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The purpose of this study is to evaluate the safety/tolerability and efficacy of itacitinib in combination with ibrutinib in subjects with relapsed or refractory diffuse large B-cell lymphoma (DLBCL)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| itacitinib + ibrutinib | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| itacitinib | Drug | Phase 1 will evaluate itacitinib at the protocol-specified starting dose, with a possible increase or decrease depending on tolerability. Phase 2 will evaluate the recommended dose determined in Phase 1. |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1: Number of Participants With Any Treatment-emergent Adverse Event (TEAE) | An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related, that occurred after a participant provided informed consent. Abnormal laboratory values or test results occurring after informed consent constituted AEs only if they induced clinical signs or symptoms, were considered clinically meaningful, required therapy (e.g., hematologic abnormality that required transfusion), or required changes in the study drug(s). A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first dose of study drug and until 30 days after the last dose of study drug. | up to 285 days |
| Phase 1: Number of Participants With Any Grade 3 or Higher TEAE | An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related, that occurred after a participant provided informed consent. Abnormal laboratory values or test results occurring after informed consent constituted AEs only if they induced clinical signs or symptoms, were considered clinically meaningful, required therapy (e.g., hematologic abnormality that required transfusion), or required changes in the study drug(s). A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first dose of study drug and until 30 days after the last dose of study drug. Grade 3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care activities of daily living. Grade 4: life-threatening consequences; urgent intervention indicated. | up to 285 days |
| Phase 1: Number of Participants With Any Dose-limiting Toxicity (DLT) | A DLT was defined as the occurrence of any protocol-defined toxicities occurring up to and including Study Day 28, except those with a clear alternative explanation (e.g., disease progression) or transient (≤72 hours) abnormal laboratory values without associated clinically significant signs or symptoms based on investigator determination. All DLTs were assessed by the investigator using Common Terminology Criteria for Adverse Events (CTCAE) v4.03 criteria. In order to be included in the tolerability review, subjects must have received the cohort-specific dose of INCB039110 and ibrutinib for at least 75% of the days during the 28-day surveillance period or have experienced a DLT. |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1: ORR, Defined as the Percentage of Participants Achieving Either a CR or a PR, Per the Modified Lugano Classification for DLBCL | CR: (1) target nodes/nodal masses of lymph nodes/extralymphatic sites regressed to ≤1.5 cm in the LDi; (2) absence of non-measured lesions; (3) organ enlargement regressed to normal; (4) no new lesions; (5) normal bone marrow morphology; if indeterminate, immunohistochemistry negative. PR: (1) lymph nodes/extralymphatic sites: ≥50% decrease in the sum of the product of perpendicular diameters for multiple lesions of up to 6 target measurable nodes/extranodal sites; if lesion is too small to measure on computed tomography, assign 5 mm × 5 mm as default; if no longer visible, 0 mm × 0 mm. For node >5 mm × 5 mm but smaller than normal, use actual measurement; (2) absent/regressed non-measured lesions, no increase; (3) organ enlargement; spleen regressed by >50% in length beyond normal; (4) no new lesions. |
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Inclusion Criteria:
Histologically documented diagnosis of DLBCL.
Relapsed or refractory DLBCL, defined as having received at least 1 but no more than 3 prior treatment regimens and ineligible for high-dose chemotherapy/autologous stem cell transplant.
Fluorodeoxyglucose-avid disease (based on local evaluation) per the Lugano Classification. Fluorodeoxyglucose-avid disease is defined as disease with a 5-point scale score of 4 or 5.
Archived tumor tissue (block or 15-20 unstained slides) available, or be willing to undergo an incisional or excisional lymph node biopsy of accessible adenopathy (or, in less accessible lymph nodes, 4 to 8 core biopsies).
At least 1 measurable (≥ 2 cm in longest dimension) lesion on CT scan or magnetic resonance imaging (MRI).
Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Peter Langmuir, MD | Incyte Corporation | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic Arizona | Scottsdale | Arizona | 85259 | United States | ||
| City of Hope National Medical Center |
Incyte shares data with qualified external researchers after a research proposal is submitted. These requests are reviewed and approved by a review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
The trial data availability is according to the criteria and process described on https://www.incyte.com/our-company/compliance-and-transparency.
Data will be shared after the primary publication or 2 years after the study has ended for market authorized products and indications.
Data from eligible studies will be shared with qualified researchers according to the criteria and process described in the Data Sharing section of the www.incyteclinicaltrials.com website. For approved requests, the researchers will be granted access to anonymized data under the terms of a data sharing agreement.
This study was conducted at 12 study centers in the United States.
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| ID | Title | Description |
|---|---|---|
| FG000 | Phase 1; Cohort 1: Itacitinib 300 mg QD + Ibrutinib 560 mg QD | Participants received oral itacitinib 300 milligrams (mg) once daily (QD) plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. |
| FG001 | Phase 1; Cohort 2: Itacitinib 400 mg QD + Ibrutinib 560 mg QD |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Phase 1 |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jun 18, 2020 | May 15, 2023 |
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|
| ibrutinib | Drug |
|
| up to Day 28 |
| Phase 2: Objective Response Rate (ORR), Defined as the Percentage of Participants Achieving Either a Complete Response (CR) or a Partial Response (PR), Per the Modified Lugano Classification for Diffuse Large B-cell Lymphoma (DLBCL) | CR: (1) target nodes/nodal masses of lymph nodes/extralymphatic sites regressed to ≤1.5 centimeters (cm) in the longest dimension transverse diameter of lesion (LDi); (2) absence of non-measured lesions; (3) organ enlargement regressed to normal; (4) no new lesions; (5) normal bone marrow morphology; if indeterminate, immunohistochemistry negative. PR: (1) lymph nodes/extralymphatic sites: ≥50% decrease in the sum of the product of perpendicular diameters for multiple lesions of up to 6 target measurable nodes/extranodal sites; if lesion is too small to measure on computed tomography, assign 5 millimeters (mm) × 5 mm as default; if no longer visible, 0 mm × 0 mm. For node >5 mm × 5 mm but smaller than normal, use actual measurement; (2) absent/regressed non-measured lesions, no increase; (3) organ enlargement; spleen regressed by >50% in length beyond normal; (4) no new lesions. | up to 1538 days |
| up to 250 days |
| Phase 2: Duration of Response (DOR): Time From the First Overall Response Contributing to an Objective Response (CR or PR) to the Earlier of the Participant's Death and the First Overall Response of Progressive Disease, Per the Lugano Classification | Disease progression requires ≥1 of the following: (1) an abnormal individual node/lesion with all of the following: (a) LDi > 1.5 cm; (b) increase by ≥50% from cross product of the LDi and the perpendicular diameter (PPD) nadir; (c) increase in LDi or the shortest axis perpendicular to the LDi (SDi) from nadir: (i) 0.5 cm for lesions ≤2 cm; (ii) 1.0 cm for lesions > 2 cm. (2) For splenomegaly, the splenic length must increased by 50% of the extent of its prior increase beyond baseline. If no prior splenomegaly, must increase by at least 2 cm from baseline. (3) New/recurrent splenomegaly. (4) New/clear progression of preexisting nonmeasured lesions. (5) Regrowth of previously resolved lesions. (6) A new node > 1.5 cm in any axis. (7) A new extranodal site > 1.0 cm in any axis; if < 1.0 cm in any axis, its presence must be unequivocal/attributable to lymphoma. (8) Assessable disease of any size unequivocally attributable to lymphoma. (9) New or recurrent involvement of the bone marrow. | up to 947 days |
| Phase 2: Durable Response Rate (DRR) | DRR=percentage of participants with a CR or PR, per Lugano Classification, for ≥16 weeks since the time from the first overall response contributing to an objective response (CR or PR). CR: (1) target nodes/nodal masses of lymph nodes/extralymphatic sites regressed to ≤1.5 cm in the LDi; (2) absence of non-measured lesions; (3) organ enlargement regressed to normal; (4) no new lesions; (5) normal bone marrow morphology; if indeterminate, immunohistochemistry negative. PR: (1) lymph nodes/extralymphatic sites: ≥50% decrease in the sum of the product of perpendicular diameters for multiple lesions of up to 6 target measurable nodes/extranodal sites; if lesion is too small to measure on computed tomography, assign 5 mm × 5 mm as default; if no longer visible, 0 mm × 0 mm. For node >5 mm × 5 mm but smaller than normal, use actual measurement; (2) absent/regressed non-measured lesions, no increase; (3) organ enlargement; spleen regressed by >50% in length beyond normal; (4) no new lesions. | up to 1538 days |
| Phase 2: Progression-free Survival (PFS), Defined as the Time From the First Dose to the Earlier Date of Death Due to Any Cause or Disease Progression Determined by Objective Radiographic Disease Assessments | Disease progression requires ≥1 of the following: (1) an abnormal individual node/lesion with all of the following: (a) LDi > 1.5 cm; (b) increase by ≥50% from cross product of the LDi and the perpendicular diameter (PPD) nadir; (c) increase in LDi or the shortest axis perpendicular to the LDi (SDi) from nadir: (i) 0.5 cm for lesions ≤2 cm; (ii) 1.0 cm for lesions > 2 cm. (2) For splenomegaly, the splenic length must increased by 50% of the extent of its prior increase beyond baseline. If no prior splenomegaly, must increase by at least 2 cm from baseline. (3) New/recurrent splenomegaly. (4) New/clear progression of preexisting nonmeasured lesions. (5) Regrowth of previously resolved lesions. (6) A new node > 1.5 cm in any axis. (7) A new extranodal site > 1.0 cm in any axis; if < 1.0 cm in any axis, its presence must be unequivocal/attributable to lymphoma. (8) Assessable disease of any size unequivocally attributable to lymphoma. (9) New or recurrent involvement of the bone marrow. | up to 1538 days |
| Phase 2: Number of Participants With Any TEAE | An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related, that occurred after a participant provided informed consent. Abnormal laboratory values or test results occurring after informed consent constituted AEs only if they induced clinical signs or symptoms, were considered clinically meaningful, required therapy (e.g., hematologic abnormality that required transfusion), or required changes in the study drug(s). A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first dose of study drug and until 30 days after the last dose of study drug. | up to 1573 days |
| Phase 2: Number of Participants With Any Grade 3 or Higher TEAE | An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related, that occurred after a participant provided informed consent. Abnormal laboratory values or test results occurring after informed consent constituted AEs only if they induced clinical signs or symptoms, were considered clinically meaningful, required therapy (e.g., hematologic abnormality that required transfusion), or required changes in the study drug(s). A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first dose of study drug and until 30 days after the last dose of study drug. Grade 3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care activities of daily living. Grade 4: life-threatening consequences; urgent intervention indicated. | up to 1573 days |
| Duarte |
| California |
| 91010 |
| United States |
| Pacific Shores Medical Group | Long Beach | California | 90813 | United States |
| LAC-USC Medical Center/Kenneth Norris Jr Cancer Hospital | Los Angeles | California | 90033 | United States |
| Moores UC San Diego Cancer Center | San Diego | California | 92093 | United States |
| Mount Sinai Comprehensive Cancer Center | Miami Beach | Florida | 33140 | United States |
| Georgia Regents Research Institute | Augusta | Georgia | 30912 | United States |
| University of Maryland Cancer Center | Baltimore | Maryland | 21201 | United States |
| University of Michigan Cancer Center | Ann Arbor | Michigan | 48109 | United States |
| Michigan State University Breslin Cancer Center | Lansing | Michigan | 48910 | United States |
| St Vincent Frontier Cancer Center | Billings | Montana | 59102 | United States |
| Comprehensive Cancer Center of Nevada | Las Vegas | Nevada | 89169 | United States |
| Regional Cancer Center Associates, LLC | Little Silver | New Jersey | 07739 | United States |
| Roswell Cancer Center | Buffalo | New York | 14263 | United States |
| Memorial Sloan Kettering Cancer Center | New York | New York | 10065 | United States |
| Toledo Clinic Cancer Centers | Toledo | Ohio | 43623 | United States |
| Tulsa Cancer Center | Tulsa | Oklahoma | 74146 | United States |
| Geisinger Medical Center | Danville | Pennsylvania | 17822 | United States |
| University of Pennsylvania Health System | Philadelphia | Pennsylvania | 19104 | United States |
| Houston Methodist Cancer Center | Houston | Texas | 77030 | United States |
| Northwest Medical Specialists & Research Institute | Puyallup | Washington | 98373 | United States |
Participants received oral itacitinib 400 mg QD plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. |
| FG002 | Phase 2: Itacitinib 400 mg QD + Ibrutinib 560 mg QD | Participants received oral itacitinib 400 mg QD plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. |
| COMPLETED |
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| NOT COMPLETED |
|
|
| Phase 2 |
|
|
In Phase 1, Baseline data were collected for members of the Safety Run-In Population, defined as all participants enrolled in the Phase 1 portion of the study who received at least 1 dose of study drug. In Phase 2, Baseline data were collected for members of the Intent-to-Treat Population, defined as all participants enrolled in the Phase 2 portion of the study.
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| ID | Title | Description |
|---|---|---|
| BG000 | Phase 1; Cohort 1: Itacitinib 300 mg QD + Ibrutinib 560 mg QD | Participants received oral itacitinib 300 milligrams (mg) once daily (QD) plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. |
| BG001 | Phase 1; Cohort 2: Itacitinib 400 mg QD + Ibrutinib 560 mg QD | Participants received oral itacitinib 400 mg QD plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. |
| BG002 | Phase 2: Itacitinib 400 mg QD + Ibrutinib 560 mg QD | Participants received oral itacitinib 400 mg QD plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | 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 | Phase 1: Number of Participants With Any Treatment-emergent Adverse Event (TEAE) | An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related, that occurred after a participant provided informed consent. Abnormal laboratory values or test results occurring after informed consent constituted AEs only if they induced clinical signs or symptoms, were considered clinically meaningful, required therapy (e.g., hematologic abnormality that required transfusion), or required changes in the study drug(s). A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first dose of study drug and until 30 days after the last dose of study drug. | Safety Run-In Population: all participants enrolled in the Phase 1 portion of the study who received at least 1 dose of study drug | Posted | Count of Participants | Participants | up to 285 days |
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| Primary | Phase 1: Number of Participants With Any Grade 3 or Higher TEAE | An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related, that occurred after a participant provided informed consent. Abnormal laboratory values or test results occurring after informed consent constituted AEs only if they induced clinical signs or symptoms, were considered clinically meaningful, required therapy (e.g., hematologic abnormality that required transfusion), or required changes in the study drug(s). A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first dose of study drug and until 30 days after the last dose of study drug. Grade 3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care activities of daily living. Grade 4: life-threatening consequences; urgent intervention indicated. | Safety Run-In Population | Posted | Count of Participants | Participants | up to 285 days |
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| Primary | Phase 1: Number of Participants With Any Dose-limiting Toxicity (DLT) | A DLT was defined as the occurrence of any protocol-defined toxicities occurring up to and including Study Day 28, except those with a clear alternative explanation (e.g., disease progression) or transient (≤72 hours) abnormal laboratory values without associated clinically significant signs or symptoms based on investigator determination. All DLTs were assessed by the investigator using Common Terminology Criteria for Adverse Events (CTCAE) v4.03 criteria. In order to be included in the tolerability review, subjects must have received the cohort-specific dose of INCB039110 and ibrutinib for at least 75% of the days during the 28-day surveillance period or have experienced a DLT. | Safety Run-In Population | Posted | Count of Participants | Participants | up to Day 28 |
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| Primary | Phase 2: Objective Response Rate (ORR), Defined as the Percentage of Participants Achieving Either a Complete Response (CR) or a Partial Response (PR), Per the Modified Lugano Classification for Diffuse Large B-cell Lymphoma (DLBCL) | CR: (1) target nodes/nodal masses of lymph nodes/extralymphatic sites regressed to ≤1.5 centimeters (cm) in the longest dimension transverse diameter of lesion (LDi); (2) absence of non-measured lesions; (3) organ enlargement regressed to normal; (4) no new lesions; (5) normal bone marrow morphology; if indeterminate, immunohistochemistry negative. PR: (1) lymph nodes/extralymphatic sites: ≥50% decrease in the sum of the product of perpendicular diameters for multiple lesions of up to 6 target measurable nodes/extranodal sites; if lesion is too small to measure on computed tomography, assign 5 millimeters (mm) × 5 mm as default; if no longer visible, 0 mm × 0 mm. For node >5 mm × 5 mm but smaller than normal, use actual measurement; (2) absent/regressed non-measured lesions, no increase; (3) organ enlargement; spleen regressed by >50% in length beyond normal; (4) no new lesions. | Intent-to-Treat (ITT) Population: all participants enrolled in the Phase 2 portion of the study. The confidence interval was calculated based on the exact method for binomial distribution. | Posted | Number | 90% Confidence Interval | percentage of participants | up to 1538 days |
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| Secondary | Phase 1: ORR, Defined as the Percentage of Participants Achieving Either a CR or a PR, Per the Modified Lugano Classification for DLBCL | CR: (1) target nodes/nodal masses of lymph nodes/extralymphatic sites regressed to ≤1.5 cm in the LDi; (2) absence of non-measured lesions; (3) organ enlargement regressed to normal; (4) no new lesions; (5) normal bone marrow morphology; if indeterminate, immunohistochemistry negative. PR: (1) lymph nodes/extralymphatic sites: ≥50% decrease in the sum of the product of perpendicular diameters for multiple lesions of up to 6 target measurable nodes/extranodal sites; if lesion is too small to measure on computed tomography, assign 5 mm × 5 mm as default; if no longer visible, 0 mm × 0 mm. For node >5 mm × 5 mm but smaller than normal, use actual measurement; (2) absent/regressed non-measured lesions, no increase; (3) organ enlargement; spleen regressed by >50% in length beyond normal; (4) no new lesions. | Safety Run-in Population. The confidence interval was calculated based on the exact method for binomial distribution. | Posted | Number | 90% Confidence Interval | percentage of participants | up to 250 days |
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| Secondary | Phase 2: Duration of Response (DOR): Time From the First Overall Response Contributing to an Objective Response (CR or PR) to the Earlier of the Participant's Death and the First Overall Response of Progressive Disease, Per the Lugano Classification | Disease progression requires ≥1 of the following: (1) an abnormal individual node/lesion with all of the following: (a) LDi > 1.5 cm; (b) increase by ≥50% from cross product of the LDi and the perpendicular diameter (PPD) nadir; (c) increase in LDi or the shortest axis perpendicular to the LDi (SDi) from nadir: (i) 0.5 cm for lesions ≤2 cm; (ii) 1.0 cm for lesions > 2 cm. (2) For splenomegaly, the splenic length must increased by 50% of the extent of its prior increase beyond baseline. If no prior splenomegaly, must increase by at least 2 cm from baseline. (3) New/recurrent splenomegaly. (4) New/clear progression of preexisting nonmeasured lesions. (5) Regrowth of previously resolved lesions. (6) A new node > 1.5 cm in any axis. (7) A new extranodal site > 1.0 cm in any axis; if < 1.0 cm in any axis, its presence must be unequivocal/attributable to lymphoma. (8) Assessable disease of any size unequivocally attributable to lymphoma. (9) New or recurrent involvement of the bone marrow. | ITT Population. Participants who achieved a CR or a PR per Lugano Classification for DLBCL were analyzed. The 90% confidence interval was calculated using the Brookmeyer and Crowley's method. | Posted | Median | 90% Confidence Interval | months | up to 947 days |
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| Secondary | Phase 2: Durable Response Rate (DRR) | DRR=percentage of participants with a CR or PR, per Lugano Classification, for ≥16 weeks since the time from the first overall response contributing to an objective response (CR or PR). CR: (1) target nodes/nodal masses of lymph nodes/extralymphatic sites regressed to ≤1.5 cm in the LDi; (2) absence of non-measured lesions; (3) organ enlargement regressed to normal; (4) no new lesions; (5) normal bone marrow morphology; if indeterminate, immunohistochemistry negative. PR: (1) lymph nodes/extralymphatic sites: ≥50% decrease in the sum of the product of perpendicular diameters for multiple lesions of up to 6 target measurable nodes/extranodal sites; if lesion is too small to measure on computed tomography, assign 5 mm × 5 mm as default; if no longer visible, 0 mm × 0 mm. For node >5 mm × 5 mm but smaller than normal, use actual measurement; (2) absent/regressed non-measured lesions, no increase; (3) organ enlargement; spleen regressed by >50% in length beyond normal; (4) no new lesions. | ITT Population. Participants who achieved a CR or a PR per Lugano Classification were analyzed. The confidence interval was calculated based on the exact method for binomial distribution. | Posted | Number | 90% Confidence Interval | percentage of participants | up to 1538 days |
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| Secondary | Phase 2: Progression-free Survival (PFS), Defined as the Time From the First Dose to the Earlier Date of Death Due to Any Cause or Disease Progression Determined by Objective Radiographic Disease Assessments | Disease progression requires ≥1 of the following: (1) an abnormal individual node/lesion with all of the following: (a) LDi > 1.5 cm; (b) increase by ≥50% from cross product of the LDi and the perpendicular diameter (PPD) nadir; (c) increase in LDi or the shortest axis perpendicular to the LDi (SDi) from nadir: (i) 0.5 cm for lesions ≤2 cm; (ii) 1.0 cm for lesions > 2 cm. (2) For splenomegaly, the splenic length must increased by 50% of the extent of its prior increase beyond baseline. If no prior splenomegaly, must increase by at least 2 cm from baseline. (3) New/recurrent splenomegaly. (4) New/clear progression of preexisting nonmeasured lesions. (5) Regrowth of previously resolved lesions. (6) A new node > 1.5 cm in any axis. (7) A new extranodal site > 1.0 cm in any axis; if < 1.0 cm in any axis, its presence must be unequivocal/attributable to lymphoma. (8) Assessable disease of any size unequivocally attributable to lymphoma. (9) New or recurrent involvement of the bone marrow. | ITT Population. The 90% confidence interval was calculated using the Brookmeyer and Crowley's method. | Posted | Median | 90% Confidence Interval | months | up to 1538 days |
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| Secondary | Phase 2: Number of Participants With Any TEAE | An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related, that occurred after a participant provided informed consent. Abnormal laboratory values or test results occurring after informed consent constituted AEs only if they induced clinical signs or symptoms, were considered clinically meaningful, required therapy (e.g., hematologic abnormality that required transfusion), or required changes in the study drug(s). A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first dose of study drug and until 30 days after the last dose of study drug. | Safety Evaluable Population: all participants enrolled in the Phase 2 portion of the study who received at least 1 dose of study drug | Posted | Count of Participants | Participants | up to 1573 days |
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| Secondary | Phase 2: Number of Participants With Any Grade 3 or Higher TEAE | An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related, that occurred after a participant provided informed consent. Abnormal laboratory values or test results occurring after informed consent constituted AEs only if they induced clinical signs or symptoms, were considered clinically meaningful, required therapy (e.g., hematologic abnormality that required transfusion), or required changes in the study drug(s). A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first dose of study drug and until 30 days after the last dose of study drug. Grade 3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care activities of daily living. Grade 4: life-threatening consequences; urgent intervention indicated. | Safety Evaluable Population | Posted | Count of Participants | Participants | up to 1573 days |
|
Phase 1 participants were monitored for up to 285 days. Phase 2 participants were monitored for up to 1573 days.
Treatment-emergent adverse events (AEs reported for the first time or the worsening of pre-existing AEs after the first dose and until 30 days after the last dose of study drug) are reported for members of the Phase 1 Safety Run-In Population and the Phase 2 Safety Evaluable Population (all enrolled participants who received ≥1 dose of study drug).
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Phase 1; Cohort 1: Itacitinib 300 mg QD + Ibrutinib 560 mg QD | Participants received oral itacitinib 300 milligrams (mg) once daily (QD) plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. | 2 | 6 | 4 | 6 | 6 | 6 |
| EG001 | Phases 1 and 2: Itacitinib 400 mg QD + Ibrutinib 560 mg QD | Participants in Cohort 2 of Phase 1 and in Phase 2 received oral itacitinib 400 mg QD plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. | 19 | 26 | 18 | 26 | 26 | 26 |
| EG002 | Total | Total | 21 | 32 | 22 | 32 | 32 | 32 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Atrial fibrillation | Cardiac disorders | MedDRA 23 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 23 | Systematic Assessment |
| |
| Bacteraemia | Infections and infestations | MedDRA 23 | Systematic Assessment |
| |
| Blood alkaline phosphatase increased | Investigations | MedDRA 23 | Systematic Assessment |
| |
| Breast cellulitis | Infections and infestations | MedDRA 23 | Systematic Assessment |
| |
| Cardio-respiratory arrest | Cardiac disorders | MedDRA 23 | Systematic Assessment |
| |
| Cytomegalovirus viraemia | Infections and infestations | MedDRA 23 | Systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | MedDRA 23 | Systematic Assessment |
| |
| Dehydration | Metabolism and nutrition disorders | MedDRA 23 | Systematic Assessment |
| |
| Device related infection | Infections and infestations | MedDRA 23 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Failure to thrive | Metabolism and nutrition disorders | MedDRA 23 | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA 23 | Systematic Assessment |
| |
| Febrile neutropenia | Blood and lymphatic system disorders | MedDRA 23 | Systematic Assessment |
| |
| Gastric ulcer | Gastrointestinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA 23 | Systematic Assessment |
| |
| Haematoma | Vascular disorders | MedDRA 23 | Systematic Assessment |
| |
| Haematoma muscle | Musculoskeletal and connective tissue disorders | MedDRA 23 | Systematic Assessment |
| |
| Hypercalcaemia | Metabolism and nutrition disorders | MedDRA 23 | Systematic Assessment |
| |
| Hypoxia | Respiratory, thoracic and mediastinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Impetigo | Infections and infestations | MedDRA 23 | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA 23 | Systematic Assessment |
| |
| Lung infiltration | Respiratory, thoracic and mediastinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Malignant neoplasm progression | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 23 | Systematic Assessment |
| |
| Mental status changes | Psychiatric disorders | MedDRA 23 | Systematic Assessment |
| |
| Multiple organ dysfunction syndrome | General disorders | MedDRA 23 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 23 | Systematic Assessment |
| |
| Pneumonia aspiration | Respiratory, thoracic and mediastinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Postoperative respiratory failure | Injury, poisoning and procedural complications | MedDRA 23 | Systematic Assessment |
| |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 23 | Systematic Assessment |
| |
| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA 23 | Systematic Assessment |
| |
| Staphylococcal sepsis | Infections and infestations | MedDRA 23 | Systematic Assessment |
| |
| Transaminases increased | Investigations | MedDRA 23 | Systematic Assessment |
| |
| Upper gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 23 | Systematic Assessment |
| |
| Vestibular disorder | Ear and labyrinth disorders | MedDRA 23 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal discomfort | Gastrointestinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Alanine aminotransferase increased | Investigations | MedDRA 23 | Systematic Assessment |
| |
| Anaemia | Blood and lymphatic system disorders | MedDRA 23 | Systematic Assessment |
| |
| Anal incontinence | Gastrointestinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Aspartate aminotransferase increased | Investigations | MedDRA 23 | Systematic Assessment |
| |
| Asthenia | General disorders | MedDRA 23 | Systematic Assessment |
| |
| Blood cholesterol increased | Investigations | MedDRA 23 | Systematic Assessment |
| |
| Blood creatinine increased | Investigations | MedDRA 23 | Systematic Assessment |
| |
| Cheilitis | Gastrointestinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Chills | General disorders | MedDRA 23 | Systematic Assessment |
| |
| Chronic kidney disease | Renal and urinary disorders | MedDRA 23 | Systematic Assessment |
| |
| Confusional state | Psychiatric disorders | MedDRA 23 | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Contusion | Injury, poisoning and procedural complications | MedDRA 23 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | MedDRA 23 | Systematic Assessment |
| |
| Dehydration | Metabolism and nutrition disorders | MedDRA 23 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Disorientation | Psychiatric disorders | MedDRA 23 | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA 23 | Systematic Assessment |
| |
| Dizziness postural | Nervous system disorders | MedDRA 23 | Systematic Assessment |
| |
| Dry mouth | Gastrointestinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Dyspepsia | Gastrointestinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Erythema | Skin and subcutaneous tissue disorders | MedDRA 23 | Systematic Assessment |
| |
| Eye irritation | Eye disorders | MedDRA 23 | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA 23 | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA 23 | Systematic Assessment |
| |
| Haematoma | Vascular disorders | MedDRA 23 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 23 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA 23 | Systematic Assessment |
| |
| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA 23 | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 23 | Systematic Assessment |
| |
| Hypomagnesaemia | Metabolism and nutrition disorders | MedDRA 23 | Systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA 23 | Systematic Assessment |
| |
| Increased tendency to bruise | Blood and lymphatic system disorders | MedDRA 23 | Systematic Assessment |
| |
| Injection site bruising | General disorders | MedDRA 23 | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA 23 | Systematic Assessment |
| |
| Joint swelling | Musculoskeletal and connective tissue disorders | MedDRA 23 | Systematic Assessment |
| |
| Lymphocyte count decreased | Investigations | MedDRA 23 | Systematic Assessment |
| |
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA 23 | Systematic Assessment |
| |
| Muscle tightness | Musculoskeletal and connective tissue disorders | MedDRA 23 | Systematic Assessment |
| |
| Muscular weakness | Musculoskeletal and connective tissue disorders | MedDRA 23 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Neutropenia | Blood and lymphatic system disorders | MedDRA 23 | Systematic Assessment |
| |
| Neutrophil count decreased | Investigations | MedDRA 23 | Systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA 23 | Systematic Assessment |
| |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Pain | General disorders | MedDRA 23 | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA 23 | Systematic Assessment |
| |
| Palpitations | Cardiac disorders | MedDRA 23 | Systematic Assessment |
| |
| Peripheral sensory neuropathy | Nervous system disorders | MedDRA 23 | Systematic Assessment |
| |
| Platelet count decreased | Investigations | MedDRA 23 | Systematic Assessment |
| |
| Pollakiuria | Renal and urinary disorders | MedDRA 23 | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA 23 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 23 | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA 23 | Systematic Assessment |
| |
| Rash maculo-papular | Skin and subcutaneous tissue disorders | MedDRA 23 | Systematic Assessment |
| |
| Skin infection | Infections and infestations | MedDRA 23 | Systematic Assessment |
| |
| Stomatitis | Gastrointestinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA 23 | Systematic Assessment |
| |
| Tinnitus | Ear and labyrinth disorders | MedDRA 23 | Systematic Assessment |
| |
| Tongue eruption | Gastrointestinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Tremor | Nervous system disorders | MedDRA 23 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 23 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 23 | Systematic Assessment |
| |
| Vision blurred | Eye disorders | MedDRA 23 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 23 | Systematic Assessment |
| |
| Wound infection pseudomonas | Infections and infestations | MedDRA 23 | Systematic Assessment |
|
Following the first publication, the Institution and/or Principal Investigator may publish data or results from the Study, provided, however, that the Institution and/or Principal Investigator submits the proposed publication to the Sponsor for review at least sixty (60) days prior to the date of the proposed publication. Sponsor may remove from the proposed publication any information that is considered confidential and/or proprietary other than Study data and results.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Incyte Corporation | 1-855-463-3463 | medinfo@incyte.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Nov 29, 2022 | May 15, 2023 | SAP_001.pdf |
| ID | Term |
|---|---|
| D008223 | Lymphoma |
| D016403 | Lymphoma, Large B-Cell, Diffuse |
| D008228 | Lymphoma, Non-Hodgkin |
| ID | Term |
|---|---|
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D016393 | Lymphoma, B-Cell |
Not provided
Not provided
| ID | Term |
|---|---|
| C000718170 | itacitinib |
| C000603457 | INCB039110 |
| C551803 | ibrutinib |
Not provided
Not provided
Not provided
| Progressive Disease |
|
| Unknown; Did Not Complete End-of-Study Visit |
|
| Male |
|
| Black/African-American |
|
| Asian |
|
| Captured as "Other" |
|
| Missing |
|
| Not Hispanic or Latino |
|
| Not Reported |
|
| Unknown |
|
| OG002 | Phase 2: Itacitinib 400 mg QD + Ibrutinib 560 mg QD | Participants received oral itacitinib 400 mg QD plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. |
|
|
Participants received oral itacitinib 400 mg QD plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. |
|
|
| OG001 |
| Phase 1; Cohort 2: Itacitinib 400 mg QD + Ibrutinib 560 mg QD |
Participants received oral itacitinib 400 mg QD plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. |
| OG002 | Phase 2: Itacitinib 400 mg QD + Ibrutinib 560 mg QD | Participants received oral itacitinib 400 mg QD plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. |
|
|
Participants received oral itacitinib 400 mg QD plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met.
| OG002 | Phase 2: Itacitinib 400 mg QD + Ibrutinib 560 mg QD | Participants received oral itacitinib 400 mg QD plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. |
|
|
| OG001 | Phase 1; Cohort 2: Itacitinib 400 mg QD + Ibrutinib 560 mg QD | Participants received oral itacitinib 400 mg QD plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. |
| OG002 | Phase 2: Itacitinib 400 mg QD + Ibrutinib 560 mg QD | Participants received oral itacitinib 400 mg QD plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. |
|
|
| Phase 1; Cohort 2: Itacitinib 400 mg QD + Ibrutinib 560 mg QD |
Participants received oral itacitinib 400 mg QD plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. |
| OG002 | Phase 2: Itacitinib 400 mg QD + Ibrutinib 560 mg QD | Participants received oral itacitinib 400 mg QD plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. |
|
|
| OG001 |
| Phase 1; Cohort 2: Itacitinib 400 mg QD + Ibrutinib 560 mg QD |
Participants received oral itacitinib 400 mg QD plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. |
| OG002 | Phase 2: Itacitinib 400 mg QD + Ibrutinib 560 mg QD | Participants received oral itacitinib 400 mg QD plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. |
|
|
| OG002 |
| Phase 2: Itacitinib 400 mg QD + Ibrutinib 560 mg QD |
Participants received oral itacitinib 400 mg QD plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. |
|
|
| OG002 | Phase 2: Itacitinib 400 mg QD + Ibrutinib 560 mg QD | Participants received oral itacitinib 400 mg QD plus oral ibrutinib 560 mg QD until treatment discontinuation criteria were met. |
|
|