A Study of PCI-32765 (Ibrutinib) in Combination With Either Bendamustine and Rituximab or Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone in Participants With Previously Treated Indolent Non-Hodgkin Lymphoma
SELENE
A Randomized, Double-Blind, Placebo-Controlled Phase 3 Study of the Bruton's Tyrosine Kinase Inhibitor, PCI-32765 (Ibrutinib), in Combination With Either Bendamustine and Rituximab (BR) or Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (R-CHOP) in Subjects With Previously Treated Indolent Non-Hodgkin Lymphoma (iNHL)
3 other identifiers
interventional
403
19 countries
135
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3 lymphoma
Started Jan 2014
Typical duration for phase_3 lymphoma
135 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
October 28, 2013
CompletedFirst Posted
Study publicly available on registry
November 1, 2013
CompletedStudy Start
First participant enrolled
January 31, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 30, 2022
CompletedResults Posted
Study results publicly available
April 14, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
June 21, 2023
CompletedMay 25, 2025
May 1, 2025
8.3 years
October 28, 2013
March 23, 2023
May 22, 2025
Conditions
Keywords
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 COMPARATORTreatment Arm A = background immune-chemotherapy (bendamustine and rituximab \[BR\] or rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone \[R-CHOP\]) for 6 cycles + placebo.
Treatment Arm B
EXPERIMENTALTreatment Arm B = background immune-chemotherapy (BR or R-CHOP) for 6 cycles + PCI-32765 (Ibrutinib).
Interventions
90 milligram per meter square (mg/m\^2) administered intravenously on Days 1 to 2 of Cycles 1 to 6.
375 mg/m\^2 administered intravenously on Day 1 of Cycles 1 to 6.
750 mg/m\^2 administered intravenously on Day 1 of Cycles 1 to 6.
50 mg/m\^2 administered intravenously on Day 1 of Cycles 1 to 6.
1.4 mg/m\^2 (maximum total 2 mg) administered intravenously on Day 1 of Cycles 1 to 6.
100 mg administered orally on Days 1 to 5 of Cycles 1 to 6.
560 mg (4\*140 mg) capsules administered orally once daily, continuously starting on Cycle 1, Day 1.
Placebo (4 capsules) matched to ibrutinib administered orally once daily, continuously starting on Cycle 1, Day 1.
Eligibility Criteria
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
- Janssen Research & Development, LLClead
- Pharmacyclics LLC.collaborator
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
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.
PMID: 37722354DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Executive Medial Director
- Organization
- Janssen Research & Development, LLC
Study Officials
- STUDY DIRECTOR
Janssen Research & Development, LLC Clinical Trial
Janssen Research & Development, LLC
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