Luster PCI32765FLR3001
Research type
Research Study
Full title
A Randomized, Double-blind, Placebo-controlled Phase 3 Study of the Bruton's Tyrosine Kinase Inhibitor, PCI-32765 (Ibrutinib), in Combination with Either Bendamustine and Rituximab (BR) or Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (R-CHOP) in Subjects with Previously Treated Indolent Non-Hodgkin Lymphoma (iNHL)
IRAS ID
142552
Contact name
Tobias Menne
Contact email
Sponsor organisation
Janssen-Cilag International NV
Eudract number
2013-003093-27
Clinicaltrials.gov Identifier
Duration of Study in the UK
7 years, 6 months, 0 days
Research summary
A randomized, double blind, placebo-controlled, multicenter, Phase 3 study to compare the efficacy and safety of ibrutinib in combination with bendamustine and rituximab (BR) or rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) to BR alone or R-CHOP alone in subjects with previously treated indolent Non-Hodgkin Lymphoma (iNHL) either Follicular (FL) or Marginal Zone Lymphoma (MZL).
The study includes a Screening Phase, Treatment Phase, and Post treatment Follow-up Phase.
The Treatment Phase will extend from randomization until study drug discontinuation.
Approximately 400 eligible subjects will be stratified by (1) background chemotherapy treatment, (2) refractory versus relapsed disease, (3) iNHL histology, and (4) number of prior therapies. Subjects will be randomized in a 1:1 ratio to Treatment Arm A (background chemotherapy + placebo) or Treatment Arm B (background chemotherapy + 560 mg of ibrutinib). Study drug is taken orally approximately 30 minutes before or approximately 2 hours after a meal once daily on a continuous schedule until disease progression, unacceptable toxicity, or study end, whichever comes first. The Post treatment Follow-up Phase will begin once a subject discontinues study drug (ibrutinib or placebo). Subjects who discontinue for reasons other than disease progression must continue disease evaluations according to the Time and Events Schedule. The Post treatment Follow-up Phase will continue until death, loss to follow up, consent withdrawal, or study end, whichever occurs first.
Tumour response and progression will be conducted in accordance with the Revised Response Criteria for Malignant Lymphoma. The investigator will evaluate sites of disease by radiological imaging, physical examination, or other procedures as necessary. At each site visit, subjects will be evaluated for toxicity. Safety evaluations will include adverse event monitoring, physical examinations, concomitant medication usage, and clinical laboratory parameters. At some visits, blood samples will be taken for assessment of pharmacokinetic parameters and for minimal residual disease (MRD)REC name
London - Surrey Borders Research Ethics Committee
REC reference
14/LO/0080
Date of REC Opinion
11 Mar 2014
REC opinion
Further Information Favourable Opinion