Efficacy and Safety of Zanubrutinib in Relapsed or Refractory Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma

Last updated: October 23, 2024
Sponsor: BeiGene
Overall Status: Completed

Phase

2

Condition

Leukemia

Lymphoma

Lymphocytic Leukemia, Chronic

Treatment

Zanubrutinib

Clinical Study ID

NCT03206918
BGB-3111-205
CTR20160890
  • Ages > 18
  • All Genders

Study Summary

This was a single-arm, open-label, multi-center Phase 2 study in participants with histologically documented CLL/SLL who have relapsed after or refractory to ≥ 1 prior treatment regimen(s). The study is composed of an initial screening phase, a single-arm treatment phase, and a follow-up phase.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Confirmed diagnosis with at least one criterion for treatment according toInternational workshop on chronic lymphocytic leukemia (IWCLL)

  2. Eastern Cooperative Oncology Group (ECOG) performance status of 0-2

  3. Measurable disease by contrast enhanced computerized tomography / magnetic resonanceimaging (CT/MRI).

  4. Previously treated with a minimum of 1 prior line of standardchemotherapy-containing regimen (with completion of ≥2 treatment cycles).

  5. 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).

  6. Neutrophils ≥ 0.75 x 109/L independent of growth factor support within 7 days ofstudy entry

  7. Platelets ≥ 50 x 109/L, independent of growth factor support or transfusion within 7days of study entry

  8. 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])

  9. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤3 x ULN

  10. Bilirubin ≤2 x ULN (unless documented Gilbert's syndrome)

  11. International normalized ratio (INR) ≤1.5 and activated partial thromboplastin time (APTT) ≤1.5 x ULN.

  12. Participants may be enrolled who relapse after autologous stem cell transplant ifthey are at least 6 months after transplant.

  13. Life expectancy of >4 months

  14. Echocardiogram (ECHO) must demonstrate left ventricular ejection fraction (LVEF) ≥50%; (AHA, 2016)

Exclusion

Key Exclusion Criteria:

  1. Current or history of central nervous system (CNS) lymphoma

  2. Prior exposure to a Bruton's tyrosine kinase (BTK) inhibitor

  3. Prior corticosteroids given in excess of prednisone 10 mg/day or its equivalent withantineoplastic intent within 7 days.

  4. Major surgery within 4 weeks of screening

  5. Not recovered from toxicity of any prior anti-cancer therapy to <Grade 1 (except foralopecia, absolute neutrophil count (ANC) and platelets.

  6. 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

  7. Currently active clinically significant cardiovascular disease

  8. QTcF >480 msecs based on Fridericia's formula or other significant electrocardiogramabnormalities including second degree atrioventricular (AV) block Type II, or thirddegree AV block

  9. 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

  10. Active infection including infections requiring oral or intravenous anti-microbials

  11. Known human immunodeficiency virus (HIV), or active hepatitis B or hepatitis Cinfection (detected positive by polymerase chain reaction [PCR]).

  12. Has received allogenic hematopoietic stem cell transplantation prior to enrollment

  13. 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

  14. Requires ongoing treatment with any medication which is a strong cytochrome P450,family 3, subfamily A (CYP3A) inhibitor or strong CYP3A inducer

  15. Known or clinically suspected Richter's transformation at the time of study entry

  16. History of stroke or intracranial hemorrhage within 6 months prior to enrollment

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Study Design

Total Participants: 91
Treatment Group(s): 1
Primary Treatment: Zanubrutinib
Phase: 2
Study Start date:
March 09, 2017
Estimated Completion Date:
September 10, 2020

Connect with a study center

  • Peking Union Medical College Hospital

    Beijing, Beijing 100730
    China

    Site Not Available

  • Peking University People's Hospital

    Beijing, Beijing 100082
    China

    Site Not Available

  • Peking University Peoples Hospital

    Beijing, Beijing 100044
    China

    Site Not Available

  • Fujian Medical University Union Hospital

    Fuzhou, Fujian 350001
    China

    Site Not Available

  • Nanfang Hospital

    Guangzhou, Guangdong 510515
    China

    Site Not Available

  • Nanfang Hospital of Southern Medical University

    Guangzhou, Guangdong 510515
    China

    Site Not Available

  • The First Affiliated Hospital of GuangXi Medical University

    Nanning, Guangxi
    China

    Site Not Available

  • Guangdong Provincial People's Hospital

    Guangdong, Guangzhou
    China

    Site Not Available

  • Henan Cancer Hospital

    Zhengzhou, Henan 450000
    China

    Site Not Available

  • Tongji Hospital of Tongji Medical College Huazhong University of Science and Technology

    Wuhan, Hubei 430030
    China

    Site Not Available

  • Tongji Hospital of Tongji Medical College of HUST

    Wuhan, Hubei 430030
    China

    Site Not Available

  • Jiangsu Province Hospital

    Nanjing, Jiangsu 210029
    China

    Site Not Available

  • The First Affiliated Hospital of Soochow University

    Suzhou, Jiangsu 215006
    China

    Site Not Available

  • The First Hospital of Jilin University

    Changchun, Jilin 130021
    China

    Site Not Available

  • The First Affilliated Hospital of Jinlin University

    Changchun, Jinlin 130021
    China

    Site Not Available

  • Ruijin Hospital Shanghai Jiaotong University School of Medicine

    Shanghai, Shanghai
    China

    Site Not Available

  • The First Affiliated Hospital of Xi 'an Jiaotong University

    Xi'an, Shanxi
    China

    Site Not Available

  • West China Hospital of Sichuan University

    Chengdu, Sichuan 610041
    China

    Site Not Available

  • West China Hospital, Sichuan University

    Chengdu, Sichuan 610041
    China

    Site Not Available

  • Institute of Hematology and Hospital of Blood Disease

    Tianjin, Tianjin 300020
    China

    Site Not Available

  • Tianjin Hematonosis Hospital

    Tianjin, Tianjin 300020
    China

    Site Not Available

  • The First Affiliated Hospital

    Hangzhou, Zhejiang
    China

    Site Not Available

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