Phase
Condition
Leukemia
Lymphoma
Lymphocytic Leukemia, Chronic
Treatment
Zanubrutinib
Clinical Study ID
Ages > 18 All Genders
Study Summary
Eligibility Criteria
Inclusion
Key Inclusion Criteria:
Confirmed diagnosis with at least one criterion for treatment according toInternational workshop on chronic lymphocytic leukemia (IWCLL)
Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
Measurable disease by contrast enhanced computerized tomography / magnetic resonanceimaging (CT/MRI).
Previously treated with a minimum of 1 prior line of standardchemotherapy-containing regimen (with completion of ≥2 treatment cycles).
Documented failure to achieve at least partial response (PR) or documented diseaseprogression after response to the most recent treatment regimen. Refractory diseaseis defined as treatment failure (stable disease, non-response, progressive disease [PD]) or disease progression within 6 months after the most recent prior therapy (Hallek et al, 2008).
Neutrophils ≥ 0.75 x 109/L independent of growth factor support within 7 days ofstudy entry
Platelets ≥ 50 x 109/L, independent of growth factor support or transfusion within 7days of study entry
Creatinine clearance of ≥ 30 ml/min (as estimated by the Cockcroft-Gault equation orestimated glomerular filtration rate [eGFR] from the Modification of Diet in RenalDisease [MDRD])
Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤3 x ULN
Bilirubin ≤2 x ULN (unless documented Gilbert's syndrome)
International normalized ratio (INR) ≤1.5 and activated partial thromboplastin time (APTT) ≤1.5 x ULN.
Participants may be enrolled who relapse after autologous stem cell transplant ifthey are at least 6 months after transplant.
Life expectancy of >4 months
Echocardiogram (ECHO) must demonstrate left ventricular ejection fraction (LVEF) ≥50%; (AHA, 2016)
Exclusion
Key Exclusion Criteria:
Current or history of central nervous system (CNS) lymphoma
Prior exposure to a Bruton's tyrosine kinase (BTK) inhibitor
Prior corticosteroids given in excess of prednisone 10 mg/day or its equivalent withantineoplastic intent within 7 days.
Major surgery within 4 weeks of screening
Not recovered from toxicity of any prior anti-cancer therapy to <Grade 1 (except foralopecia, absolute neutrophil count (ANC) and platelets.
History of other active malignancies within 2 years of study entry, with exceptionof (1) adequately treated in-situ carcinoma of cervix; (2) localized basal cell orsquamous cell carcinoma of skin; (3) previous malignancy confined and treatedlocally (surgery or other modality) with curative intent
Currently active clinically significant cardiovascular disease
QTcF >480 msecs based on Fridericia's formula or other significant electrocardiogramabnormalities including second degree atrioventricular (AV) block Type II, or thirddegree AV block
Unable to swallow capsules or disease significantly affecting gastrointestinalfunction such as malabsorption syndrome, resection of the stomach or small bowel,symptomatic inflammatory bowel disease, or partial or complete bowel obstruction
Active infection including infections requiring oral or intravenous anti-microbials
Known human immunodeficiency virus (HIV), or active hepatitis B or hepatitis Cinfection (detected positive by polymerase chain reaction [PCR]).
Has received allogenic hematopoietic stem cell transplantation prior to enrollment
Any life-threatening illness, medical condition or organ system dysfunction which,in the investigator's opinion, could compromise the participants's safety, or putthe study at risk
Requires ongoing treatment with any medication which is a strong cytochrome P450,family 3, subfamily A (CYP3A) inhibitor or strong CYP3A inducer
Known or clinically suspected Richter's transformation at the time of study entry
History of stroke or intracranial hemorrhage within 6 months prior to enrollment
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Study Design
Connect with a study center
Peking Union Medical College Hospital
Beijing, Beijing 100730
ChinaSite Not Available
Peking University People's Hospital
Beijing, Beijing 100082
ChinaSite Not Available
Peking University Peoples Hospital
Beijing, Beijing 100044
ChinaSite Not Available
Fujian Medical University Union Hospital
Fuzhou, Fujian 350001
ChinaSite Not Available
Nanfang Hospital
Guangzhou, Guangdong 510515
ChinaSite Not Available
Nanfang Hospital of Southern Medical University
Guangzhou, Guangdong 510515
ChinaSite Not Available
The First Affiliated Hospital of GuangXi Medical University
Nanning, Guangxi
ChinaSite Not Available
Guangdong Provincial People's Hospital
Guangdong, Guangzhou
ChinaSite Not Available
Henan Cancer Hospital
Zhengzhou, Henan 450000
ChinaSite Not Available
Tongji Hospital of Tongji Medical College Huazhong University of Science and Technology
Wuhan, Hubei 430030
ChinaSite Not Available
Tongji Hospital of Tongji Medical College of HUST
Wuhan, Hubei 430030
ChinaSite Not Available
Jiangsu Province Hospital
Nanjing, Jiangsu 210029
ChinaSite Not Available
The First Affiliated Hospital of Soochow University
Suzhou, Jiangsu 215006
ChinaSite Not Available
The First Hospital of Jilin University
Changchun, Jilin 130021
ChinaSite Not Available
The First Affilliated Hospital of Jinlin University
Changchun, Jinlin 130021
ChinaSite Not Available
Ruijin Hospital Shanghai Jiaotong University School of Medicine
Shanghai, Shanghai
ChinaSite Not Available
The First Affiliated Hospital of Xi 'an Jiaotong University
Xi'an, Shanxi
ChinaSite Not Available
West China Hospital of Sichuan University
Chengdu, Sichuan 610041
ChinaSite Not Available
West China Hospital, Sichuan University
Chengdu, Sichuan 610041
ChinaSite Not Available
Institute of Hematology and Hospital of Blood Disease
Tianjin, Tianjin 300020
ChinaSite Not Available
Tianjin Hematonosis Hospital
Tianjin, Tianjin 300020
ChinaSite Not Available
The First Affiliated Hospital
Hangzhou, Zhejiang
ChinaSite Not Available

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