Study to Evaluate the Safety and Tolerability of Tirabrutinib (ONO/GS-4059) Given as Monotherapy in Participants With Relapsed/Refractory NHL and CLL
An Open-label, Multi-Center, Non-Randomised Phase I Dose-Escalation Study to Investigate the Safety and Tolerability of ONO-4059 (ONO/GS-4059) Given as Monotherapy in Patients With Relapsed/Refractory Non-Hodgkin's Lymphoma (NHL) and Relapsed/Refractory Chronic Lymphocytic Leukaemia (CLL)
2 other identifiers
interventional
90
2 countries
6
Brief Summary
The primary objective of the study is to evaluate the safety and tolerability of tirabrutinib (formerly ONO/GS-4059) given as monotherapy to participants with relapsed/refractory non-Hodgkin's lymphoma (NHL) and chronic lymphocytic leukemia (CLL).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Aug 2012
Typical duration for phase_1
6 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 6, 2012
CompletedFirst Posted
Study publicly available on registry
August 7, 2012
CompletedStudy Start
First participant enrolled
August 17, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 23, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
January 11, 2016
CompletedResults Posted
Study results publicly available
January 28, 2021
CompletedMarch 16, 2021
February 1, 2021
2.5 years
July 6, 2012
January 6, 2021
February 22, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of Participants Experiencing Dose-Limiting Toxicities
Dose Limiting Toxicities (DLT) were defined as follows: * All Common Terminology Criteria (CTC) Grade 4 tirabrutinib related adverse events * All CTC Grade 3 tirabrutinib related adverse events, with the exception of the following: * CTC Grade 3 lymphocytosis considered an expected outcome of therapy Any toxicity which in the opinion of the Investigator is attributed to a participant's underlying disease was not considered a DLT.
Day 1 through Day 28
Secondary Outcomes (3)
Overall Response Rate
Up to Cycle 37 (28 days for each cycle) plus 6-month intervals thereafter until disease progression (maximum: up to 39 months)
Pharmacokinetic (PK) Parameter: Cmax of Tirabrutinib
Pre-dose, then 30 minutes, 1, 2, 3, 4, 6, 8, 12 hours post-dose at Cycle 1, Day 28
PK Parameter: AUCtau of Tirabrutinib
Pre-dose, then 30 minutes, 1, 2, 3, 4, 6, 8, 12 hours post-dose at Cycle 1, Day 28
Study Arms (17)
Tirabrutinib 20 mg Once Daily (CLL)
EXPERIMENTALParticipants with relapsed/refractory chronic lymphocytic leukaemia (CLL) received tirabrutinib 20 mg once daily.
Tirabrutinib 40 mg Once Daily (CLL)
EXPERIMENTALParticipants with relapsed/refractory CLL received tirabrutinib 40 mg once daily.
Tirabrutinib 80 mg Once Daily (CLL)
EXPERIMENTALParticipants with relapsed/refractory CLL received tirabrutinib 80 mg once daily.
Tirabrutinib 160 mg Once Daily (CLL)
EXPERIMENTALParticipants with relapsed/refractory CLL received tirabrutinib 160 mg once daily.
Tirabrutinib 320 mg Once Daily (CLL)
EXPERIMENTALParticipants with relapsed/refractory CLL received tirabrutinib 320 mg once daily.
Tirabrutinib 400 mg Once Daily (CLL)
EXPERIMENTALParticipants with relapsed/refractory CLL received tirabrutinib 400 mg once daily.
Tirabrutinib 500 mg Once Daily (CLL)
EXPERIMENTALParticipants with relapsed/refractory CLL received tirabrutinib 500 mg once daily.
Tirabrutinib 600 mg Once Daily (CLL)
EXPERIMENTALParticipants with relapsed/refractory CLL received tirabrutinib 600 mg once daily.
Tirabrutinib 300 mg Twice Daily (CLL)
EXPERIMENTALParticipants with relapsed/refractory CLL received tirabrutinib 300 mg twice daily.
Tirabrutinib 20 mg Once Daily (NHL)
EXPERIMENTALParticipants with relapsed/refractory non-Hodgkin's lymphoma (NHL) received tirabrutinib 20 mg once daily.
Tirabrutinib 40 mg Once Daily (NHL)
EXPERIMENTALParticipants with relapsed/refractory NHL received tirabrutinib 40 mg once daily.
Tirabrutinib 80 mg Once Daily (NHL)
EXPERIMENTALParticipants with relapsed/refractory NHL received tirabrutinib 80 mg once daily.
Tirabrutinib 160 mg Once Daily (NHL)
EXPERIMENTALParticipants with relapsed/refractory NHL received tirabrutinib 160 mg once daily.
Tirabrutinib 320 mg Once Daily (NHL)
EXPERIMENTALParticipants with relapsed/refractory NHL received tirabrutinib 320 mg once daily.
Tirabrutinib 480 mg Once Daily (NHL)
EXPERIMENTALParticipants with relapsed/refractory NHL received tirabrutinib 480 mg once daily.
Tirabrutinib 600 mg Once Daily (NHL)
EXPERIMENTALParticipants with relapsed/refractory NHL received tirabrutinib 600 mg once daily.
Tirabrutinib 240 mg Twice Daily (NHL)
EXPERIMENTALParticipants with relapsed/refractory NHL received tirabrutinib 240 mg twice daily.
Interventions
Capsules administered orally
Eligibility Criteria
You may qualify if:
- Males or females with a confirmed diagnosis of and documented history of relapsed or refractory malignant disease (B-cell lymphoma and/or CLL) for which no therapy of curative or high priority exists and for whom treatment with a Btk inhibitor may be deemed appropriate.
- Age ≥ 18 years.
- Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2.
You may not qualify if:
- Central nervous system (CNS) lymphoma.
- Women who are pregnant or lactating.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Gilead Scienceslead
- Ono Pharmaceutical Co. Ltdcollaborator
Study Sites (6)
CHRU - Hopital Claude HURIEZ
Lille, 59037, France
Centre hospitalier Lyon Sud
Lyon, 69495, France
CHU St Eloi
Montpellier, 34295, France
University Hospital of Wales
Cardiff, CF14 4XW, United Kingdom
Leicester Royal Infirmary
Leicester, LE1 5WW, United Kingdom
Derriford Hospital
Plymouth, PL6 8DH, United Kingdom
Related Publications (4)
Walter HS, Salles GA, Dyer MJ. New Agents to Treat Chronic Lymphocytic Leukemia. N Engl J Med. 2016 Jun 2;374(22):2185-6. doi: 10.1056/NEJMc1602674. No abstract available.
PMID: 27248633RESULTWalter HS, Rule SA, Dyer MJ, Karlin L, Jones C, Cazin B, Quittet P, Shah N, Hutchinson CV, Honda H, Duffy K, Birkett J, Jamieson V, Courtenay-Luck N, Yoshizawa T, Sharpe J, Ohno T, Abe S, Nishimura A, Cartron G, Morschhauser F, Fegan C, Salles G. A phase 1 clinical trial of the selective BTK inhibitor ONO/GS-4059 in relapsed and refractory mature B-cell malignancies. Blood. 2016 Jan 28;127(4):411-9. doi: 10.1182/blood-2015-08-664086. Epub 2015 Nov 5.
PMID: 26542378RESULTFegan, C, Bagshawe J, Salles G, et al. The Bruton's tyrosine kinase (BTK) inhibitor ONO-4059: promising single agent activity and well tolerated in patients with high risk chronic lymphocytic leukaemia (CLL). Paper presented at: 56th American Society of Hematology Annual Meeting and Exposition; December 6-9, 2014; San Franscisco, CA.
RESULTMorschhauser F, Terriou L, Dyer M, et al. The Bruton's tyrosine kinase (BTK) inhibitor ONO-4059: promising single agent activity in patients with relapsed and refractory NHL. Haematologica. 2014 Jun; 99: 150.
RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Gilead Clinical Study Information Center
- Organization
- Gilead Sciences
Study Officials
- STUDY DIRECTOR
Gilead Study Director
Gilead Sciences
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 6, 2012
First Posted
August 7, 2012
Study Start
August 17, 2012
Primary Completion
February 23, 2015
Study Completion
January 11, 2016
Last Updated
March 16, 2021
Results First Posted
January 28, 2021
Record last verified: 2021-02