NCT01974440

Brief Summary

The purpose of this study is to evaluate the efficacy and safety of PCI-32765 (ibrutinib) administered in combination with either bendamustine and rituximab (BR) or rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) in adult participants with previously treated indolent Non-Hodgkin lymphoma.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
403

participants targeted

Target at P50-P75 for phase_3 lymphoma

Timeline
Completed

Started Jan 2014

Typical duration for phase_3 lymphoma

Geographic Reach
19 countries

135 active sites

Status
completed

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

October 28, 2013

Completed
4 days until next milestone

First Posted

Study publicly available on registry

November 1, 2013

Completed
3 months until next milestone

Study Start

First participant enrolled

January 31, 2014

Completed
8.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 30, 2022

Completed
11 months until next milestone

Results Posted

Study results publicly available

April 14, 2023

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 21, 2023

Completed
Last Updated

May 25, 2025

Status Verified

May 1, 2025

Enrollment Period

8.3 years

First QC Date

October 28, 2013

Results QC Date

March 23, 2023

Last Update Submit

May 22, 2025

Conditions

Keywords

LymphomaFollicular lymphomaMarginal zone lymphomaIndolent Non-Hodgkin lymphomaPCI-32765IbrutinibBendamustineRituximabCyclophosphamideDoxorubicinVincristinePrednisoneR-CHOP

Outcome Measures

Primary Outcomes (2)

  • Primary Analysis: Progression Free Survival (PFS): Stratified Analysis

    PFS was defined as duration (in months) from the date of randomization to the date of disease progression or relapse from complete response (CR) or death, whichever was first reported. PFS was assessed by the investigator based on the 2007 Revised Response Criteria for Malignant Lymphoma. Disease progression was defined as any new lesion or increase by greater than or equal to (\>=) 50 percent (%) of previously involved sites from nadir disease progression criteria: Appearance of new nodal lesion 1.5 centimeters (cm) in any axis, 50% increase in sum of product of diameters (SPD) of greater than (\>) 1 node or 50% increase in longest diameter of previously identified node 1 cm in short axis. Participants who were progression-free and alive or had unknown status were censored at the last tumor assessment. Kaplan-Meier method was used for the analysis. Stratification factors were used for the analysis.

    Up to 8 years

  • Supplementary Analysis: Progression Free Survival: Unstratified Analysis - Participants With Marginal Zone Lymphoma (MZL)

    PFS in MZL participants was defined as duration (in months) from the date of randomization to the date of disease progression or relapse from CR or death, whichever was first reported. PFS was assessed by the investigator based on the 2007 Revised Response Criteria for Malignant Lymphoma. Disease progression was defined as any new lesion or increase by \>=50% of previously involved sites from nadir disease progression criteria: Appearance of new nodal lesion 1.5 cm in any axis, 50% increase in SPD of \>1 node or 50% increase in longest diameter of previously identified node 1 cm in short axis. Participants who were progression-free and alive or had unknown status were censored at the last tumor assessment. Kaplan-Meier method was used for the analysis. For this outcome measure, unstratified analysis was performed on participants with MZL.

    Up to 8 years

Secondary Outcomes (12)

  • Primary Analysis: Overall Survival (OS): Stratified Analysis

    Up to 8 years

  • Supplementary Analysis: Overall Survival: Unstratified Analysis - Participants With MZL

    Up to 8 years

  • Primary Analysis: Complete Response Rate (CRR): Stratified Analysis

    Up to 8 years

  • Supplementary Analysis: Complete Response Rate: Unstratified Analysis - Participants With MZL

    Up to 8 years

  • Primary Analysis: Overall Response Rate (ORR): Stratified Analysis

    Up to 8 years

  • +7 more secondary outcomes

Study Arms (2)

Treatment Arm A

PLACEBO COMPARATOR

Treatment Arm A = background immune-chemotherapy (bendamustine and rituximab \[BR\] or rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone \[R-CHOP\]) for 6 cycles + placebo.

Drug: BendamustineDrug: RituximabDrug: CyclophosphamideDrug: DoxorubicinDrug: VincristineDrug: PrednisoneDrug: Placebo

Treatment Arm B

EXPERIMENTAL

Treatment Arm B = background immune-chemotherapy (BR or R-CHOP) for 6 cycles + PCI-32765 (Ibrutinib).

Drug: BendamustineDrug: RituximabDrug: CyclophosphamideDrug: DoxorubicinDrug: VincristineDrug: PrednisoneDrug: PCI-32765 (Ibrutinib)

Interventions

90 milligram per meter square (mg/m\^2) administered intravenously on Days 1 to 2 of Cycles 1 to 6.

Treatment Arm ATreatment Arm B

375 mg/m\^2 administered intravenously on Day 1 of Cycles 1 to 6.

Treatment Arm ATreatment Arm B

750 mg/m\^2 administered intravenously on Day 1 of Cycles 1 to 6.

Treatment Arm ATreatment Arm B

50 mg/m\^2 administered intravenously on Day 1 of Cycles 1 to 6.

Treatment Arm ATreatment Arm B

1.4 mg/m\^2 (maximum total 2 mg) administered intravenously on Day 1 of Cycles 1 to 6.

Treatment Arm ATreatment Arm B

100 mg administered orally on Days 1 to 5 of Cycles 1 to 6.

Treatment Arm ATreatment Arm B

560 mg (4\*140 mg) capsules administered orally once daily, continuously starting on Cycle 1, Day 1.

Treatment Arm B

Placebo (4 capsules) matched to ibrutinib administered orally once daily, continuously starting on Cycle 1, Day 1.

Treatment Arm A

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically confirmed diagnosis of B-cell indolent Non-Hodgkin lymphoma with histological subtype limited to follicular lymphoma or marginal zone lymphoma, at initial diagnosis and without evidence of pathological transformation or clinical signs suggesting transformation
  • At least 1 prior treatment with a CD20 antibody combination chemo-immunotherapy regimen
  • Disease that has relapsed or was refractory after prior chemo-immunotherapy
  • At least 1 measurable site of disease according to Revised Response Criteria for Malignant Lymphoma 2007
  • Eastern Cooperative Oncology Group performance status grade 0 or 1
  • Laboratory values within protocol-defined parameters
  • Agrees to protocol-defined use of effective contraception
  • Men must agree not to donate sperm during and after the study for 6 months after the last dose of bendamustine, 12 months after the last dose of rituximab, or 3 months after the last dose of study medication, whichever is later
  • Women of childbearing potential must have a negative serum or urine pregnancy test at Screening

You may not qualify if:

  • Prior treatment according to protocol-defined criteria
  • Unable to receive background chemotherapy based on prior treatment history and cardiac function
  • Known central nervous system lymphoma
  • Diagnosed or treated for malignancy other than indolent Non-Hodgkin lymphoma
  • History of stroke or intracranial hemorrhage within 6 months prior to randomization
  • Requires anticoagulation with warfarin or equivalent Vitamin K antagonists
  • Requires treatment with strong CYP3A inhibitors
  • Clinically significant cardiovascular disease
  • Known history of human immunodeficiency virus or active hepatitis C virus (HCV; ribonucleic acid \[RNA\] polymerase chain reaction \[PCR\]-positive) or active hepatitis B virus (HBV; DNA PCR-positive) infection or any uncontrolled active systemic infection requiring intravenous antibiotics
  • Any life-threatening illness, medical condition, or organ system dysfunction which, in the Investigator's opinion, could compromise the participant's safety, interfere with the absorption or metabolism of ibrutinib capsules, or put the study outcomes at undue risk
  • Women who are pregnant or breastfeeding

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (135)

Unknown Facility

Gilbert, Arizona, United States

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Campbell, California, United States

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Duarte, California, United States

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La Jolla, California, United States

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Los Angeles, California, United States

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Orange, California, United States

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Ocala, Florida, United States

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Chicago, Illinois, United States

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Maywood, Illinois, United States

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Indianapolis, Indiana, United States

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Westwood, Kansas, United States

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Lexington, Kentucky, United States

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Lafayette, Louisiana, United States

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Scarborough, Maine, United States

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Baltimore, Maryland, United States

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Bethesda, Maryland, United States

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Boston, Massachusetts, United States

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Ann Arbor, Michigan, United States

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Battle Creek, Michigan, United States

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Detroit, Michigan, United States

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Saint Louis Park, Minnesota, United States

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Denville, New Jersey, United States

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New York, New York, United States

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Hickory, North Carolina, United States

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Pinehurst, North Carolina, United States

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Bend, Oregon, United States

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Pittsburgh, Pennsylvania, United States

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Sioux Falls, South Dakota, United States

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Houston, Texas, United States

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Lubbock, Texas, United States

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Spokane, Washington, United States

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Green Bay, Wisconsin, United States

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Buenos Aires, Argentina

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Ciudad Autonoma Buenos Aires, Argentina

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Córdoba, Argentina

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La Capital, Argentina

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Mendoza, Argentina

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Santa Fe, Argentina

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Adelaide, Australia

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Fitzroy, Australia

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Heidelberg, Australia

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South Brisbane, Australia

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Wahroonga, Australia

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Westmead, Australia

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Anderlecht, Belgium

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Edegem, Belgium

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Ghent, Belgium

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Leuven, Belgium

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Namur, Belgium

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Wilrijk, Belgium

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Porto Alegre, Brazil

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Rio de Janeiro, Brazil

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Salvador, Brazil

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São Paulo, Brazil

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Beijing, China

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Chengdu, China

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Guangzhou, China

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Hangzhou, China

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Harbin, China

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Nanjing, China

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Shanghai, China

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Tianjin, China

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Nice, France

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Paris, France

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Pessac, France

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Pierre-Bénite, France

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Rennes, France

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Berlin, Germany

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Giessen, Germany

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Göttingen, Germany

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Ludwigshafen, Germany

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Magdeburg, Germany

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Mainz, Germany

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München, Germany

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Wiesbaden, Germany

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Hadera, Israel

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Haifa, Israel

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Jerusalem, Israel

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Nahariya, Israel

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Netanya, Israel

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Petah Tikva, Israel

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Ramat Gan, Israel

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Chūōku, Japan

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Hiroshima, Japan

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Isehara, Japan

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Kobe, Japan

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Nagoya, Japan

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Osaka Sayama Shi, Japan

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Sapporo, Japan

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Sendai, Japan

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Suita-shi, Japan

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Tokyo, Japan

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Gdynia, Poland

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Olsztyn, Poland

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Warsaw, Poland

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Bayamón, Puerto Rico

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Ponce, Puerto Rico

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San Juan, Puerto Rico

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Krasnodar, Russia

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Moscow, Russia

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Nizny Novgorod, Russia

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Petrozavodsk, Russia

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Pyatigorsk, Russia

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Rostov-on-Don, Russia

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Saint Petersburg, Russia

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Syktyvkar, Russia

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Volgograd, Russia

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Jeollanam-do, South Korea

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Seoul, South Korea

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Barcelona, Spain

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Madrid, Spain

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Pozuelo de Alarcón, Spain

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Salamanca, Spain

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Gothenburg, Sweden

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Linköping, Sweden

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Luleå, Sweden

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Uppsala, Sweden

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Ankara, Turkey (Türkiye)

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Antalya, Turkey (Türkiye)

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Istanbul, Turkey (Türkiye)

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Izmir, Turkey (Türkiye)

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Kayseri, Turkey (Türkiye)

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Cherkasy, Ukraine

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Ivano-Frankivsk, Ukraine

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Khmelnitskiy, Ukraine

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Kiev, Ukraine

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Lviv, Ukraine

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Uzhhorod, Ukraine

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Glasgow, United Kingdom

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London, United Kingdom

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Newcastle upon Tyne, United Kingdom

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Plymouth, United Kingdom

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Portsmouth, United Kingdom

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Sutton, United Kingdom

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Swansea, United Kingdom

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Related Publications (1)

  • Nastoupil LJ, Hess G, Pavlovsky MA, Danielewicz I, Freeman J, Garcia-Sancho AM, Glazunova V, Grigg A, Hou JZ, Janssens A, Kim SJ, Masliak Z, McKay P, Merli F, Munakata W, Nagai H, Ozcan M, Preis M, Wang T, Rowe M, Tamegnon M, Qin R, Henninger T, Curtis M, Caces DB, Thieblemont C, Salles G. Phase 3 SELENE study: ibrutinib plus BR/R-CHOP in previously treated patients with follicular or marginal zone lymphoma. Blood Adv. 2023 Nov 28;7(22):7141-7150. doi: 10.1182/bloodadvances.2023010298.

MeSH Terms

Conditions

LymphomaLymphoma, FollicularLymphoma, B-Cell, Marginal Zone

Interventions

Bendamustine HydrochlorideRituximabCyclophosphamideDoxorubicinVincristinePrednisoneibrutinib

Condition Hierarchy (Ancestors)

Neoplasms by Histologic TypeNeoplasmsLymphoproliferative DisordersLymphatic DiseasesHemic and Lymphatic DiseasesImmunoproliferative DisordersImmune System DiseasesLymphoma, Non-HodgkinLymphoma, B-Cell

Intervention Hierarchy (Ancestors)

ButyratesAcids, AcyclicCarboxylic AcidsOrganic ChemicalsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedHydrocarbonsBenzimidazolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsAntibodies, Monoclonal, Murine-DerivedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulinsPhosphoramide MustardsPhosphoramidesOrganophosphorus CompoundsDaunorubicinAnthracyclinesNaphthacenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicPolycyclic CompoundsAminoglycosidesGlycosidesCarbohydratesVinca AlkaloidsSecologanin Tryptamine AlkaloidsIndole AlkaloidsAlkaloidsIndolesIndolizidinesIndolizinesPregnadienediolsPregnadienesPregnanesSteroidsFused-Ring Compounds

Results Point of Contact

Title
Executive Medial Director
Organization
Janssen Research & Development, LLC

Study Officials

  • Janssen Research & Development, LLC Clinical Trial

    Janssen Research & Development, LLC

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 28, 2013

First Posted

November 1, 2013

Study Start

January 31, 2014

Primary Completion

May 30, 2022

Study Completion

June 21, 2023

Last Updated

May 25, 2025

Results First Posted

April 14, 2023

Record last verified: 2025-05

Locations