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VAY736 in Combination With Ibrutinib in Patients With CLL on Ibrutinib

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT03400176
Recruitment Status : Active, not recruiting
First Posted : January 17, 2018
Last Update Posted : March 7, 2023
Information provided by (Responsible Party):
Novartis ( Novartis Pharmaceuticals )

Brief Summary:
Patients enrolled to the study will have chronic lymphocytic leukemia (CLL) and are actively receiving ibrutinib. Patients will have either been receiving ibrutinib for one year without having had a complete response or patients will have developed a resistance mutation to ibrutinib. This study will have two parts, a dose escalation part and a dose expansion part. In the dose escalation part, the maximum tolerated dose (MTD) of the combination of VAY736 with ibrutinib will be determined. Once determined, the dose expansion part of the study will begin.

Condition or disease Intervention/treatment Phase
Chronic Lymphocytic Leukemia (CLL) Drug: VAY736 Drug: ibrutinib Phase 1

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 39 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Phase Ib Open-label Study of VAY736 and Ibrutinib in Patients With Chronic Lymphocytic Leukemia (CLL) on Ibrutinib Therapy
Actual Study Start Date : April 9, 2018
Estimated Primary Completion Date : March 7, 2025
Estimated Study Completion Date : March 7, 2025

Arm Intervention/treatment
Experimental: Dose Escalation
Increasing doses of VAY736 in combination with a fixed dose of ibrutinib.
Drug: VAY736

Drug: ibrutinib
Approved medication
Other Name: Imbruvica

Experimental: Dose expansion
Evaluation of the MTD/RD of the combination of VAY736 and ibrutinib that was identified in dose escalation.
Drug: VAY736

Drug: ibrutinib
Approved medication
Other Name: Imbruvica

Primary Outcome Measures :
  1. DLT rate [ Time Frame: 1 year ]
    To determine the incidence of DLTs.

Secondary Outcome Measures :
  1. Overall Response Rate (ORR) [ Time Frame: Two years ]
    To determine preliminary antitumor activity of the combination.

  2. Time to progression (TTP) [ Time Frame: Two years ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Diagnosis of CLL per the WHO classification
  • At least 18 years of age
  • Lack of a complete response after receiving ibrutinib for > 1 year OR presence of known ibrutinib resistance mutation
  • Actively receiving ibrutinib at either 420 mg (patients enrolled to the escalation arm) or at a stable dose for at least 2 months prior to starting study treatment (patients enrolled to the expansion arm)

Exclusion Criteria:

  • Known history of HIV
  • Active hepatitis B or C infection
  • Receipt of attenuated vaccine within 2 weeks prior to starting study treatment.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03400176

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United States, California
University of California San Diego - Moores Cancer Center
La Jolla, California, United States, 92093-0658
David Geffen School of Medicine at UCLA David Geffen School of Med
Los Angeles, California, United States, 90095
United States, Ohio
Ohio State Comprehensive Cancer Center/James Cancer Hospital Ohio State University
Columbus, Ohio, United States, 43210
United States, Tennessee
Tennessee Oncology Centennial Medical Center
Nashville, Tennessee, United States, 37203
United States, Utah
University of Utah / Huntsman Cancer Institute Oncology
Salt Lake City, Utah, United States, 84103
Sponsors and Collaborators
Novartis Pharmaceuticals
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Novartis Pharmaceuticals
ClinicalTrials.gov Identifier: NCT03400176    
Other Study ID Numbers: CVAY736Y2102
First Posted: January 17, 2018    Key Record Dates
Last Update Posted: March 7, 2023
Last Verified: March 2023

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Novartis ( Novartis Pharmaceuticals ):
Chronic lymphocytic leukemia
Bruton's Tyrosine Kinase
BTK mutation
Additional relevant MeSH terms:
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Leukemia, Lymphoid
Leukemia, Lymphocytic, Chronic, B-Cell
Neoplasms by Histologic Type
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
Leukemia, B-Cell
Chronic Disease
Disease Attributes
Pathologic Processes