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PCI-32765

Phase 2

B-cell Chronic Lymphocytic Leukemia | Small molecule | Oncology |AbbVie Inc.|Last Updated: May 27, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment436
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01109069Safety and Tolerability Study of PCI-32765 in B Cell Lymphoma and Chronic Lymphocytic LeukemiaPHASE2 COMPLETED 199Jun 1, 2010Apr 26, 2019May 27, 202016 United States
NCT01292135Safety and Tolerability Study of PCI-32765 Combined With Fludarabine/Cyclophosphamide/Rituximab (FCR) and Bendamustine/Rituximab (BR) in Chronic Lymphocytic Leukemia (CLL)PHASE1 COMPLETED 33Feb 1, 2011May 1, 2013Jul 24, 20146 United States
NCT01217749Efficacy and Safety Study of PCI-32765 Combine With Ofatumumab in CLLPHASE1 COMPLETED 71Dec 1, 2010May 1, 2014Jun 25, 20151 United States
NCT01105247Safety of PCI-32765 in Chronic Lymphocytic LeukemiaPHASE1 COMPLETED 133May 1, 2010Feb 1, 2013Mar 31, 201410 United States
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Study Endpoints
Primary Endpoints
Number of Subjects With Adverse Events
30 days after last dose of study drug, continue up to 6 months

Subjects were to receive ibrutinib once daily at the dose level the subject was receiving in the parent study until disease progression or unacceptable toxicity. The study included Screening, Treatment (from the first dose until study drug discontinuation), and Follow-up Phases.

Incidence of Prolonged Hematologic Toxicity Started in Cycle 1
From First day of dose to 30 days after last dose of any study medication. Participants were followed with a median follow-up time of 15.8 months.
Percentage of Participants Achieving Response
The median follow-up time on study for all treated participants is 12.5 (range 0.5-19.6) months

The primary endpoint for the study was overall response rate (ORR), defined as the proportion of participants who achieved a best overall response of complete response (CR), CR with incomplete blood count recovery (Cri), or partial response (PR), according to the guidelines from the International Workshop on Chronic Lymphocytic Leukemia (IWCLL1) published in 2008 for CLL participants and International Working Group for non-Hodgkin's lymphoma (IWG NHL) 2007 criteria for SLL participants, with the modification that treatment-related lymphocytosis will not be considered progressive disease, as evaluated by the investigators. Assessment of disease is based on radiological exams, physical exam, hematological evaluations and, when appropriate, bone marrow results.

Safety During Dose-Limiting Toxicity (DLT) Observation Period
56 days for Group 1 and 28 days for Group 2

Number of dose-limiting toxicities observed in the first 6 participants enrolled in treatment Groups 1 and 2

Number of Participants With Treatment Emergent Adverse Events (AEs)
From first dose to within 30 days of last dose of PCI-32765

Number of participants who had experienced at least one treatment emergent AEs.

Secondary Endpoints
Progressive Disease (PD)
30 days after last dose of study drug, continue up to 6 months
Death Event
30 days after last dose of study drug
Documented Responses
30 days after last dose of study drug, continue up to 6 months
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PCI-32765EXPERIMENTAL -
PCI-32765 plus fludarabine/cyclophosphamide/rituximab (FCR)EXPERIMENTAL -
PCI-32765 plus bendamustine/rituximab (BR)EXPERIMENTAL -
Group 1EXPERIMENTALIn Group 1, PCI-32765 420 mg PO was administered daily for 1 cycle (28 days) before the start of ofatumumab IV dosing
Group 2EXPERIMENTALIn Group 2, PCI-32765 420 mg PO daily was initiated concomitantly with ofatumumab IV (PCI-32765 initiated on Day 2 of Cycle 1)
Group 3EXPERIMENTALIn Group 3, two cycles of ofatumumab IV were administered prior to the start of PCI-32765 420 mg PO daily
Interventions
NameTypeDescription
PCI-32765DRUGDose based on parent protocol
ofatumumabDRUGper package insert as an IV infusion
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites16

Inclusion Criteria: * Men and women with recurrent surface immunoglobulin positive B cell non-Hodgkin's lymphoma (NHL) according to WHO classification (including, but not limited to, CLL/SLL, Waldenström's macroglobulinemia \[WM\], mantle cell lymphoma \[MCL\], and diffuse large B cell lymphoma \[D...

Countries:United States
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