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Brief Title: Ibrutinib and Lenalidomide With Dose Adjusted EPOCH-R in Subjects With Relapsed/Refractory Diffuse Large B-cell Lymphoma
Official Title: A Multicenter Study of Ibrutinib and Lenalidomide in Combination With DA-EPOCH-R in Subjects With Relapsed or Refractory Diffuse Large B-cell Lymphoma
Study ID: NCT02142049
Brief Summary: This is a Phase 1b/2, open-label, non-randomized multicenter study to assess the safety and efficacy of ibrutinib and lenalidomide in combination with DA-EPOCH-R in subjects with relapsed/refractory Diffuse Large B-cell Lymphoma (DLBCL).
Detailed Description: This is a Phase 1b, open-label, non-randomized multicenter study conducted in 2 parts. Part 1, will determine the MTD of the combination of ibrutinib, lenalidomide and DA-EPOCH-R in subjects with DLBCL. Ibrutinib will be administered at a fixed dose of 560 mg and lenalidomide will be dose-escalated. DA-EPOCH-R will be given at standard doses. For Part 2, the MTD determined in Part 1 will be the dose used for all subjects. If no MTD is identified, then subjects in Part 2 will be treated with the maximum administered doses (MAD, treatment doses from dose Level 4). The primary objective for Part 2 is to determine the ORR of ibrutinib and lenalidomide in combination with DA-EPOCH-R in subjects with ABC DLBCL as analyzed by gene expression profiling when treated at recommended phase 2 dose (RP2D).
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
SITE-1, Duarte, California, United States
SITE-2, Los Angeles, California, United States
SITE-10, Orange, California, United States
SITE-3, Chicago, Illinois, United States
SITE-5, Baltimore, Maryland, United States
SITE-6, Bethesda, Maryland, United States
SITE-4, Ann Arbor, Michigan, United States
SITE-8, Albuquerque, New Mexico, United States
SITE-9, Stony Brook, New York, United States
SITE-7, Charleston, South Carolina, United States
Name: Jutta Neuenburg, MD
Affiliation: Pharmacyclics LLC (An AbbVie Company)
Role: STUDY_DIRECTOR