IGNITE: Study of Tirabrutinib vs Rituximab/Temozolomide for Relapsed/Refractory Primary Central Nervous System Lymphoma (PCNSL)
Purpose
The purpose of this clinical trial is to evaluate efficacy and safety of tirabrutinib alone compared with rituximab and temozolomide (R-TMZ) combination therapy in participants with Relapsed/Refractory Primary Central Nervous System Lymphoma (PCNSL).
Condition
- Relapsed/Refractory Primary Central Nervous System Lymphoma
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Pathology report confirming the diagnosis of B-cell PCNSL 2. Relapsed or refractory B-cell PCNSL with at least 1 prior high-dose methotrexate (HD-MTX) based therapy for PCNSL: - Relapsed disease: Participants who achieved a response (CR, CRu, PR) to the last treatment and subsequently experienced disease progression. - Refractory disease: Participants whose best response to the last treatment was stable disease or PD. 3. One or more bi-dimensionally measurable brain lesions with a minimum diameter greater than or equal to (≥)1 centimeter (cm) × ≥1 cm in gadolinium-enhanced magnetic resonance imaging (MRI) 4. Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0-2 5. Adequate bone marrow, renal, and hepatic function per central lab values 6. Participants must agree to comply with all defined contraceptive requirements
Exclusion Criteria
- Participants with isolated intraocular PCNSL or spinal PCNSL with no brain lesions 2. Participants with non-B-cell PCNSL 3. Participants with systemic presence of lymphoma 4. Refractory to temozolomide with or without rituximab-containing regimens in the last PCNSL treatment 5. Concomitant systemic corticosteroid exposure within 14 days before starting study drug per Investigator assessment with the exception of the following: - Equivalent of up to 10 milligram per day (mg/day) of prednisone for a disease other than PCNSL - Equivalent of up to 50 mg/day of prednisone (equal to 8 mg/day dexamethasone) for participants with lesions of the brain and/or spinal cord 6. Active malignancy, other than PCNSL requiring systemic therapy 7. Poorly controlled comorbidity, or history of medical conditions contraindicated per Investigator assessment 8. Participants who are unable to swallow oral medication 9. Prior Bruton's tyrosine kinase inhibitor treatment
Study Design
- Phase
- Phase 3
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Tirabrutinib |
Tirabrutinib 480 milligram (mg) orally every day (QD), as monotherapy in 28-day cycles. |
|
|
Active Comparator Rituximab-Temozolomide (R-TMZ) |
Rituximab 375 milligram per square meter (mg/m2) intravenously (IV) and temozolomide 150 mg/m2/day orally, as combination therapy for Cycle 1 through 6. |
|
Recruiting Locations
HonorHealth Cancer Center
Scottsdale, Arizona 85251
Scottsdale, Arizona 85251
Providence Medical Foundation
Fullerton, California 92835
Fullerton, California 92835
UC Irvine Health
Orange, California 92868
Orange, California 92868
Yale Cancer Center
New Haven, Connecticut 06520
New Haven, Connecticut 06520
John Hopkins University
Washington D.C., District of Columbia 20016
Washington D.C., District of Columbia 20016
Mayo Clinic Cancer Center
Jacksonville, Florida 32224
Jacksonville, Florida 32224
Massachusetts General Hospital
Boston, Massachusetts 02114
Boston, Massachusetts 02114
Beth Israel Deaconess Medical Center
Boston, Massachusetts 02115
Boston, Massachusetts 02115
Dana-Farber Cancer Institute
Boston, Massachusetts 02115
Boston, Massachusetts 02115
Mayo Clinic Cancer Center
Rochester, Minnesota 55905
Rochester, Minnesota 55905
Hackensack University Medical Center
Hackensack, New Jersey 07601
Hackensack, New Jersey 07601
Atlantic Health Overlook Medical Center
Summit, New Jersey 07901
Summit, New Jersey 07901
NYU Langone Health
New York, New York 10016
New York, New York 10016
Columbia University Irving Medical Center
New York, New York 10032
New York, New York 10032
Memorial Sloan Kettering Cancer Center
New York, New York 10065
New York, New York 10065
Duke University Medical Center
Durham, North Carolina 27710
Durham, North Carolina 27710
Providence Neurological Specialties West
Portland, Oregon 97225
Portland, Oregon 97225
UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania 15232
Pittsburgh, Pennsylvania 15232
Rhode Island Hospital
Providence, Rhode Island 02903
Providence, Rhode Island 02903
More Details
- Status
- Recruiting
- Sponsor
- Ono Pharmaceutical Co., Ltd.