

    Long-Term Progression Free Survival as assessed by the investigator with up to 6 years of study follow-up

  2. Overall Response Rate (ORR) by Investigator [From study initiation to study closure, including up to 6 years of study follow-up]

    Overall response per the IWCLL 2008 criteria as assessed by Investigator with up to 6 years of study follow-up

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • ECOG performance status of 0-1.

  • Diagnosis of CLL or SLL that meets IWCLL 2008 criteria.

  • Active disease meeting at least 1 of the IWCLL 2008 criteria for requiring treatment.

  • Must have received at least one prior therapy for CLL/SLL.

  • Considered not appropriate for treatment or retreatment with purine analog based therapy.

  • Measurable nodal disease by CT.

  • Patients must be able to receive outpatient treatment and laboratory monitoring at the institution that administers study drug for the entire study.

Exclusion Criteria:
  • Known CNS lymphoma or leukemia.

  • No documentation of cytogenetic and/or FISH in patient records prior to first dose of study drug.

  • Any history of Richter's transformation or prolymphocytic leukemia.

  • Uncontrolled Autoimmune Hemolytic Anemia (AIHA) or idiopathic thrombocytopenia purpura (ITP).

  • Prior exposure to ofatumumab or to ibrutinib.

  • Prior autologous transplant within 6 months prior to first dose of study drug.

  • Prior allogeneic stem cell transplant within 6 months or with any evidence of active graft versus host disease or requirement for immunosuppressants within 28 days prior to first dose of study drug.

  • History of prior malignancy, with the exception of certain skin cancers and malignancies treated with curative intent and with no evidence of active disease for more than 3 years.

  • Serologic status reflecting active hepatitis B or C infection.

  • Unable to swallow capsules or disease significantly affecting gastrointestinal function.

  • Uncontrolled active systemic fungal, bacterial, viral, or other infection.

  • History of stroke or intracranial hemorrhage within 6 months prior to the first dose of study drug.

  • Requires anticoagulation with warfarin.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Site #408 La Jolla California United States 92093-0698
2 Site #377 Los Angeles California United States 90095
3 Site #403 Santa Maria California United States 93454
4 Site #038 Stanford California United States 94035
5 Site #411 Norwalk Connecticut United States 06856
6 Site #107 Marietta Georgia United States 30060
7 Site # 379 Evansville Indiana United States 47713
8 Site # 390 Boston Massachusetts United States 02114
9 Site # 391 Boston Massachusetts United States 02115
10 Site # 349 Boston Massachusetts United States 02215
11 Site # 130 Detroit Michigan United States 48201
12 Site # 406 Rochester Minnesota United States 55901
13 Site # 059 New Brunswick New Jersey United States 08903
14 Site # 350 New Hyde Park New York United States 11042
15 Site # 200 New York New York United States 10065
16 Site # 127 Rochester New York United States 14642-0001
17 Site # 197 Cincinnati Ohio United States 45291
18 Site # 217 Columbus Ohio United States 43210
19 Site # 402 Philadelphia Pennsylvania United States 19104
20 Site # 396 Greenville South Carolina United States 29601
21 Site # 410 Nashville Tennessee United States 37232-5505
22 Site # 032 Houston Texas United States 77030
23 Site # 381 Laredo Texas United States 78041
24 Site # 210 Charlottesville Virginia United States 22908
25 Site # 404 Seattle Washington United States 98109
26 Site # 500 St. Leonards New South Wales Australia 2065
27 Site # 503 Brisbane Queensland Australia 4102
28 Site # 199 East Melbourne Victoria Australia 3002
29 Site # 501 Fitzroy Victoria Australia 3109
30 Site # 502 Nedlands Western Australia Australia 6009
31 Site # 509 Graz Austria 8036
32 Site # 508 Linz Austria 4010
33 Site # 504 Salzburg Austria 5020
34 Site # 505 Vienna Austria A-1090
35 Site # 506 Wein Austria 1160
36 Site # 507 Wels Austria A-4600
37 Site # 393 Antwerpen Belgium 2060
38 Site # 519 Argenteuil France 95107
39 Site # 511 Bobigny France 93009
40 Site # 515 Bordeaux France 33076
41 Site # 516 Caen France 14033
42 Site # 513 Clermont Ferrand France 63100
43 Site # 510 Marseille France 13273
44 Site # 520 Nantes France 44000
45 Site # 518 Rennes France 35033
46 Site # 517 Vandœuvre-lès-Nancy France 54511
47 Site # 570 Dublin Ireland 8
48 Site # 528 Dublin Ireland 9
49 Site # 096 Galway Ireland
50 Site # 522 Milano Italy 20089
51 Site # 523 Milano Italy 20132
52 Site # 526 Milano Italy 20162
53 Site # 524 Modena Italy 41124
54 Site # 527 Padova Italy 35128
55 Site # 529 Gdansk Poland 80-952
56 Site # 531 Lodz Poland 93-510
57 Site # 535 Barcelona Spain 08025
58 Site # 534 Barcelona Spain 08035
59 Site # 533 Barcelona Spain 08036
60 Site # 539 Coruna Spain 15006A
61 Site # 540 Madrid Spain 28033
62 Site # 537 Madrid Spain 28050
63 Site # 536 Madrid Spain 28222
64 Site # 538 Pamplona Spain 31008
65 Site # 549 Colchester Essex United Kingdom CO4 5JL
66 Site # 543 Sutton Surrey United Kingdom SM2 5PT
67 Site # 551 Bournemouth United Kingdom BH7 7DW
68 Site # 553 Canterbury United Kingdom CT1 3NG
69 Site # 546 Cardiff United Kingdom CF14 4XW
70 Site # 554 Headington United Kingdom OX3 7LJ
71 Site # 550 Leeds United Kingdom LS9 7TF
72 Site # 552 Liverpool United Kingdom L7 8XP
73 Site # 544 London United Kingdom SE5 9RS
74 Site # 548 Nottingham United Kingdom NG5 1PB
75 Site # 545 Southampton United Kingdom SO16 6YD
76 Site # 541 Withington United Kingdom M20 4BX

Sponsors and Collaborators

  • Pharmacyclics LLC.
  • Janssen Research & Development, LLC

Investigators

  • Study Director: Anita Szoke, MD, Pharmacyclics LLC.

Study Documents (Full-Text)

More Information

Publications

None provided.
Responsible Party:
Pharmacyclics LLC.
ClinicalTrials.gov Identifier:
NCT01578707
Other Study ID Numbers:
  • PCYC-1112-CA
  • 2012-000694-23
First Posted:
Apr 17, 2012
Last Update Posted:
Dec 18, 2019
Last Verified:
Dec 1, 2019

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Ofatumumab (Arm A) Ibrutinib (Arm B)
Arm/Group Description An anti-CD20 monoclonal antibody ofatumumab: The ofatumumab (IV) dosage and schedule is 12 doses administered over 24 weeks or until disease progression, unacceptable toxicity. Week 1: 300 mg initial dose Week 2 through 8: 2,000 mg (once weekly) Week 12, 16, 20 and 24: 2,000 mg (every 4 weeks) A Bruton Tyrosine Kinase Inhibitor ibrutinib: ibrutinib 420 mg (3 x 140-mg capsules) will be administered orally once daily until disease progression or unacceptable toxicity
Period Title: Overall Study
STARTED 196 195
COMPLETED 196 195
NOT COMPLETED 0 0

Baseline Characteristics

Arm/Group Title Ofatumumab (Arm A) Ibrutinib (Arm B) Total
Arm/Group Description An anti-CD20 monoclonal antibody ofatumumab: The ofatumumab (IV) dosage and schedule is 12 doses administered over 24 weeks or until disease progression, unacceptable toxicity. Week 1: 300 mg initial dose Week 2 through 8: 2,000 mg (once weekly) Week 12, 16, 20 and 24: 2,000 mg (every 4 weeks) A Bruton Tyrosine Kinase Inhibitor ibrutinib: ibrutinib 420 mg (3 x 140-mg capsules) will be administered orally once daily until disease progression or unacceptable toxicity Total of all reporting groups
Overall Participants 196 195 391
Age (Count of Participants)
<=18 years
0
0%
0
0%
0
0%
Between 18 and 65 years
75
38.3%
77
39.5%
152
38.9%
>=65 years
121
61.7%
118
60.5%
239
61.1%
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
66.8
(8.88)
66.1
(10.15)
66.5
(9.53)
Sex: Female, Male (Count of Participants)
Female
59
30.1%
66
33.8%
125
32%
Male
137
69.9%
129
66.2%
266
68%

Outcome Measures

1. Primary Outcome
Title PFS (Progression Free Survival) by Independent Review Committee (IRC), Limited to the Time of Primary Analysis 06 November 2013
Description The primary objective of this study was to evaluate the efficacy of ibrutinib compared to ofatumumab based on independent review committee (IRC) assessment of progression-free survival (PFS) according to 2008 IWCLL guidelines.
Time Frame Analysis was conducted after observing approximately 117 PFS events, which occurred about 18 months after the first subject was enrolled.

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ofatumumab (Arm A) Ibrutinib (Arm B)
Arm/Group Description An anti-CD20 monoclonal antibody ofatumumab: The ofatumumab (IV) dosage and schedule is 12 doses administered over 24 weeks or until disease progression, unacceptable toxicity. Week 1: 300 mg initial dose Week 2 through 8: 2,000 mg (once weekly) Week 12, 16, 20 and 24: 2,000 mg (every 4 weeks) A Bruton Tyrosine Kinase Inhibitor ibrutinib: ibrutinib 420 mg (3 x 140-mg capsules) will be administered orally once daily until disease progression or unacceptable toxicity
Measure Participants 196 195
Median (95% Confidence Interval) [months]
8.1
NA
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Ofatumumab (Arm A)
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Log Rank
Comments
2. Secondary Outcome
Title Overall Response Rate (ORR) by Independent Review Committee (IRC)
Description Overall Response Rate per the IWCLL 2008 criteria as assessed by IRC, limited to the time of primary analysis 06 November 2013
Time Frame About 18 months after the first subject was enrolled

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ofatumumab (Arm A) Ibrutinib (Arm B)
Arm/Group Description An anti-CD20 monoclonal antibody ofatumumab: The ofatumumab (IV) dosage and schedule is 12 doses administered over 24 weeks or until disease progression, unacceptable toxicity. Week 1: 300 mg initial dose Week 2 through 8: 2,000 mg (once weekly) Week 12, 16, 20 and 24: 2,000 mg (every 4 weeks) A Bruton Tyrosine Kinase Inhibitor ibrutinib: ibrutinib 420 mg (3 x 140-mg capsules) will be administered orally once daily until disease progression or unacceptable toxicity
Measure Participants 196 195
Number [percentage of participants]
4.1
2.1%
42.6
21.8%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Ofatumumab (Arm A)
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <.0001
Comments
Method Fisher Exact
Comments
3. Secondary Outcome
Title OS (Overall Survival)
Description OS analysis was conducted at the time of study closure, with no adjustment for crossover from the ofatumumab arm to the ibrutinib arm
Time Frame OS analysis was conducted at the time of study closure, including up to 6 years of study follow-up

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ofatumumab (Arm A) Ibrutinib (Arm B)
Arm/Group Description An anti-CD20 monoclonal antibody ofatumumab: The ofatumumab (IV) dosage and schedule is 12 doses administered over 24 weeks or until disease progression, unacceptable toxicity. Week 1: 300 mg initial dose Week 2 through 8: 2,000 mg (once weekly) Week 12, 16, 20 and 24: 2,000 mg (every 4 weeks) A Bruton Tyrosine Kinase Inhibitor ibrutinib: ibrutinib 420 mg (3 x 140-mg capsules) will be administered orally once daily until disease progression or unacceptable toxicity
Measure Participants 196 195
Median (95% Confidence Interval) [months]
65.1
67.7
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Ofatumumab (Arm A)
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1653
Comments
Method Log Rank
Comments
4. Secondary Outcome
Title Rate of Sustained Hemoglobin and Platelet Improvement
Description Proportion of subjects with hemoglobin (HgB) increase >=20 g/L and platelet (PLT) increase >=50% over baseline continuously for >=56 days without blood transfusions or growth factors.
Time Frame From study initiation to study closure, including up to 6 years of study follow-up

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ofatumumab (Arm A) Ibrutinib (Arm B)
Arm/Group Description An anti-CD20 monoclonal antibody ofatumumab: The ofatumumab (IV) dosage and schedule is 12 doses administered over 24 weeks or until disease progression, unacceptable toxicity. Week 1: 300 mg initial dose Week 2 through 8: 2,000 mg (once weekly) Week 12, 16, 20 and 24: 2,000 mg (every 4 weeks) A Bruton Tyrosine Kinase Inhibitor ibrutinib: ibrutinib 420 mg (3 x 140-mg capsules) will be administered orally once daily until disease progression or unacceptable toxicity
Measure Participants 196 195
Hgb Improvement in patient with baseline anemia
32.6
16.6%
69.7
35.7%
Platelet improvement in baseline thrombocytopenia
9.4
4.8%
78.4
40.2%
5. Other Pre-specified Outcome
Title Progression Free Survival (PFS) by Investigator With up to 6 Years of Study Follow-up
Description Long-Term Progression Free Survival as assessed by the investigator with up to 6 years of study follow-up
Time Frame From study initiation to study closure, including up to 6 years of study follow-up

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ofatumumab (Arm A) Ibrutinib (Arm B)
Arm/Group Description An anti-CD20 monoclonal antibody ofatumumab: The ofatumumab (IV) dosage and schedule is 12 doses administered over 24 weeks or until disease progression, unacceptable toxicity. Week 1: 300 mg initial dose Week 2 through 8: 2,000 mg (once weekly) Week 12, 16, 20 and 24: 2,000 mg (every 4 weeks) A Bruton Tyrosine Kinase Inhibitor ibrutinib: ibrutinib 420 mg (3 x 140-mg capsules) will be administered orally once daily until disease progression or unacceptable toxicity
Measure Participants 196 195
Median (95% Confidence Interval) [months]
8.1
44.1
6. Other Pre-specified Outcome
Title Overall Response Rate (ORR) by Investigator
Description Overall response per the IWCLL 2008 criteria as assessed by Investigator with up to 6 years of study follow-up
Time Frame From study initiation to study closure, including up to 6 years of study follow-up

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ofatumumab (Arm A) Ibrutinib (Arm B)
Arm/Group Description An anti-CD20 monoclonal antibody ofatumumab: The ofatumumab (IV) dosage and schedule is 12 doses administered over 24 weeks or until disease progression, unacceptable toxicity. Week 1: 300 mg initial dose Week 2 through 8: 2,000 mg (once weekly) Week 12, 16, 20 and 24: 2,000 mg (every 4 weeks) A Bruton Tyrosine Kinase Inhibitor ibrutinib: ibrutinib 420 mg (3 x 140-mg capsules) will be administered orally once daily until disease progression or unacceptable toxicity
Measure Participants 196 195
Number [percentage of participants]
22.4
11.4%
87.7
45%

Adverse Events

Time Frame From first dose of study drug to within 30 days of last dose.
Adverse Event Reporting Description 196 subjects were randomized to the Ofa arm with 191 received drug thus 5 patients were not included in the number of participants at risk.
Arm/Group Title Ofatumumab (Arm A) Ibrutinib (Arm B)
Arm/Group Description An anti-CD20 monoclonal antibody ofatumumab: The ofatumumab (IV) dosage and schedule is 12 doses administered over 24 weeks or until disease progression, unacceptable toxicity. Week 1: 300 mg initial dose Week 2 through 8: 2,000 mg (once weekly) Week 12, 16, 20 and 24: 2,000 mg (every 4 weeks) A Bruton Tyrosine Kinase Inhibitor ibrutinib: ibrutinib 420 mg (3 x 140-mg capsules) will be administered orally once daily until disease progression or unacceptable toxicity
All Cause Mortality
Ofatumumab (Arm A) Ibrutinib (Arm B)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 16/191 (8.4%) 24/195 (12.3%)
Serious Adverse Events
Ofatumumab (Arm A) Ibrutinib (Arm B)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 59/191 (30.9%) 141/195 (72.3%)
Blood and lymphatic system disorders
Febrile Neutropenia 4/191 (2.1%) 7/195 (3.6%)
Anaemia 4/191 (2.1%) 5/195 (2.6%)
Neutropenia 2/191 (1%) 4/195 (2.1%)
Spontaneous Haematoma 0/191 (0%) 2/195 (1%)
Lymphadenopathy 0/191 (0%) 1/195 (0.5%)
Thrombocytopenia 0/191 (0%) 1/195 (0.5%)
Autoimmune Haemolytic Anaemia 1/191 (0.5%) 0/195 (0%)
Haemolytic Anaemia 1/191 (0.5%) 0/195 (0%)
Methaemoglobinaemia 1/191 (0.5%) 0/195 (0%)
Cardiac disorders
Atrial Fibrillation 1/191 (0.5%) 11/195 (5.6%)
Cardiac Failure Congestive 0/191 (0%) 3/195 (1.5%)
Atrioventricular Block 0/191 (0%) 2/195 (1%)
Cardiac Failure 1/191 (0.5%) 2/195 (1%)
Myocardial infarction 1/191 (0.5%) 2/195 (1%)
Acute myocardial infarction 1/191 (0.5%) 1/195 (0.5%)
Angina Pectoris 0/191 (0%) 1/195 (0.5%)
Aortic Valve Disease 0/191 (0%) 1/195 (0.5%)
Atrial Tachycardia 0/191 (0%) 1/195 (0.5%)
Bradycardia 0/191 (0%) 1/195 (0.5%)
Cardiac Arrest 0/191 (0%) 1/195 (0.5%)
Myocardial Ischaemia 0/191 (0%) 1/195 (0.5%)
Palpitations 0/191 (0%) 1/195 (0.5%)
Pericardial Effusion 0/191 (0%) 1/195 (0.5%)
Supraventricular Tachycardia 1/191 (0.5%) 1/195 (0.5%)
Sinus Tachycardia 1/191 (0.5%) 0/195 (0%)
Ear and labyrinth disorders
Hypoacusis 0/191 (0%) 1/195 (0.5%)
Eye disorders
Vitreous Haemorrhage 0/191 (0%) 1/195 (0.5%)
Gastrointestinal disorders
Diarrhoea 1/191 (0.5%) 6/195 (3.1%)
Vomiting 0/191 (0%) 5/195 (2.6%)
Abdominal Pain 1/191 (0.5%) 4/195 (2.1%)
Nausea 0/191 (0%) 3/195 (1.5%)
Umbilical Hernia 0/191 (0%) 2/195 (1%)
Upper Gastrointestinal Haemorrhage 0/191 (0%) 2/195 (1%)
Abdominal Pain Upper 0/191 (0%) 1/195 (0.5%)
Anorectal Discomfort 0/191 (0%) 1/195 (0.5%)
Duodenal Perforation 0/191 (0%) 1/195 (0.5%)
Dysphagia 0/191 (0%) 1/195 (0.5%)
Enteritis 0/191 (0%) 1/195 (0.5%)
Intestinal Obstruction 0/191 (0%) 1/195 (0.5%)
Large Intestinal Obstruction 0/191 (0%) 1/195 (0.5%)
Mucous stools 0/191 (0%) 1/195 (0.5%)
Oesophageal Obstruction 0/191 (0%) 1/195 (0.5%)
Oesophageal spasm 0/191 (0%) 1/195 (0.5%)
Pancreatitis 0/191 (0%) 1/195 (0.5%)
Poor Dental Condition 0/191 (0%) 1/195 (0.5%)
Rectal haemorrhage 0/191 (0%) 1/195 (0.5%)
Stomatitis 0/191 (0%) 1/195 (0.5%)
Constipation 1/191 (0.5%) 0/195 (0%)
Malabsorption 1/191 (0.5%) 0/195 (0%)
General disorders
Pyrexia 4/191 (2.1%) 15/195 (7.7%)
Non-Cardiac Chest Pain 0/191 (0%) 3/195 (1.5%)
Malaise 0/191 (0%) 2/195 (1%)
Sudden Death 0/191 (0%) 2/195 (1%)
Asthenia 0/191 (0%) 1/195 (0.5%)
Catheter Site Pain 0/191 (0%) 1/195 (0.5%)
Chills 0/191 (0%) 1/195 (0.5%)
Cyst 0/191 (0%) 1/195 (0.5%)
Fatigue 0/191 (0%) 1/195 (0.5%)
General Physical Health Deterioration 0/191 (0%) 1/195 (0.5%)
Influenza Like Illness 0/191 (0%) 1/195 (0.5%)
Injection Site Extravasation 0/191 (0%) 1/195 (0.5%)
Effusion 1/191 (0.5%) 0/195 (0%)
Hepatobiliary disorders
Cholecystitis 0/191 (0%) 1/195 (0.5%)
Cholestasis 0/191 (0%) 1/195 (0.5%)
Immune system disorders
Anaphylactic Shock 1/191 (0.5%) 0/195 (0%)
Infections and infestations
Pneumonia 12/191 (6.3%) 42/195 (21.5%)
Urinary Tract Infection 0/191 (0%) 9/195 (4.6%)
Cellulitis 1/191 (0.5%) 8/195 (4.1%)
Sepsis 2/191 (1%) 8/195 (4.1%)
Lung Infection 0/191 (0%) 7/195 (3.6%)
Escherichia Urinary Tract Infection 0/191 (0%) 4/195 (2.1%)
Lower Respiratory Tract Infection 2/191 (1%) 4/195 (2.1%)
Upper Respiratory Tract Infection 4/191 (2.1%) 4/195 (2.1%)
Infection 1/191 (0.5%) 3/195 (1.5%)
Aspergillus Infection 0/191 (0%) 2/195 (1%)
Bronchitis 2/191 (1%) 2/195 (1%)
Bronchopulmonary Aspergillosis 0/191 (0%) 2/195 (1%)
Gastroenteritis 0/191 (0%) 2/195 (1%)
Gastroenteritis Viral 0/191 (0%) 2/195 (1%)
Herpes Zoster 1/191 (0.5%) 2/195 (1%)
Influenza 2/191 (1%) 2/195 (1%)
Neutropenic Sepsis 2/191 (1%) 2/195 (1%)
Pneumocystis Jirovecii Ppneumonia 1/191 (0.5%) 2/195 (1%)
Pneumonia Pseudomonal 1/191 (0.5%) 2/195 (1%)
Pneumonia Staphylococcal 0/191 (0%) 2/195 (1%)
Sinusitis 0/191 (0%) 2/195 (1%)
Urosepsis 0/191 (0%) 2/195 (1%)
Bacteraemia 2/191 (1%) 1/195 (0.5%)
Bacterial Infection 0/191 (0%) 1/195 (0.5%)
Bacteroides Bacteraemia 0/191 (0%) 1/195 (0.5%)
Bronchitis Bacterial 0/191 (0%) 1/195 (0.5%)
Campylobacter Gastroenteritis 0/191 (0%) 1/195 (0.5%)
Clostridium Difficile Colitis 0/191 (0%) 1/195 (0.5%)
Clostridium Difficile Infection 0/191 (0%) 1/195 (0.5%)
Empyema 0/191 (0%) 1/195 (0.5%)
Enterococcal Iinfection 0/191 (0%) 1/195 (0.5%)
Enterococcal Sepsis 0/191 (0%) 1/195 (0.5%)
Enterocolitis Infectious 0/191 (0%) 1/195 (0.5%)
Folliculitis 1/191 (0.5%) 1/195 (0.5%)
Gastrointestinal Infection 0/191 (0%) 1/195 (0.5%)
H1N1 Influenza 0/191 (0%) 1/195 (0.5%)
Haemophilus Bacteraemia 0/191 (0%) 1/195 (0.5%)
Haemophilus Infection 0/191 (0%) 1/195 (0.5%)
Haemophilus Sepsis 0/191 (0%) 1/195 (0.5%)
Herpes Virus Infection 0/191 (0%) 1/195 (0.5%)
Impetigo 0/191 (0%) 1/195 (0.5%)
Infective Exacerbation of Bronchiectasis 0/191 (0%) 1/195 (0.5%)
Intervertebral Discitis 0/191 (0%) 1/195 (0.5%)
Lower Respiratory Tract Infection Bacterial 0/191 (0%) 1/195 (0.5%)
Lymph Gland Infection 0/191 (0%) 1/195 (0.5%)
Meningitis Pneumococcal 0/191 (0%) 1/195 (0.5%)
Mycobacterium Avium Complex Infection 0/191 (0%) 1/195 (0.5%)
Osteomyelitis 0/191 (0%) 1/195 (0.5%)
Otitis Externa 0/191 (0%) 1/195 (0.5%)
Otitis Media 0/191 (0%) 1/195 (0.5%)
Parainfluenzae Virus Infection 0/191 (0%) 1/195 (0.5%)
Pneumococcal Sepsis 0/191 (0%) 1/195 (0.5%)
Pneumocystis Jirovecii Infection 0/191 (0%) 1/195 (0.5%)
Pneumonia Bacterial 1/191 (0.5%) 1/195 (0.5%)
Pneumonia Respiratory Syncytial Viral 0/191 (0%) 1/195 (0.5%)
Pneumonia viral 0/191 (0%) 1/195 (0.5%)
Pseudomonal Sepsis 0/191 (0%) 1/195 (0.5%)
Pseudomonas Infection 2/191 (1%) 1/195 (0.5%)
Pyelonephritis 0/191 (0%) 1/195 (0.5%)
Respiratory Tract Infection 2/191 (1%) 1/195 (0.5%)
Rhinovirus Infection 0/191 (0%) 1/195 (0.5%)
Septic Shock 1/191 (0.5%) 1/195 (0.5%)
Staphylococcal Sepsis 0/191 (0%) 1/195 (0.5%)
Staphylococcal Skin Infection 0/191 (0%) 1/195 (0.5%)
Tonsillitis Fungal 0/191 (0%) 1/195 (0.5%)
Tooth Infection 0/191 (0%) 1/195 (0.5%)
Urethritis 0/191 (0%) 1/195 (0.5%)
Urinary Tract Infection Pseudomonal 0/191 (0%) 1/195 (0.5%)
Viral Pharyngitis 0/191 (0%) 1/195 (0.5%)
Abscess Limb 1/191 (0.5%) 0/195 (0%)
Anal Infection 1/191 (0.5%) 0/195 (0%)
Breast Cellulitis 1/191 (0.5%) 0/195 (0%)
Febrile Infection 1/191 (0.5%) 0/195 (0%)
Herpes Simplex 1/191 (0.5%) 0/195 (0%)
Infectious Pleural Effusion 1/191 (0.5%) 0/195 (0%)
Lung Infection Pseudomonal 1/191 (0.5%) 0/195 (0%)
Nocardiosis 1/191 (0.5%) 0/195 (0%)
Ophthalmic Herpes Zoster 1/191 (0.5%) 0/195 (0%)
Pneumonia Mycoplasmal 1/191 (0.5%) 0/195 (0%)
Sepsis Syndrome 1/191 (0.5%) 0/195 (0%)
Stenotrophomonas Infection 2/191 (1%) 0/195 (0%)
Injury, poisoning and procedural complications
Subdural Haematoma 0/191 (0%) 6/195 (3.1%)
Femur Fracture 0/191 (0%) 4/195 (2.1%)
Fall 0/191 (0%) 2/195 (1%)
Hip Fracture 0/191 (0%) 2/195 (1%)
Arthropod Bite 0/191 (0%) 1/195 (0.5%)
Brain Contusion 0/191 (0%) 1/195 (0.5%)
Burns Third Degree 0/191 (0%) 1/195 (0.5%)
Femoral Neck Fracture 0/191 (0%) 1/195 (0.5%)
Laceration 0/191 (0%) 1/195 (0.5%)
Multiple Fractures 1/191 (0.5%) 1/195 (0.5%)
Post Procedural Haemorrhage 0/191 (0%) 1/195 (0.5%)
Rib Fracture 0/191 (0%) 1/195 (0.5%)
Spinal Compression Fracture 1/191 (0.5%) 1/195 (0.5%)
Subarachnoid Haematoma 0/191 (0%) 1/195 (0.5%)
Subarachnoid Haemorrhage 0/191 (0%) 1/195 (0.5%)
Subdural Haemorrhage 0/191 (0%) 1/195 (0.5%)
Toxicity to Various Agents 0/191 (0%) 1/195 (0.5%)
Traumatic Haematoma 0/191 (0%) 1/195 (0.5%)
Infusion Related Reaction 2/191 (1%) 0/195 (0%)
Muscle Strain 1/191 (0.5%) 0/195 (0%)
Investigations
Immunoglobulins Decreased 0/191 (0%) 1/195 (0.5%)
Metabolism and nutrition disorders
Hyponatraemia 0/191 (0%) 3/195 (1.5%)
Hypercalcaemia 0/191 (0%) 2/195 (1%)
Dehydration 0/191 (0%) 1/195 (0.5%)
Hypokalaemia 0/191 (0%) 1/195 (0.5%)
Iron Deficiency 0/191 (0%) 1/195 (0.5%)
Tumour Lysis Syndrome 1/191 (0.5%) 1/195 (0.5%)
Musculoskeletal and connective tissue disorders
Back Pain 0/191 (0%) 4/195 (2.1%)
Arthritis 0/191 (0%) 2/195 (1%)
Pain in Extremity 0/191 (0%) 2/195 (1%)
Arthralgia 0/191 (0%) 1/195 (0.5%)
Bone Pain 1/191 (0.5%) 1/195 (0.5%)
Muscular Weakness 0/191 (0%) 1/195 (0.5%)
Myalgia 0/191 (0%) 1/195 (0.5%)
Pathological Fracture 0/191 (0%) 1/195 (0.5%)
Spinal Column Stenosis 0/191 (0%) 1/195 (0.5%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Chronic Lymphocytic Leukaemia 3/191 (1.6%) 5/195 (2.6%)
Basal Cell Carcinoma 0/191 (0%) 3/195 (1.5%)
Richter's Syndrome 0/191 (0%) 3/195 (1.5%)
Hodgkin's Disease 0/191 (0%) 2/195 (1%)
Lung Adenocarcinoma 0/191 (0%) 2/195 (1%)
Prostate Cancer 0/191 (0%) 2/195 (1%)
Adenocarcinoma 0/191 (0%) 1/195 (0.5%)
Bone Cancer Metastatic 0/191 (0%) 1/195 (0.5%)
Brain Neoplasm Malignant 0/191 (0%) 1/195 (0.5%)
Colon Adenoma 0/191 (0%) 1/195 (0.5%)
Colon Cancer 0/191 (0%) 1/195 (0.5%)
Desmoid Tumour 0/191 (0%) 1/195 (0.5%)
Gastrointestinal Carcinoma 0/191 (0%) 1/195 (0.5%)
Histiocytic Sarcoma 0/191 (0%) 1/195 (0.5%)
Intraductal Papillary Mucinous Neoplasm 0/191 (0%) 1/195 (0.5%)
Leukaemia 0/191 (0%) 1/195 (0.5%)
Myelodysplastic Syndrome 0/191 (0%) 1/195 (0.5%)
Squamous Cell Carcinoma 1/191 (0.5%) 1/195 (0.5%)
Squamous Cell Carcinoma of Lung 0/191 (0%) 1/195 (0.5%)
Tumour Flare 0/191 (0%) 1/195 (0.5%)
Metastatic Squamous Cell Carcinoma 1/191 (0.5%) 0/195 (0%)
Tumour Pain 1/191 (0.5%) 0/195 (0%)
Nervous system disorders
Seizure 0/191 (0%) 3/195 (1.5%)
Cerebrovascular Accident 0/191 (0%) 2/195 (1%)
Transient Ischaemic Attack 0/191 (0%) 2/195 (1%)
Cerebral Haemorrhage 0/191 (0%) 1/195 (0.5%)
Dizziness 0/191 (0%) 1/195 (0.5%)
Encephalopathy 0/191 (0%) 1/195 (0.5%)
Sciatica 0/191 (0%) 1/195 (0.5%)
Syncope 0/191 (0%) 1/195 (0.5%)
Pregnancy, puerperium and perinatal conditions
Pregnancy 0/191 (0%) 1/195 (0.5%)
Psychiatric disorders
Mental Status Changes 0/191 (0%) 3/195 (1.5%)
Depression 0/191 (0%) 1/195 (0.5%)
Hallucination, Visual 0/191 (0%) 1/195 (0.5%)
Mania 0/191 (0%) 1/195 (0.5%)
Psychotic Disorder 0/191 (0%) 1/195 (0.5%)
Confusional State 1/191 (0.5%) 0/195 (0%)
Major Depression 1/191 (0.5%) 0/195 (0%)
Renal and urinary disorders
Acute Kidney Injury 2/191 (1%) 4/195 (2.1%)
Haematuria 0/191 (0%) 2/195 (1%)
Urinary Retention 0/191 (0%) 2/195 (1%)
Calculus Bladder 0/191 (0%) 1/195 (0.5%)
Hydronephrosis 0/191 (0%) 1/195 (0.5%)
Ureterolithiasis 0/191 (0%) 1/195 (0.5%)
Renal Failure 1/191 (0.5%) 0/195 (0%)
Renal Impairment 1/191 (0.5%) 0/195 (0%)
Respiratory, thoracic and mediastinal disorders
Acute Respiratory Failure 0/191 (0%) 4/195 (2.1%)
Cough 0/191 (0%) 3/195 (1.5%)
Dyspnoea 1/191 (0.5%) 3/195 (1.5%)
Hypoxia 0/191 (0%) 2/195 (1%)
Pneumonia Aspiration 0/191 (0%) 2/195 (1%)
Asthma 0/191 (0%) 1/195 (0.5%)
Bronchopneumopathy 0/191 (0%) 1/195 (0.5%)
Chronic Obstructive Pulmonary Disease 0/191 (0%) 1/195 (0.5%)
Epistaxis 1/191 (0.5%) 1/195 (0.5%)
Lung Infiltration 0/191 (0%) 1/195 (0.5%)
Pleural Effusion 0/191 (0%) 1/195 (0.5%)
Haemoptysis 1/191 (0.5%) 0/195 (0%)
Pneumonitis 1/191 (0.5%) 0/195 (0%)
Pulmonary Embolism 1/191 (0.5%) 0/195 (0%)
Pulmonary Mass 1/191 (0.5%) 0/195 (0%)
Respiratory Tract Inflammation 1/191 (0.5%) 0/195 (0%)
Skin and subcutaneous tissue disorders
Angioedema 0/191 (0%) 1/195 (0.5%)
Pyoderma Gangrenosum 0/191 (0%) 1/195 (0.5%)
Vascular disorders
Hypertension 0/191 (0%) 2/195 (1%)
Aneurysm 0/191 (0%) 1/195 (0.5%)
Deep Vein Thrombosis 1/191 (0.5%) 0/195 (0%)
Other (Not Including Serious) Adverse Events
Ofatumumab (Arm A) Ibrutinib (Arm B)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 185/191 (96.9%) 194/195 (99.5%)
Blood and lymphatic system disorders
Anaemia 32/191 (16.8%) 62/195 (31.8%)
Neutropenia 25/191 (13.1%) 60/195 (30.8%)
Increased Tendency to Bruise 4/191 (2.1%) 45/195 (23.1%)
Thrombocytopenia 22/191 (11.5%) 45/195 (23.1%)
Lymphocytosis 5/191 (2.6%) 10/195 (5.1%)
Cardiac disorders
Atrial Fibrillation 0/191 (0%) 19/195 (9.7%)
Eye disorders
Dry Eye 10/191 (5.2%) 33/195 (16.9%)
Vision Blurred 6/191 (3.1%) 30/195 (15.4%)
Lacrimation Increased 5/191 (2.6%) 27/195 (13.8%)
Cataract 2/191 (1%) 26/195 (13.3%)
Visual Acuity Reduced 1/191 (0.5%) 19/195 (9.7%)
Eye Irritation 3/191 (1.6%) 17/195 (8.7%)
Eye Pain 5/191 (2.6%) 15/195 (7.7%)
Photophobia 4/191 (2.1%) 14/195 (7.2%)
Vitreous Floaters 3/191 (1.6%) 14/195 (7.2%)
Gastrointestinal disorders
Diarrhoea 33/191 (17.3%) 120/195 (61.5%)
Nausea 38/191 (19.9%) 69/195 (35.4%)
Constipation 19/191 (9.9%) 45/195 (23.1%)
Vomiting 11/191 (5.8%) 39/195 (20%)
Abdominal Pain 19/191 (9.9%) 30/195 (15.4%)
Stomatitis 5/191 (2.6%) 30/195 (15.4%)
Dyspepsia 6/191 (3.1%) 22/195 (11.3%)
Gastrooesophageal Reflux Disease 3/191 (1.6%) 21/195 (10.8%)
Dry Mouth 1/191 (0.5%) 19/195 (9.7%)
Abdominal Pain Upper 3/191 (1.6%) 16/195 (8.2%)
Flatulence 2/191 (1%) 10/195 (5.1%)
Haemorrhoids 3/191 (1.6%) 10/195 (5.1%)
General disorders
Fatigue 57/191 (29.8%) 82/195 (42.1%)
Pyrexia 27/191 (14.1%) 66/195 (33.8%)
Oedema Peripheral 16/191 (8.4%) 46/195 (23.6%)
Asthenia 8/191 (4.2%) 22/195 (11.3%)
Chills 6/191 (3.1%) 16/195 (8.2%)
Influenza Like Illness 5/191 (2.6%) 16/195 (8.2%)
Malaise 1/191 (0.5%) 10/195 (5.1%)
Infections and infestations
Upper Respiratory Tract Infection 17/191 (8.9%) 77/195 (39.5%)
Sinusitis 12/191 (6.3%) 50/195 (25.6%)
Urinary Tract Infection 10/191 (5.2%) 46/195 (23.6%)
Bronchitis 2/191 (1%) 28/195 (14.4%)
Nasopharyngitis 7/191 (3.7%) 22/195 (11.3%)
Conjunctivitis 2/191 (1%) 21/195 (10.8%)
Pneumonia 3/191 (1.6%) 21/195 (10.8%)
Cellulitis 3/191 (1.6%) 15/195 (7.7%)
Lower Respiratory Tract Infection 0/191 (0%) 15/195 (7.7%)
Herpes Zoster 3/191 (1.6%) 14/195 (7.2%)
Ear Infection 2/191 (1%) 13/195 (6.7%)
Folliculitis 0/191 (0%) 10/195 (5.1%)
Injury, poisoning and procedural complications
Contusion 6/191 (3.1%) 38/195 (19.5%)
Fall 1/191 (0.5%) 18/195 (9.2%)
Traumatic Haematoma 0/191 (0%) 12/195 (6.2%)
Infusion Related Reaction 64/191 (33.5%) 0/195 (0%)
Investigations
Weight Decreased 11/191 (5.8%) 25/195 (12.8%)
Blood Creatinine Increased 0/191 (0%) 12/195 (6.2%)
Platelet Count Decreased 0/191 (0%) 11/195 (5.6%)
Weight Increased 0/191 (0%) 11/195 (5.6%)
Metabolism and nutrition disorders
Decreased Appetite 16/191 (8.4%) 32/195 (16.4%)
Hyperuricaemia 4/191 (2.1%) 22/195 (11.3%)
Hypokalaemia 5/191 (2.6%) 22/195 (11.3%)
Hyperglycaemia 6/191 (3.1%) 16/195 (8.2%)
Hyponatraemia 3/191 (1.6%) 12/195 (6.2%)
Musculoskeletal and connective tissue disorders
Arthralgia 14/191 (7.3%) 53/195 (27.2%)
Muscle Spasms 16/191 (8.4%) 46/195 (23.6%)
Back Pain 14/191 (7.3%) 39/195 (20%)
Pain in Extremity 9/191 (4.7%) 29/195 (14.9%)
Myalgia 7/191 (3.7%) 24/195 (12.3%)
Musculoskeletal Pain 9/191 (4.7%) 20/195 (10.3%)
Bone Pain 3/191 (1.6%) 10/195 (5.1%)
Muscular Weakness 3/191 (1.6%) 10/195 (5.1%)
Neck Pain 0/191 (0%) 10/195 (5.1%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal Cell Carcinoma 2/191 (1%) 18/195 (9.2%)
Squamous Cell Carcinoma 2/191 (1%) 13/195 (6.7%)
Nervous system disorders
Headache 12/191 (6.3%) 41/195 (21%)
Dizziness 10/191 (5.2%) 33/195 (16.9%)
Peripheral Sensory Neuropathy 26/191 (13.6%) 22/195 (11.3%)
Paraesthesia 10/191 (5.2%) 14/195 (7.2%)
Psychiatric disorders
Anxiety 9/191 (4.7%) 18/195 (9.2%)
Depression 3/191 (1.6%) 17/195 (8.7%)
Insomnia 16/191 (8.4%) 17/195 (8.7%)
Confusional State 4/191 (2.1%) 11/195 (5.6%)
Renal and urinary disorders
Pollakiuria 3/191 (1.6%) 19/195 (9.7%)
Dysuria 1/191 (0.5%) 12/195 (6.2%)
Haematuria 2/191 (1%) 12/195 (6.2%)
Respiratory, thoracic and mediastinal disorders
Cough 43/191 (22.5%) 78/195 (40%)
Oropharyngeal pain 9/191 (4.7%) 33/195 (16.9%)
Dyspnoea 18/191 (9.4%) 32/195 (16.4%)
Epistaxis 5/191 (2.6%) 30/195 (15.4%)
Rhinorrhoea 6/191 (3.1%) 19/195 (9.7%)
Nasal Congestion 6/191 (3.1%) 17/195 (8.7%)
Dyspnoea Exertional 4/191 (2.1%) 14/195 (7.2%)
Productive Cough 5/191 (2.6%) 14/195 (7.2%)
Dysphonia 0/191 (0%) 10/195 (5.1%)
Skin and subcutaneous tissue disorders
Petechiae 2/191 (1%) 28/195 (14.4%)
Rash Maculo-Papular 7/191 (3.7%) 26/195 (13.3%)
Night Sweats 23/191 (12%) 24/195 (12.3%)
Skin Lesion 5/191 (2.6%) 24/195 (12.3%)
Rash Erythematous 9/191 (4.7%) 20/195 (10.3%)
Pruritus 18/191 (9.4%) 19/195 (9.7%)
Rash 7/191 (3.7%) 19/195 (9.7%)
Dry Skin 3/191 (1.6%) 18/195 (9.2%)
Actinic Keratosis 5/191 (2.6%) 16/195 (8.2%)
Ecchymosis 0/191 (0%) 12/195 (6.2%)
Onychoclasis 0/191 (0%) 12/195 (6.2%)
Blood Blister 1/191 (0.5%) 10/195 (5.1%)
Skin Ulcer 0/191 (0%) 10/195 (5.1%)
Vascular disorders
Hypertension 4/191 (2.1%) 40/195 (20.5%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Anita Szoke
Organization Pharmacyclics, LLC
Phone (669) 215-7235
Email aszoke@pcyc.com
Responsible Party:
Pharmacyclics LLC.
ClinicalTrials.gov Identifier:
NCT01578707
Other Study ID Numbers:
  • PCYC-1112-CA
  • 2012-000694-23
First Posted:
Apr 17, 2012
Last Update Posted:
Dec 18, 2019
Last Verified:
Dec 1, 2019