Clinical Trials /

Study of Tirabrutinib (ONO-4059) in Patients With Primary Central Nervous System Lymphoma (PROSPECT Study)

NCT04947319

Description:

This study will evaluate the efficacy, safety, and pharmacokinetics of tirabrutinib in patients with relapsed or refractory PCNSL

Related Conditions:
  • Primary Central Nervous System Lymphoma
Recruiting Status:

Not yet recruiting

Phase:

Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Study of Tirabrutinib (ONO-4059) in Patients With Primary Central Nervous System Lymphoma (PROSPECT Study)
  • Official Title: An Open-label Phase II Study to Investigate the Efficacy, Safety, and Pharmacokinetics of Tirabrutinib in Patients With Primary Central Nervous System Lymphoma (PCNSL)

Clinical Trial IDs

  • ORG STUDY ID: ONO-4059-09
  • NCT ID: NCT04947319

Conditions

  • Relapsed or Refractory Primary Central Nervous System Lymphoma (PCNSL)

Interventions

DrugSynonymsArms
TirabrutinibONO-4059Tirabrutinib monotherapy

Purpose

This study will evaluate the efficacy, safety, and pharmacokinetics of tirabrutinib in patients with relapsed or refractory PCNSL

Trial Arms

NameTypeDescriptionInterventions
Tirabrutinib monotherapyExperimentalPatients with relapsed or refractory PCNSL who meet eligibility criteria will be enrolled to receive tirabrutinib monotherapy.
  • Tirabrutinib

Eligibility Criteria

        Inclusion Criteria:

          1. Written informed consent by the patient prior to screening

          2. Patients aged ≥ 18 years on the day of consenting to the study

          3. Pathologic diagnosis of PCNSL

          4. Relapse or refractory PCNSL with at least one prior HD MTX based therapy for PCNSL

          5. Measurable brain lesion with a minimum diameter > 1.0 cm in gadolinium enhanced
             magnetic resonance imaging (MRI) performed within 14 days before starting tirabrutinib
             treatment

          6. ECOG PS of 0, 1 or 2

          7. Life expectancy of at least 3 months

          8. Adequate bone marrow, renal, and hepatic function

        Exclusion Criteria:

          1. Intraocular PCNSL with no brain lesion

          2. Patient who is intolerant of contrast enhanced MRI due to allergic reactions to
             contrast agents

          3. Patient with non-B cell PCNSL

          4. Patient with systemic presence of lymphoma

          5. Prior chemotherapy within 21 days, nitrosourea within 42 days, an antibody drug with
             anticancer activity (e.g., rituximab) within 28 days, prior radiotherapy within 14
             days, prior major invasive surgery within 28 days, or allogeneic stem cell transplant
             within 6 months before starting tirabrutinib treatment

          6. Prior BTK inhibitor treatment

          7. Prior investigational drugs (including treatment in clinical research, unapproved
             combination products, and new dosage forms) within 28 days or 5 half-lives, whichever
             is shorter, before starting tirabrutinib treatment

          8. Concomitant systemic corticosteroid on an ongoing basis within 14 days before starting
             tirabrutinib treatment, with the exception of the following:

               -  Equivalent of up to 10 mg/day of prednisone for a disease other than PCNSL

               -  Equivalent of up to 50 mg/day of prednisone (equal to 8 mg/day of dexamethasone)
                  for patients with lesions of the brain or spinal cord or both

          9. Patient who has received a CYP3A4 inducer or P gp inducer within 14 days before
             starting tirabrutinib treatment

         10. Concomitant warfarin, any other warfarin derivative anticoagulant, vitamin K
             antagonists, novel oral anticoagulants, or antiplatelet therapy on an ongoing basis
             within 7 days before starting tirabrutinib treatment

         11. Active malignancy, other than PCNSL requiring systemic therapy

         12. Poorly controlled comorbidity, severe heart, severe lung disease, clinically
             significant liver diseases that could affect protocol compliance or safety or efficacy
             assessments

         13. Patient with bleeding diathesis

         14. Patients with a history of moderate or severe hepatic impairment

         15. QTcF > 480 milliseconds or requirement for ongoing treatment with concomitant
             medications that prolong the QT interval

         16. Active infection, including a HIV, cytomegalovirus infection or SARS-CoV-2, or has
             had, within 28 days before starting tirabrutinib treatment, an infection (other than
             nail trichophytosis) that requires hospitalization or an intravenous antibiotic

         17. Prior history of hypersensitivity or anaphylaxis to tirabrutinib

         18. Medical history of organ allografts

         19. Tests positive for HIV-1 antibody and HIV-2 antibody, human T-lymphotropic virus 1
             antibody, HBs antigen, or HCV antibody. Tests positive for HBs antibody or hepatitis B
             virus core protein antibody and has a result of at least detectable in a hepatitis B
             virus deoxyribonucleic acid assay despite testing negative for HBs antigen.

         20. Patient is unable to swallow tablets; has malabsorption, malabsorption syndrome, or a
             comorbidity that affects gastric function; has undergone complete resection of the
             stomach or small intestine; has ulcerative colitis or symptomatic inflammatory bowel
             disease; or has partial or complete intestinal obstruction.

         21. Women who are pregnant or lactating

         22. Patient is found incapable of giving consent due to dementia or another such condition

         23. Patient is found to be otherwise ineligible for the study by the Investigator or
             sub-Investigator.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Overall response rate (ORR)
Time Frame:1 year
Safety Issue:
Description:Overall response rate is defined as the proportion of patients with a best overall response of Complete response (CR), Complete response - unconfirmed (CRu), or (=partial response (PR) as determined by an independent review committee according to the International PCNSL Collaborative Group (IPCG) criteria.

Secondary Outcome Measures

Measure:Duration of response (DOR)
Time Frame:2 year
Safety Issue:
Description:Duration of response is defined as the time between the date of first response (CR, CRu, or PR) and the date of the first PD according to the IPCG criteria, or date of death due to any cause, whichever occurs first.
Measure:Time to response (TTR)
Time Frame:1 year
Safety Issue:
Description:Time to response is defined as the time between the date of first administration of tirabrutinib and the date of first response (CR, CRu, or PR) as determined by IRC according to the IPCG criteria.
Measure:Best overall response (BOR)
Time Frame:1 year
Safety Issue:
Description:Best overall response based on IRC response determination is defined as the best response and is derived programmatically based upon the visit responses determined by IRC from the date of administration of tirabrutinib to the date of PD as determined by IRC or the date of initiation of subsequent anticancer therapy for PCNSL, whichever occurs first.
Measure:Change in corticosteroid dose
Time Frame:2 year
Safety Issue:
Description:Descriptive statistics will be calculated for the actual corticosteroid dose and the change from baseline at each assessment point.
Measure:Incidence and severity of AEs and SAEs
Time Frame:2 year
Safety Issue:
Description:Adverse events at each visit with the NCI CTCAE v5.0 used as a guide for the grading of severity.
Measure:Laboratory abnormality profile of tirabrutinib as measured by incidence and severity of clinical laboratory abnormalitiesclinical laboratory abnormalities
Time Frame:2 year
Safety Issue:
Description:
Measure:ECG parameters by 12 lead ECG
Time Frame:2 years
Safety Issue:
Description:Heart rate, RR and QT intervals, QTc (QTcF, QTcB), PR interval, and QRS width.
Measure:PK parameters (Cmax) of tirabrutinib in the plasma
Time Frame:29 days
Safety Issue:
Description:
Measure:PK parameters (Tmax) of tirabrutinib in the plasma
Time Frame:29 days
Safety Issue:
Description:
Measure:PK parameters (AUC) of tirabrutinib in the plasma
Time Frame:29 days
Safety Issue:
Description:

Details

Phase:Phase 2
Primary Purpose:Interventional
Overall Status:Not yet recruiting
Lead Sponsor:Ono Pharmaceutical Co. Ltd

Trial Keywords

  • Bruton's Tyrosine Kinase (BTK) Inhibitor, tirabrutinib, ONO-4059, PROSPECT

Last Updated

July 1, 2021