Trial Outcomes & Findings for PCI-32765 (Ibrutinib) in Treating Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia, Small Lymphocytic Lymphoma, or B-cell Prolymphocytic Leukemia (NCT NCT01589302)

NCT ID: NCT01589302

Last Updated: 2026-04-13

Results Overview

We will summarize our findings for this endpoint independently as well within each cohort (del17p vs other cytogenetic groups). We will evaluate the proportion of patients who are progression-free and alive at two years or have gone on to transplant (treatment successes) over the total number of evaluable patients; eligible patients who received at least one dose of therapy are considered evaluable. Assuming that the number of treatment successes as defined above is binomially distributed, we will also include 95% binomial confidence intervals for the estimates corresponding to each cohort.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE2

Target enrollment

154 participants

Primary outcome timeframe

up to 2 years

Results posted on

2026-04-13

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment (Ibrutinib)
Patients were treated with PCI-32765 capsules administered orally once daily at a dose of 420 mg for 28 day cycles. Patients will continue to receive the study drug indefinitely as long as they are deriving clinical benefit and not experiencing any unacceptable toxicity. Subjects with disease progression will be removed from the study. Correlative laboratory samples, quality of life assessment, and immunologic data would be collected over time of therapy. Patients received ibrutinib orally (PO) once daily(QD)on days 1-28. Courses repeat every 28 days in the absence of disease progression
Overall Study
STARTED
154
Overall Study
Del17p patients
76
Overall Study
Non-Del17p patients
76
Overall Study
COMPLETED
152
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

PCI-32765 (Ibrutinib) in Treating Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia, Small Lymphocytic Lymphoma, or B-cell Prolymphocytic Leukemia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Ibrutinib)
n=152 Participants
Patients were treated with PCI-32765 capsules administered orally once daily at a dose of 420 mg for 28 day cycles. Patients will continue to receive the study drug indefinitely as long as they are deriving clinical benefit and not experiencing any unacceptable toxicity. Subjects with disease progression will be removed from the study. Correlative laboratory samples, quality of life assessment, and immunologic data would be collected over time of therapy. Patients received ibrutinib orally (PO) once daily(QD)on days 1-28. Courses repeat every 28 days in the absence of disease progression
Age, Continuous
Del17p patients
66 years
n=193 Participants
Age, Continuous
Non-Del17p patients
64 years
n=193 Participants
Sex: Female, Male
Female
44 Participants
n=193 Participants
Sex: Female, Male
Male
108 Participants
n=193 Participants
Region of Enrollment
United States
152 patients
n=193 Participants

PRIMARY outcome

Timeframe: up to 2 years

Population: There are 2 different cohorts Del (17p) and Non-Del (17p) each with 76 patients

We will summarize our findings for this endpoint independently as well within each cohort (del17p vs other cytogenetic groups). We will evaluate the proportion of patients who are progression-free and alive at two years or have gone on to transplant (treatment successes) over the total number of evaluable patients; eligible patients who received at least one dose of therapy are considered evaluable. Assuming that the number of treatment successes as defined above is binomially distributed, we will also include 95% binomial confidence intervals for the estimates corresponding to each cohort.

Outcome measures

Outcome measures
Measure
Treatment (Ibrutinib)
n=152 Participants
Patients treated with PCI-32765 capsules administered orally once daily at a dose of 420 mg for 28 day cycles. Weekly monitoring during the first month will occur followed by monthly evaluations for 2 additional months. Monitoring for patients at this point would be every 3 months with monthly CBC(complete blood count)and phone follow-up with a co-investigator on the study. A standard questionnaire will be used in this monthly phone assessment. Patients will continue to receive the study drug indefinitely as long as they are deriving clinical benefit (Complete Response or Partial Response or Stable Disease) and not experiencing any unacceptable toxicity. Subjects with disease progression will be removed from the study. Correlative laboratory samples, quality of life assessment, and immunologic data would be collected over time of therapy. ibrutinib: Patients received ibrutinib orally (PO) once daily (QD) on days 1-28. Courses repeat every 28 days in the absence of disease progression
Determine the 2 Year Progression-free Survival (PFS) of Single Agent PCI-32765 in Patients With Relapsed and Refractory CLL.
All patients
64 percentage of patients
Interval 57.0 to 72.0
Determine the 2 Year Progression-free Survival (PFS) of Single Agent PCI-32765 in Patients With Relapsed and Refractory CLL.
Del(17p)
64 percentage of patients
Interval 54.0 to 75.0
Determine the 2 Year Progression-free Survival (PFS) of Single Agent PCI-32765 in Patients With Relapsed and Refractory CLL.
non-Del(17p)
64 percentage of patients
Interval 54.0 to 75.0

SECONDARY outcome

Timeframe: up to 2 years

Population: There are 2 different cohorts Del (17p) and Non-Del (17p) each with 76 patients

Responders were subjects who achieved a complete response (CR), partial response (PR) or PR with persistent lymphocytosis. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

Outcome measures

Outcome measures
Measure
Treatment (Ibrutinib)
n=152 Participants
Patients treated with PCI-32765 capsules administered orally once daily at a dose of 420 mg for 28 day cycles. Weekly monitoring during the first month will occur followed by monthly evaluations for 2 additional months. Monitoring for patients at this point would be every 3 months with monthly CBC(complete blood count)and phone follow-up with a co-investigator on the study. A standard questionnaire will be used in this monthly phone assessment. Patients will continue to receive the study drug indefinitely as long as they are deriving clinical benefit (Complete Response or Partial Response or Stable Disease) and not experiencing any unacceptable toxicity. Subjects with disease progression will be removed from the study. Correlative laboratory samples, quality of life assessment, and immunologic data would be collected over time of therapy. ibrutinib: Patients received ibrutinib orally (PO) once daily (QD) on days 1-28. Courses repeat every 28 days in the absence of disease progression
Best Overall Response Rate Using the Revised International Workshop on Chronic Lymphocytic Leukemia (IWCLL) Working Group Guidelines
All patients
63 percentage of patients
Interval 55.0 to 70.0
Best Overall Response Rate Using the Revised International Workshop on Chronic Lymphocytic Leukemia (IWCLL) Working Group Guidelines
Del(17p)
66 percentage of patients
Interval 55.0 to 76.0
Best Overall Response Rate Using the Revised International Workshop on Chronic Lymphocytic Leukemia (IWCLL) Working Group Guidelines
non-Del(17p)
59 percentage of patients
Interval 48.0 to 70.0

SECONDARY outcome

Timeframe: Up to 6 months

Population: There are 2 different cohorts Del (17p) and Non-Del (17p) each with 76 patients

The 6 month overall response rates overall response rate (ORR). Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR

Outcome measures

Outcome measures
Measure
Treatment (Ibrutinib)
n=152 Participants
Patients treated with PCI-32765 capsules administered orally once daily at a dose of 420 mg for 28 day cycles. Weekly monitoring during the first month will occur followed by monthly evaluations for 2 additional months. Monitoring for patients at this point would be every 3 months with monthly CBC(complete blood count)and phone follow-up with a co-investigator on the study. A standard questionnaire will be used in this monthly phone assessment. Patients will continue to receive the study drug indefinitely as long as they are deriving clinical benefit (Complete Response or Partial Response or Stable Disease) and not experiencing any unacceptable toxicity. Subjects with disease progression will be removed from the study. Correlative laboratory samples, quality of life assessment, and immunologic data would be collected over time of therapy. ibrutinib: Patients received ibrutinib orally (PO) once daily (QD) on days 1-28. Courses repeat every 28 days in the absence of disease progression
Number of Patients With 6 Month ORR of Single Agent Ibrutinib in Relapsed and Refractory CLL Patients
All patients
63 patients
Interval 55.0 to 70.0
Number of Patients With 6 Month ORR of Single Agent Ibrutinib in Relapsed and Refractory CLL Patients
Del(17p)
66 patients
Interval 55.0 to 76.0
Number of Patients With 6 Month ORR of Single Agent Ibrutinib in Relapsed and Refractory CLL Patients
Non-del(17p)
59 patients
Interval 48.0 to 70.0

SECONDARY outcome

Timeframe: 2 years

Population: There are 2 different cohorts Del (17p) and Non-Del (17p) each with 76 patients

Time from date of first treatment with ibrutinib until the date of death from any cause or the date of last contact for those alive.

Outcome measures

Outcome measures
Measure
Treatment (Ibrutinib)
n=152 Participants
Patients treated with PCI-32765 capsules administered orally once daily at a dose of 420 mg for 28 day cycles. Weekly monitoring during the first month will occur followed by monthly evaluations for 2 additional months. Monitoring for patients at this point would be every 3 months with monthly CBC(complete blood count)and phone follow-up with a co-investigator on the study. A standard questionnaire will be used in this monthly phone assessment. Patients will continue to receive the study drug indefinitely as long as they are deriving clinical benefit (Complete Response or Partial Response or Stable Disease) and not experiencing any unacceptable toxicity. Subjects with disease progression will be removed from the study. Correlative laboratory samples, quality of life assessment, and immunologic data would be collected over time of therapy. ibrutinib: Patients received ibrutinib orally (PO) once daily (QD) on days 1-28. Courses repeat every 28 days in the absence of disease progression
Percentage of Patients With Overall Survival (OS)
All patients
78 percent of patients
Interval 71.0 to 84.0
Percentage of Patients With Overall Survival (OS)
Del(17p)
75 percent of patients
Interval 63.0 to 83.0
Percentage of Patients With Overall Survival (OS)
non-Del(17p)
81 percent of patients
Interval 71.0 to 89.0

SECONDARY outcome

Timeframe: 2 years

Population: There are 2 different cohorts Del (17p) and Non-Del (17p) each with 76 patients

Time from date of first treatment with ibrutinib until the date of progression or death from any cause. Those alive and progression free are censored at the date of last clinical assessment.

Outcome measures

Outcome measures
Measure
Treatment (Ibrutinib)
n=152 Participants
Patients treated with PCI-32765 capsules administered orally once daily at a dose of 420 mg for 28 day cycles. Weekly monitoring during the first month will occur followed by monthly evaluations for 2 additional months. Monitoring for patients at this point would be every 3 months with monthly CBC(complete blood count)and phone follow-up with a co-investigator on the study. A standard questionnaire will be used in this monthly phone assessment. Patients will continue to receive the study drug indefinitely as long as they are deriving clinical benefit (Complete Response or Partial Response or Stable Disease) and not experiencing any unacceptable toxicity. Subjects with disease progression will be removed from the study. Correlative laboratory samples, quality of life assessment, and immunologic data would be collected over time of therapy. ibrutinib: Patients received ibrutinib orally (PO) once daily (QD) on days 1-28. Courses repeat every 28 days in the absence of disease progression
2-year Kaplan-Meier Estimate of OS for Relapsed and Refractory CLL Patients Treated With Single Agent PCI-32765
All patients
69 percent of patients
Interval 61.0 to 76.0
2-year Kaplan-Meier Estimate of OS for Relapsed and Refractory CLL Patients Treated With Single Agent PCI-32765
Del(17p)
66 percent of patients
Interval 54.0 to 76.0
2-year Kaplan-Meier Estimate of OS for Relapsed and Refractory CLL Patients Treated With Single Agent PCI-32765
non-Del(17p)
72 percent of patients
Interval 60.0 to 81.0

SECONDARY outcome

Timeframe: Up to 2 years post treatment

Adverse events grade 3 or higher using the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 with the attribution of either definite, possible or probable related.

Outcome measures

Outcome measures
Measure
Treatment (Ibrutinib)
n=152 Participants
Patients treated with PCI-32765 capsules administered orally once daily at a dose of 420 mg for 28 day cycles. Weekly monitoring during the first month will occur followed by monthly evaluations for 2 additional months. Monitoring for patients at this point would be every 3 months with monthly CBC(complete blood count)and phone follow-up with a co-investigator on the study. A standard questionnaire will be used in this monthly phone assessment. Patients will continue to receive the study drug indefinitely as long as they are deriving clinical benefit (Complete Response or Partial Response or Stable Disease) and not experiencing any unacceptable toxicity. Subjects with disease progression will be removed from the study. Correlative laboratory samples, quality of life assessment, and immunologic data would be collected over time of therapy. ibrutinib: Patients received ibrutinib orally (PO) once daily (QD) on days 1-28. Courses repeat every 28 days in the absence of disease progression
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Anemia
13 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Febrible Neutropenia
2 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Leukocytosis
18 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Atrial Fibrillation
1 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Diarrhea
2 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Gastric Hemorrhage
1 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Gastrointestinal Disorders-other
1 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Mucositis Oral
1 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Nausea
2 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Death
1 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Edema Limb
1 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Fatigue
1 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
General Disorders and Admin Site Conditions
2 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Cholecystitis
1 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Bronchial Infection
1 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Infections and Infestations-other
4 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Lung Infection
10 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Otitis Media
1 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Sepsis
2 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Skin Infection
2 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Urinary Tract Infection
1 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Alanine Aminotransferase Increased
1 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Blood Bilirubin Increased
1 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Lymphocyte Count Decreased
14 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Lymphocyte Count Increased
54 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Neutrophil Count Decreased
40 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Platelet Count Decreased
8 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
White Blood Cell Decreased
10 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Hyperuricemia
4 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Hypophosphatemia
1 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Arthralgia
2 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Arthritis
1 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Hematuria
2 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Hypoxia
1 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Respiratory Failure
1 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Rash Maculo-papular
1 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Hematoma
1 patients
Number of Patients With Adverse Events, Graded According to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Hypertension
7 patients

SECONDARY outcome

Timeframe: Up to 4 years

Percentage of patients with BTK C481S mutation or PLCG2 mutation

Outcome measures

Outcome measures
Measure
Treatment (Ibrutinib)
n=152 Participants
Patients treated with PCI-32765 capsules administered orally once daily at a dose of 420 mg for 28 day cycles. Weekly monitoring during the first month will occur followed by monthly evaluations for 2 additional months. Monitoring for patients at this point would be every 3 months with monthly CBC(complete blood count)and phone follow-up with a co-investigator on the study. A standard questionnaire will be used in this monthly phone assessment. Patients will continue to receive the study drug indefinitely as long as they are deriving clinical benefit (Complete Response or Partial Response or Stable Disease) and not experiencing any unacceptable toxicity. Subjects with disease progression will be removed from the study. Correlative laboratory samples, quality of life assessment, and immunologic data would be collected over time of therapy. ibrutinib: Patients received ibrutinib orally (PO) once daily (QD) on days 1-28. Courses repeat every 28 days in the absence of disease progression
Resistance Studies of Ibrutinib
13.2 percentage of patients
Interval 8.2 to 19.6

SECONDARY outcome

Timeframe: up to 3 months

Population: Data was not collect and analyzed for this outcome measure

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 2 years

The number of participants with successful Allogenic Stem Cell Transplant

Outcome measures

Outcome measures
Measure
Treatment (Ibrutinib)
n=152 Participants
Patients treated with PCI-32765 capsules administered orally once daily at a dose of 420 mg for 28 day cycles. Weekly monitoring during the first month will occur followed by monthly evaluations for 2 additional months. Monitoring for patients at this point would be every 3 months with monthly CBC(complete blood count)and phone follow-up with a co-investigator on the study. A standard questionnaire will be used in this monthly phone assessment. Patients will continue to receive the study drug indefinitely as long as they are deriving clinical benefit (Complete Response or Partial Response or Stable Disease) and not experiencing any unacceptable toxicity. Subjects with disease progression will be removed from the study. Correlative laboratory samples, quality of life assessment, and immunologic data would be collected over time of therapy. ibrutinib: Patients received ibrutinib orally (PO) once daily (QD) on days 1-28. Courses repeat every 28 days in the absence of disease progression
Effectiveness of Ibrutinib Bridging Patients to Allogeneic Stem Cell Transplant and Outcome of Patients Following This Intervention
1 participants

SECONDARY outcome

Timeframe: Up to 2 years

Population: Data was reported for start of treatment only

Cancer-Specific Stress was measured by the Impact of Event Scale-Revised Participants rated the intensity of these feelings using a five-point Likert scale ranging from 0=not at all to 4=extremely. Patients rated the frequency of their feelings or events for the previous week before treatment. The items were summed for a total score that ranged from 0 to 64

Outcome measures

Outcome measures
Measure
Treatment (Ibrutinib)
n=152 Participants
Patients treated with PCI-32765 capsules administered orally once daily at a dose of 420 mg for 28 day cycles. Weekly monitoring during the first month will occur followed by monthly evaluations for 2 additional months. Monitoring for patients at this point would be every 3 months with monthly CBC(complete blood count)and phone follow-up with a co-investigator on the study. A standard questionnaire will be used in this monthly phone assessment. Patients will continue to receive the study drug indefinitely as long as they are deriving clinical benefit (Complete Response or Partial Response or Stable Disease) and not experiencing any unacceptable toxicity. Subjects with disease progression will be removed from the study. Correlative laboratory samples, quality of life assessment, and immunologic data would be collected over time of therapy. ibrutinib: Patients received ibrutinib orally (PO) once daily (QD) on days 1-28. Courses repeat every 28 days in the absence of disease progression
Cancer-Specific Stress as Measured by the Impact of Event Scale-Revised (IES-R)
9.18 units on a scale
Standard Deviation 8.35

SECONDARY outcome

Timeframe: at 5 months

Population: Data was reported for month 5 from start of treatment

The Beck Depression Inventory-2nd edition is a 21-item measure of depressive symptoms. Scores were calculated representing the cognitive-affective and the somatic symptoms associated with depression (e.g. sadness, pessimism, loss of pleasure) during past month on scale from 0 to 3. Items were summed, with higher scores indicating more depressive symptoms. The scores on the scale from range from 0 to 42.

Outcome measures

Outcome measures
Measure
Treatment (Ibrutinib)
n=130 Participants
Patients treated with PCI-32765 capsules administered orally once daily at a dose of 420 mg for 28 day cycles. Weekly monitoring during the first month will occur followed by monthly evaluations for 2 additional months. Monitoring for patients at this point would be every 3 months with monthly CBC(complete blood count)and phone follow-up with a co-investigator on the study. A standard questionnaire will be used in this monthly phone assessment. Patients will continue to receive the study drug indefinitely as long as they are deriving clinical benefit (Complete Response or Partial Response or Stable Disease) and not experiencing any unacceptable toxicity. Subjects with disease progression will be removed from the study. Correlative laboratory samples, quality of life assessment, and immunologic data would be collected over time of therapy. ibrutinib: Patients received ibrutinib orally (PO) once daily (QD) on days 1-28. Courses repeat every 28 days in the absence of disease progression
Cognitive-Affective Depressive Symptoms as Measured by the Beck Depression Inventory-2nd Edition (BDI-II)
1.88 units on a scale
Standard Deviation 3.11

SECONDARY outcome

Timeframe: at 5 months

Population: Data was reported for month 5 from start of treatment

The Profile of Mood States-Short Form (POMS-SF) yields six subscales, Tension, Depression, Anger, Vigor, Fatigue, and Confusion. A total mood disturbance score is found by summing the six subscales. Total Mood Disturbance (TMD) scores range from -24 to 124 with higher scores indicating greater mood disturbance.

Outcome measures

Outcome measures
Measure
Treatment (Ibrutinib)
n=128 Participants
Patients treated with PCI-32765 capsules administered orally once daily at a dose of 420 mg for 28 day cycles. Weekly monitoring during the first month will occur followed by monthly evaluations for 2 additional months. Monitoring for patients at this point would be every 3 months with monthly CBC(complete blood count)and phone follow-up with a co-investigator on the study. A standard questionnaire will be used in this monthly phone assessment. Patients will continue to receive the study drug indefinitely as long as they are deriving clinical benefit (Complete Response or Partial Response or Stable Disease) and not experiencing any unacceptable toxicity. Subjects with disease progression will be removed from the study. Correlative laboratory samples, quality of life assessment, and immunologic data would be collected over time of therapy. ibrutinib: Patients received ibrutinib orally (PO) once daily (QD) on days 1-28. Courses repeat every 28 days in the absence of disease progression
Negative Mood Quality of Life Measured by a 37-item Questionnaire
0.89 units on a scale
Standard Deviation 18.12

SECONDARY outcome

Timeframe: at 5 months

SF-12 assesses aspects of quality of life including physical functioning, role functioning-physical, bodily pain, general health perceptions, vitality, social functioning, role functioning-emotional, and mental health. Subscale raw scores are transformed to put each subscale on a 0-100 range with higher scores indicative of greater functioning. Subscale scores are standardized based on US General Population norms and aggregated based on factor score coefficients into two component scores: the Physical Component Summary (PCS) and the Mental Component Summary (MCS). Component scores are norm-based t-scores meaning scores above 50 indicate better functioning than average functioning while scores below 50 indicate worse functioning.

Outcome measures

Outcome measures
Measure
Treatment (Ibrutinib)
n=126 Participants
Patients treated with PCI-32765 capsules administered orally once daily at a dose of 420 mg for 28 day cycles. Weekly monitoring during the first month will occur followed by monthly evaluations for 2 additional months. Monitoring for patients at this point would be every 3 months with monthly CBC(complete blood count)and phone follow-up with a co-investigator on the study. A standard questionnaire will be used in this monthly phone assessment. Patients will continue to receive the study drug indefinitely as long as they are deriving clinical benefit (Complete Response or Partial Response or Stable Disease) and not experiencing any unacceptable toxicity. Subjects with disease progression will be removed from the study. Correlative laboratory samples, quality of life assessment, and immunologic data would be collected over time of therapy. ibrutinib: Patients received ibrutinib orally (PO) once daily (QD) on days 1-28. Courses repeat every 28 days in the absence of disease progression
Mental Health Quality of Life Was Measured by the Mental Component Summary Score of the Medical Outcomes Study
53.98 units on a scale
Standard Deviation 8.72

SECONDARY outcome

Timeframe: at 5 months

Population: Data was reported for month 5 from the start of treatment

The Fatigue Interference quality of life measures is a 11-item self reported questionnaire used to measure frequency, severity and daily pattern of fatigue Symptoms as well as impact of QOL in the past week. The Total Disruption Index (TDI) an 7 item subset of FSI was used. Items were rated on a 11-point Likert scale from 0=no interference to 10=extreme interference. Total scores could range from 0 to 70, with higher scores indicating greater fatigue interference.

Outcome measures

Outcome measures
Measure
Treatment (Ibrutinib)
n=129 Participants
Patients treated with PCI-32765 capsules administered orally once daily at a dose of 420 mg for 28 day cycles. Weekly monitoring during the first month will occur followed by monthly evaluations for 2 additional months. Monitoring for patients at this point would be every 3 months with monthly CBC(complete blood count)and phone follow-up with a co-investigator on the study. A standard questionnaire will be used in this monthly phone assessment. Patients will continue to receive the study drug indefinitely as long as they are deriving clinical benefit (Complete Response or Partial Response or Stable Disease) and not experiencing any unacceptable toxicity. Subjects with disease progression will be removed from the study. Correlative laboratory samples, quality of life assessment, and immunologic data would be collected over time of therapy. ibrutinib: Patients received ibrutinib orally (PO) once daily (QD) on days 1-28. Courses repeat every 28 days in the absence of disease progression
Fatigue Symptom Inventory (FSI) Interference Quality of Life as Measured by a 11-item Total Disruption Index Sub Scale of Fatigue Symptoms Inventory
9.70 units on a scale
Standard Deviation 13.11

SECONDARY outcome

Timeframe: at 5 months

Population: Data was reported for month 5 from start of treatment

Sleep problems quality of life measures is a six-item sleep problems index I of the Medical Outcomes Study-Sleep Scale used to assess sleep problems. Participants reported how often they experience six specific difficulties with sleep on a 6-point Likert scale (1=All of the time to 6=None of the time). Scores transformed into a 0-100 scale with higher scores indicating greater sleep problems.

Outcome measures

Outcome measures
Measure
Treatment (Ibrutinib)
n=129 Participants
Patients treated with PCI-32765 capsules administered orally once daily at a dose of 420 mg for 28 day cycles. Weekly monitoring during the first month will occur followed by monthly evaluations for 2 additional months. Monitoring for patients at this point would be every 3 months with monthly CBC(complete blood count)and phone follow-up with a co-investigator on the study. A standard questionnaire will be used in this monthly phone assessment. Patients will continue to receive the study drug indefinitely as long as they are deriving clinical benefit (Complete Response or Partial Response or Stable Disease) and not experiencing any unacceptable toxicity. Subjects with disease progression will be removed from the study. Correlative laboratory samples, quality of life assessment, and immunologic data would be collected over time of therapy. ibrutinib: Patients received ibrutinib orally (PO) once daily (QD) on days 1-28. Courses repeat every 28 days in the absence of disease progression
Sleep Through Quality of Life as Measured by a Medical Outcomes Study-Sleep Scale
24.08 units on a scale
Standard Deviation 17.23

SECONDARY outcome

Timeframe: up to 5 months

Population: Data was reported for month 5 from start of treatment

Physical Health Quality of life measures were administered during screening and on Days 1 (±3), of Cycle 1, Day 1 (±3), of Cycle 2 and on day 1 (±7) of Cycles 3, 6, and then every 3 months thru Cycle 24 and at time of progression and /or end of treatment. SF-12 assesses aspects of quality of life including physical functioning, role functioning-physical, bodily pain, general health perceptions, vitality, social functioning, role functioning-emotional, and mental health. Subscale raw scores are transformed to put each subscale on a 0-100 range with higher scores indicative of greater functioning. Subscale scores are standardized based on US General Population norms and aggregated based on factor score coefficients into two component scores: the Physical Component Summary (PCS) and the Mental Component Summary (MCS). Component scores are norm-based t-scores meaning scores above 50 indicate better functioning than average functioning while scores below 50 indicate worse functioning.

Outcome measures

Outcome measures
Measure
Treatment (Ibrutinib)
n=126 Participants
Patients treated with PCI-32765 capsules administered orally once daily at a dose of 420 mg for 28 day cycles. Weekly monitoring during the first month will occur followed by monthly evaluations for 2 additional months. Monitoring for patients at this point would be every 3 months with monthly CBC(complete blood count)and phone follow-up with a co-investigator on the study. A standard questionnaire will be used in this monthly phone assessment. Patients will continue to receive the study drug indefinitely as long as they are deriving clinical benefit (Complete Response or Partial Response or Stable Disease) and not experiencing any unacceptable toxicity. Subjects with disease progression will be removed from the study. Correlative laboratory samples, quality of life assessment, and immunologic data would be collected over time of therapy. ibrutinib: Patients received ibrutinib orally (PO) once daily (QD) on days 1-28. Courses repeat every 28 days in the absence of disease progression
Physical Health Quality of Life as Measured by a 12 Item Short-Form Health Survey
44.23 units on a scale
Standard Deviation 11.31

Adverse Events

Treatment (Ibrutinib)

Serious events: 152 serious events
Other events: 152 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Ibrutinib)
n=152 participants at risk
Patients treated with PCI-32765 capsules administered orally once daily at a dose of 420 mg for 28 day cycles. Weekly monitoring during the first month will occur followed by monthly evaluations for 2 additional months. Monitoring for patients at this point would be every 3 months with monthly CBC(complete blood count)and phone follow-up with a co-investigator on the study. A standard questionnaire will be used in this monthly phone assessment. Patients will continue to receive the study drug indefinitely as long as they are deriving clinical benefit (Complete Response or Partial Response or Stable Disease) and not experiencing any unacceptable toxicity. Subjects with disease progression will be removed from the study. Correlative laboratory samples, quality of life assessment, and immunologic data would be collected over time of therapy. ibrutinib: Patients received ibrutinib orally (PO) once daily (QD) on days 1-28. Courses repeat every 28 days in the absence of disease progres
Blood and lymphatic system disorders
Febrile Neutropenia
3.3%
5/152 • Number of events 5
Blood and lymphatic system disorders
Hemolytic Uremic Syndrome
0.66%
1/152 • Number of events 1
Blood and lymphatic system disorders
Lymph Node Pain
0.66%
1/152 • Number of events 1
Cardiac disorders
Atrial Fibrillation
0.66%
1/152 • Number of events 1
Cardiac disorders
Cardiac Arrest
0.66%
1/152 • Number of events 1
Cardiac disorders
Cardiac Disorders-other
0.66%
1/152 • Number of events 4
Cardiac disorders
Myocardial Infarction
0.66%
1/152 • Number of events 1
Cardiac disorders
Ventricular Arrythmia
0.66%
1/152 • Number of events 1
Eye disorders
Blurred Vision
0.66%
1/152 • Number of events 1
Gastrointestinal disorders
Colonic Perforation
0.66%
1/152 • Number of events 1
Gastrointestinal disorders
Diarrhea
2.0%
3/152 • Number of events 3
Gastrointestinal disorders
Enterocolitis
0.66%
1/152 • Number of events 1
Gastrointestinal disorders
Esophageal Ulcer
0.66%
1/152 • Number of events 1
Gastrointestinal disorders
Gastric Hemorrhage
0.66%
1/152 • Number of events 1
Gastrointestinal disorders
Gastrointestinal Disorders-other
2.0%
3/152 • Number of events 4
Gastrointestinal disorders
Jejunal Hemorrhage
0.66%
1/152 • Number of events 1
Gastrointestinal disorders
Small Intestinal Obstruction
1.3%
2/152 • Number of events 2
Gastrointestinal disorders
Chills
0.66%
1/152 • Number of events 1
General disorders and administration site conditions
Death NOS
3.3%
5/152 • Number of events 5
General disorders and administration site conditions
Edema Limbs
0.66%
1/152 • Number of events 1
General disorders and administration site conditions
Fatigue
0.66%
1/152 • Number of events 1
General disorders and administration site conditions
Fever
2.6%
4/152 • Number of events 4
General disorders and administration site conditions
General Disorders and Administration Site Conditions - Other
2.0%
3/152 • Number of events 3
General disorders and administration site conditions
Non-Cardiac Chest Pain
0.66%
1/152 • Number of events 1
General disorders and administration site conditions
Sudden Death NOS
0.66%
1/152 • Number of events 1
Hepatobiliary disorders
Cholecystitis
1.3%
2/152 • Number of events 4
Immune system disorders
Immune System Disorders - Other
0.66%
1/152 • Number of events 1
Infections and infestations
Bone Infection
2.0%
3/152 • Number of events 3
Infections and infestations
Bronchial Infection
2.6%
4/152 • Number of events 4
Infections and infestations
Catheter Related Infection
1.3%
2/152 • Number of events 2
Infections and infestations
Enterocolitis Infectious
2.0%
3/152 • Number of events 3
Infections and infestations
Infections and Infestations-other
8.6%
13/152 • Number of events 16
Infections and infestations
Lung Infection
21.1%
32/152 • Number of events 53
Infections and infestations
Otitis Media
1.3%
2/152 • Number of events 2
Infections and infestations
Pharyngitis
0.66%
1/152 • Number of events 1
Infections and infestations
Sepsis
3.9%
6/152 • Number of events 7
Infections and infestations
Sinusitis
0.66%
1/152 • Number of events 1
Infections and infestations
Skin Infection
2.6%
4/152 • Number of events 4
Infections and infestations
Soft Tissue Infection
1.3%
2/152 • Number of events 3
Infections and infestations
Upper Respiratory Infection
3.3%
5/152 • Number of events 5
Infections and infestations
Urinary Tract Infection
2.0%
3/152 • Number of events 8
Injury, poisoning and procedural complications
Fall
0.66%
1/152 • Number of events 1
Injury, poisoning and procedural complications
Fracture
0.66%
1/152 • Number of events 1
Injury, poisoning and procedural complications
Injury, Poisoning and Procedural Complications - Other
2.0%
3/152 • Number of events 3
Injury, poisoning and procedural complications
Intestinal Stoma Obstruction
0.66%
1/152 • Number of events 1
Injury, poisoning and procedural complications
Postoperative Hemorrhage
0.66%
1/152 • Number of events 1
Injury, poisoning and procedural complications
Spinal Fracture
0.66%
1/152 • Number of events 1
Metabolism and nutrition disorders
Dehydration
2.0%
3/152 • Number of events 3
Metabolism and nutrition disorders
Hypercalcemia
1.3%
2/152 • Number of events 2
Metabolism and nutrition disorders
Hyperglycemia
0.66%
1/152 • Number of events 1
Metabolism and nutrition disorders
Hyperkalemia
0.66%
1/152 • Number of events 1
Metabolism and nutrition disorders
Hyponatremia
0.66%
1/152 • Number of events 1
Metabolism and nutrition disorders
Metabolism and Nutrition Disorders - Other
2.6%
4/152 • Number of events 4
Musculoskeletal and connective tissue disorders
Arthralgia
1.3%
2/152 • Number of events 3
Musculoskeletal and connective tissue disorders
Back Pain
2.0%
3/152 • Number of events 3
Musculoskeletal and connective tissue disorders
Generalized Muscle Weakness
0.66%
1/152 • Number of events 1
Musculoskeletal and connective tissue disorders
Muscle Weakness Left Sided
0.66%
1/152 • Number of events 1
Musculoskeletal and connective tissue disorders
Musculoskeletal and Connective Tissue Disorder - Other
2.0%
3/152 • Number of events 3
Nervous system disorders
Intracranial Hemorrhage
1.3%
2/152 • Number of events 2
Nervous system disorders
Leukoencephalopathy
1.3%
2/152 • Number of events 2
Nervous system disorders
Memory Impairement
0.66%
1/152 • Number of events 1
Nervous system disorders
Nervous System Disorders - Other
2.0%
3/152 • Number of events 4
Nervous system disorders
Syncope
1.3%
2/152 • Number of events 2
Nervous system disorders
Transient Ischemic Attacks
1.3%
2/152 • Number of events 2
Nervous system disorders
Tremor
0.66%
1/152 • Number of events 1
Psychiatric disorders
Psychiatric Disorders-Other
0.66%
1/152 • Number of events 1
Renal and urinary disorders
Renal and Urinary Disorders - Other
0.66%
1/152 • Number of events 1
Renal and urinary disorders
Urinary Tract Obstruction
0.66%
1/152 • Number of events 1
Reproductive system and breast disorders
Reproductive System and Breast Disorders - Other
0.66%
1/152 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.66%
1/152 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Respiratory, Thoracic, and Mediastinal Disorders - Other
0.66%
1/152 • Number of events 1
Skin and subcutaneous tissue disorders
Rash Maculo-papular
0.66%
1/152 • Number of events 1
Surgical and medical procedures
Surgical and Medical Procedures - Other
2.6%
4/152 • Number of events 4
Vascular disorders
Hematoma
0.66%
1/152 • Number of events 2
Vascular disorders
Hypotension
0.66%
1/152 • Number of events 1
Vascular disorders
Superior Vena Cava Syndrom
0.66%
1/152 • Number of events 1
Vascular disorders
Thromboembolic Events
1.3%
2/152 • Number of events 2
Vascular disorders
Vascular Disorders- Other
0.66%
1/152 • Number of events 1

Other adverse events

Other adverse events
Measure
Treatment (Ibrutinib)
n=152 participants at risk
Patients treated with PCI-32765 capsules administered orally once daily at a dose of 420 mg for 28 day cycles. Weekly monitoring during the first month will occur followed by monthly evaluations for 2 additional months. Monitoring for patients at this point would be every 3 months with monthly CBC(complete blood count)and phone follow-up with a co-investigator on the study. A standard questionnaire will be used in this monthly phone assessment. Patients will continue to receive the study drug indefinitely as long as they are deriving clinical benefit (Complete Response or Partial Response or Stable Disease) and not experiencing any unacceptable toxicity. Subjects with disease progression will be removed from the study. Correlative laboratory samples, quality of life assessment, and immunologic data would be collected over time of therapy. ibrutinib: Patients received ibrutinib orally (PO) once daily (QD) on days 1-28. Courses repeat every 28 days in the absence of disease progres
Blood and lymphatic system disorders
Anemia
28.3%
43/152 • Number of events 51
Blood and lymphatic system disorders
Leukocytosis
16.4%
25/152 • Number of events 29
Blood and lymphatic system disorders
Lymph node pain
9.2%
14/152 • Number of events 16
Cardiac disorders
Atrial Fibrillation
8.6%
13/152 • Number of events 15
Cardiac disorders
Palpitations
7.9%
12/152 • Number of events 15
Cardiac disorders
Sinus Bradycardia
15.8%
24/152 • Number of events 28
Cardiac disorders
Sinus Tachycardia
5.9%
9/152 • Number of events 11
Ear and labyrinth disorders
Ear and Labyrinth disorders
6.6%
10/152 • Number of events 12
Ear and labyrinth disorders
Hearing impaired
5.3%
8/152 • Number of events 8
Ear and labyrinth disorders
Vertigo
5.3%
8/152 • Number of events 8
Eye disorders
Blurred vision
12.5%
19/152 • Number of events 21
Eye disorders
Cataract
8.6%
13/152 • Number of events 13
Eye disorders
Conjunctivitis
5.3%
8/152 • Number of events 9
Eye disorders
Dry eye
7.9%
12/152 • Number of events 13
Eye disorders
Eye Disorders
23.0%
35/152 • Number of events 41
Eye disorders
Watering eyes
5.3%
8/152 • Number of events 8
Gastrointestinal disorders
Abdominal Pain
22.4%
34/152 • Number of events 39
Gastrointestinal disorders
Bloating
15.8%
24/152 • Number of events 24
Gastrointestinal disorders
Constipation
33.6%
51/152 • Number of events 66
Gastrointestinal disorders
Diarrhea
65.8%
100/152 • Number of events 190
Gastrointestinal disorders
Dry mouth
9.9%
15/152 • Number of events 15
Gastrointestinal disorders
Dyspepsia
9.9%
15/152 • Number of events 17
Gastrointestinal disorders
Dysphagia
6.6%
10/152 • Number of events 10
Gastrointestinal disorders
Flatulence
11.2%
17/152 • Number of events 18
Gastrointestinal disorders
Gastrointestional Disorder
48.0%
73/152 • Number of events 103
Gastrointestinal disorders
Mucositis
46.1%
70/152 • Number of events 127
Gastrointestinal disorders
Nausea
36.8%
56/152 • Number of events 86
Gastrointestinal disorders
Oral Hemorrhage
18.4%
28/152 • Number of events 37
Gastrointestinal disorders
Oral Pain
4.6%
7/152 • Number of events 8
Gastrointestinal disorders
Stomach Pain
6.6%
10/152 • Number of events 10
Gastrointestinal disorders
Vomiting
27.0%
41/152 • Number of events 59
General disorders
Chills
23.7%
36/152 • Number of events 42
General disorders
Edema Limbs
32.2%
49/152 • Number of events 59
General disorders
Fatigue
54.6%
83/152 • Number of events 99
General disorders
Fever
27.0%
41/152 • Number of events 55
General disorders
Flu Like Symptoms
8.6%
13/152 • Number of events 15
General disorders
General Disorders
17.8%
27/152 • Number of events 34
General disorders
Non-Cardiac chest pain
7.9%
12/152 • Number of events 12
General disorders
Pain
21.7%
33/152 • Number of events 42
Infections and infestations
Bronchial Infection
11.8%
18/152 • Number of events 21
Infections and infestations
Eye Infection
5.3%
8/152 • Number of events 9
Infections and infestations
Infections and Infestations
21.1%
32/152 • Number of events 41
Infections and infestations
Lung Infection
19.7%
30/152 • Number of events 43
Infections and infestations
Nail Infection
5.9%
9/152 • Number of events 9
Infections and infestations
Paronychia
7.2%
11/152 • Number of events 18
Infections and infestations
Sinusitis
32.2%
49/152 • Number of events 68
Infections and infestations
Skin Infection
23.0%
35/152 • Number of events 43
Infections and infestations
Upper Respiratory Infection
47.4%
72/152 • Number of events 129
Infections and infestations
Urinary Tract Infection
19.7%
30/152 • Number of events 52
Injury, poisoning and procedural complications
Bruising
46.1%
70/152 • Number of events 93
Injury, poisoning and procedural complications
Fall
13.2%
20/152 • Number of events 32
Injury, poisoning and procedural complications
Injury, Poisoning and procedural complications
4.6%
7/152 • Number of events 7
Investigations
Lymphocyte count decreased
16.4%
25/152 • Number of events 36
Investigations
Lymphocyte count increased
46.1%
70/152 • Number of events 87
Investigations
Neutrophil count decreased
52.6%
80/152 • Number of events 166
Investigations
Platelet count decreased
28.9%
44/152 • Number of events 52
Investigations
Weight gain
42.8%
65/152 • Number of events 75
Investigations
Weight loss
25.7%
39/152 • Number of events 53
Investigations
White Blood cell decreased
17.8%
27/152 • Number of events 38
Metabolism and nutrition disorders
Anorexia
25.7%
39/152 • Number of events 39
Metabolism and nutrition disorders
Hyperglycemia
11.2%
17/152 • Number of events 30
Metabolism and nutrition disorders
Hyperkalemia
5.3%
8/152 • Number of events 9
Metabolism and nutrition disorders
Hyperuricemia
11.2%
17/152 • Number of events 25
Metabolism and nutrition disorders
Hypokalemia
5.9%
9/152 • Number of events 14
Metabolism and nutrition disorders
Hyponatremia
9.2%
14/152 • Number of events 15
Metabolism and nutrition disorders
Hypophosphatemia
7.9%
12/152 • Number of events 15
Musculoskeletal and connective tissue disorders
Arthralgia
36.8%
56/152 • Number of events 77
Musculoskeletal and connective tissue disorders
Arthritis
15.8%
24/152 • Number of events 26
Musculoskeletal and connective tissue disorders
Back pain
24.3%
37/152 • Number of events 41
Musculoskeletal and connective tissue disorders
Bone pain
7.9%
12/152 • Number of events 12
Musculoskeletal and connective tissue disorders
Musculoskeletal and Connective tissue disorder-other
68.4%
104/152 • Number of events 123
Musculoskeletal and connective tissue disorders
Myalgia
19.1%
29/152 • Number of events 34
Musculoskeletal and connective tissue disorders
Neck pain
5.9%
9/152 • Number of events 10
Musculoskeletal and connective tissue disorders
Pain Extremity
19.1%
29/152 • Number of events 34
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, malignant and unspecified-other
24.3%
37/152 • Number of events 49
Nervous system disorders
Dizziness
36.2%
55/152 • Number of events 69
Nervous system disorders
Dysgeusia
11.2%
17/152 • Number of events 18
Nervous system disorders
Headache
41.4%
63/152 • Number of events 79
Nervous system disorders
Nervous System Disorders-other
6.6%
10/152 • Number of events 10
Nervous system disorders
Paresthesia
31.6%
48/152 • Number of events 54

Additional Information

Kami Maddocks, MD

The Ohio State University Comprehensive Cancer Center

Phone: 614-293-3507

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place