Phase
Condition
Leukemia
Follicular Lymphoma
Lymphoma
Treatment
Docirbrutinib
AS-1763
Clinical Study ID
Ages > 18 All Genders
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria:
Age ≥18 years
Provided written informed consent
Histologically confirmed B-cell malignancy, including CLL/SLL, WM, MCL, MZL, or FL
Patients with SLL, MCL, MZL, and FL: at least 1 radiographically measurable lesion
Failed or are intolerant to ≥2 prior lines of systemic therapy
ECOG Performance Status 0 to 2
Adequate hematologic status (ie, absolute neutrophil count ≥0.75 × 10⁹/L, plateletcount ≥50 × 10⁹/L, hemoglobin ≥8 g/dL) not requiring transfusion support or growthfactors
Adequate hepatic function
Adequate renal function
Ability to swallow tablets and comply with study requirements for the duration ofstudy participation
Male and female patients of reproductive potential: Willing to observe conventionaland effective birth control methods
Male patients: agree not to donate sperm during and for 6 months after the study
Dose Expansion Cohort 3 patients: prior treatment with pirtobrutinib (Jaypirca) foran approved indication
Exclusion
Exclusion Criteria:
Transformed disease (eg, Richter's transformation) prior to or during Screening
Investigational agent or anticancer therapy within 5 half-lives before the plannedstart of docirbrutinib, except therapeutic monoclonal antibody treatment which mustbe discontinued at least 4 weeks before the start of docirbrutinib
Current treatment with investigational therapy or planned investigational therapywhich would be concurrent with this study
Requiring therapeutic anticoagulation with warfarin
Current treatment with certain strong CYP3A4 inhibitors or inducers
Treatment with proton pump inhibitors within 7 days before first dose ofdocirbrutinib
Current treatment with strong P-glycoprotein inhibitors or strong BCRP inhibitors
Refractory to transfusion support
Major surgery within 4 weeks before planned start of docirbrutinib
Radiotherapy with a limited field of radiation for palliation within 7 days of thefirst dose of study treatment
Any unresolved toxicities from prior therapy greater than NCI CTCAE Version 5.0Grade 2 at the time of starting study treatment except for alopecia
History of allogeneic or autologous stem cell transplant or CAR-T therapy within thelast 30 days
Active second malignancy unless in remission with life expectancy >2 years
Known central nervous system (CNS) involvement by systemic lymphoma
Active uncontrolled autoimmune cytopenia (eg, autoimmune hemolytic anemia,idiopathic thrombocytopenic purpura) where new therapy introduced or concomitanttherapy escalated within the 4 weeks before study enrollment is required to maintainadequate blood counts
Clinically significant, uncontrolled cardiac, cardiovascular disease or history ofmyocardial infarction within 6 months before planned start of docirbrutinib, orprolongation of the QT interval corrected for heart rate using Fridericia's Formula (QTcF) >470 msec on at least 2 of 3 consecutive ECGs, and mean QTcF >470 msec on all 3 ECGs, during Screening
Active uncontrolled systemic bacterial, viral, fungal, or parasitic infection
Positive for HIV. For patients with unknown HIV status, HIV testing will beperformed at Screening
Clinically significant active malabsorption syndrome or other condition likely toaffect gastrointestinal absorption of docirbrutinib
Pregnant or lactating.
Known hypersensitivity to any component or excipient of docirbrutinib
Prior treatment with docirbrutinib
Dose Escalation and Cohort 3 patients: prior treatment with noncovalent BTKi exceptpirtobrutinib (Jaypirca)
Dose Expansion Cohort 1 and Cohort 2 patients: prior treatment with any noncovalentBTKi
Study Design
Study Description
Connect with a study center
UC Irvine Health
Orange, California 92868
United StatesActive - Recruiting
Mount Sinai Comprehensive Cancer Center
Miami Beach, Florida 33140
United StatesActive - Recruiting
Moffitt Cancer Center
Tampa, Florida 33612
United StatesActive - Recruiting
Northwestern Memorial Hospital
Chicago, Illinois 60661
United StatesActive - Recruiting
University of Maryland Baltimore Greenebaum Comprehensive Cancer Center
Baltimore, Maryland 21201
United StatesActive - Recruiting
University of Maryland Medical Center - Greenebaum Comprehensive Cancer Center
Baltimore, Maryland 21201
United StatesActive - Recruiting
University of Massachusetts Chan Medical School
Worcester, Massachusetts 01655
United StatesActive - Recruiting
University of Massachusetts Memorial Medical Center
Worcester, Massachusetts 01655
United StatesActive - Recruiting
Clinical Research Alliance, Inc.
Westbury, New York 11590
United StatesActive - Recruiting
Taylor Cancer Research Center
Maumee, Ohio 43537
United StatesActive - Recruiting
The University of Texas MD Anderson Cancer Center
Houston, Texas 77030
United StatesActive - Recruiting
University of Texas MD Anderson Cancer Center
Houston, Texas 77030
United StatesActive - Recruiting
The Medical College of Wisconsin
Milwaukee, Wisconsin 53266
United StatesActive - Recruiting
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