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| ID | Type | Description | Link |
|---|---|---|---|
| NCI-2015-00124 | Registry Identifier | NCI CTRP | |
| 1R01CA190628 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| Pharmacyclics LLC. | INDUSTRY |
| National Cancer Institute (NCI) | NIH |
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The goal of Part 1 of this clinical research study is to find the highest dose of (Imbruvica) ibrutinib that can be given to patients with non-small cell lung cancer (NSCLC). The goal of Part 2 of this clinical research study is to learn if the dose of ibrutinib found in Part 1 can help to control the disease.
The safety of this drug will also be studied in both parts of the study.
Study Groups:
If you are found to be eligible to take part in this study, you will be assigned to a study group based on when you join this study. Up to 4 groups of up to 6 participants will be enrolled in Part 1 of the study, and up to19 participants will be enrolled in Part 2.
If you are enrolled in Part 1, the dose of ibrutinib you receive will depend on when you join this study. The first group of participants will receive the lowest dose level of ibrutinib. Each new group will receive a higher dose of ibrutinib than the group before it, if no intolerable side effects were seen. This will continue until the highest tolerable dose of ibrutinib is found.
If you are enrolled in Part 2, you will receive ibrutinib at the highest dose that was tolerated in Part 1.
Study Drug Administration:
You will take ibrutinib pills 1 time each day, at about the same time every day. You may take your dose of ibrutinib with or without food.
Study Visits:
Each cycle is 4 weeks.
On Day 1 of all cycles:
Every 8 weeks, you will have a CT, MRI, or x-ray to check the status of the disease. You will have the same type of scan performed as you did at screening.
Length of Study:
You may continue taking the study drug for as long as the doctor thinks it is in your best interest. You will no longer be able to take the study drug if the disease gets worse, if intolerable side effects occur, or if you are unable to follow study directions.
Your participation on the study will be over after the follow-up visits.
End-of-Dosing Visit:
About 30 days after your last dose of study drug:
Follow Up Visits:
Every 6 months you will be asked to come into the clinic or you will be called by a member of the study staff to ask how you are doing and if you have started any new anti-cancer treatments. If you are called, it should take about 10 minutes.
This is an investigational study. Ibrutinib is FDA approved and commercially available for the treatment of chronic lymphocytic leukemia (CLL) and mantle cell lymphoma (MCL). It is considered investigational to use this drug to treat NSCLC. The study doctor can explain how the study drug is designed to work.
Up to 43 participants will be enrolled on this study. All will take part at MD Anderson.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ibrutinib | Experimental | Participants in Part 1 receive dose level of Ibrutinib depending on study joined. First group of participants receive lowest dose level of Ibrutinib. Each new group receives a higher dose of Ibrutinib than the group before it, if no intolerable side effects were seen. This continues until highest tolerable dose of Ibrutinib is found. Participants in Part 2 receive Ibrutinib at highest dose that was tolerated in Part 1 or 840 mg daily. Starting level of Ibrutinib: 560 mg by mouth daily in a 28 day cycle. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ibrutinib | Drug | Part 1 Starting level of Ibrutinib: 560 mg by mouth daily in a 28 day cycle. Part 2 Starting level of Ibrutinib: Maximum tolerated dose from Part 1 or 840 mg daily. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With at Least One Dose Limiting Toxicity (DLT) Observed During the Dose Escalation to Determine the Maximum Tolerated Dose (MTD) | Number of DLT observed at dose levels 560 (starting dose) and 840 mg PO daily to determine the MTD using the 3+3 design. | First cycle of 28 days |
| Overall Response Rate in Patients With EGFR Mutations Using RECIST | Complete response and partial resopnse rate RECIST 1.1 criteria The response was evaluated after two cycles of therapy and every 8 weeks until the first date that recurrent or progressive disease is objectively documented, up to 2 years. | after two cycles of therapy and every 8 weeks, up to 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Overall Survival (OS) | Overall survival (OS) is defined as the duration of time from start of treatment to time of progression or death. | from start of treatment to time of progression or death, up to 2 years |
| Progression-Free Survival (PFS) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| John Heymach, MD, PHD | M.D. Anderson Cancer Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Texas MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
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| Label | URL |
|---|---|
| University of Texas MD Anderson Cancer Center Website | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | Ibrutinib Dose Level 0 | Participants received Ibrutinib at dose level 0 (560 mg PO daily) on a continuous basis on 28 day cycles. |
| FG001 | Ibrutinib Dose Level 1 | Participants received dose level 1 (840 mg PO daily) on a continuous basis on 28 day cycles. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Ibrutinib Dose Level 0 | Participants received Ibrutinib at dose level 0 (560 mg PO daily on a continuous basis on 28 day cycles. |
| BG001 | Ibrutinib Dose Level 1 | Participants received Ibrutinib dose level 1 (840 mg PO daily) on a continuous basis on 28 day cycles. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With at Least One Dose Limiting Toxicity (DLT) Observed During the Dose Escalation to Determine the Maximum Tolerated Dose (MTD) | Number of DLT observed at dose levels 560 (starting dose) and 840 mg PO daily to determine the MTD using the 3+3 design. | 12 patients were evaluable for overall response rate; 1 patient who received 840 mg PO daily was inevaluable due to death prior to first response assessment after start of treatment. | Posted | Count of Participants | Participants | First cycle of 28 days |
|
From the first dose through 30 days after the last dose of study medication, up to 2 years
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Ibrutinib at Dose Level 0 (560 PO Daily). | Participants received Ibrutinib at dose level 0 (560 mg PO daily) |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pneumothorax | Respiratory, thoracic and mediastinal disorders | CTCAE v4.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain | Gastrointestinal disorders | CTCAE v4.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. John V. Heymach, Chair, Thoracic-Head & Neck Med Onc | UT MD Anderson Cancer Center | (713) 792-6363 | jheymach@mdanderson.org |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Aug 6, 2015 | Nov 3, 2022 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D008175 | Lung Neoplasms |
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| C551803 | ibrutinib |
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|
Progression-free survival (PFS) is defined as the duration of time from start of treatment to time of progression or death, whichever occurs first.
| from start of treatment to time progression or death, whichever occurs first, up to 2 years |
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
Participants received Ibrutinib at dose level 1 (840 mg PO daily) on a continuous basis on 28 day cycles. |
|
|
| Primary | Overall Response Rate in Patients With EGFR Mutations Using RECIST | Complete response and partial resopnse rate RECIST 1.1 criteria The response was evaluated after two cycles of therapy and every 8 weeks until the first date that recurrent or progressive disease is objectively documented, up to 2 years. | 12 patients were evaluable for overall response rate; 1 patient who received 840 mg PO daily was inevaluable due to death prior to first response assessment after start of treatment. | Posted | Count of Participants | Participants | after two cycles of therapy and every 8 weeks, up to 2 years |
|
|
|
| Secondary | Overall Survival (OS) | Overall survival (OS) is defined as the duration of time from start of treatment to time of progression or death. | 13 patients were followed up 12 patients were evaluable for disease control rate, duration of response and Response rate in patients with HER2 mutant non-small cell lung cancer; 1 patient who received 840 mg PO daily was inevaluable due to death prior to first response assessment after start of treatment. | Posted | Median | 95% Confidence Interval | months | from start of treatment to time of progression or death, up to 2 years |
|
|
|
| Secondary | Progression-Free Survival (PFS) | Progression-free survival (PFS) is defined as the duration of time from start of treatment to time of progression or death, whichever occurs first. | 13 patients were followed up 12 patients were evaluable for disease control rate, duration of response and Response rate in patients with HER2 mutant non-small cell lung cancer; 1 patient who received 840 mg PO daily was inevaluable due to death prior to first response assessment after start of treatment. | Posted | Median | 95% Confidence Interval | months | from start of treatment to time progression or death, whichever occurs first, up to 2 years |
|
|
|
| 3 |
| 3 |
| 0 |
| 3 |
| 3 |
| 3 |
| EG001 | Ibrutinib at Dose Level 1 (840 PO Daily). | Participants received Ibrutinib at dose level 1 (840 mg PO daily) | 10 | 10 | 4 | 10 | 10 | 10 |
| Dyspnea | Respiratory, thoracic and mediastinal disorders | CTCAE v4.03 | Systematic Assessment |
|
| Chest pain | Cardiac disorders | CTCAE v4.03 | Systematic Assessment |
|
| Bronchopulmonary hemorrhage | Respiratory, thoracic and mediastinal disorders | CTCAE v4.03 | Systematic Assessment |
|
| Confusion | Psychiatric disorders | CTCAE v4.03 | Systematic Assessment |
|
| Seizure | Nervous system disorders | CTCAE v4.03 | Systematic Assessment |
|
| Anemia | Blood and lymphatic system disorders | CTCAE v4.03 | Systematic Assessment |
|
| Anorexia | Metabolism and nutrition disorders | CTCAE v4.03 | Systematic Assessment |
|
| Anxiety | Psychiatric disorders | CTCAE v4.03 | Systematic Assessment |
|
| Arthritis | Musculoskeletal and connective tissue disorders | CTCAE v4.03 | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | CTCAE v4.03 | Systematic Assessment |
|
| Bruising | Injury, poisoning and procedural complications | CTCAE v4.03 | Systematic Assessment |
|
| Burning with urination | Infections and infestations | CTCAE v4.03 | Systematic Assessment |
|
| Buttock pain | Musculoskeletal and connective tissue disorders | CTCAE v4.03 | Systematic Assessment |
|
| Chills | General disorders | CTCAE v4.03 | Systematic Assessment |
|
| Congestion of chest | General disorders | CTCAE v4.03 | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | CTCAE v4.03 | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | CTCAE v4.03 | Systematic Assessment |
|
| Decreased chloride | Investigations | CTCAE v4.03 | Systematic Assessment |
|
| Diarrhea | Gastrointestinal disorders | CTCAE v4.03 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | CTCAE v4.03 | Systematic Assessment |
|
| Dysphagia | Gastrointestinal disorders | CTCAE v4.03 | Systematic Assessment |
|
| Dyspnea | Respiratory, thoracic and mediastinal disorders | CTCAE v4.03 | Systematic Assessment |
|
| Edema limbs | General disorders | CTCAE v4.03 | Systematic Assessment |
|
| Elevated UAWBC NCS | Infections and infestations | CTCAE v4.03 | Systematic Assessment |
|
| Fatigue | General disorders | CTCAE v4.03 | Systematic Assessment |
|
| Fever | General disorders | CTCAE v4.03 | Systematic Assessment |
|
| Flank pain | Musculoskeletal and connective tissue disorders | CTCAE v4.03 | Systematic Assessment |
|
| Gastroesophageal reflux disease | Gastrointestinal disorders | CTCAE v4.03 | Systematic Assessment |
|
| Headache | Nervous system disorders | CTCAE v4.03 | Systematic Assessment |
|
| Hyperglycemia | Metabolism and nutrition disorders | CTCAE v4.03 | Systematic Assessment |
|
| Hypertension | Vascular disorders | CTCAE v4.03 | Systematic Assessment |
|
| Hypomagnesemia | Metabolism and nutrition disorders | CTCAE v4.03 | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | CTCAE v4.03 | Systematic Assessment |
|
| Mild dry rash a little on chest and arms | Skin and subcutaneous tissue disorders | CTCAE v4.03 | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | CTCAE v4.03 | Systematic Assessment |
|
| Non-cardiac chest pain | General disorders | CTCAE v4.03 | Systematic Assessment |
|
| Pain | General disorders | CTCAE v4.03 | Systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | CTCAE v4.03 | Systematic Assessment |
|
| Platelet count decreased | Investigations | CTCAE v4.03 | Systematic Assessment |
|
| Rash acneiform | Skin and subcutaneous tissue disorders | CTCAE v4.03 | Systematic Assessment |
|
| Rash on legs and stomach | Skin and subcutaneous tissue disorders | CTCAE v4.03 | Systematic Assessment |
|
| Sinus tachycardia | Cardiac disorders | CTCAE v4.03 | Systematic Assessment |
|
| Sore throat | Respiratory, thoracic and mediastinal disorders | CTCAE v4.0 | Systematic Assessment |
|
| General disorders and administration site conditions | General disorders | CTCAE v4.03 | Systematic Assessment | Tenderness, right mid abdomen wall |
|
| Tightness of upper left lung | Respiratory, thoracic and mediastinal disorders | CTCAE v4.03 | Systematic Assessment |
|
| Urinary frequency | Renal and urinary disorders | CTCAE v4.03 | Systematic Assessment |
|
| Urinary tract infection | Renal and urinary disorders | CTCAE v4.03 | Systematic Assessment |
|
| Urine output decreased | Renal and urinary disorders | CTCAE v4.03 | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | CTCAE v4.03 | Systematic Assessment |
|
| Bone Pain | Musculoskeletal and connective tissue disorders | CTCAE v4.03 | Systematic Assessment |
|
| Urinary tract pain | Renal and urinary disorders | CTCAE v4.03 | Systematic Assessment |
|
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| D008171 |
| Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |