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| ID | Type | Description | Link |
|---|---|---|---|
| 5R01CA177292-09 | U.S. NIH Grant/Contract | View source |
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Business reasons
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Patients enrolled to the study had chronic lymphocytic leukemia (CLL) and received ibrutinib. Patients had either received ibrutinib for one year without having had a complete response or patients developed a resistance mutation to ibrutinib. This study had two parts, a dose escalation part and a dose expansion part.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation | Experimental | Increasing doses of VAY736 in combination with a fixed dose of ibrutinib. |
|
| Dose expansion | Experimental | Evaluation of the MTD/RD of the combination of VAY736 and ibrutinib that was identified in dose escalation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| VAY736 | Drug | Experimental |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Dose-Limiting Toxicities (DLTs) in Cycle 1 (Escalation Only) | A dose-limiting toxicity (DLT) is defined as an adverse event or abnormal laboratory value of Common Terminology Criteria for Adverse Events (CTCAE) grade ≥ 3 assessed as unrelated to disease, disease progression, inter-current illness or concomitant medications that occurs within the first 28 days of treatment with the combination of VAY736 and ibrutinib and meets the criteria defined in the study protocol. Other clinically significant toxicities may be considered to be DLTs, even if not CTCAE grade 3 or higher. | 28 days |
| Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) | Number of participants with AEs (any AE regardless of seriousness) and SAEs, including changes from baseline in vital signs, electrocardiograms and laboratory results qualifying and reported as AEs. AE grades to characterize the severity of the AEs were based on the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03. For CTCAE v4.03, Grade 1 = mild; Grade 2 = moderate; Grade 3 = severe; Grade 4 = life-threatening; Grade 5 = death related to AE. All patients were followed for a 30-day safety follow-up period subsequent to completion of VAY736 therapy. No new AEs or SAEs were collected beyond the 30-day safety follow-up or during the efficacy follow up period. | From first dose of study treatment up to 30 days after the last dose of VAY736, up to approximately 8.8 months |
| Number of Participants With Dose Reductions and Dose Interruptions of VAY736 | For patients who did not tolerate the protocol-specified dosing schedule of the study drugs, dose adjustments could be permitted in order to allow the patient to continue study treatment. | Up to 7.8 months |
| Number of Participants With Dose Reductions and Dose Interruptions of Ibrutinib | For patients who did not tolerate the protocol-specified dosing schedule of the study drugs, dose adjustments could be permitted in order to allow the patient to continue study treatment. |
| Measure | Description | Time Frame |
|---|---|---|
| CR or CRi Rate at C9 for Expansion Arm A and Arm B by Investigator Per IWCLL | Percentage of participants with Complete Response (CR) or Complete Response with Incomplete Marrow Recovery (CRi) by investigator assessment per International Working Group - Chronic Lymphocytic Leukemia (IWCLL) response criteria. | Cycle 9 Day 1 (C9). The duration of each cycle was 28 days. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California San Diego - Moores Cancer Center | La Jolla | California | 92093-0658 | United States | ||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34398557 | Derived | Kipps TJ. Mining the Microenvironment for Therapeutic Targets in Chronic Lymphocytic Leukemia. Cancer J. 2021 Jul-Aug 01;27(4):306-313. doi: 10.1097/PPO.0000000000000536. |
| Label | URL |
|---|---|
| A Plain Language Trial Summary is available on www.novctrd.com | View source |
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The screening period began once patients had signed the study informed consent. Screening evaluations had to be completed within 21 days prior to the first dose of study treatment with the exception of baseline tumor assessments that could be conducted within 28 days prior to the first dose of study treatment. After screening, the treatment period started on Cycle 1 Day 1.
A total of 39 patients were enrolled in the study. Fifteen patients participated in the dose escalation part across four treatment arms: VAY736 0.3 mg/kg Q2W + ibrutinib 420 mg, VAY736 1 mg/kg Q2W + ibrutinib 420 mg, VAY736 3 mg/kg Q2W + ibrutinib 420 mg, and VAY735 9 mg/kg + ibrutinib 420 mg. The remaining 24 subjects were enrolled in the expansion part and were treated with VAY736 3 mg/kg Q2W in combination with ibrutinib 420 mg or 280 mg.
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| ID | Title | Description |
|---|---|---|
| FG000 | VAY736 0.3mg/kg Q2W + Ibrutinib 420mg | VAY736 0.3 mg/kg i.v. once every 2 weeks in combination with ibrutinib 420 mg oral once daily |
| FG001 | VAY736 1mg/kg Q2W + Ibrutinib 420mg | VAY736 1 mg/kg i.v. once every 2 weeks in combination with ibrutinib 420 mg oral once daily |
| FG002 | VAY736 3mg/kg Q2W + Ibrutinib 280mg | VAY736 3 mg/kg i.v. once every 2 weeks in combination with ibrutinib 280 mg oral once daily |
| FG003 | VAY736 3mg/kg Q2W + Ibrutinib 420mg | VAY736 3 mg/kg i.v. once every 2 weeks in combination with ibrutinib 420 mg oral once daily |
| FG004 | VAY736 9mg/kg Q2W + Ibrutinib 420mg | VAY736 9 mg/kg i.v. once every 2 weeks in combination with ibrutinib 420 mg oral once daily |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dose Escalation |
|
| ||||||||||||||||||
| Dose Expansion |
|
Full Analysis Set: All patients who received at least one dose of study treatment in the dose escalation or dose expansion part of the study. Patients were analyzed according to the study treatment received.
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| ID | Title | Description |
|---|---|---|
| BG000 | VAY736 0.3mg/kg Q2W + Ibrutinib 420mg | VAY736 0.3 mg/kg i.v. once every 2 weeks in combination with ibrutinib 420 mg oral once daily |
| BG001 | VAY736 1mg/kg Q2W + Ibrutinib 420mg |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 Dose-Limiting Toxicities (DLTs) in Cycle 1 (Escalation Only) | A dose-limiting toxicity (DLT) is defined as an adverse event or abnormal laboratory value of Common Terminology Criteria for Adverse Events (CTCAE) grade ≥ 3 assessed as unrelated to disease, disease progression, inter-current illness or concomitant medications that occurs within the first 28 days of treatment with the combination of VAY736 and ibrutinib and meets the criteria defined in the study protocol. Other clinically significant toxicities may be considered to be DLTs, even if not CTCAE grade 3 or higher. | All patients in the dose escalation part who received at least one dose of study treatment and who either met the minimum exposure criterion defined in the protocol and had sufficient safety evaluations, or experienced a DLT during the first 28 days of treatment. | Posted | Count of Participants | Participants | 28 days |
|
Adverse events (AEs) were collected on-treatment, from first dose of study treatment up to 30 days after the last dose of VAY736, up to approximately 8.8 months. No AEs were collected in the post-treatment period. Deaths were collected on-treatment, from first dose of study treatment to 30 days after the last dose of VAY736, up to approximately 8.8 months. Post-treatment deaths were collected from 31 days after last dose of VAY736 until end of study, up to approximately 2.7 years.
Deaths in the post-treatment period are not considered Adverse Events (AEs). No AEs were collected in the post-treatment period.
Safety was analyzed in the Safety set including all patients who received at least one dose of study treatment in the dose escalation or dose expansion part of the study. Patients were analyzed according to the study treatment received.
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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 | VAY736 0.3mg/kg Q2W + Ibrutinib 420mg | Safety data up to 30 days after the last dose of VAY736 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Small intestinal obstruction | Gastrointestinal disorders | MedDRA (26.1) | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA (26.1) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Novartis Pharmaceuticals | 862-778-8300 | Novartis.email@novartis.com |
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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 | Oct 20, 2021 | Feb 28, 2025 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Feb 27, 2024 | Feb 28, 2025 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D015451 | Leukemia, Lymphocytic, Chronic, B-Cell |
| ID | Term |
|---|---|
| D015448 | Leukemia, B-Cell |
| D007945 | Leukemia, Lymphoid |
| D007938 | Leukemia |
| D009370 | Neoplasms by Histologic Type |
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| ID | Term |
|---|---|
| C000656267 | ianalumab |
| C551803 | ibrutinib |
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| ibrutinib |
| Drug |
Approved medication |
|
|
| Up to 8.5 months |
| Dose Intensity of VAY736 | Dose intensity of VAY736 was calculated as: Actual Cumulative dose (mg/kg) / (Duration of exposure in weeks/2) | Up to 7.8 months |
| Dose Intensity of Ibrutinib | Dose intensity of ibrutinib was calculated as: Actual Cumulative dose (mg) / (Duration of exposure in days) | Up to 8.5 months |
| Posterior Mean of CR or CRi Response Rate at C9 for Expansion Arm A and Arm B (Bayesian Analysis) | The rate of CR/CRi at C9 was analyzed for each expansion arm using a Bayesian modeling approach. A minimally informative beta distribution was used as prior distribution with parameters a=0.25 and b=1. This assumed, a priori, that the response rate was 20%. Values estimated from the model at Cycle 9 are presented in the table. Posterior geometric mean for CR/CRi rate and 90% credible intervals in each group are presented. | Cycle 9 Day 1 (C9). The duration of each cycle was 28 days. |
| Posterior Probability That the True CR or CRi Response Rate at C9 for Expansion Arm A and Arm B Falls in Pre-defined Activity Intervals (Bayesian Analysis) | The rate of CR/CRi at C9 was analyzed for each expansion arm using a Bayesian modeling approach. A minimally informative beta distribution was used as prior distribution with parameters a=0.25 and b=1. This assumed, a priori, that the response rate was 20%. Values estimated from the model at Cycle 9 are presented in the table. The posterior probability that the true CR/CRi rate falls in the activity intervals defined below is presented:
| Cycle 9 Day 1 (C9). The duration of each cycle was 28 days. |
| Overall Response Rate (ORR) Assessed by Investigator Per IWCLL in the Dose Escalation Part | Efficacy was based on local investigator assessment per International Working Group - Chronic Lymphocytic Leukemia (IWCLL) response criteria. ORR per IWCLL is defined as the percentage of participants with a best overall response of Complete Response (CR), Complete Response with Incomplete Marrow Recovery (CRi) or Partial Response (PR). | Up to approximately 2.5 years |
| Overall Response Rate (ORR) Assessed by Investigator Per IWCLL in the Dose Expansion Part | Efficacy was based on local investigator assessment per International Working Group - Chronic Lymphocytic Leukemia (IWCLL) response criteria. ORR per IWCLL is defined as the percentage of participants with a best overall response of Complete Response (CR), Complete Response with Incomplete Marrow Recovery (CRi) or Partial Response (PR). | Up to approximately 2.7 years |
| Time to Progression (TTP) in the Dose Escalation Part | Efficacy was based on local investigator assessment per International Working Group - Chronic Lymphocytic Leukemia (IWCLL) response criteria. TTP is defined as the time from start of treatment to date of event which is defined as the first documented progression or death due to underlying cancer. If a patient had not had an event, TTP was censored at the date of the last adequate disease assessment. TTP was analyzed using Kaplan-Meier estimates. | Up to approximately 2.5 years |
| Time to Progression (TTP) in the Dose Expansion Part | Efficacy was based on local investigator assessment per International Working Group - Chronic Lymphocytic Leukemia (IWCLL) response criteria. TTP is defined as the time from start of treatment to date of event which is defined as the first documented progression or death due to underlying cancer. If a patient had not had an event, TTP was censored at the date of the last adequate disease assessment. TTP was analyzed using Kaplan-Meier estimates. | Up to approximately 2.7 years |
| Percentage of Participants With Clearance of Ibrutinib Resistance Mutation During Treatment (up to C9) for Expansion Arm B | Clearance was defined as less than 1% mutation bearing alleles (BTKC481 and/or PLCγ2) during treatment. Negative mutation is defined as having clearance of the baseline ibrutinib resistance mutation during treatment (up to Cycle 9 (C9)). | Up to Cycle 9 Day 1. The duration of each cycle was 28 days. |
| Maximum Observed Serum Concentration (Cmax) of VAY736 | Pharmacokinetic (PK) parameters were calculated based on VAY736 serum concentrations by using non-compartmental methods. Cmax is defined as the maximum (peak) observed concentration following a dose. | Pre-infusion and 2, 6, 24, 72, 168 and 336 hours after end of infusion on Cycle 1 Day 1 and Cycle 3 Day 1. The duration of the infusion was approximately 2 hours. 1 cycle=28 days |
| Time to Reach Maximum Serum Concentration (Tmax) of VAY736 | PK parameters were calculated based on VAY736 serum concentrations by using non-compartmental methods. Tmax is defined as the time to reach maximum (peak) concentration following a dose. Actual recorded sampling times were considered for the calculations. | Pre-infusion and 2, 6, 24, 72, 168 and 336 hours after end of infusion on Cycle 1 Day 1 and Cycle 3 Day 1. The duration of the infusion was approximately 2 hours. 1 cycle=28 days |
| Area Under the Serum Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUClast) of VAY736 | PK parameters were calculated based on VAY7736 serum concentrations by using non-compartmental methods. The linear trapezoidal method was used for AUClast calculation. | Pre-infusion and 2, 6, 24, 72, 168 and 336 hours after end of infusion on Cycle 1 Day 1 and Cycle 3 Day 1. The duration of the infusion was approximately 2 hours. 1 cycle=28 days |
| Maximum Observed Plasma Concentration (Cmax) of Ibrutinib | PK parameters were calculated based on ibrutinib plasma concentrations by using non-compartmental methods. Cmax is defined as the maximum (peak) observed concentration following a dose. | Pre-dose and 0.5, 2, 6 and 24 hours post-dose on Cycle 1 Day 1 and Cycle 1 Day 8. 1 cycle=28 days |
| Time to Reach Maximum Plasma Concentration (Tmax) of Ibrutinib | PK parameters were calculated based on ibrutinib plasma concentrations by using non-compartmental methods. Tmax is defined as the time to reach maximum (peak) concentration following a dose. Actual recorded sampling times were considered for the calculations. | Pre-dose and 0.5, 2, 6 and 24 hours post-dose on Cycle 1 Day 1 and Cycle 1 Day 8. 1 cycle=28 days |
| Area Under the Plasma Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUClast) of Ibrutinib | PK parameters were calculated based on ibrutinib plasma concentrations by using non-compartmental methods. The linear trapezoidal method was used for AUClast calculation. | Pre-dose and 0.5, 2, 6 and 24 hours post-dose on Cycle 1 Day 1 and Cycle 1 Day 8. 1 cycle=28 days |
| Number of Participants With Anti-VAY736 Antibodies | VAY736 immunogenicity was evaluated in serum samples. Anti-drug antibodies (ADA) status was defined as follows:
| Baseline (before first dose) and post-baseline (assessed throughout the VAY736 treatment, up to 7.8 months). |
| David Geffen School of Medicine at UCLA |
| Los Angeles |
| California |
| 90095 |
| United States |
| Ohio ST Compr Cancer Ctr James Hosp | Columbus | Ohio | 43210 | United States |
| SCRI Oncology Partners | Nashville | Tennessee | 37203 | United States |
| Uni of Utah Huntsman Cancer Inst | Salt Lake City | Utah | 84103 | United States |
| Patient decision |
|
| Group A | Chronic lymphocytic leukemia (CLL) patients on ibrutinib for one or more than one year with residual disease but without clinical relapse |
|
| Group B | Chronic lymphocytic leukemia (CLL) patients on ibrutinib with acquired resistance mutations but without clinical relapse |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
VAY736 1 mg/kg i.v. once every 2 weeks in combination with ibrutinib 420 mg oral once daily
| BG002 | VAY736 3mg/kg Q2W + Ibrutinib 280mg | VAY736 3 mg/kg i.v. once every 2 weeks in combination with ibrutinib 280 mg oral once daily |
| BG003 | VAY736 3mg/kg Q2W + Ibrutinib 420mg | VAY736 3 mg/kg i.v. once every 2 weeks in combination with ibrutinib 420 mg oral once daily |
| BG004 | VAY736 9mg/kg Q2W + Ibrutinib 420mg | VAY736 9 mg/kg i.v. once every 2 weeks in combination with ibrutinib 420 mg oral once daily |
| BG005 | Total | Total of all reporting groups |
| years |
|
| Age, Customized | Count of Participants | Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
VAY736 0.3 mg/kg i.v. once every 2 weeks in combination with ibrutinib 420 mg oral once daily |
| OG001 | VAY736 1mg/kg Q2W + Ibrutinib 420mg | VAY736 1 mg/kg i.v. once every 2 weeks in combination with ibrutinib 420 mg oral once daily |
| OG002 | VAY736 3mg/kg Q2W + Ibrutinib 420mg | VAY736 3 mg/kg i.v. once every 2 weeks in combination with ibrutinib 420 mg oral once daily |
| OG003 | VAY736 9mg/kg Q2W + Ibrutinib 420mg | VAY736 9 mg/kg i.v. once every 2 weeks in combination with ibrutinib 420 mg oral once daily |
|
|
| Primary | Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) | Number of participants with AEs (any AE regardless of seriousness) and SAEs, including changes from baseline in vital signs, electrocardiograms and laboratory results qualifying and reported as AEs. AE grades to characterize the severity of the AEs were based on the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03. For CTCAE v4.03, Grade 1 = mild; Grade 2 = moderate; Grade 3 = severe; Grade 4 = life-threatening; Grade 5 = death related to AE. All patients were followed for a 30-day safety follow-up period subsequent to completion of VAY736 therapy. No new AEs or SAEs were collected beyond the 30-day safety follow-up or during the efficacy follow up period. | All patients who received at least one dose of study treatment in the dose escalation or dose expansion part of the study. Patients were analyzed according to the study treatment received. | Posted | Count of Participants | Participants | From first dose of study treatment up to 30 days after the last dose of VAY736, up to approximately 8.8 months |
|
|
|
| Primary | Number of Participants With Dose Reductions and Dose Interruptions of VAY736 | For patients who did not tolerate the protocol-specified dosing schedule of the study drugs, dose adjustments could be permitted in order to allow the patient to continue study treatment. | All patients who received at least one dose of study treatment in the dose escalation or dose expansion part of the study. Patients were analyzed according to the study treatment received. | Posted | Count of Participants | Participants | Up to 7.8 months |
|
|
|
| Primary | Number of Participants With Dose Reductions and Dose Interruptions of Ibrutinib | For patients who did not tolerate the protocol-specified dosing schedule of the study drugs, dose adjustments could be permitted in order to allow the patient to continue study treatment. | All patients who received at least one dose of study treatment in the dose escalation or dose expansion part of the study. Patients were analyzed according to the study treatment received. | Posted | Count of Participants | Participants | Up to 8.5 months |
|
|
|
| Primary | Dose Intensity of VAY736 | Dose intensity of VAY736 was calculated as: Actual Cumulative dose (mg/kg) / (Duration of exposure in weeks/2) | All patients who received at least one dose of study treatment in the dose escalation or dose expansion part of the study. Patients were analyzed according to the study treatment received. | Posted | Median | Full Range | mg/kg/2 weeks | Up to 7.8 months |
|
|
|
| Primary | Dose Intensity of Ibrutinib | Dose intensity of ibrutinib was calculated as: Actual Cumulative dose (mg) / (Duration of exposure in days) | All patients who received at least one dose of study treatment in the dose escalation or dose expansion part of the study. Patients were analyzed according to the study treatment received. | Posted | Median | Full Range | mg/day | Up to 8.5 months |
|
|
|
| Secondary | CR or CRi Rate at C9 for Expansion Arm A and Arm B by Investigator Per IWCLL | Percentage of participants with Complete Response (CR) or Complete Response with Incomplete Marrow Recovery (CRi) by investigator assessment per International Working Group - Chronic Lymphocytic Leukemia (IWCLL) response criteria. | All patients who received at least one dose of study treatment in the dose expansion part of the study. | Posted | Number | 90% Confidence Interval | percentage of participants | Cycle 9 Day 1 (C9). The duration of each cycle was 28 days. |
|
|
|
| Secondary | Posterior Mean of CR or CRi Response Rate at C9 for Expansion Arm A and Arm B (Bayesian Analysis) | The rate of CR/CRi at C9 was analyzed for each expansion arm using a Bayesian modeling approach. A minimally informative beta distribution was used as prior distribution with parameters a=0.25 and b=1. This assumed, a priori, that the response rate was 20%. Values estimated from the model at Cycle 9 are presented in the table. Posterior geometric mean for CR/CRi rate and 90% credible intervals in each group are presented. | All patients who received at least one dose of study treatment in the dose expansion part of the study. | Posted | Geometric Mean | 90% Confidence Interval | percentage of participants | Cycle 9 Day 1 (C9). The duration of each cycle was 28 days. |
|
|
|
| Secondary | Posterior Probability That the True CR or CRi Response Rate at C9 for Expansion Arm A and Arm B Falls in Pre-defined Activity Intervals (Bayesian Analysis) | The rate of CR/CRi at C9 was analyzed for each expansion arm using a Bayesian modeling approach. A minimally informative beta distribution was used as prior distribution with parameters a=0.25 and b=1. This assumed, a priori, that the response rate was 20%. Values estimated from the model at Cycle 9 are presented in the table. The posterior probability that the true CR/CRi rate falls in the activity intervals defined below is presented:
| All patients who received at least one dose of study treatment in the dose expansion part of the study. | Posted | Number | percentage of participants | Cycle 9 Day 1 (C9). The duration of each cycle was 28 days. |
|
|
|
| Secondary | Overall Response Rate (ORR) Assessed by Investigator Per IWCLL in the Dose Escalation Part | Efficacy was based on local investigator assessment per International Working Group - Chronic Lymphocytic Leukemia (IWCLL) response criteria. ORR per IWCLL is defined as the percentage of participants with a best overall response of Complete Response (CR), Complete Response with Incomplete Marrow Recovery (CRi) or Partial Response (PR). | All patients who received at least one dose of study treatment in the dose escalation part of the study. | Posted | Number | 90% Confidence Interval | percentage of participants | Up to approximately 2.5 years |
|
|
|
| Secondary | Overall Response Rate (ORR) Assessed by Investigator Per IWCLL in the Dose Expansion Part | Efficacy was based on local investigator assessment per International Working Group - Chronic Lymphocytic Leukemia (IWCLL) response criteria. ORR per IWCLL is defined as the percentage of participants with a best overall response of Complete Response (CR), Complete Response with Incomplete Marrow Recovery (CRi) or Partial Response (PR). | All patients who received at least one dose of study treatment in the dose expansion part of the study. | Posted | Number | 90% Confidence Interval | percentage of participants | Up to approximately 2.7 years |
|
|
|
| Secondary | Time to Progression (TTP) in the Dose Escalation Part | Efficacy was based on local investigator assessment per International Working Group - Chronic Lymphocytic Leukemia (IWCLL) response criteria. TTP is defined as the time from start of treatment to date of event which is defined as the first documented progression or death due to underlying cancer. If a patient had not had an event, TTP was censored at the date of the last adequate disease assessment. TTP was analyzed using Kaplan-Meier estimates. | All patients who received at least one dose of study treatment in the dose escalation part of the study. | Posted | Median | 95% Confidence Interval | months | Up to approximately 2.5 years |
|
|
|
| Secondary | Time to Progression (TTP) in the Dose Expansion Part | Efficacy was based on local investigator assessment per International Working Group - Chronic Lymphocytic Leukemia (IWCLL) response criteria. TTP is defined as the time from start of treatment to date of event which is defined as the first documented progression or death due to underlying cancer. If a patient had not had an event, TTP was censored at the date of the last adequate disease assessment. TTP was analyzed using Kaplan-Meier estimates. | All patients who received at least one dose of study treatment in the dose expansion part of the study. | Posted | Median | 95% Confidence Interval | months | Up to approximately 2.7 years |
|
|
|
| Secondary | Percentage of Participants With Clearance of Ibrutinib Resistance Mutation During Treatment (up to C9) for Expansion Arm B | Clearance was defined as less than 1% mutation bearing alleles (BTKC481 and/or PLCγ2) during treatment. Negative mutation is defined as having clearance of the baseline ibrutinib resistance mutation during treatment (up to Cycle 9 (C9)). | All patients in the dose expansion arm B who received at least one dose of study treatment. | Posted | Number | 90% Confidence Interval | percentage of participants | Up to Cycle 9 Day 1. The duration of each cycle was 28 days. |
|
|
|
| Secondary | Maximum Observed Serum Concentration (Cmax) of VAY736 | Pharmacokinetic (PK) parameters were calculated based on VAY736 serum concentrations by using non-compartmental methods. Cmax is defined as the maximum (peak) observed concentration following a dose. | Patients in the pharmacokinetic analysis set (PAS) who had an available value for the outcome measure at each timepoint. PAS consists of all patients who received one of the planned treatments, provided at least one primary PK parameter and did not vomit within 8 hours after the dosing of ibrutinib. Patients were analyzed according to the study treatment received. | Posted | Geometric Mean | Geometric Coefficient of Variation | µg/mL | Pre-infusion and 2, 6, 24, 72, 168 and 336 hours after end of infusion on Cycle 1 Day 1 and Cycle 3 Day 1. The duration of the infusion was approximately 2 hours. 1 cycle=28 days |
|
|
|
| Secondary | Time to Reach Maximum Serum Concentration (Tmax) of VAY736 | PK parameters were calculated based on VAY736 serum concentrations by using non-compartmental methods. Tmax is defined as the time to reach maximum (peak) concentration following a dose. Actual recorded sampling times were considered for the calculations. | Patients in the pharmacokinetic analysis set (PAS) who had an available value for the outcome measure at each timepoint. PAS consists of all patients who received one of the planned treatments, provided at least one primary PK parameter and did not vomit within 8 hours after the dosing of ibrutinib. Patients were analyzed according to the study treatment received. | Posted | Median | Full Range | hours | Pre-infusion and 2, 6, 24, 72, 168 and 336 hours after end of infusion on Cycle 1 Day 1 and Cycle 3 Day 1. The duration of the infusion was approximately 2 hours. 1 cycle=28 days |
|
|
|
| Secondary | Area Under the Serum Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUClast) of VAY736 | PK parameters were calculated based on VAY7736 serum concentrations by using non-compartmental methods. The linear trapezoidal method was used for AUClast calculation. | Patients in the pharmacokinetic analysis set (PAS) who had an available value for the outcome measure at each timepoint. PAS consists of all patients who received one of the planned treatments, provided at least one primary PK parameter and did not vomit within 8 hours after the dosing of ibrutinib. Patients were analyzed according to the study treatment received. | Posted | Geometric Mean | Geometric Coefficient of Variation | hr*µg/mL | Pre-infusion and 2, 6, 24, 72, 168 and 336 hours after end of infusion on Cycle 1 Day 1 and Cycle 3 Day 1. The duration of the infusion was approximately 2 hours. 1 cycle=28 days |
|
|
|
| Secondary | Maximum Observed Plasma Concentration (Cmax) of Ibrutinib | PK parameters were calculated based on ibrutinib plasma concentrations by using non-compartmental methods. Cmax is defined as the maximum (peak) observed concentration following a dose. | Patients in the pharmacokinetic analysis set (PAS) who had an available value for the outcome measure at each timepoint. PAS consists of all patients who received one of the planned treatments, provided at least one primary PK parameter and did not vomit within 8 hours after the dosing of ibrutinib. Patients were analyzed according to the study treatment received. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Pre-dose and 0.5, 2, 6 and 24 hours post-dose on Cycle 1 Day 1 and Cycle 1 Day 8. 1 cycle=28 days |
|
|
|
| Secondary | Time to Reach Maximum Plasma Concentration (Tmax) of Ibrutinib | PK parameters were calculated based on ibrutinib plasma concentrations by using non-compartmental methods. Tmax is defined as the time to reach maximum (peak) concentration following a dose. Actual recorded sampling times were considered for the calculations. | Patients in the pharmacokinetic analysis set (PAS) who had an available value for the outcome measure at each timepoint. PAS consists of all patients who received one of the planned treatments, provided at least one primary PK parameter and did not vomit within 8 hours after the dosing of ibrutinib. Patients were analyzed according to the study treatment received. | Posted | Median | Full Range | hours | Pre-dose and 0.5, 2, 6 and 24 hours post-dose on Cycle 1 Day 1 and Cycle 1 Day 8. 1 cycle=28 days |
|
|
|
| Secondary | Area Under the Plasma Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUClast) of Ibrutinib | PK parameters were calculated based on ibrutinib plasma concentrations by using non-compartmental methods. The linear trapezoidal method was used for AUClast calculation. | Patients in the pharmacokinetic analysis set (PAS) who had an available value for the outcome measure at each timepoint. PAS consists of all patients who received one of the planned treatments, provided at least one primary PK parameter and did not vomit within 8 hours after the dosing of ibrutinib. Patients were analyzed according to the study treatment received. | Posted | Geometric Mean | Geometric Coefficient of Variation | hr*ng/mL | Pre-dose and 0.5, 2, 6 and 24 hours post-dose on Cycle 1 Day 1 and Cycle 1 Day 8. 1 cycle=28 days |
|
|
|
| Secondary | Number of Participants With Anti-VAY736 Antibodies | VAY736 immunogenicity was evaluated in serum samples. Anti-drug antibodies (ADA) status was defined as follows:
| Patients who received at least 1 dose of VAY736 and had a determinant baseline immunogenicity (IG) sample and at least 1 determinant post-baseline IG sample for assessing anti-VAY736 antibodies. Patients were analyzed according to the study treatment received. | Posted | Number | participants | Baseline (before first dose) and post-baseline (assessed throughout the VAY736 treatment, up to 7.8 months). |
|
|
|
| Post-Hoc | All-Collected Deaths | On-treatment deaths were collected from first dose of study treatment to 30 days after the last dose of VAY736. Post-treatment deaths were collected from 31 days after last dose of VAY736 until end of study. All deaths refer to the sum of on-treatment and post-treatment deaths. | All patients who received at least one dose of study treatment in the dose escalation or dose expansion part of the study. Patients were analyzed according to the study treatment received. | Posted | Number | participants | On-treatment deaths: up to approximately 8.8 months. Post-treatment deaths: up to approximately 2.7 years |
|
|
|
| 0 |
| 4 |
| 0 |
| 4 |
| 4 |
| 4 |
| EG001 | VAY736 1mg/kg Q2W + Ibrutinib 420mg | Safety data up to 30 days after the last dose of VAY736 | 0 | 3 | 2 | 3 | 3 | 3 |
| EG002 | VAY736 3mg/kg Q2W + Ibrutinib 280mg | Safety data up to 30 days after the last dose of VAY736 | 0 | 1 | 0 | 1 | 1 | 1 |
| EG003 | VAY736 3mg/kg Q2W + Ibrutinib 420mg | Safety data up to 30 days after the last dose of VAY736 | 0 | 27 | 2 | 27 | 27 | 27 |
| EG004 | VAY736 9mg/kg Q2W + Ibrutinib 420mg | Safety data up to 30 days after the last dose of VAY736 | 0 | 4 | 0 | 4 | 4 | 4 |
| EG005 | All patients_On-treatment | Safety data up to 30 days after the last dose of VAY736 | 0 | 39 | 4 | 39 | 39 | 39 |
| EG006 | VAY736 0.3mg/kg Q2W + Ibrutinib 420mg_Post-treatment | Deaths collected in the post-treatment period (starting from Day 31 after last dose of VAY736). No AEs were collected during this period. | 0 | 4 | 0 | 0 | 0 | 0 |
| EG007 | VAY736 1mg/kg Q2W + Ibrutinib 420mg_Post-treatment | Deaths collected in the post-treatment period (starting from Day 31 after last dose of VAY736). No AEs were collected during this period. | 0 | 3 | 0 | 0 | 0 | 0 |
| EG008 | VAY736 3mg/kg Q2W + Ibrutinib 280mg_Post-treatment | Deaths collected in the post-treatment period (starting from Day 31 after last dose of VAY736). No AEs were collected during this period. | 0 | 1 | 0 | 0 | 0 | 0 |
| EG009 | VAY736 3mg/kg Q2W + Ibrutinib 420mg_Post-treatment | Deaths collected in the post-treatment period (starting from Day 31 after last dose of VAY736). No AEs were collected during this period. | 1 | 27 | 0 | 0 | 0 | 0 |
| EG010 | VAY736 9mg/kg Q2W + Ibrutinib 420mg_Post-treatment | Deaths collected in the post-treatment period (starting from Day 31 after last dose of VAY736). No AEs were collected during this period. | 0 | 4 | 0 | 0 | 0 | 0 |
| Non-cardiac chest pain | General disorders | MedDRA (26.1) | Systematic Assessment |
|
| Escherichia sepsis | Infections and infestations | MedDRA (26.1) | Systematic Assessment |
|
| Neutrophil count decreased | Investigations | MedDRA (26.1) | Systematic Assessment |
|
| Leukocytosis | Blood and lymphatic system disorders | MedDRA (26.1) | Systematic Assessment |
|
| Lymph node pain | Blood and lymphatic system disorders | MedDRA (26.1) | Systematic Assessment |
|
| Neutropenia | Blood and lymphatic system disorders | MedDRA (26.1) | Systematic Assessment |
|
| Atrial fibrillation | Cardiac disorders | MedDRA (26.1) | Systematic Assessment |
|
| Palpitations | Cardiac disorders | MedDRA (26.1) | Systematic Assessment |
|
| Sinus bradycardia | Cardiac disorders | MedDRA (26.1) | Systematic Assessment |
|
| Sinus tachycardia | Cardiac disorders | MedDRA (26.1) | Systematic Assessment |
|
| Cataract | Eye disorders | MedDRA (26.1) | Systematic Assessment |
|
| Retinal tear | Eye disorders | MedDRA (26.1) | Systematic Assessment |
|
| Vision blurred | Eye disorders | MedDRA (26.1) | Systematic Assessment |
|
| Vitreous floaters | Eye disorders | MedDRA (26.1) | Systematic Assessment |
|
| Abdominal distension | Gastrointestinal disorders | MedDRA (26.1) | Systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA (26.1) | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA (26.1) | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA (26.1) | Systematic Assessment |
|
| Dyspepsia | Gastrointestinal disorders | MedDRA (26.1) | Systematic Assessment |
|
| Frequent bowel movements | Gastrointestinal disorders | MedDRA (26.1) | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA (26.1) | Systematic Assessment |
|
| Oral pain | Gastrointestinal disorders | MedDRA (26.1) | Systematic Assessment |
|
| Stomatitis | Gastrointestinal disorders | MedDRA (26.1) | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA (26.1) | Systematic Assessment |
|
| Chills | General disorders | MedDRA (26.1) | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA (26.1) | Systematic Assessment |
|
| Influenza like illness | General disorders | MedDRA (26.1) | Systematic Assessment |
|
| Malaise | General disorders | MedDRA (26.1) | Systematic Assessment |
|
| Non-cardiac chest pain | General disorders | MedDRA (26.1) | Systematic Assessment |
|
| Oedema peripheral | General disorders | MedDRA (26.1) | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (26.1) | Systematic Assessment |
|
| Bronchitis | Infections and infestations | MedDRA (26.1) | Systematic Assessment |
|
| Conjunctivitis | Infections and infestations | MedDRA (26.1) | Systematic Assessment |
|
| Cystitis | Infections and infestations | MedDRA (26.1) | Systematic Assessment |
|
| Hordeolum | Infections and infestations | MedDRA (26.1) | Systematic Assessment |
|
| Onychomycosis | Infections and infestations | MedDRA (26.1) | Systematic Assessment |
|
| Paronychia | Infections and infestations | MedDRA (26.1) | Systematic Assessment |
|
| Sinusitis | Infections and infestations | MedDRA (26.1) | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA (26.1) | Systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA (26.1) | Systematic Assessment |
|
| Contusion | Injury, poisoning and procedural complications | MedDRA (26.1) | Systematic Assessment |
|
| Fall | Injury, poisoning and procedural complications | MedDRA (26.1) | Systematic Assessment |
|
| Infusion related reaction | Injury, poisoning and procedural complications | MedDRA (26.1) | Systematic Assessment |
|
| Skin abrasion | Injury, poisoning and procedural complications | MedDRA (26.1) | Systematic Assessment |
|
| Vaccination complication | Injury, poisoning and procedural complications | MedDRA (26.1) | Systematic Assessment |
|
| Activated partial thromboplastin time prolonged | Investigations | MedDRA (26.1) | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA (26.1) | Systematic Assessment |
|
| Amylase increased | Investigations | MedDRA (26.1) | Systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA (26.1) | Systematic Assessment |
|
| Blood alkaline phosphatase increased | Investigations | MedDRA (26.1) | Systematic Assessment |
|
| Blood bilirubin increased | Investigations | MedDRA (26.1) | Systematic Assessment |
|
| Blood creatinine increased | Investigations | MedDRA (26.1) | Systematic Assessment |
|
| Blood iron decreased | Investigations | MedDRA (26.1) | Systematic Assessment |
|
| Blood lactate dehydrogenase increased | Investigations | MedDRA (26.1) | Systematic Assessment |
|
| International normalised ratio increased | Investigations | MedDRA (26.1) | Systematic Assessment |
|
| Lipase increased | Investigations | MedDRA (26.1) | Systematic Assessment |
|
| Lymphocyte count decreased | Investigations | MedDRA (26.1) | Systematic Assessment |
|
| Lymphocyte count increased | Investigations | MedDRA (26.1) | Systematic Assessment |
|
| Neutrophil count decreased | Investigations | MedDRA (26.1) | Systematic Assessment |
|
| Platelet count decreased | Investigations | MedDRA (26.1) | Systematic Assessment |
|
| Weight increased | Investigations | MedDRA (26.1) | Systematic Assessment |
|
| White blood cell count decreased | Investigations | MedDRA (26.1) | Systematic Assessment |
|
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA (26.1) | Systematic Assessment |
|
| Hyperkalaemia | Metabolism and nutrition disorders | MedDRA (26.1) | Systematic Assessment |
|
| Hypermagnesaemia | Metabolism and nutrition disorders | MedDRA (26.1) | Systematic Assessment |
|
| Hypernatraemia | Metabolism and nutrition disorders | MedDRA (26.1) | Systematic Assessment |
|
| Hypertriglyceridaemia | Metabolism and nutrition disorders | MedDRA (26.1) | Systematic Assessment |
|
| Hyperuricaemia | Metabolism and nutrition disorders | MedDRA (26.1) | Systematic Assessment |
|
| Hypocalcaemia | Metabolism and nutrition disorders | MedDRA (26.1) | Systematic Assessment |
|
| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA (26.1) | Systematic Assessment |
|
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA (26.1) | Systematic Assessment |
|
| Hypomagnesaemia | Metabolism and nutrition disorders | MedDRA (26.1) | Systematic Assessment |
|
| Hypophosphataemia | Metabolism and nutrition disorders | MedDRA (26.1) | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (26.1) | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (26.1) | Systematic Assessment |
|
| Bone pain | Musculoskeletal and connective tissue disorders | MedDRA (26.1) | Systematic Assessment |
|
| Flank pain | Musculoskeletal and connective tissue disorders | MedDRA (26.1) | Systematic Assessment |
|
| Joint swelling | Musculoskeletal and connective tissue disorders | MedDRA (26.1) | Systematic Assessment |
|
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA (26.1) | Systematic Assessment |
|
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | MedDRA (26.1) | Systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA (26.1) | Systematic Assessment |
|
| Osteoporosis postmenopausal | Musculoskeletal and connective tissue disorders | MedDRA (26.1) | Systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA (26.1) | Systematic Assessment |
|
| Tenosynovitis | Musculoskeletal and connective tissue disorders | MedDRA (26.1) | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA (26.1) | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (26.1) | Systematic Assessment |
|
| Paraesthesia | Nervous system disorders | MedDRA (26.1) | Systematic Assessment |
|
| Peripheral sensory neuropathy | Nervous system disorders | MedDRA (26.1) | Systematic Assessment |
|
| Agitation | Psychiatric disorders | MedDRA (26.1) | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA (26.1) | Systematic Assessment |
|
| Haematuria | Renal and urinary disorders | MedDRA (26.1) | Systematic Assessment |
|
| Nephrolithiasis | Renal and urinary disorders | MedDRA (26.1) | Systematic Assessment |
|
| Renal colic | Renal and urinary disorders | MedDRA (26.1) | Systematic Assessment |
|
| Urinary incontinence | Renal and urinary disorders | MedDRA (26.1) | Systematic Assessment |
|
| Urinary retention | Renal and urinary disorders | MedDRA (26.1) | Systematic Assessment |
|
| Pelvic pain | Reproductive system and breast disorders | MedDRA (26.1) | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (26.1) | Systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (26.1) | Systematic Assessment |
|
| Hiccups | Respiratory, thoracic and mediastinal disorders | MedDRA (26.1) | Systematic Assessment |
|
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (26.1) | Systematic Assessment |
|
| Rhinitis allergic | Respiratory, thoracic and mediastinal disorders | MedDRA (26.1) | Systematic Assessment |
|
| Sinus pain | Respiratory, thoracic and mediastinal disorders | MedDRA (26.1) | Systematic Assessment |
|
| Upper-airway cough syndrome | Respiratory, thoracic and mediastinal disorders | MedDRA (26.1) | Systematic Assessment |
|
| Dermatitis allergic | Skin and subcutaneous tissue disorders | MedDRA (26.1) | Systematic Assessment |
|
| Dermatitis bullous | Skin and subcutaneous tissue disorders | MedDRA (26.1) | Systematic Assessment |
|
| Hyperhidrosis | Skin and subcutaneous tissue disorders | MedDRA (26.1) | Systematic Assessment |
|
| Night sweats | Skin and subcutaneous tissue disorders | MedDRA (26.1) | Systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (26.1) | Systematic Assessment |
|
| Rash maculo-papular | Skin and subcutaneous tissue disorders | MedDRA (26.1) | Systematic Assessment |
|
| Skin lesion | Skin and subcutaneous tissue disorders | MedDRA (26.1) | Systematic Assessment |
|
| Hypertension | Vascular disorders | MedDRA (26.1) | Systematic Assessment |
|
The terms and conditions of Novartis' agreements with its investigators may vary. Novartis does not prohibit any investigator from publishing. Any publications from a single site are postponed until the publication of the pooled data (ie, data from all sites) in the clinical trial.
| D009369 |
| Neoplasms |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| Treatment-related AEs |
|
| AEs with grade >=3 |
|
| Treatment-related AEs with grade >=3 |
|
| SAEs |
|
| Treatment-related SAEs |
|
| Fatal SAEs |
|
| At least one dose reduction |
|
| At least one dose interruption |
|
| At least one dose reduction |
|
| At least one dose interruption |
|
| [20%, 40%) - moderate clinical benefit |
|
| 40%, 100%] - superior clinical benefit |
|
|
| Cycle 3 |
|
|
|
| Cycle 3 |
|
|
|
| Cycle 3 |
|
|
|
| Cycle 1 Day 8 |
|
|
|
| Cycle 1 Day 8 |
|
|
|
| Cycle 1 Day 8 |
|
|
|
| ADA-positive at baseline |
|
|
| ADA-negative post-baseline |
|
|
| ADA-inconclusive post-baseline |
|
|
| Treatment-induced ADA-positive |
|
|
| Treatment-boosted ADA-positive |
|
|
| Post-treatment deaths |
|
| All deaths |
|