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Bruton's Tyrosine Kinase Inhibitor
Ibrutinib for Hodgkin's Lymphoma
Phase 2
Waitlist Available
Led By Erlene Seymour, M.D.
Research Sponsored by Barbara Ann Karmanos Cancer Institute
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Patients with relapsed or refractory classical HL who have previously received autologous stem cell transplant and/or allogeneic stem cell transplant
Patients must have received prior autologous stem cell transplant at least 12 weeks (3 months) before the first dose of ibrutinib and/or allogeneic stem cell transplant must have been completed at least 6 months prior to the first dose of Ibrutinib
Must not have
Nodular lymphocyte predominant Hodgkin's Lymphoma subtype
Major surgery within 4 weeks of first dose of study drug
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from date of study entry until completion of testing up to 24 months
Awards & highlights
No Placebo-Only Group
Summary
This trial is testing how effective ibrutinib is in treating classical Hodgkin lymphoma that has come back or didn't respond to initial treatment. Ibrutinib may stop cancer cell growth by blocking enzymes needed for cell growth, or by affecting the tumor's environment or the immune system.
Who is the study for?
Adults with classical Hodgkin lymphoma that has come back or didn't respond to treatment, including those who've had stem cell transplants. Participants need good blood counts without transfusions for a week, no recent other cancer treatments, and must use effective birth control. Excluded are those with certain prior conditions like brain disease, recent heart issues, active infections or immune deficiencies.
What is being tested?
The trial is testing the effectiveness of a daily oral dose of Ibrutinib (560 mg) in patients with relapsed or refractory classical Hodgkin lymphoma. It explores how Ibrutinib might inhibit cancer growth by blocking enzymes needed for cell growth and modifying the tumor environment.
What are the potential side effects?
Ibrutinib may cause side effects such as bleeding problems, high blood pressure, irregular heartbeat, new cancers, infections due to low white blood cells count; diarrhea; muscle and bone pain; rash; nausea; bruising; tiredness and fever.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I have classical Hodgkin lymphoma and have had a stem cell transplant.
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I had a stem cell transplant more than 3 months ago for autologous or more than 6 months ago for allogeneic before starting Ibrutinib.
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My Hodgkin lymphoma has not improved after 2 treatments and I can't have a stem cell transplant.
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I am not able to have children or I have a negative pregnancy test if I can.
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I am able to care for myself and perform daily activities.
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I have had at least 2 treatments for Hodgkin lymphoma, including brentuximab vedotin.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
My condition is a specific type of Hodgkin's Lymphoma.
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I have not had major surgery in the last 4 weeks.
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I understand the study's risks and can sign the consent form.
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I need treatment with a strong medication that affects liver enzymes.
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I finished treatment for an infection less than 14 days ago.
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I have no lasting side effects from previous cancer treatments.
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I have a bleeding disorder or hemophilia.
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I have a history of HIV, or I am currently infected with hepatitis B or C.
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I do not have any ongoing infections that aren’t being treated.
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I cannot swallow pills or have a condition that affects how my body absorbs nutrients.
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I am currently taking warfarin or similar blood thinners.
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I do not have any severe illnesses that could risk my safety or affect the study.
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I have a serious heart condition that is currently affecting me.
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I am willing and able to follow all study requirements.
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I have a serious liver condition.
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I have a known brain or spinal cord condition.
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I am currently experiencing GVHD or taking medication to prevent it.
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I had a stem cell transplant from a donor within the last 6 months.
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I have been treated with a BTK inhibitor before.
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I am not currently on any other cancer treatments or experimental drugs.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ from date of study entry until completion of testing up to 24 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from date of study entry until completion of testing up to 24 months
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Overall response rate (ORR) defined as the proportion of participants having a complete (CR) and partial (PR) response
Secondary study objectives
Duration of response (DOR)
Incidence of Treatment-Emergent adverse Events (safety and tolerability)
Progression free survival (PFS)
Other study objectives
Identify which genes and immune alterations are affected by ibrutinib.
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 (ibrutinib)Experimental Treatment3 Interventions
Patients receive ibrutinib PO QD. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Ibrutinib
2014
Completed Phase 4
~2060
Find a Location
Who is running the clinical trial?
Barbara Ann Karmanos Cancer InstituteLead Sponsor
164 Previous Clinical Trials
9,213 Total Patients Enrolled
National Cancer Institute (NCI)NIH
13,938 Previous Clinical Trials
41,023,202 Total Patients Enrolled
Erlene Seymour, M.D.Principal InvestigatorBarbara Ann Karmanos Cancer Institute
Dipenkumar Modi, M.D.Principal InvestigatorBarbara Ann Karmanos Cancer Institute
3 Previous Clinical Trials
118 Total Patients Enrolled