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A Phase 1/2, Open-Label, Dose Escalation, Safety and Tolerability Study of INCB050465 and Itacitinib in Subjects With Previously Treated B-Cell Malignancies (CITADEL-101)

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ClinicalTrials.gov Identifier: NCT02018861
Recruitment Status : Completed
First Posted : December 23, 2013
Results First Posted : June 28, 2022
Last Update Posted : June 28, 2022
Sponsor:
Information provided by (Responsible Party):
Incyte Corporation

Study Type Interventional
Study Design Allocation: Non-Randomized;   Intervention Model: Sequential Assignment;   Masking: None (Open Label);   Primary Purpose: Treatment
Condition B-Cell Malignancies
Interventions Drug: Parsaclisib
Drug: Itacitinib
Drug: Rituximab
Drug: Ifosfamide
Drug: Carboplatin
Drug: Etoposide
Enrollment 88
Recruitment Details This study was conducted at 13 study centers in the United States.
Pre-assignment Details This was a 4-part study. Part 1 parsaclisib monotherapy dose escalation determined the recommended dose(s) (RDs) to explore. Part 2 evaluated the combination of parsaclisib and itacitinib to determine the RDs. Part 3 expansion further evaluated the RDs of parsaclisib as monotherapy and in combination with itacitinib in disease cohorts. Part 6 consisted of a safety assessment of parsaclisib in combination with the chemotherapy regimen R-ICE (rituximab, ifosfamide, carboplatin, and etoposide).
Arm/Group Title Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD Parsaclisib 20 mg + Itacitinib 300 mg Parsaclisib 30 mg + Itacitinib 300 mg Parsaclisib 15 mg QD + R-ICE Parsaclisib 20 mg QD + R-ICE
Hide Arm/Group Description Participants self-administered parsaclisib 5 milligrams (mg) as an oral tablet once a day (QD) in 21-day treatment cycles. Participants self-administered parsaclisib 10 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 30 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 45 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 20 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 30 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles. R-ICE was a standard-of-care chemotherapy combination administered at the following doses: rituximab 375 milligrams per meters squared (mg/m^2) intravenously (IV) on Day 1 and Day 2 of Cycle 1 and on Day 1 of Cycles 2 and 3, ifosfamide 5000 mg/m^2 IV on Day 3 of each cycle, carboplatin area under the curve (AUC) = 5 (maximum dose 800 mg) IV on Day 3 of each cycle, and etoposide 100 mg/m^2 or at doses consistent with institutional practice with approval from the medical monitor on Days 3 and 5 of each cycle. Each cycle was 21 days in duration. Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles. R-ICE was a standard-of-care chemotherapy combination administered at the following doses: rituximab 375 mg/m^2 IV on Day 1 and Day 2 of Cycle 1 and on Day 1 of Cycles 2 and 3, ifosfamide 5000 mg/m^2 IV on Day 3 of each cycle, carboplatin AUC = 5 (maximum dose 800 mg) IV on Day 3 of each cycle, and etoposide 100 mg/m^2 or at doses consistent with institutional practice with approval from the medical monitor on Days 3 and 5 of each cycle. Each cycle was 21 days in duration.
Period Title: Parsaclisib Monotherapy: 21-day Cycles
Started 1 3 3 34 27 4 0 0 0 0
Completed 0 0 0 4 0 0 0 0 0 0
Not Completed 1 3 3 30 27 4 0 0 0 0
Reason Not Completed
Adverse Event             0             2             1             6             4             1             0             0             0             0
Withdrawal by Subject             0             0             0             1             1             0             0             0             0             0
Disease Progression             0             1             1             13             18             1             0             0             0             0
Death             1             0             0             3             1             0             0             0             0             0
Lost to Follow-up             0             0             1             1             0             0             0             0             0             0
Non-compliance with Study Treatment             0             0             0             0             1             0             0             0             0             0
Physician Decision             0             0             0             4             1             2             0             0             0             0
Unknown or Not Reported             0             0             0             2             1             0             0             0             0             0
Period Title: Parsaclisib + Itacitinib; 21-day Cycles
Started 0 0 0 0 0 0 8 3 0 0
Completed 0 0 0 0 0 0 0 0 0 0
Not Completed 0 0 0 0 0 0 8 3 0 0
Reason Not Completed
Disease Progression             0             0             0             0             0             0             5             2             0             0
Unknown or Not Reported             0             0             0             0             0             0             3             1             0             0
Period Title: Parsaclisib + R-ICE; 21-day Cycles
Started 0 0 0 0 0 0 0 0 4 1
Completed 0 0 0 0 0 0 0 0 1 1
Not Completed 0 0 0 0 0 0 0 0 3 0
Reason Not Completed
Physician Decision             0             0             0             0             0             0             0             0             1             0
Disease Progression             0             0             0             0             0             0             0             0             1             0
Adverse Event             0             0             0             0             0             0             0             0             1             0
Arm/Group Title Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD Parsaclisib 20 mg + Itacitinib 300 mg Parsaclisib 30 mg + Itacitinib 300 mg Parsaclisib 15 mg QD + R-ICE Parsaclisib 20 mg QD + R-ICE Total
Hide Arm/Group Description Participants self-administered parsaclisib 5 milligrams (mg) as an oral tablet once a day (QD) in 21-day treatment cycles. Participants self-administered parsaclisib 10 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 30 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 45 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 20 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 30 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles. R-ICE was a standard-of-care chemotherapy combination administered at the following doses: rituximab 375 milligrams per meters squared (mg/m^2) intravenously (IV) on Day 1 and Day 2 of Cycle 1 and on Day 1 of Cycles 2 and 3, ifosfamide 5000 mg/m^2 IV on Day 3 of each cycle, carboplatin area under the curve (AUC) = 5 (maximum dose 800 mg) IV on Day 3 of each cycle, and etoposide 100 mg/m^2 or at doses consistent with institutional practice with approval from the medical monitor on Days 3 and 5 of each cycle. Each cycle was 21 days in duration. Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles. R-ICE was a standard-of-care chemotherapy combination administered at the following doses: rituximab 375 mg/m^2 IV on Day 1 and Day 2 of Cycle 1 and on Day 1 of Cycles 2 and 3, ifosfamide 5000 mg/m^2 IV on Day 3 of each cycle, carboplatin AUC = 5 (maximum dose 800 mg) IV on Day 3 of each cycle, and etoposide 100 mg/m^2 or at doses consistent with institutional practice with approval from the medical monitor on Days 3 and 5 of each cycle. Each cycle was 21 days in duration. Total of all reporting groups
Overall Number of Baseline Participants 1 3 3 34 27 4 8 3 4 1 88
Hide Baseline Analysis Population Description
[Not Specified]
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 1 participants 3 participants 3 participants 34 participants 27 participants 4 participants 8 participants 3 participants 4 participants 1 participants 88 participants
NA [1]   (NA) 69.0  (16.52) 63.3  (9.45) 62.4  (16.48) 63.7  (11.81) 66.8  (8.77) 64.6  (17.15) 51.7  (27.02) 62.3  (8.26) NA [1]   (NA) 63.3  (14.44)
[1]
Due to low participant enrollment in this arm, data are not being reported, as doing so may risk participant identification.
Sex/Gender, Customized  
Measure Type: Number
Unit of measure:  Participants
Number Analyzed 1 participants 3 participants 3 participants 34 participants 27 participants 4 participants 8 participants 3 participants 4 participants 1 participants 88 participants
Female NA [1]  NA [1]  NA [1]  12 14 NA [1]  NA [1]  NA [1]  NA [1]  NA [1]  38
Male NA [1]  NA [1]  NA [1]  22 13 NA [1]  NA [1]  NA [1]  NA [1]  NA [1]  50
[1]
Due to low participant enrollment in this arm, data are not being reported, as doing so may risk participant identification.
Race/Ethnicity, Customized  
Measure Type: Number
Unit of measure:  Participants
Number Analyzed 1 participants 3 participants 3 participants 34 participants 27 participants 4 participants 8 participants 3 participants 4 participants 1 participants 88 participants
Black or African American NA [1]  NA [1]  NA [1]  4 4 NA [1]  NA [1]  NA [1]  NA [1]  NA [1]  9
White NA [1]  NA [1]  NA [1]  25 21 NA [1]  NA [1]  NA [1]  NA [1]  NA [1]  70
Unknown or Not Reported NA [1]  NA [1]  NA [1]  5 2 NA [1]  NA [1]  NA [1]  NA [1]  NA [1]  9
[1]
Due to low participant enrollment in this arm, data are not being reported, as doing so may risk participant identification.
1.Primary Outcome
Title Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Hide Description An adverse event (AE) is defined as the appearance of (or worsening of any pre-existing) undesirable sign(s), symptom(s), or medical condition(s) that occur after a participant provides informed consent. Abnormal laboratory values or test results occurring after informed consent constitute AEs only if they induce clinical signs or symptoms, are considered clinically meaningful, require therapy (e.g., hematologic abnormality that requires transfusion), or require changes in the study drug(s). A TEAE is defined as an event that was reported for the first time, or the worsening of a pre-existing event, after the first dose of study drug.
Time Frame Up to approximately 53 months (4.4 years)
Hide Outcome Measure Data
Hide Analysis Population Description
Safety Population: all participants enrolled in the study who received at least 1 dose of parsaclisib, itacitinib, rituximab, ifosfamide, carboplatin, and/or etoposide
Arm/Group Title Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD Parsaclisib 20 mg + Itacitinib 300 mg Parsaclisib 30 mg + Itacitinib 300 mg Parsaclisib 15 mg QD + R-ICE Parsaclisib 20 mg QD + R-ICE
Hide Arm/Group Description:
Participants self-administered parsaclisib 5 milligrams (mg) as an oral tablet once a day (QD) in 21-day treatment cycles.
Participants self-administered parsaclisib 10 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 45 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles. R-ICE was a standard-of-care chemotherapy combination administered at the following doses: rituximab 375 milligrams per meters squared (mg/m^2) intravenously (IV) on Day 1 and Day 2 of Cycle 1 and on Day 1 of Cycles 2 and 3, ifosfamide 5000 mg/m^2 IV on Day 3 of each cycle, carboplatin area under the curve (AUC) = 5 (maximum dose 800 mg) IV on Day 3 of each cycle, and etoposide 100 mg/m^2 or at doses consistent with institutional practice with approval from the medical monitor on Days 3 and 5 of each cycle. Each cycle was 21 days in duration.
Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles. R-ICE was a standard-of-care chemotherapy combination administered at the following doses: rituximab 375 mg/m^2 IV on Day 1 and Day 2 of Cycle 1 and on Day 1 of Cycles 2 and 3, ifosfamide 5000 mg/m^2 IV on Day 3 of each cycle, carboplatin AUC = 5 (maximum dose 800 mg) IV on Day 3 of each cycle, and etoposide 100 mg/m^2 or at doses consistent with institutional practice with approval from the medical monitor on Days 3 and 5 of each cycle. Each cycle was 21 days in duration.
Overall Number of Participants Analyzed 1 3 3 34 27 4 8 3 4 1
Measure Type: Count of Participants
Unit of Measure: Participants
1
 100.0%
3
 100.0%
3
 100.0%
32
  94.1%
25
  92.6%
4
 100.0%
6
  75.0%
3
 100.0%
4
 100.0%
1
 100.0%
2.Secondary Outcome
Title Part 1: Overall Response Rate (Percentage of Participants With Complete Response [CR] and Partial Response [PR]) Based on International Workshop on Chronic Lymphocytic Leukemia (IWCLL) Criteria for Chronic Lymphocytic Leukemia (CLL) for CLL Participants
Hide Description CR: (a) peripheral blood lymphocytes <4 x 10^9/Liter (L); (b) no significant lymphadenopathy and lymph nodes <1.5 centimeters (cm) in longest diameter; (c) no splenomegaly/hepatomegaly; (d) no disease-related constitutional symptoms; (e) neutrophils ≥1.5 x 10^9/L; (f) platelets ≥100 x 10^9/L; (g) hemoglobin ≥11.0 grams/deciliter (g/dL) (without transfusion); (h) minimal residual disease assessment; (i) normocellular marrow, with no CLL cells/no B-lymphoid nodules. PR (improvement in ≥2 Group A parameters and ≥1 Group B parameter if previously abnormal. If only 1 parameter of both Groups A and B was abnormal before therapy, only 1 needs to improve): Group A: (a) decrease of ≥50% (from Baseline) in lymph nodes, liver/spleen size, and circulating lymphocyte count; (b) any constitutional symptoms. Group B: (a) platelets ≥100 x 10^9/L or increase ≥50% over Baseline; (b) hemoglobin ≥11 g/dL or increase ≥50% over Baseline; (c) presence of CLL cells or B-lymphoid nodules.
Time Frame Up to approximately 53 months (4.4 years)
Hide Outcome Measure Data
Hide Analysis Population Description
Intent-to-Treat (ITT) Population: all participants with CLL enrolled in the study who received at least 1 dose of parsaclisib, itacitinib, rituximab, ifosfamide, carboplatin, and/or etoposide. Confidence intervals were calculated based on the exact method for binomial distributions.
Arm/Group Title Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD
Hide Arm/Group Description:
Participants self-administered parsaclisib 5 milligrams (mg) as an oral tablet once a day (QD) in 21-day treatment cycles.
Participants self-administered parsaclisib 10 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 45 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 0 1 0 1 3 1
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: percentage of participants
0.0
(0.0 to 97.5)
0.0
(0.0 to 97.5)
66.7
(9.4 to 99.2)
0.0
(0.0 to 97.5)
3.Secondary Outcome
Title Part 2: Overall Response Rate (Percentage of Participants With CR and PR) Based on IWCLL Criteria for CLL for Participants With CLL
Hide Description CR: (a) peripheral blood lymphocytes <4 x 10^9/L; (b) no significant lymphadenopathy and lymph nodes <1.5 cm in longest diameter; (c) no splenomegaly/hepatomegaly; (d) no disease-related constitutional symptoms; (e) neutrophils ≥1.5 x 10^9/L; (f) platelets ≥100 x 10^9/L; (g) hemoglobin ≥11.0 g/dL (without transfusion); (h) minimal residual disease assessment; (i) normocellular marrow, with no CLL cells/no B-lymphoid nodules. PR (improvement in ≥2 Group A parameters and ≥1 Group B parameter if previously abnormal. If only 1 parameter of both Groups A and B was abnormal before therapy, only 1 needs to improve): Group A: (a) decrease of ≥50% (from Baseline) in lymph nodes, liver/spleen size, and circulating lymphocyte count; (b) any constitutional symptoms. Group B: (a) platelets ≥100 x 10^9/L or increase ≥50% over Baseline; (b) ≥11 g/dL or increase ≥50% over Baseline; (c) presence of CLL cells or B-lymphoid nodules.
Time Frame Up to approximately 44 months (3.7 years)
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants with CLL. Confidence intervals were calculated based on the exact method for binomial distributions.
Arm/Group Title Parsaclisib 20 mg + Itacitinib 300 mg Parsaclisib 30 mg + Itacitinib 300 mg
Hide Arm/Group Description:
Participants self-administered parsaclisib 20 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 1 0
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: percentage of participants
100.0
(2.5 to 100.0)
4.Secondary Outcome
Title Part 6: Overall Response Rate (Percentage of Participants With CR and PR) Based on IWCLL Criteria for CLL for Participants With CLL
Hide Description CR: (a) peripheral blood lymphocytes <4 x 10^9/L; (b) no significant lymphadenopathy and lymph nodes <1.5 cm in longest diameter; (c) no splenomegaly/hepatomegaly; (d) no disease-related constitutional symptoms; (e) neutrophils ≥1.5 x 10^9/L; (f) platelets ≥100 x 10^9/L; (g) hemoglobin ≥11.0 g/dL (without transfusion); (h) minimal residual disease assessment; (i) normocellular marrow, with no CLL cells/no B-lymphoid nodules. PR (improvement in ≥2 Group A parameters and ≥1 Group B parameter if previously abnormal. If only 1 parameter of both Groups A and B was abnormal before therapy, only 1 needs to improve): Group A: (a) decrease of ≥50% (from Baseline) in lymph nodes, liver/spleen size, and circulating lymphocyte count; (b) any constitutional symptoms. Group B: (a) platelets ≥100 x 10^9/L or increase ≥50% over Baseline; (b) ≥11 g/dL or increase ≥50% over Baseline; (c) presence of CLL cells or B-lymphoid nodules.
Time Frame Up to approximately 4 months
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants with CLL
Arm/Group Title Parsaclisib 15 mg QD + R-ICE Parsaclisib 20 mg QD + R-ICE
Hide Arm/Group Description:
Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles. R-ICE was a standard-of-care chemotherapy combination administered at the following doses: rituximab 375 milligrams per meters squared (mg/m^2) intravenously (IV) on Day 1 and Day 2 of Cycle 1 and on Day 1 of Cycles 2 and 3, ifosfamide 5000 mg/m^2 IV on Day 3 of each cycle, carboplatin area under the curve (AUC) = 5 (maximum dose 800 mg) IV on Day 3 of each cycle, and etoposide 100 mg/m^2 or at doses consistent with institutional practice with approval from the medical monitor on Days 3 and 5 of each cycle. Each cycle was 21 days in duration.
Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles. R-ICE was a standard-of-care chemotherapy combination administered at the following doses: rituximab 375 mg/m^2 IV on Day 1 and Day 2 of Cycle 1 and on Day 1 of Cycles 2 and 3, ifosfamide 5000 mg/m^2 IV on Day 3 of each cycle, carboplatin AUC = 5 (maximum dose 800 mg) IV on Day 3 of each cycle, and etoposide 100 mg/m^2 or at doses consistent with institutional practice with approval from the medical monitor on Days 3 and 5 of each cycle. Each cycle was 21 days in duration.
Overall Number of Participants Analyzed 0 0
No data displayed because Outcome Measure has zero total analyzed.
5.Secondary Outcome
Title Part 1: ORR Based on the VIth International Workshop on Waldenström Macroglobulinemia (WM) Response Assessment for Participants With WM
Hide Description ORR: sum of participants achieving minor response (MR), PR, very good partial response (VGPR), and CR. CR: (a) no serum monoclonal IgM protein by immunofixation; (b) normal serum IgM level; (c) complete resolution of extramedullary disease, i.e., lymphadenopathy/splenomegaly if present at Baseline (BL); (d) morphologically normal bone marrow aspirate and trephine biopsy. VGPR: (a) detectable monoclonal IgM protein; (b) ≥90% reduction in serum IgM level from BL; (c) complete resolution of extramedullary disease, i.e., lymphadenopathy/splenomegaly if present at BL; (d) no new signs/symptoms of active disease. PR: (a) detectable monoclonal IgM protein; (b) ≥50% but <90% reduction in serum IgM level from BL; (c) reduction in extramedullary disease, i.e., lymphadenopathy/splenomegaly if present at BL; (d) no new signs/symptoms of active disease. MR: (a) detectable monoclonal IgM protein; (b) ≥25% but <50% reduction in serum IgM level from BL; (d) no new signs/symptoms of active disease.
Time Frame Up to approximately 53 months (4.4 years)
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants with WM. Confidence intervals were calculated based on the exact method for binomial distributions.
Arm/Group Title Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD
Hide Arm/Group Description:
Participants self-administered parsaclisib 5 milligrams (mg) as an oral tablet once a day (QD) in 21-day treatment cycles.
Participants self-administered parsaclisib 10 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 45 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 0 0 0 1 0 0
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: percentage of participants
100.0
(2.5 to 100.0)
6.Secondary Outcome
Title Part 2: ORR Based on the VIth International Workshop on WM Response Assessment for Participants With WM
Hide Description ORR: sum of participants achieving MR, PR, VGPR, and CR. CR: (a) no serum monoclonal IgM protein by immunofixation; (b) normal serum IgM level; (c) complete resolution of extramedullary disease, i.e., lymphadenopathy/splenomegaly if present at BL; (d) morphologically normal bone marrow aspirate and trephine biopsy. VGPR: (a) detectable monoclonal IgM protein; (b) ≥90% reduction in serum IgM level from BL; (c) complete resolution of extramedullary disease, i.e., lymphadenopathy/splenomegaly if present at BL; (d) no new signs/symptoms of active disease. PR: (a) detectable monoclonal IgM protein; (b) ≥50% but <90% reduction in serum IgM level from BL; (c) reduction in extramedullary disease, i.e., lymphadenopathy/splenomegaly if present at BL; (d) no new signs/symptoms of active disease. MR: (a) detectable monoclonal IgM protein; (b) ≥25% but <50% reduction in serum IgM level from BL; (d) no new signs/symptoms of active disease.
Time Frame Up to approximately 44 months (3.7 years)
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants with WM. Confidence intervals were calculated based on the exact method for binomial distributions.
Arm/Group Title Parsaclisib 20 mg + Itacitinib 300 mg Parsaclisib 30 mg + Itacitinib 300 mg
Hide Arm/Group Description:
Participants self-administered parsaclisib 20 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 0 0
No data displayed because Outcome Measure has zero total analyzed.
7.Secondary Outcome
Title Part 6: ORR Based on the VIth International Workshop on WM Response Assessment for Participants With WM
Hide Description ORR: sum of participants achieving MR, PR, VGPR, and CR. CR: (a) no serum monoclonal IgM protein by immunofixation; (b) normal serum IgM level; (c) complete resolution of extramedullary disease, i.e., lymphadenopathy/splenomegaly if present at BL; (d) morphologically normal bone marrow aspirate and trephine biopsy. VGPR: (a) detectable monoclonal IgM protein; (b) ≥90% reduction in serum IgM level from BL; (c) complete resolution of extramedullary disease, i.e., lymphadenopathy/splenomegaly if present at BL; (d) no new signs/symptoms of active disease. PR: (a) detectable monoclonal IgM protein; (b) ≥50% but <90% reduction in serum IgM level from BL; (c) reduction in extramedullary disease, i.e., lymphadenopathy/splenomegaly if present at BL; (d) no new signs/symptoms of active disease. MR: (a) detectable monoclonal IgM protein; (b) ≥25% but <50% reduction in serum IgM level from BL; (d) no new signs/symptoms of active disease.
Time Frame Up to approximately 4 months
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants with WM
Arm/Group Title Parsaclisib 15 mg QD + R-ICE Parsaclisib 20 mg QD + R-ICE
Hide Arm/Group Description:
Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles. R-ICE was a standard-of-care chemotherapy combination administered at the following doses: rituximab 375 milligrams per meters squared (mg/m^2) intravenously (IV) on Day 1 and Day 2 of Cycle 1 and on Day 1 of Cycles 2 and 3, ifosfamide 5000 mg/m^2 IV on Day 3 of each cycle, carboplatin area under the curve (AUC) = 5 (maximum dose 800 mg) IV on Day 3 of each cycle, and etoposide 100 mg/m^2 or at doses consistent with institutional practice with approval from the medical monitor on Days 3 and 5 of each cycle. Each cycle was 21 days in duration.
Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles. R-ICE was a standard-of-care chemotherapy combination administered at the following doses: rituximab 375 mg/m^2 IV on Day 1 and Day 2 of Cycle 1 and on Day 1 of Cycles 2 and 3, ifosfamide 5000 mg/m^2 IV on Day 3 of each cycle, carboplatin AUC = 5 (maximum dose 800 mg) IV on Day 3 of each cycle, and etoposide 100 mg/m^2 or at doses consistent with institutional practice with approval from the medical monitor on Days 3 and 5 of each cycle. Each cycle was 21 days in duration.
Overall Number of Participants Analyzed 0 0
No data displayed because Outcome Measure has zero total analyzed.
8.Secondary Outcome
Title Part 1: ORR (Sum of Participants With CR and PR) Based on the Revised Response Criteria for Hodgkin's Lymphoma (HL) and Non-Hodgkin's Lymphoma (NHL), Using Positron Emission Tomography-computed Tomography (PET-CT) and CT
Hide Description CR, PET-CT: (a) complete metabolic response (MR); (b) lymph nodes and extralymphatic sites (LNs/ELSs): score 1, 2, or 3, with/without residual mass; (c) no new lesions (NNLs); (d) no evidence of fluorodeoxyglucose-avid disease in marrow. CT: complete radiologic response: (a) regression of target nodes/nodal masses to ≤ 1.5 cm in longest transverse lesion diameter; (b) no ELSs of disease; (c) absence of nonmeasured lesions; (d) regression to normal organ size; (e) NNLs; (f) normal morphological bone marrow. PR, PET-CT: (a) partial MR; (b) LNs/ELSs: score 4 or 5, with reduced uptake compared with Baseline and residual mass of any size; (c) NNLs; (d) residual uptake higher than uptake in normal marrow but reduced compared with Baseline. CT: partial remission: (a) LNs/ELSs: ≥ 50% decrease in the sum of the product of the perpendicular diameters for multiple lesions of up to 6 target measurable sites; (b) spleen must have regressed by > 50% in length beyond normal; (c) NNLs.
Time Frame Up to approximately 53 months (4.4 years)
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants with the indicated types of HL and NHL. Confidence intervals were calculated based on the exact method for binomial distributions.
Arm/Group Title Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD
Hide Arm/Group Description:
Participants self-administered parsaclisib 5 milligrams (mg) as an oral tablet once a day (QD) in 21-day treatment cycles.
Participants self-administered parsaclisib 10 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 45 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 1 2 3 32 24 3
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: percentage of participants
Diffuse large B-cell lymphoma Number Analyzed 1 participants 1 participants 2 participants 11 participants 6 participants 2 participants
0.0
(0.0 to 97.5)
0.0
(0.0 to 97.5)
50.0
(1.3 to 98.7)
36.4
(10.9 to 69.2)
16.7
(0.4 to 64.1)
50.0
(1.3 to 98.7)
Follicular lymphoma Number Analyzed 0 participants 1 participants 1 participants 7 participants 5 participants 0 participants
100.0
(2.5 to 100.0)
100.0
(2.5 to 100.0)
85.7
(42.1 to 99.6)
40.0
(5.3 to 85.3)
Mantle cell lymphoma Number Analyzed 0 participants 0 participants 0 participants 6 participants 2 participants 1 participants
66.7
(22.3 to 95.7)
100.0
(15.8 to 100.0)
0.0
(0.0 to 97.5)
Marginal zone lymphoma Number Analyzed 0 participants 0 participants 0 participants 0 participants 1 participants 0 participants
0.0
(0.0 to 97.5)
Extranodal marginal zone lymphoma of mucosa-associated lymphatic tissue Number Analyzed 0 participants 0 participants 0 participants 2 participants 0 participants 0 participants
50.0
(1.3 to 98.7)
Nodal marginal zone B-cell lymphoma Number Analyzed 0 participants 0 participants 0 participants 1 participants 3 participants 0 participants
100.0
(2.5 to 100.0)
100.0
(29.2 to 100.0)
Splenic marginal zone lymphoma Number Analyzed 0 participants 0 participants 0 participants 1 participants 1 participants 0 participants
100.0
(2.5 to 100.0)
100.0
(2.5 to 100.0)
Classical Hodgkin's lymphoma Number Analyzed 0 participants 0 participants 0 participants 4 participants 5 participants 0 participants
50.0
(6.8 to 93.2)
0.0
(0.0 to 52.2)
Nodular lymphocytic-predominant Hodgkin's lymphoma Number Analyzed 0 participants 0 participants 0 participants 0 participants 1 participants 0 participants
0.0
(0.0 to 97.5)
9.Secondary Outcome
Title Part 2: ORR (Sum of Participants With CR and PR) Based on the Revised Response Criteria for HL and NHL, Using PET-CT and CT
Hide Description CR, PET-CT: (a) complete MR; (b) LNs/ELSs: score 1, 2, or 3, with/without residual mass; (c) NNLs; (d) no evidence of fluorodeoxyglucose-avid disease in marrow. CT: complete radiologic response: (a) regression of target nodes/nodal masses to ≤ 1.5 cm in longest transverse lesion diameter; (b) no ELSs of disease; (c) absence of nonmeasured lesions; (d) regression to normal organ size; (e) NNLs; (f) normal morphological bone marrow. PR, PET-CT: (a) partial MR; (b) LNs/ELSs: score 4 or 5, with reduced uptake compared with Baseline and residual mass of any size; (c) NNLs; (d) residual uptake higher than uptake in normal marrow but reduced compared with Baseline. CT: partial remission: (a) LNs/ELSs: ≥ 50% decrease in the sum of the product of the perpendicular diameters for multiple lesions of up to 6 target measurable sites; (b) spleen must have regressed by > 50% in length beyond normal; (c) NNLs.
Time Frame Up to approximately 44 months (3.7 years)
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants with the indicated types of HL and NHL. Confidence intervals were calculated based on the exact method for binomial distributions.
Arm/Group Title Parsaclisib 20 mg + Itacitinib 300 mg Parsaclisib 30 mg + Itacitinib 300 mg
Hide Arm/Group Description:
Participants self-administered parsaclisib 20 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 7 3
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: percentage of participants
Diffuse large B-cell lymphoma Number Analyzed 3 participants 3 participants
0.0
(0.0 to 70.8)
0.0
(0.0 to 70.8)
Follicular lymphoma Number Analyzed 1 participants 0 participants
0.0
(0.0 to 97.5)
Mantle cell lymphoma Number Analyzed 1 participants 0 participants
100.0
(2.5 to 100.0)
Marginal zone lymphoma Number Analyzed 0 participants 0 participants
Extranodal marginal zone lymphoma of mucosa-associated lymphatic tissue Number Analyzed 0 participants 0 participants
Nodal marginal zone B-cell lymphoma Number Analyzed 0 participants 0 participants
Splenic marginal zone lymphoma Number Analyzed 0 participants 0 participants
Classical Hodgkin's lymphoma Number Analyzed 2 participants 0 participants
50.0
(1.3 to 98.7)
Nodular lymphocytic-predominant Hodgkin's lymphoma Number Analyzed 0 participants 0 participants
10.Secondary Outcome
Title Part 6: ORR (Sum of Participants With CR and PR) Based on the Revised Response Criteria for HL and NHL, Using PET-CT and CT
Hide Description CR, PET-CT: (a) complete MR; (b) LNs/ELSs: score 1, 2, or 3, with/without residual mass; (c) NNLs; (d) no evidence of fluorodeoxyglucose-avid disease in marrow. CT: complete radiologic response: (a) regression of target nodes/nodal masses to ≤ 1.5 cm in longest transverse lesion diameter; (b) no ELSs of disease; (c) absence of nonmeasured lesions; (d) regression to normal organ size; (e) NNLs; (f) normal morphological bone marrow. PR, PET-CT: (a) partial MR; (b) LNs/ELSs: score 4 or 5, with reduced uptake compared with Baseline and residual mass of any size; (c) NNLs; (d) residual uptake higher than uptake in normal marrow but reduced compared with Baseline. CT: partial remission: (a) LNs/ELSs: ≥ 50% decrease in the sum of the product of the perpendicular diameters for multiple lesions of up to 6 target measurable sites; (b) spleen must have regressed by > 50% in length beyond normal; (c) NNLs.
Time Frame Up to approximately 4 months
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants with the indicated types of HL and NHL
Arm/Group Title Parsaclisib 15 mg QD + R-ICE Parsaclisib 20 mg QD + R-ICE
Hide Arm/Group Description:
Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles. R-ICE was a standard-of-care chemotherapy combination administered at the following doses: rituximab 375 milligrams per meters squared (mg/m^2) intravenously (IV) on Day 1 and Day 2 of Cycle 1 and on Day 1 of Cycles 2 and 3, ifosfamide 5000 mg/m^2 IV on Day 3 of each cycle, carboplatin area under the curve (AUC) = 5 (maximum dose 800 mg) IV on Day 3 of each cycle, and etoposide 100 mg/m^2 or at doses consistent with institutional practice with approval from the medical monitor on Days 3 and 5 of each cycle. Each cycle was 21 days in duration.
Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles. R-ICE was a standard-of-care chemotherapy combination administered at the following doses: rituximab 375 mg/m^2 IV on Day 1 and Day 2 of Cycle 1 and on Day 1 of Cycles 2 and 3, ifosfamide 5000 mg/m^2 IV on Day 3 of each cycle, carboplatin AUC = 5 (maximum dose 800 mg) IV on Day 3 of each cycle, and etoposide 100 mg/m^2 or at doses consistent with institutional practice with approval from the medical monitor on Days 3 and 5 of each cycle. Each cycle was 21 days in duration.
Overall Number of Participants Analyzed 4 1
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: percentage of participants
Diffuse large B-cell lymphoma Number Analyzed 4 participants 1 participants
50.0 [1] 
(NA to NA)
100.0 [1] 
(NA to NA)
Follicular lymphoma Number Analyzed 0 participants 0 participants
Mantle cell lymphoma Number Analyzed 0 participants 0 participants
Marginal zone lymphoma Number Analyzed 0 participants 0 participants
Extranodal marginal zone lymphoma of mucosa-associated lymphatic tissue Number Analyzed 0 participants 0 participants
Nodal marginal zone B-cell lymphoma Number Analyzed 0 participants 0 participants
Splenic marginal zone lymphoma Number Analyzed 0 participants 0 participants
Classical Hodgkin's lymphoma Number Analyzed 0 participants 0 participants
Nodular lymphocytic-predominant Hodgkin's lymphoma Number Analyzed 0 participants 0 participants
[1]
Summary statistics are not available due to the small sample size in Part 6.
11.Secondary Outcome
Title Cmax of Itacitinib in Combination With Parsaclisib
Hide Description Cmax is defined as the maximum observed plasma or serum concentration of itacitinib.
Time Frame Cycle 1 Day 15; pre-dose and 0.5, 1, 2, 4, 6, 8, and 12 hours post-dose
Hide Outcome Measure Data
Hide Analysis Population Description
Pharmacokinetic (PK)/Pharmacodynamics (PD) Population: participants in the ITT/Safety Population who had PK/PD data. Data from the parsaclisib 20 mg + itacitinib 300 mg and the parsaclisib 30 mg + itacitinib 300 mg arms were pooled for analysis because all participants received 300 mg itacitinib and there is no drug-drug interaction between parsaclisib and itacitinib to affect the PK of either drug.
Arm/Group Title Parsaclisib 20/30 mg + Itacitinib 300 mg
Hide Arm/Group Description:
Participants self-administered parsaclisib 20 mg or 30 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 7
Mean (Standard Deviation)
Unit of Measure: nanomoles (nmol)
887  (404)
12.Secondary Outcome
Title Tmax of Itacitinib in Combination With Parsaclisib
Hide Description tmax is defined as the time to the maximum concentration of itacitinib.
Time Frame Cycle 1 Day 15; pre-dose and 0.5, 1, 2, 4, 6, 8, and 12 hours post-dose
Hide Outcome Measure Data
Hide Analysis Population Description
PK/PD Population. Data from the parsaclisib 20 mg + itacitinib 300 mg and the parsaclisib 30 mg + itacitinib 300 mg arms were pooled for analysis because all participants received 300 mg itacitinib and there is no drug-drug interaction between parsaclisib and itacitinib to affect the PK of either drug.
Arm/Group Title Parsaclisib 20/30 mg + Itacitinib 300 mg
Hide Arm/Group Description:
Participants self-administered parsaclisib 20 or 30 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 7
Median (Full Range)
Unit of Measure: hours
2.0
(1.0 to 4.0)
13.Secondary Outcome
Title Cmin of Itacitinib in Combination With Parsaclisib
Hide Description Cmin is defined as the minimum observed plasma or serum concentration over the dose interval of itacitinib.
Time Frame Cycle 1 Day 15; pre-dose and 0.5, 1, 2, 4, 6, 8, and 12 hours post-dose
Hide Outcome Measure Data
Hide Analysis Population Description
PK/PD Population. Data from the parsaclisib 20 mg + itacitinib 300 mg and the parsaclisib 30 mg + itacitinib 300 mg arms were pooled for analysis because all participants received 300 mg itacitinib and there is no drug-drug interaction between parsaclisib and itacitinib to affect the PK of either drug.
Arm/Group Title Parsaclisib 20/30 mg + Itacitinib 300 mg
Hide Arm/Group Description:
Participants self-administered parsaclisib 20 or 30 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 7
Mean (Standard Deviation)
Unit of Measure: nmol
32.8  (32.5)
14.Secondary Outcome
Title AUC0-t of Itacitinib in Combination With Parsaclisib
Hide Description AUC0-t is defined as the area under the plasma or serum concentration-time curve from time = 0 to the last measurable concentration at time = t of itacitinib.
Time Frame Cycle 1 Day 15; pre-dose and 0.5, 1, 2, 4, 6, 8, and 12 hours post-dose
Hide Outcome Measure Data
Hide Analysis Population Description
PK/PD Population. Data from the parsaclisib 20 mg + itacitinib 300 mg and the parsaclisib 30 mg + itacitinib 300 mg arms were pooled for analysis because all participants received 300 mg itacitinib and there is no drug-drug interaction between parsaclisib and itacitinib to affect the PK of either drug.
Arm/Group Title Parsaclisib 20/30 mg + Itacitinib 300 mg
Hide Arm/Group Description:
Participants self-administered parsaclisib 20 or 30 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 7
Mean (Standard Deviation)
Unit of Measure: hours (hr)*nmol/L
6450  (3780)
15.Secondary Outcome
Title AUC0-τ of Itacitinib in Combination With Parsaclisib
Hide Description AUC0-τ is defined as the area under the steady-state plasma or serum concentration-time curve over 1 dose interval (i.e., from hour 0 to 12 for once every 12 hours [q12h] administration or from hour 0 to 24 for once every 24 hours [q24h] administration) of itacitinib.
Time Frame Cycle 1 Day 15; pre-dose and 0.5, 1, 2, 4, 6, 8, and 12 hours post-dose
Hide Outcome Measure Data
Hide Analysis Population Description
PK/PD Population. Data from the parsaclisib 20 mg + itacitinib 300 mg and the parsaclisib 30 mg + itacitinib 300 mg arms were pooled for analysis because all participants received 300 mg itacitinib and there is no drug-drug interaction between parsaclisib and itacitinib to affect the PK of either drug.
Arm/Group Title Parsaclisib 20/30 mg + Itacitinib 300 mg
Hide Arm/Group Description:
Participants self-administered parsaclisib 20 or 30 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 7
Mean (Standard Deviation)
Unit of Measure: hr*nmol/L
6450  (13780)
16.Secondary Outcome
Title Parts 1 and 2: Cmax of Parsaclisib as Monotherapy and in Combination With Itacitinib
Hide Description Cmax is defined as the maximum observed plasma or serum concentration of parsaclisib. PK samples collected in Part 2, the combination dose escalation study, and in Part 3, Cohort E expansion group, were analyzed for both parsaclisib and itacitinib.
Time Frame Cycle 1 Days 1 and 15; pre-dose and 0.5, 1, 2, 4, 6, 8, and 12 hours post-dose
Hide Outcome Measure Data
Hide Analysis Population Description
PK/PD Population. Only participants with available data were analyzed. In the combination therapy arms, data are reported for the Part 3 Cohort E population (participants with B-cell malignancies).
Arm/Group Title Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD Parsaclisib 20 mg + Itacitinib 300 mg Parsaclisib 30 mg + Itacitinib 300 mg
Hide Arm/Group Description:
Participants self-administered parsaclisib 5 milligrams (mg) as an oral tablet once a day (QD) in 21-day treatment cycles.
Participants self-administered parsaclisib 10 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 45 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 1 3 3 4 4 4 8 3
Mean (Standard Deviation)
Unit of Measure: nmol
Cycle 1 Day 1 Number Analyzed 1 participants 3 participants 3 participants 4 participants 4 participants 4 participants 8 participants 3 participants
354 [1]   (NA) 791  (502) 808  (316) 1270  (655) 3270  (775) 4010  (1400) 1740  (1010) 2040  (338)
Cycle 1 Day 15 Number Analyzed 1 participants 3 participants 3 participants 4 participants 3 participants 4 participants 8 participants 3 participants
690 [1]   (NA) 856  (449) 1310  (290) 1280  (437) 3310  (682) 5530  (3210) 2390  (1480) 2500  (973)
[1]
Standard deviation was not calculated for a single participant.
17.Secondary Outcome
Title Parts 1 and 2: Tmax of Parsaclisib as Monotherapy and in Combination With Itacitinib
Hide Description tmax is defined as the time to the maximum concentration of parsaclisib. PK samples collected in Part 2, the combination dose escalation study, and in Part 3, Cohort E expansion group, were analyzed for both parsaclisib and itacitinib.
Time Frame Cycle 1 Days 1 and 15; pre-dose and 0.5, 1, 2, 4, 6, 8, and 12 hours post-dose
Hide Outcome Measure Data
Hide Analysis Population Description
PK/PD Population. Only participants with available data were analyzed. In the combination therapy arms, data are reported for the Part 3 Cohort E population (participants with B-cell malignancies).
Arm/Group Title Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD Parsaclisib 20 mg + Itacitinib 300 mg Parsaclisib 30 mg + Itacitinib 300 mg
Hide Arm/Group Description:
Participants self-administered parsaclisib 5 milligrams (mg) as an oral tablet once a day (QD) in 21-day treatment cycles.
Participants self-administered parsaclisib 10 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 45 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 1 3 3 4 4 4 8 3
Median (Full Range)
Unit of Measure: hours
Cycle 1 Day 1 Number Analyzed 1 participants 3 participants 3 participants 4 participants 4 participants 4 participants 8 participants 3 participants
2.0
(2.0 to 2.0)
1.0
(0.5 to 2.0)
1.0
(1.0 to 2.0)
1.0
(0.5 to 2.0)
0.5
(0.5 to 1.0)
1.0
(0.5 to 2.0)
1.0
(0.5 to 1.0)
1.0
(1.0 to 1.0)
Cycle 1 Day 15 Number Analyzed 1 participants 3 participants 3 participants 4 participants 3 participants 4 participants 8 participants 3 participants
0.5
(0.5 to 0.5)
1.0
(0.5 to 1.0)
1.0
(1.0 to 1.0)
1.0
(0.5 to 1.0)
0.5
(0.5 to 2.0)
0.5
(0.5 to 1.0)
1.0
(0.5 to 2.0)
1.0
(0.5 to 1.0)
18.Secondary Outcome
Title Parts 1 and 2: Cmin of Parsaclisib as Monotherapy and in Combination With Itacitinib
Hide Description Cmin is defined as the minimum observed plasma or serum concentration over the dose interval of parsaclisib. PK samples collected in Part 2, the combination dose escalation study, and in Part 3, Cohort E expansion group, were analyzed for both parsaclisib and itacitinib.
Time Frame Cycle 1 Days 1 and 15; pre-dose and 0.5, 1, 2, 4, 6, 8, and 12 hours post-dose
Hide Outcome Measure Data
Hide Analysis Population Description
PK/PD Population. Only participants with available data were analyzed. In the combination therapy arms, data are reported for the Part 3 Cohort E population (participants with B-cell malignancies).
Arm/Group Title Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD Parsaclisib 20 mg + Itacitinib 300 mg Parsaclisib 30 mg + Itacitinib 300 mg
Hide Arm/Group Description:
Participants self-administered parsaclisib 5 milligrams (mg) as an oral tablet once a day (QD) in 21-day treatment cycles.
Participants self-administered parsaclisib 10 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 45 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 1 3 3 4 4 4 8 3
Mean (Standard Deviation)
Unit of Measure: nmol
Cycle 1 Day 1 Number Analyzed 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants
Cycle 1 Day 15 Number Analyzed 1 participants 3 participants 3 participants 4 participants 3 participants 4 participants 8 participants 3 participants
127 [1]   (NA) 104  (46) 156  (99.8) 178  (141) 295  (83.1) 864  (690) 515  (652) 341  (278)
[1]
Standard deviation was not calculated for a single participant.
19.Secondary Outcome
Title Parts 1 and 2: AUC0-t of Parsaclisib as Monotherapy and in Combination With Itacitinib
Hide Description AUC0-t is defined as the area under the plasma or serum concentration-time curve from time = 0 to the last measurable concentration at time = t of parsaclisib. PK samples collected in Part 2, the combination dose escalation study, and in Part 3, Cohort E expansion group, were analyzed for both parsaclisib and itacitinib.
Time Frame Cycle 1 Days 1 and 15; pre-dose and 0.5, 1, 2, 4, 6, 8, and 12 hours post-dose
Hide Outcome Measure Data
Hide Analysis Population Description
PK/PD Population. Only participants with available data were analyzed. In the combination therapy arms, data are reported for the Part 3 Cohort E population (participants with B-cell malignancies).
Arm/Group Title Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD Parsaclisib 20 mg + Itacitinib 300 mg Parsaclisib 30 mg + Itacitinib 300 mg
Hide Arm/Group Description:
Participants self-administered parsaclisib 5 milligrams (mg) as an oral tablet once a day (QD) in 21-day treatment cycles.
Participants self-administered parsaclisib 10 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 45 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 1 3 3 4 4 4 8 3
Mean (Standard Deviation)
Unit of Measure: hr*nmol/L
Cycle 1 Day 1 Number Analyzed 1 participants 3 participants 3 participants 4 participants 4 participants 4 participants 8 participants 3 participants
2110 [1]   (NA) 3260  (1460) 3730  (678) 5990  (2650) 13300  (2480) 16800  (4880) 7540  (3370) 10400  (1330)
Cycle 1 Day 15 Number Analyzed 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants
[1]
Standard deviation was not calculated for a single participant.
20.Secondary Outcome
Title Parts 1 and 2: AUC0-τ of Parsaclisib as Monotherapy and in Combination With Itacitinib
Hide Description AUC0-τ is defined as the area under the steady-state plasma or serum concentration-time curve over 1 dose interval (i.e., from hour 0 to 12 for q12h administration or from hour 0 to 24 for q24h administration) of parsaclisib. PK samples collected in Part 2, the combination dose escalation study, and in Part 3, Cohort E expansion group, were analyzed for both parsaclisib and itacitinib.
Time Frame Cycle 1 Days 1 and 15; pre-dose and 0.5, 1, 2, 4, 6, 8, and 12 hours post-dose
Hide Outcome Measure Data
Hide Analysis Population Description
PK/PD Population. Only participants with available data were analyzed. In the combination therapy arms, data are reported for the Part 3 Cohort E population (participants with B-cell malignancies).
Arm/Group Title Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD Parsaclisib 20 mg + Itacitinib 300 mg Parsaclisib 30 mg + Itacitinib 300 mg
Hide Arm/Group Description:
Participants self-administered parsaclisib 5 milligrams (mg) as an oral tablet once a day (QD) in 21-day treatment cycles.
Participants self-administered parsaclisib 10 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 45 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 1 3 3 4 4 4 8 3
Mean (Standard Deviation)
Unit of Measure: hr*nmol/L
Cycle 1 Day 1 Number Analyzed 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants
Cycle 1 Day 15 Number Analyzed 1 participants 3 participants 3 participants 4 participants 4 participants 4 participants 8 participants 3 participants
7130 [1]   (NA) 6910  (2330) 11100  (6310) 11900  (5110) 24800  (2140) 47700  (30500) 22400  (17100) 22900  (10700)
[1]
Standard deviation was not calculated for a single participant.
21.Secondary Outcome
Title Part 3: Cmax of Parsaclisib Monotherapy
Hide Description Cmax is defined as the maximum observed plasma or serum concentration of parsaclisib. PK samples for parsaclisib monotherapy were collected and analyzed from the Part 3 dose expansion (different participant populations). Cohort A: B-cell malignancies; Cohort B: Hodgkin's lymphoma; Cohort C: diffuse large B-cell lymphoma; Cohort D: indolent lymphoma.
Time Frame Cycle 1 Days 1 and 15; pre-dose and 0.5, 1, 2, 4, 6, 8, and 12 hours post-dose
Hide Outcome Measure Data
Hide Analysis Population Description
PK/PD Population. Only participants with available data were analyzed.
Arm/Group Title Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD
Hide Arm/Group Description:
Participants self-administered parsaclisib 5 milligrams (mg) as an oral tablet once a day (QD) in 21-day treatment cycles.
Participants self-administered parsaclisib 10 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 45 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 0 0 0 30 23 0
Mean (Standard Deviation)
Unit of Measure: nmol
Cycle 1 Day 1, Cohort A Number Analyzed 0 participants 0 participants 0 participants 17 participants 8 participants 0 participants
1550  (544) 2350  (944)
Cycle 1 Day 15, Cohort A Number Analyzed 0 participants 0 participants 0 participants 15 participants 9 participants 0 participants
1720  (492) 2390  (648)
Cycle 1 Day 1, Cohort B Number Analyzed 0 participants 0 participants 0 participants 1 participants 6 participants 0 participants
1200 [1]   (NA) 1720  (925)
Cycle 1 Day 15, Cohort B Number Analyzed 0 participants 0 participants 0 participants 1 participants 6 participants 0 participants
1930 [1]   (NA) 2260  (784)
Cycle 1 Day 1, Cohort C Number Analyzed 0 participants 0 participants 0 participants 9 participants 4 participants 0 participants
1760  (772) 1760  (534)
Cycle 1 Day 15, Cohort C Number Analyzed 0 participants 0 participants 0 participants 8 participants 4 participants 0 participants
2060  (682) 3920  (1320)
Cycle 1 Day 1, Cohort D Number Analyzed 0 participants 0 participants 0 participants 3 participants 4 participants 0 participants
1760  (580) 2500  (279)
Cycle 1 Day 15, Cohort D Number Analyzed 0 participants 0 participants 0 participants 3 participants 4 participants 0 participants
1600  (378) 2990  (783)
[1]
Standard deviation was not calculated for a single participant.
22.Secondary Outcome
Title Part 3: Tmax of Parsaclisib Monotherapy
Hide Description tmax is defined as the time to the maximum concentration of parsaclisib. PK samples for parsaclisib monotherapy were collected and analyzed from the Part 3 dose expansion (different participant populations). Cohort A: B-cell malignancies; Cohort B: Hodgkin's lymphoma; Cohort C: diffuse large B-cell lymphoma; Cohort D: indolent lymphoma.
Time Frame Cycle 1 Days 1 and 15; pre-dose and 0.5, 1, 2, 4, 6, 8, and 12 hours post-dose
Hide Outcome Measure Data
Hide Analysis Population Description
PK/PD Population. Only participants with available data were analyzed.
Arm/Group Title Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD
Hide Arm/Group Description:
Participants self-administered parsaclisib 5 milligrams (mg) as an oral tablet once a day (QD) in 21-day treatment cycles.
Participants self-administered parsaclisib 10 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 45 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 0 0 0 30 23 0
Median (Full Range)
Unit of Measure: hours
Cycle 1 Day 1, Cohort A Number Analyzed 0 participants 0 participants 0 participants 17 participants 8 participants 0 participants
0.5
(0.5 to 4.0)
1.0
(0.5 to 2.0)
Cycle 1 Day 15, Cohort A Number Analyzed 0 participants 0 participants 0 participants 15 participants 9 participants 0 participants
1.0
(0.5 to 1.0)
1.0
(0.5 to 2.0)
Cycle 1 Day 1, Cohort B Number Analyzed 0 participants 0 participants 0 participants 1 participants 6 participants 0 participants
2.0
(2.0 to 2.0)
1.5
(0.5 to 2.0)
Cycle 1 Day 15, Cohort B Number Analyzed 0 participants 0 participants 0 participants 1 participants 6 participants 0 participants
0.5
(0.5 to 0.5)
0.75
(0.5 to 8.0)
Cycle 1 Day 1, Cohort C Number Analyzed 0 participants 0 participants 0 participants 9 participants 4 participants 0 participants
0.5
(0.5 to 4.0)
1.0
(0.5 to 2.0)
Cycle 1 Day 15, Cohort C Number Analyzed 0 participants 0 participants 0 participants 8 participants 4 participants 0 participants
1.0
(0.5 to 1.0)
0.5
(0.5 to 0.5)
Cycle 1 Day 1, Cohort D Number Analyzed 0 participants 0 participants 0 participants 3 participants 4 participants 0 participants
1.0
(0.5 to 1.0)
0.75
(0.5 to 1.0)
Cycle 1 Day 15, Cohort D Number Analyzed 0 participants 0 participants 0 participants 3 participants 4 participants 0 participants
0.5
(0.5 to 1.0)
1.0
(0.5 to 1.0)
23.Secondary Outcome
Title Part 3: Cmin of Parsaclisib Monotherapy
Hide Description Cmin is defined as the minimum observed plasma or serum concentration over the dose interval of parsaclisib. PK samples for parsaclisib monotherapy were collected and analyzed from the Part 3 dose expansion (different participant populations). Cohort A: B-cell malignancies; Cohort B: Hodgkin's lymphoma; Cohort C: diffuse large B-cell lymphoma; Cohort D: indolent lymphoma.
Time Frame Cycle 1 Days 1 and 15; pre-dose and 0.5, 1, 2, 4, 6, 8, and 12 hours post-dose
Hide Outcome Measure Data
Hide Analysis Population Description
PK/PD Population. Only participants with available data were analyzed.
Arm/Group Title Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD
Hide Arm/Group Description:
Participants self-administered parsaclisib 5 milligrams (mg) as an oral tablet once a day (QD) in 21-day treatment cycles.
Participants self-administered parsaclisib 10 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 45 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 0 0 0 30 23 0
Mean (Standard Deviation)
Unit of Measure: nmol
Cycle 1 Day 1, Cohort A Number Analyzed 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants
Cycle 1 Day 15, Cohort A Number Analyzed 0 participants 0 participants 0 participants 15 participants 9 participants 0 participants
214  (171) 281  (137)
Cycle 1 Day 1, Cohort B Number Analyzed 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants
Cycle 1 Day 15, Cohort B Number Analyzed 0 participants 0 participants 0 participants 1 participants 6 participants 0 participants
395 [1]   (NA) 296  (177)
Cycle 1 Day 1, Cohort C Number Analyzed 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants
Cycle 1 Day 15, Cohort C Number Analyzed 0 participants 0 participants 0 participants 8 participants 4 participants 0 participants
197  (79.6) 477  (137)
Cycle 1 Day 1, Cohort D Number Analyzed 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants
Cycle 1 Day 15, Cohort D Number Analyzed 0 participants 0 participants 0 participants 3 participants 4 participants 0 participants
202  (161) 421  (365)
[1]
Standard deviation was not calculated for a single participant.
24.Secondary Outcome
Title Part 3: AUC0-t of Parsaclisib Monotherapy
Hide Description AUC0-t is defined as the area under the plasma or serum concentration-time curve from time = 0 to the last measurable concentration at time = t of of parsaclisib. PK samples for parsaclisib monotherapy were collected and analyzed from the Part 3 dose expansion (different participant populations). Cohort A: B-cell malignancies; Cohort B: Hodgkin's lymphoma; Cohort C: diffuse large B-cell lymphoma; Cohort D: indolent lymphoma.
Time Frame Cycle 1 Days 1 and 15; pre-dose and 0.5, 1, 2, 4, 6, 8, and 12 hours post-dose
Hide Outcome Measure Data
Hide Analysis Population Description
PK/PD Population. Only participants with available data were analyzed.
Arm/Group Title Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD
Hide Arm/Group Description:
Participants self-administered parsaclisib 5 milligrams (mg) as an oral tablet once a day (QD) in 21-day treatment cycles.
Participants self-administered parsaclisib 10 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 45 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 0 0 0 30 23 0
Mean (Standard Deviation)
Unit of Measure: hr*nmol/L
Cycle 1 Day 1, Cohort A Number Analyzed 0 participants 0 participants 0 participants 17 participants 8 participants 0 participants
6530  (2280) 10700  (4150)
Cycle 1 Day 15, Cohort A Number Analyzed 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants
Cycle 1 Day 1, Cohort B Number Analyzed 0 participants 0 participants 0 participants 1 participants 6 participants 0 participants
7010 [1]   (NA) 8430  (3560)
Cycle 1 Day 15, Cohort B Number Analyzed 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants
Cycle 1 Day 1, Cohort C Number Analyzed 0 participants 0 participants 0 participants 9 participants 4 participants 0 participants
7110  (2760) 12000  (3230)
Cycle 1 Day 15, Cohort C Number Analyzed 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants
Cycle 1 Day 1, Cohort D Number Analyzed 0 participants 0 participants 0 participants 3 participants 4 participants 0 participants
7230  (2530) 9970  (1260)
Cycle 1 Day 15, Cohort D Number Analyzed 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants
[1]
Standard deviation was not calculated for a single participant.
25.Secondary Outcome
Title Part 3: AUC0-τ of Parsaclisib Monotherapy
Hide Description AUC0-τ is defined as the area under the steady-state plasma or serum concentration-time curve over 1 dose interval (i.e., from hour 0 to 12 for once every 12 hours [q12h] administration or from hour 0 to 24 for once every 24 hours [q24h] administration) of parsaclisib. PK samples for parsaclisib monotherapy were collected and analyzed from the Part 3 dose expansion (different participant populations). Cohort A: B-cell malignancies; Cohort B: Hodgkin's lymphoma; Cohort C: diffuse large B-cell lymphoma; Cohort D: indolent lymphoma.
Time Frame Cycle 1 Days 1 and 15; pre-dose and 0.5, 1, 2, 4, 6, 8, and 12 hours post-dose
Hide Outcome Measure Data
Hide Analysis Population Description
PK/PD Population. Only participants with available data were analyzed.
Arm/Group Title Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD
Hide Arm/Group Description:
Participants self-administered parsaclisib 5 milligrams (mg) as an oral tablet once a day (QD) in 21-day treatment cycles.
Participants self-administered parsaclisib 10 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 30 mg as oral tablets QD in 21-day treatment cycles.
Participants self-administered parsaclisib 45 mg as oral tablets QD in 21-day treatment cycles.
Overall Number of Participants Analyzed 0 0 0 30 23 0
Mean (Standard Deviation)
Unit of Measure: hr*nmol/L
Cycle 1 Day 1, Cohort A Number Analyzed 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants
Cycle 1 Day 15, Cohort A Number Analyzed 0 participants 0 participants 0 participants 15 participants 9 participants 0 participants
12600  (5170) 19500  (6020)
Cycle 1 Day 1, Cohort B Number Analyzed 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants
Cycle 1 Day 15, Cohort B Number Analyzed 0 participants 0 participants 0 participants 1 participants 6 participants 0 participants
17900 [1]   (NA) 20100  (6640)
Cycle 1 Day 1, Cohort C Number Analyzed 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants
Cycle 1 Day 15, Cohort C Number Analyzed 0 participants 0 participants 0 participants 8 participants 4 participants 0 participants
14200  (4600) 28000  (4310)
Cycle 1 Day 1, Cohort D Number Analyzed 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants
Cycle 1 Day 15, Cohort D Number Analyzed 0 participants 0 participants 0 participants 3 participants 4 participants 0 participants
13600  (7270) 25200  (8820)
[1]
Standard deviation was not calculated for a single participant.
Time Frame Up to approximately 53 months (4.4 years)
Adverse Event Reporting Description Treatment-emergent adverse events (TEAEs), defined as events that were reported for the first time, or the worsening of a pre-existing event, after the first dose of study drug, are reported for the Safety Population, defined as all participants enrolled in the study who received at least 1 dose of parsaclisib, itacitinib, rituximab, ifosfamide, carboplatin, and/or etoposide.
 
Arm/Group Title Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD Parsaclisib 20 mg + Itacitinib 300 mg Parsaclisib 30 mg + Itacitinib 300 mg Parsaclisib 15 mg QD + R-ICE Parsaclisib 20 mg QD + R-ICE Total
Hide Arm/Group Description Participants self-administered parsaclisib 5 milligrams (mg) as an oral tablet once a day (QD) in 21-day treatment cycles. Participants self-administered parsaclisib 10 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 30 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 45 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 20 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 30 mg as oral tablets QD and itacitinib 300 mg as oral tablets QD in 21-day treatment cycles. Participants self-administered parsaclisib 15 mg as oral tablets QD in 21-day treatment cycles. R-ICE was a standard-of-care chemotherapy combination administered at the following doses: rituximab 375 milligrams per meters squared (mg/m^2) intravenously (IV) on Day 1 and Day 2 of Cycle 1 and on Day 1 of Cycles 2 and 3, ifosfamide 5000 mg/m^2 IV on Day 3 of each cycle, carboplatin area under the curve (AUC) = 5 (maximum dose 800 mg) IV on Day 3 of each cycle, and etoposide 100 mg/m^2 or at doses consistent with institutional practice with approval from the medical monitor on Days 3 and 5 of each cycle. Each cycle was 21 days in duration. Participants self-administered parsaclisib 20 mg as oral tablets QD in 21-day treatment cycles. R-ICE was a standard-of-care chemotherapy combination administered at the following doses: rituximab 375 mg/m^2 IV on Day 1 and Day 2 of Cycle 1 and on Day 1 of Cycles 2 and 3, ifosfamide 5000 mg/m^2 IV on Day 3 of each cycle, carboplatin AUC = 5 (maximum dose 800 mg) IV on Day 3 of each cycle, and etoposide 100 mg/m^2 or at doses consistent with institutional practice with approval from the medical monitor on Days 3 and 5 of each cycle. Each cycle was 21 days in duration. All participants in all treatment arms combined.
All-Cause Mortality
Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD Parsaclisib 20 mg + Itacitinib 300 mg Parsaclisib 30 mg + Itacitinib 300 mg Parsaclisib 15 mg QD + R-ICE Parsaclisib 20 mg QD + R-ICE Total
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   1/1 (100.00%)      0/3 (0.00%)      0/3 (0.00%)      3/34 (8.82%)      1/27 (3.70%)      0/4 (0.00%)      0/8 (0.00%)      0/3 (0.00%)      0/4 (0.00%)      0/1 (0.00%)      5/88 (5.68%)    
Hide Serious Adverse Events
Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD Parsaclisib 20 mg + Itacitinib 300 mg Parsaclisib 30 mg + Itacitinib 300 mg Parsaclisib 15 mg QD + R-ICE Parsaclisib 20 mg QD + R-ICE Total
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   1/1 (100.00%)      2/3 (66.67%)      1/3 (33.33%)      14/34 (41.18%)      12/27 (44.44%)      2/4 (50.00%)      0/8 (0.00%)      2/3 (66.67%)      1/4 (25.00%)      1/1 (100.00%)      36/88 (40.91%)    
Blood and lymphatic system disorders                       
Anaemia  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Febrile neutropenia  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 1/34 (2.94%)  1 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 1/4 (25.00%)  1 0/1 (0.00%)  0 2/88 (2.27%)  2
Leukocytosis  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Cardiac disorders                       
Atrial flutter  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 1/4 (25.00%)  2 0/1 (0.00%)  0 1/88 (1.14%)  2
Ventricular tachycardia  1  0/1 (0.00%)  0 0/3 (0.00%)  0 1/3 (33.33%)  1 1/34 (2.94%)  1 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  2
Gastrointestinal disorders                       
Abdominal pain  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 2/34 (5.88%)  2 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  2
Anal incontinence  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Colitis  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 4/34 (11.76%)  5 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 4/88 (4.55%)  5
Diarrhoea  1  0/1 (0.00%)  0 1/3 (33.33%)  1 1/3 (33.33%)  1 1/34 (2.94%)  1 3/27 (11.11%)  3 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 6/88 (6.82%)  6
Gastritis erosive  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
General disorders                       
Gait disturbance  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 1/34 (2.94%)  1 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Pyrexia  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 2/34 (5.88%)  2 1/27 (3.70%)  1 1/4 (25.00%)  1 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 4/88 (4.55%)  4
Infections and infestations                       
Bacteraemia  1  0/1 (0.00%)  0 1/3 (33.33%)  1 0/3 (0.00%)  0 0/34 (0.00%)  0 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  2
Bronchitis  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 1/34 (2.94%)  1 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  2
Cytomegalovirus colitis  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 1/34 (2.94%)  1 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Escherichia bacteraemia  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 1/34 (2.94%)  1 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Klebsiella bacteraemia  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 1/4 (25.00%)  1 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Pneumonia  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 1/34 (2.94%)  1 0/27 (0.00%)  0 1/4 (25.00%)  2 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  3
Sepsis  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 3/34 (8.82%)  3 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 3/88 (3.41%)  3
Urinary tract infection  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 1/27 (3.70%)  1 1/4 (25.00%)  1 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  2
Injury, poisoning and procedural complications                       
Fall  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Hip fracture  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Investigations                       
White blood cell count decreased  1  1/1 (100.00%)  1 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Metabolism and nutrition disorders                       
Dehydration  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 1/34 (2.94%)  1 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 1/3 (33.33%)  1 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  2
Hypercalcaemia  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 1/3 (33.33%)  2 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  3
Musculoskeletal and connective tissue disorders                       
Muscular weakness  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)                       
Malignant pleural effusion  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 1/27 (3.70%)  2 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  2
Nervous system disorders                       
Encephalopathy  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 1/1 (100.00%)  1 1/88 (1.14%)  1
Syncope  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 1/34 (2.94%)  1 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  2
Psychiatric disorders                       
Confusional state  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Mental status changes  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Renal and urinary disorders                       
Acute kidney injury  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Renal tubular necrosis  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Urinary incontinence  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Respiratory, thoracic and mediastinal disorders                       
Cough  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 1/34 (2.94%)  1 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Pleural effusion  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 1/34 (2.94%)  2 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  3
Pneumonitis  1  0/1 (0.00%)  0 0/3 (0.00%)  0 1/3 (33.33%)  1 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Pulmonary oedema  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 1/4 (25.00%)  1 0/1 (0.00%)  0 1/88 (1.14%)  1
Respiratory failure  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 1/34 (2.94%)  1 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  2
Skin and subcutaneous tissue disorders                       
Dermatitis exfoliative  1  0/1 (0.00%)  0 1/3 (33.33%)  1 0/3 (0.00%)  0 0/34 (0.00%)  0 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  2
Vascular disorders                       
Hypotension  1  0/1 (0.00%)  0 0/3 (0.00%)  0 1/3 (33.33%)  1 0/34 (0.00%)  0 2/27 (7.41%)  2 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 3/88 (3.41%)  3
1
Term from vocabulary, MedDRA 23.1
Indicates events were collected by systematic assessment
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
Parsaclisib 5 mg QD Parsaclisib 10 mg QD Parsaclisib 15 mg QD Parsaclisib 20 mg QD Parsaclisib 30 mg QD Parsaclisib 45 mg QD Parsaclisib 20 mg + Itacitinib 300 mg Parsaclisib 30 mg + Itacitinib 300 mg Parsaclisib 15 mg QD + R-ICE Parsaclisib 20 mg QD + R-ICE Total
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   1/1 (100.00%)      3/3 (100.00%)      3/3 (100.00%)      32/34 (94.12%)      24/27 (88.89%)      4/4 (100.00%)      6/8 (75.00%)      3/3 (100.00%)      4/4 (100.00%)      1/1 (100.00%)      81/88 (92.05%)    
Blood and lymphatic system disorders                       
Anaemia  1  1/1 (100.00%)  1 0/3 (0.00%)  0 0/3 (0.00%)  0 5/34 (14.71%)  8 4/27 (14.81%)  5 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 4/4 (100.00%)  4 1/1 (100.00%)  1 15/88 (17.05%)  19
Neutropenia  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 7/34 (20.59%)  10 7/27 (25.93%)  16 1/4 (25.00%)  1 1/8 (12.50%)  2 0/3 (0.00%)  0 3/4 (75.00%)  6 1/1 (100.00%)  1 20/88 (22.73%)  36
Polycythaemia  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 1/4 (25.00%)  1 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Thrombocytopenia  1  0/1 (0.00%)  0 0/3 (0.00%)  0 1/3 (33.33%)  1 7/34 (20.59%)  12 5/27 (18.52%)  6 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 3/4 (75.00%)  9 1/1 (100.00%)  2 17/88 (19.32%)  30
Cardiac disorders                       
Atrial fibrillation  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 1/4 (25.00%)  1 0/1 (0.00%)  0 1/88 (1.14%)  1
Bradycardia  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 1/34 (2.94%)  1 0/27 (0.00%)  0 0/4 (0.00%)  0 1/8 (12.50%)  1 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  2
Palpitations  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 3/27 (11.11%)  3 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 1/4 (25.00%)  1 0/1 (0.00%)  0 4/88 (4.55%)  4
Sinus tachycardia  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 1/4 (25.00%)  1 0/1 (0.00%)  0 1/88 (1.14%)  1
Supraventricular tachycardia  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 1/34 (2.94%)  1 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 1/4 (25.00%)  1 0/1 (0.00%)  0 2/88 (2.27%)  2
Tachycardia  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 2/34 (5.88%)  2 4/27 (14.81%)  5 0/4 (0.00%)  0 2/8 (25.00%)  2 0/3 (0.00%)  0 1/4 (25.00%)  1 0/1 (0.00%)  0 9/88 (10.23%)  10
Ear and labyrinth disorders                       
Cerumen impaction  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 2/34 (5.88%)  2 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  2
Deafness  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 2/34 (5.88%)  2 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  2
Middle ear inflammation  1  0/1 (0.00%)  0 1/3 (33.33%)  1 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Tinnitus  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 1/4 (25.00%)  2 0/1 (0.00%)  0 2/88 (2.27%)  3
Vertigo  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 1/8 (12.50%)  1 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Eye disorders                       
Eye irritation  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 1/4 (25.00%)  1 0/1 (0.00%)  0 1/88 (1.14%)  1
Lacrimation increased  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 1/8 (12.50%)  1 1/3 (33.33%)  1 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  2
Gastrointestinal disorders                       
Abdominal discomfort  1  0/1 (0.00%)  0 0/3 (0.00%)  0 1/3 (33.33%)  3 0/34 (0.00%)  0 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  4
Abdominal distension  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 2/27 (7.41%)  2 0/4 (0.00%)  0 1/8 (12.50%)  1 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 3/88 (3.41%)  3
Abdominal pain  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 5/34 (14.71%)  6 6/27 (22.22%)  6 0/4 (0.00%)  0 1/8 (12.50%)  1 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 12/88 (13.64%)  13
Abdominal pain upper  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 2/34 (5.88%)  2 0/27 (0.00%)  0 1/4 (25.00%)  1 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 3/88 (3.41%)  3
Abdominal tenderness  1  0/1 (0.00%)  0 1/3 (33.33%)  1 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Constipation  1  0/1 (0.00%)  0 0/3 (0.00%)  0 1/3 (33.33%)  1 3/34 (8.82%)  3 9/27 (33.33%)  9 0/4 (0.00%)  0 0/8 (0.00%)  0 1/3 (33.33%)  1 1/4 (25.00%)  1 1/1 (100.00%)  1 16/88 (18.18%)  16
Diarrhoea  1  0/1 (0.00%)  0 0/3 (0.00%)  0 1/3 (33.33%)  1 14/34 (41.18%)  19 11/27 (40.74%)  16 1/4 (25.00%)  1 2/8 (25.00%)  3 1/3 (33.33%)  1 1/4 (25.00%)  1 0/1 (0.00%)  0 31/88 (35.23%)  42
Dry mouth  1  0/1 (0.00%)  0 1/3 (33.33%)  1 1/3 (33.33%)  1 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  2
Dyspepsia  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 1/8 (12.50%)  1 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Dysphagia  1  0/1 (0.00%)  0 1/3 (33.33%)  1 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Gastrointestinal disorder  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 1/4 (25.00%)  1 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Haemorrhoids  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 1/34 (2.94%)  1 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 1/3 (33.33%)  1 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  2
Nausea  1  1/1 (100.00%)  1 1/3 (33.33%)  1 2/3 (66.67%)  2 9/34 (26.47%)  10 12/27 (44.44%)  15 1/4 (25.00%)  1 3/8 (37.50%)  3 2/3 (66.67%)  2 1/4 (25.00%)  1 0/1 (0.00%)  0 32/88 (36.36%)  36
Oral pain  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 1/34 (2.94%)  1 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 1/4 (25.00%)  1 0/1 (0.00%)  0 2/88 (2.27%)  2
Stomatitis  1  1/1 (100.00%)  1 1/3 (33.33%)  1 0/3 (0.00%)  0 0/34 (0.00%)  0 3/27 (11.11%)  3 1/4 (25.00%)  1 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 1/1 (100.00%)  1 7/88 (7.95%)  7
Toothache  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 1/34 (2.94%)  1 0/27 (0.00%)  0 1/4 (25.00%)  1 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  2
Vomiting  1  0/1 (0.00%)  0 0/3 (0.00%)  0 2/3 (66.67%)  2 4/34 (11.76%)  4 11/27 (40.74%)  11 0/4 (0.00%)  0 1/8 (12.50%)  1 2/3 (66.67%)  3 0/4 (0.00%)  0 1/1 (100.00%)  1 21/88 (23.86%)  22
General disorders                       
Asthenia  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 2/34 (5.88%)  2 2/27 (7.41%)  2 0/4 (0.00%)  0 0/8 (0.00%)  0 1/3 (33.33%)  1 0/4 (0.00%)  0 0/1 (0.00%)  0 5/88 (5.68%)  5
Chills  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 5/34 (14.71%)  6 4/27 (14.81%)  4 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 1/4 (25.00%)  1 0/1 (0.00%)  0 10/88 (11.36%)  11
Fatigue  1  0/1 (0.00%)  0 1/3 (33.33%)  1 1/3 (33.33%)  1 11/34 (32.35%)  12 9/27 (33.33%)  9 1/4 (25.00%)  1 5/8 (62.50%)  6 1/3 (33.33%)  1 1/4 (25.00%)  1 0/1 (0.00%)  0 30/88 (34.09%)  32
Malaise  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 1/8 (12.50%)  1 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Oedema peripheral  1  0/1 (0.00%)  0 1/3 (33.33%)  1 0/3 (0.00%)  0 5/34 (14.71%)  5 4/27 (14.81%)  4 0/4 (0.00%)  0 1/8 (12.50%)  2 0/3 (0.00%)  0 1/4 (25.00%)  2 0/1 (0.00%)  0 12/88 (13.64%)  14
Pain  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 1/34 (2.94%)  1 2/27 (7.41%)  3 0/4 (0.00%)  0 1/8 (12.50%)  1 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 4/88 (4.55%)  5
Peripheral swelling  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 2/34 (5.88%)  2 3/27 (11.11%)  3 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 5/88 (5.68%)  5
Pyrexia  1  0/1 (0.00%)  0 2/3 (66.67%)  2 0/3 (0.00%)  0 6/34 (17.65%)  8 2/27 (7.41%)  5 0/4 (0.00%)  0 1/8 (12.50%)  1 0/3 (0.00%)  0 1/4 (25.00%)  1 0/1 (0.00%)  0 12/88 (13.64%)  17
Hepatobiliary disorders                       
Hepatic steatosis  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 1/8 (12.50%)  1 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 1/88 (1.14%)  1
Immune system disorders                       
Drug hypersensitivity  1  0/1 (0.00%)  0 1/3 (33.33%)  1 0/3 (0.00%)  0 0/34 (0.00%)  0 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  2
Seasonal allergy  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 2/34 (5.88%)  2 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 3/88 (3.41%)  3
Infections and infestations                       
Bronchitis  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 2/34 (5.88%)  2 2/27 (7.41%)  2 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 4/88 (4.55%)  4
Candida infection  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 1/34 (2.94%)  2 3/27 (11.11%)  3 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 4/88 (4.55%)  5
Device related infection  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 1/1 (100.00%)  1 1/88 (1.14%)  1
Herpes zoster  1  0/1 (0.00%)  0 0/3 (0.00%)  0 1/3 (33.33%)  1 2/34 (5.88%)  2 1/27 (3.70%)  1 0/4 (0.00%)  0 1/8 (12.50%)  1 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 5/88 (5.68%)  5
Influenza  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 1/4 (25.00%)  1 0/1 (0.00%)  0 1/88 (1.14%)  1
Nasopharyngitis  1  0/1 (0.00%)  0 0/3 (0.00%)  0 1/3 (33.33%)  1 0/34 (0.00%)  0 2/27 (7.41%)  2 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 3/88 (3.41%)  3
Oral herpes  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 2/8 (25.00%)  4 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  4
Pneumonia  1  0/1 (0.00%)  0 1/3 (33.33%)  1 0/3 (0.00%)  0 3/34 (8.82%)  3 3/27 (11.11%)  3 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 7/88 (7.95%)  7
Sinusitis  1  0/1 (0.00%)  0 1/3 (33.33%)  1 0/3 (0.00%)  0 1/34 (2.94%)  2 3/27 (11.11%)  3 0/4 (0.00%)  0 1/8 (12.50%)  1 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 6/88 (6.82%)  7
Upper respiratory tract infection  1  0/1 (0.00%)  0 2/3 (66.67%)  2 1/3 (33.33%)  3 3/34 (8.82%)  4 4/27 (14.81%)  4 1/4 (25.00%)  1 3/8 (37.50%)  7 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 14/88 (15.91%)  21
Urinary tract infection  1  0/1 (0.00%)  0 1/3 (33.33%)  1 0/3 (0.00%)  0 3/34 (8.82%)  3 2/27 (7.41%)  6 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 6/88 (6.82%)  10
Wound infection bacterial  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 1/4 (25.00%)  1 0/1 (0.00%)  0 1/88 (1.14%)  1
Wound infection pseudomonas  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 0/34 (0.00%)  0 0/27 (0.00%)  0 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 1/4 (25.00%)  1 0/1 (0.00%)  0 1/88 (1.14%)  1
Injury, poisoning and procedural complications                       
Contusion  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 2/34 (5.88%)  3 1/27 (3.70%)  1 0/4 (0.00%)  0 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 3/88 (3.41%)  4
Fall  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 2/34 (5.88%)  3 2/27 (7.41%)  2 1/4 (25.00%)  1 0/8 (0.00%)  0 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 5/88 (5.68%)  6
Wound  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 1/34 (2.94%)  1 0/27 (0.00%)  0 0/4 (0.00%)  0 1/8 (12.50%)  1 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 2/88 (2.27%)  2
Investigations                       
Alanine aminotransferase increased  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 5/34 (14.71%)  5 2/27 (7.41%)  3 0/4 (0.00%)  0 1/8 (12.50%)  1 0/3 (0.00%)  0 0/4 (0.00%)  0 0/1 (0.00%)  0 8/88 (9.09%)  9
Aspartate aminotransferase increased  1  0/1 (0.00%)  0 0/3 (0.00%)  0 0/3 (0.00%)  0 6/34 (17.65%)  11 3/27 (11.11%)  4 0/4 (0.00%)  0