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Study Summary
No. 2008-0494:.......Lymphoma......Nathan Fowler......Lymphoma/Myeloma
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Study Summary Title
Study Summary
Number:
2008-0494
Study Title:Phase I Dose-Escalation Study of Bruton's Tyrosine Kinase (Btk) Inhibitor PCI-32765 in Recurrent B Cell Lymphoma
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Physician New Patient Referral
Name:Nathan FowlerPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:Lymphoma/MyelomaReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-2860
Contact us about clinical trials
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General Information
Disease Group:LymphomaSupported By:Pharmacyclics, Inc.
Phase of Study:Phase IReturn
Visit:
At the beginning of each cycle, then every 2-3 months until the participant has
disease progression for a maximum of 6 months.
Treatment
Agents:
PCI-32765Home Care:The study drug will be taken at home.
Treatment Loc:Both at MDACC & outside MDACC at one or more Collaborating Sites or Institutions
Estimated
Length of Stay
in Houston:
N/A
Description/
Intervention:
The goal of this clinical research study is to find the highest tolerable dose
of PCI-32765 that can be given to patients with recurrent B-cell lymphoma.
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Study Objectives / Outcomes
Primary Objectives
  • Establish the safety and the maximum tolerated dose (MTD) of orally administered PCI-32765 in patients with recurrent B cell lymphoma.
  • Determine pharmacokinetics (PK) of orally administered PCI-32765
  • Measure pharmacodynamic (PD) parameters to include drug occupancy of Btk, the target enzyme, and effect on biological markers of B cell function

Secondary Objective
  • Evaluate tumor responses
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Study Status Information
Study Activation / Registration Date:04/27/2009
IRB Review and Approval Date:10/21/2008
Study Type:Phase I
Recruitment Status:Terminated
Projected Accrual:52
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Enrollment Eligibility
If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

Inclusion Criteria:1) Women and men >/= 18 years of age. There is no experience with this drug in a pediatric population.

2) Body weight >/= 40 kg.

3) Recurrent surface immunoglobulin positive B cell non-Hodgkin's lymphoma NHL according to WHO classificationincluding small lymphocytic lymphoma/chronic lymphocytic leukemia (SLL/CLL) and lymphoplasmacytic lymphoma, including Waldenstrom's Macroglobulinemia (WM)..

4) Measurable disease (for NHL bi-dimensional disease >= 2 cm diameter in at least on dimension, for CLL >= 5000 leukemia cells/mm3, and for WM presence of immunoglobulin M paraprotein with a minimum IgM level >= 1000 mg/dL and infiltration of bone marrow by lymphoplasmacytic cells).

5) Have failed >/= 1 previous treatment for lymphoma and no standard therapy is available. Patients with diffuse large B cell lymphoma must have failed, refused or be ineligible for autologous stem cell transplant.

6) ECOG performance status of </= 1.

7) Ability to swallow oral capsules without difficulty.

8) Willing and able to sign a written informed consent.

Exclusion Criteria:1) More than four prior systemic therapies (not counting maintenance rituximab)except for CLL patients. Salvage therapy/conditioning regimen leading up to autologous bone marrow transplantation is considered to be one regimen.

2) Prior allogeneic bone marrow transplant.

3) Immunotherapy, chemotherapy, radiotherapy or experimental therapy within 4 weeks before first day of study drug dosing.

4) Major surgery within 4 weeks before first day of study drug dosing.

5) CNS involvement by lymphoma.

6) Active opportunistic infection or treatment for opportunistic infection within 4 weeks before first day of study drug dosing.

7) History of malabsorption.

8) Laboratory abnormalities: a.) Creatinine > 1.5 × institutional upper limit of normal (ULN) b.) Total bilirubin > 1.5 x institutional ULN (unless elevated from documented Gilbert's syndrome) c.) AST or ALT > 2.5 × institutional ULN d.) Platelet count < 75,000/microL, unless patients have CLL and bone marrow involvement, provided they are not transfusion-dependent e.) Absolute neutrophil count (ANC) < 1500/microL unless patients have CLL and bone marrow involvement f.) Hgb < 8.0 g/dL

9) Uncontrolled illness including but not limited to: ongoing or active infection, symptomatic congestive heart failure (New York Heart Association Class III or IV heart failure), unstable angina pectoris, cardiac arrhythmia, and psychiatric illness that would limit compliance with study requirements.

10) Risk factors for, or use of medications known to prolong QTc interval or that may be associated with Torsades de Pointes within 7 days of treatment start.

11) QTc prolongation (defined as a QTc >/= 450 msecs) or other significant ECG abnormalities including 2nd degree AV block type II, 3rd degree AV block, or bradycardia (ventricular rate less than 50 beats/min). If the screening ECG has a QTc >/= 450 msecs, the ECG can be submitted for a centralized, cardiologic evaluation.

12) History of myocardial infarction, acute coronary syndromes (including unstable angina), coronary angioplasty and/or stenting within the past 6 months.

13) Known HIV infection.

14) Hepatitis B sAg or Hepatitis C positive.

15) Other medical or psychiatric illness or organ dysfunction which, in the opinion of the investigator, would either compromise the patient's safety or interfere with the evaluation of the safety of the study agent.

16) Pregnant or lactating women (female patients of child-bearing potential must have a negative serum pregnancy test within 14 days of first day of drug dosing, or, if positive, a pregnancy ruled out by ultrasound).

17) Women of child-bearing potential or sexually active men, unwilling to use adequate contraceptive protection during the course of the study.

18) History of prior cancer < 2 years ago, except for basal cell or squamous cell carcinoma of the skin, cervical cancer in situ or other in situ carcinomas.

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Links
Registration Number: NCT00849654
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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