Combination of PCI-32765 With Obinutuzumab in Untreated Follicular Lymphoma

Sponsor
Ludwig-Maximilians - University of Munich
Study ID
NCT02689869
Phase
PHASE2
Status
Unknown

Conditions

  • Indolent Non-Hodgkin Lymphoma

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Ibrutinib — DRUG
    Ibrutinib (PCI-32765; JNJ-54179060) is a first-in-class, potent, orally-administered covalently-binding small molecule inhibitor of Bruton's tyrosine kinase currently being co-developed by Janssen Research \& Development, LLC and Pharmacyclics, Inc for the treatment of B-cell malignancies.
  • GA 101 — DRUG
    Obinutuzumab (GA 101) is a first-in-class, potent, intravenously administered type II anti-CD 20 antibody that is developed by Roche AG for the treatment of B-cell malignancies.

Study Details

Primary Objectives The primary objective of this study is to evaluate the efficacy of the chemotherapy-free combination of ibrutinib and obinutuzumab (GA 101) in patients with previously untreated follicular lymphoma (FL) and a high tumor burden. Primary endpoint to be observed for this is the rate of progression free survival one year after start of therapy. Hypothesis The hypothesis of the study is that ibrutinib in combination with obinutuzumab will achieve response rates (CR and PR), rates of MRD negativity and PFS which are comparable to currently used standard rituximab-chemotherapy combinations such as R-CHOP or R-bendamustine in subjects with previously untreated FL and a high tumor burden.

Key Dates

Start date
Apr 30, 2016
Status verified
May 2021
Primary completion
Apr 30, 2022
Completion
Jul 31, 2022

Study Design

Enrollment
98 participants (actual)
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT

Arms

  • Experimental: Ibrutinib and GA 101
    Initial therapy 6 cycles of Ibrutinib: Ibrutinib 560 mg once daily every day until start of maintenance for a total of 24 weeks. 1000 mg of GA101 I.V. on days d 1, 8, 15 of cycle 1 and on day 1 of cycles 2-6 (21 day cycles). Maintenance with another 24 months of ibrutinib plus GA101 in patients with clinical remission after the last induction cycle: Ibrutinib 560 mg once daily every day. GA101 at a dose of 1000 mg I.V. every 2 months for a total of 24 months. The total duration of ibrutinib plus obinutuzumab therapy will therefore be 30 months. In patients remaining MRD positive at 30 months without clinical progression, single agent ibrutinib therapy is continued for another 12 months.

Primary Outcome Measure

Progression free survival [ Time Frame: one year progress free survival ]

Related Studies