Dose Escalation and Dose Expansion Study of Tirabrutinib in Combination With Other Targeted Anti-cancer Therapies in Adults With B-cell Malignancies



Status:Active, not recruiting
Conditions:Lymphoma
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:3/10/2019
Start Date:June 16, 2015
End Date:June 2022

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A Phase 1b Dose Escalation and Dose Expansion Study of ONO/GS-4059 in Combination With Other Targeted Anti-cancer Therapies in Subjects With B-cell Malignancies

The primary objectives of this study are to evaluate the safety, tolerability,
pharmacokinetics (PK), pharmacodynamics, and preliminary efficacy of tirabrutinib
(ONO/GS-4059) in combination with other targeted anti-cancer therapies in adults with
relapsed or refractory B-cell lymphoproliferative malignancies.

This study consists of two parts: Dose Escalation and Dose Expansion. During the dose
escalation phase, participants will be sequentially enrolled in a standard 3 + 3 dose
escalation study design, to receive oral tirabrutinib combined with idelalisib entospletinib
+/- obinutuzumab. The Dose Expansion Phase will enroll additional participants with a single
B-cell lymphoproliferative malignancy disease type to further evaluate efficacy, safety,
tolerability, PK, and pharmacodynamics.


Key Inclusion Criteria:

- Diagnosis of follicular lymphoma (FL), marginal zone lymphoma (MZL), small lymphocytic
lymphoma (SLL), chronic lymphocytic leukemia (CLL) (meeting International Workshop on
Chronic Lymphocytic Leukemia [IWCLL] Criteria 2008), mantle cell lymphoma (MCL),
Waldenstrom's macroglobulinemia (WM), or non-germinal center B-cell lymphoma (GCB)
diffuse large B-cell lymphoma (DLBCL) as documented by medical records on WHO criteria

- Prior treatment for FL, MZL, SLL, MCL, WM with ≥ 2 or for CLL or non-GCB DLBCL ≥ 1
chemotherapy-based or immunotherapy-based regimen, and not transplant eligible and
have had either progressive disease (PD) or no response to previous treatment

- For diseases other than Waldenstrom's macroglobulinemia (WM), presence of
radiographically measurable presence of ≥ 1 lesion that measures ≥ 2.0 cm in the
longest dimension (LD) and ≥ 1.0 cm in the longest perpendicular dimension (LPD)

- Eastern Cooperative Oncology Group (ECOG) ≤ 2

- Platelets ≥ 50 x 10^9/L; Hb ≥ 8.0 g/dL; absolute neutrophil count (ANC) ≥ 1.0 x 10^9/L

- Without transfusion and growth factors within 7 days

- Aspartate transaminase/alanine transaminase (AST/ALT) ≤ 2.5 x upper limit of normal
(ULN)

- Total bilirubin ≤ 1.5 x ULN

- Creatinine ≤ 1.5 x ULN or creatinine clearance (CrCl) ≥ 60 mL/min

- Not pregnant

- Willingness and ability to comply with protocol-specified Pneumocystis jirovecii
pneumonia (PJP) prophylaxis

Key Exclusion Criteria:

- Hepatitis B surface antigen (HBsAG) positive or hepatitis B core antibody positive

- Hepatitis C virus (HCV) antibody positive

- History of long QT syndrome or whose corrected QT(QTc) interval measured (Fridericia
method) at screening is prolonged (>450 ms)

Note: Other protocol defined Inclusion/Exclusion criteria may apply.
We found this trial at
4
sites
3181 Southwest Sam Jackson Park Road
Portland, Oregon 97239
503 494-8311
Oregon Health and Science University In 1887, the inaugural class of the University of Oregon...
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Portland, OR
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Goshen, IN
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Lille,
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3800 Reservoir Rd NW
Washington, District of Columbia 20007
(202) 687-7695
Georgetown University Medical Center Georgetown University Medical Center is committed to excellence in research, education...
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Washington,
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