Chronic Lymphocytic Leukemia Clinical Trial
Combination Study of IPH2201 (Monalizumab) With Ibrutinib in Relapsed, Refractory or Previously Untreated CLL
Summary
Combination study of monalizumab (IPH2201) with Ibrutinib in relapsed, refractory or previously untreated Chronic Lymphocytic Leukemia (leukemia-cll/" >CLL) patients in 2 parts :
phase 1 : a 3+3 design to assess the Maximum Tolerated Dose (MTD)
phase 2: to evaluate the anti-leukemic activity of the combination
Full Description
This trial was designated to test the hypothesis that the combination of ibrutinib and IPH2201 will result in a substantial complete response (CR) rate, especially CR without minimal residual disease (MRD), as this has been shown to be associated with long-term clinical benefit.
Up to 45 patients were planned to be enrolled. During the phase 1 part a 3+3 dose escalation design was employed. Four doses were planned to be assessed if the Maximum Tolerated Dose (MTD) was not previously reached: 1, 2, 4 and 10 mg/kg.
During phase 2 part, patients received monalizumab in combination with ibrutinib; monalizumab was given at the dose recommended upon completion of the phase I portion.
The primary objective of the phase 1 was to assess the safety of monalizumab given intravenously as a single agent and in combination with ibrutinib in patients with relapsed, refractory or previously untreated Chronic Lymphocytic Leukemia.
The primary objective of the phase 2 was to evaluate the anti-leukemic activity of the combination of monalizumab and ibrutinib in patients with relapsed, refractory or previously untreated Chronic Lymphocytic Leukemia.
Eligibility Criteria
Inclusion Criteria:
Confirmed diagnosis of Chronic Lymphocytic Leukemia (CLL)
Relapsed, refractory or previously untreated CLL
CLL requiring treatment; patients must be eligible for ibrutinib therapy
Age > = 18 years
Eastern Cooperative Oncology Group performance status of 0-2
Life expectancy > = 3 months
Adequate liver and renal function
Negative serum pregnancy test within 72 hours before starting study treatment in women with childbearing potential. Women of child-bearing potential and men must agree to use adequate contraception prior to study entry and for the duration of the study participation
Ability to understand a written informed and consent document
Signed informed consent prior to any protocol-specific procedures
Exclusion Criteria:
Patients who have previously received ibrutinib or another inhibitor of Bruton's tyrosine kinase (BTK)
History of allergic reactions attributed to compounds or similar chemical or biological composition to ibrutinib
Central nervous system involvement of the CLL
Abnormal hematological function which is not due to bone marrow failure related to the CLL
Patients requiring a treatment by oral vitamin K antagonists
Serious uncontrolled medical disorder
Medical condition or organ system dysfunction which, in the investigator opinion, could interfere with absorption or metabolism of ibrutinib
Moderate or severe hepatic impairment
Active auto-immune disease
Abnormal cardiac status
Pregnant women are excluded from study
Current active infectious disease
History of another malignancy within 3 years
History of allogeneic stem cell or solid organ transplantation
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There is 1 Location for this study
Columbus Ohio, 43210, United States
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