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Monoclonal Antibodies
Cirmtuzumab + Ibrutinib for Lymphoma
La Jolla, CA
Phase 1 & 2
Waitlist Available
Led By Michael Choi, MD
Research Sponsored by Oncternal Therapeutics, Inc
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
ECOG performance status of 0, 1, or 2
Presence of radiographically measurable lymphadenopathy or extranodal lymphoid malignancy
Must not have
Known histological transformation to an aggressive lymphoma
Known central nervous system malignancy
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 5 years
Awards & highlights
No Placebo-Only Group
Summary
This trial is testing a new drug to see if it is safe and effective when given with another drug to patients with B-cell lymphoid malignancies (cancer).
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Who is the study for?
Adults with certain B-cell lymphoid malignancies (like CLL, MCL, or MZL) who've had prior treatments except those resistant to BTK inhibitors. Participants must have adequate organ function and no other cancers that could interfere. They should not be pregnant or breastfeeding and must agree to use effective contraception.Check my eligibility
What is being tested?
The trial is testing the combination of cirmtuzumab, a monoclonal antibody targeting ROR1 on tumor cells, with ibrutinib versus ibrutinib alone in patients with specific types of blood cancer. It's designed to assess safety and effectiveness in Phase 1b/2.See study design
What are the potential side effects?
Potential side effects include reactions related to the immune system due to the monoclonal antibody (cirmtuzumab), bleeding risks from ibrutinib, possible infections, fatigue, digestive issues, and liver enzyme changes.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I can take care of myself and am up and about more than half of my waking hours.
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My cancer can be seen and measured on scans.
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I need treatment because my symptoms or cancer spread are getting worse.
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My medical records show I have CLL/SLL, MCL, or MZL.
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Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
My lymphoma has changed into a more aggressive form.
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I have a known brain or spinal cord tumor.
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I have a stomach or intestine condition that could affect how medicine is absorbed.
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I have signs of GVHD after a stem cell transplant.
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I do not have an ongoing infection when starting the study treatment.
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I have had a solid organ transplant.
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I cannot use ibrutinib due to a bleeding disorder.
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I do not have another cancer that could impact my safety or the study's results.
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Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 5 years
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 5 years
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Overall Response
Secondary study objectives
Duration of Response
Overall Survival
Progression Free Survival (PFS)
+1 moreSide effects data
From 2024 Phase 1 & 2 trial • 95 Patients • NCT03088878100%
Diarrhoea
67%
Fatigue
33%
Thrombocytopenia
100%
80%
60%
40%
20%
0%
Study treatment Arm
MCL Phase 1b, Part 1: 8mg/kg
MCL Phase 1b, Part 1: 2mg/kg
MCL Phase 1b, Part 1: 4mg/kg
MCL Phase 1b, Part 1: 16 mg/kg
MCL Phase 1b, Part 2: 600 mg
CLL Phase 1b, Part 1: 2 mg/kg
CLL Phase 1b, Part 1: 4 mg/kg
CLL Phase 1b, Part 1: 8 mg/kg
CLL Phase 1b, Part 1: 16 mg/kg
CLL Phase 1b, Part 1: 300 mg
CLL Phase 1b, Part 1: 600 mg
CLL Phase 1b, Part 2: 600 mg
CLL Phase 2, Part 3: 600 mg
CLL Phase 2, Part 3: Ibrutinib Alone
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
4Treatment groups
Experimental Treatment
Active Control
Group I: Part 3 - Arm AExperimental Treatment1 Intervention
Cirmtuzumab plus ibrutinib
Group II: Part 2Experimental Treatment1 Intervention
Cirmtuzumab plus ibrutinib
Group III: Part 1Experimental Treatment3 Interventions
Cirmtuzumab followed by Cirmtuzumab plus ibrutinib
Group IV: Part 3 - Arm BActive Control1 Intervention
Ibrutinib only
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Cirmtuzumab (RDR) plus ibrutinib
2018
Completed Phase 2
~100
Cirmtuzumab (2-16 kg/mg) plus Ibrutinib
2018
Completed Phase 2
~100
Cirmtuzumab (300mg) plus Ibrutinib
2018
Completed Phase 2
~100
Cirmtuzumab (600 mg) plus ibrutinib
2018
Completed Phase 2
~100
Cirmtuzumab plus ibrutinib
2018
Completed Phase 2
~100
Find a Location
Closest Location:UCSD Moores Cancer Center· La Jolla, CA
Who is running the clinical trial?
University of California, San DiegoOTHER
1,214 Previous Clinical Trials
1,593,094 Total Patients Enrolled
Pharmacyclics LLC.Industry Sponsor
113 Previous Clinical Trials
13,747 Total Patients Enrolled
Oncternal Therapeutics, IncLead Sponsor
6 Previous Clinical Trials
142 Total Patients Enrolled
California Institute for Regenerative Medicine (CIRM)OTHER
69 Previous Clinical Trials
3,184 Total Patients Enrolled
Michael Choi, MDPrincipal Investigator - University of California, San Diego
Regents Of The University Of California -Ucsd Physician Assoc, Regents of the University of California - UCSD Medical Group, UC San Diego Health System-Hillcrest, UCSD Medical Center-Hillcrest
7 Previous Clinical Trials
33 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have signs of GVHD after a stem cell transplant.I finished all my cancer treatments at least a week ago.I can take care of myself and am up and about more than half of my waking hours.My cancer can be seen and measured on scans.I do not have an ongoing infection when starting the study treatment.I have not had major surgery in the last 4 weeks.I have a known brain or spinal cord tumor.I have a stomach or intestine condition that could affect how medicine is absorbed.I need treatment because my symptoms or cancer spread are getting worse.My lymphoma has changed into a more aggressive form.I haven't taken strong medication that affects liver enzymes in the last week.My blood, liver, kidney, and clotting tests are normal.I have had a solid organ transplant.I haven't had anti-ROR1 therapy in the last 3 months.I cannot use ibrutinib due to a bleeding disorder.I haven't had major heart problems in the last 3 months.I am 18 years old or older.I do not have another cancer that could impact my safety or the study's results.My doctor thinks ibrutinib is a suitable treatment for me.My medical records show I have CLL/SLL, MCL, or MZL.
Research Study Groups:
This trial has the following groups:- Group 1: Part 3 - Arm B
- Group 2: Part 3 - Arm A
- Group 3: Part 1
- Group 4: Part 2
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.