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Treatment (pacritinib, BTK inhibitor) for Mantle Cell Lymphoma

Phase 1
Waitlist Available
Led By Tycel J Phillips
Research Sponsored by City of Hope Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
* Documented informed consent of the participant and/or legally authorized representative
* Be willing to provide tissue from a fresh core or excisional biopsy (performed as standard of care) of a tumor lesion prior to starting study therapy or from diagnostic tumor biopsies
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up 12 months
Awards & highlights
No Placebo-Only Group

Summary

This phase I trial tests the safety and side effects of pacritinib in combination with a Bruton's tyrosine kinase (BTK) inhibitor and how well it works in treating patients with mantle cell lymphoma that has come back after a period of improvement (relapsed) or that has not responded to previous treatment (refractory). Pacritinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. BTK inhibitors block a protein called BTK which is present on B-cell (a type of white blood cell) cancers such as mantle cell lymphoma at abnormal levels. This may help keep tumor cells from growing and spreading. Giving pacritinib in combination with a BTK inhibitor may be safe, tolerable and/or effective in treating patients with relapsed or refractory mantle cell lymphoma.

Eligible Conditions
  • Mantle Cell Lymphoma

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up 12 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and up 12 months for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Incidence of adverse events (AEs)
Secondary study objectives
Duration of response (DOR)
Overall response rate (ORR)
Progression-free survival (PFS)

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (pacritinib, BTK inhibitor)Experimental Treatment8 Interventions
Patients receive pacritinib PO BID on days 1-28 of each cycle. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients also continue to receive BTK inhibitor per standard of care. Additionally, patients undergo blood sample collection, optional tissue biopsy, bone marrow biopsy and aspiration and PET/CT throughout the study.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Biopsy
2014
Completed Phase 4
~1090
Biospecimen Collection
2004
Completed Phase 3
~2020
Positron Emission Tomography
2011
Completed Phase 2
~2200
Bone Marrow Aspiration
2011
Completed Phase 2
~1740
Bone Marrow Biopsy
2021
Completed Phase 3
~230
Pacritinib
2017
Completed Phase 2
~330
Computed Tomography
2017
Completed Phase 2
~2740

Find a Location

Who is running the clinical trial?

City of Hope Medical CenterLead Sponsor
602 Previous Clinical Trials
1,923,622 Total Patients Enrolled
National Cancer Institute (NCI)NIH
13,912 Previous Clinical Trials
41,011,625 Total Patients Enrolled
Tycel J PhillipsPrincipal InvestigatorCity of Hope Medical Center
1 Previous Clinical Trials
50 Total Patients Enrolled
~7 spots leftby Nov 2026