A Study of Ibrutinib With Rituximab in Relapsed or Refractory Mantle Cell Lymphoma (VEGA)
Lymphoma, Mantle-Cell
About this trial
This is an interventional treatment trial for Lymphoma, Mantle-Cell
Eligibility Criteria
Inclusion Criteria:
- At least 1 prior treatment regimen for mantle cell lymphoma (MCL) excluding inhibitor of Bruton's tyrosine kinase (BTKi)
- Documented disease progression or relapse following the last anti-MCL treatment
- At least 1 measurable site of disease on cross-sectional imaging that is greater than or equal to (>=) 2.0 centimeters (cm) in the longest diameter and measurable in 2 perpendicular dimensions per computed tomography (CT)
- Eastern Cooperative Oncology Group (ECOG) performance status score 0 or 1
Exclusion Criteria:
- Prior therapy with ibrutinib or other BTK inhibitor
- Prior treatment with both lenalidomide and bortezomib. Prior treatment with only 1 of these therapies is allowed
- Major surgery within 4 weeks of randomization
- Concurrent enrollment in another therapeutic investigational study
- Known central nervous system lymphoma
- History of stroke or intracranial hemorrhage within 6 months prior to randomization
Sites / Locations
- Santa Casa de Misericordia de Belo Horizonte
- Sociedade Beneficente de Senhoras - Hospital Sirio Libanes HSL Unidade Brasilia
- Ynova Pesquisa Clinica
- Liga Norte Riograndense Contra O Cancer
- Complexo Hospitalar de Niterói
- Irmandade Santa Casa de Misericordia de Porto Alegre
- Hospital das Clínicas da Faculdade de Medicina de RPUSP - HCRP
- Oncoclínicas Rio de Janeiro S.A.
- Instituto de Ensino e Pesquisa Sao Lucas - IEP HEMOMED
- Instituto D'Or de Pesquisa e Ensino (IDOR)
- Casa de Saude Santa Marcelina - Hospital Santa Marcelina
- Fakultni nemocnice Ostrava
- Fakultni nemocnice Kralovske Vinohrady
- General University Hospital in Prague
- Attikon University General Hospital of Attica
- University Hospital of Ioannina
- G.Papanikolaou
- Healthcare Global (HCG) Hospital
- American Oncology Institute (Cancer Treatment Hospital) - Hyderabad
- Bhagwan Mahaveer Cancer Hospital & Research Centre
- HCG cancer center
- Tata Medical Center
- AMRI Hospital, Mukundapur
- Deenanath Mangeshkar Hospital and Research Centre
- Synergy Superspeciality Hospital
- Hospital Ampang
- Hospital Sultanah Aminah
- Hospital Queen Elizabeth
- University Malaya Medical Centre
- Subang Jaya Medical Centre
- Szpital Specjalistyczny w Brzozowie Podkarpacki Osrodek Onkologiczny im. Ks. B. Markiewicza
- Swietokrzyskie Centrum Onkologii SPZOZ w Kielcach
- Samodzielny Publiczny Szpital Kliniczny Nr 1
- Szpital Specjalistyczny im Jędrzeja Śniadeckiego w Nowym Saczu
- SPZOZ Ministerstwa Spraw Wewnętrznych z Warminsko-Mazurskim Centrum Onkologii w Olsztynie
- Centrum Medyczne Pratia Poznan
- Samodzielny Publiczny Szpital Kliniczny Nr 1 PUM im. prof. Tadeusza Sokołowskiego w Szczecinie
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy
- Specjalistyczny Szpital im. dra Alfreda Sokołowskiego w Wałbrzychu
- Auxilio Mutuo Cancer Center
- Spitalul Clinic Coltea
- Ovidius Clinical Hospital OCH
- Hosp. Reina Sofia
- Hosp. Univ. Infanta Leonor
- Clinica Univ. de Navarra
- Hosp. Quiron Madrid Pozuelo
- Hosp. Clinico Univ. de Salamanca
- Falu Lasarett Medicinkliniken Falun
- Sunderby Sjukhus
- Kaohsiung Medical University Chung-Ho Memorial Hospital
- China Medical University Hospital
- Chi Mei Medical Center - Liu Ying
- National Taiwan University Hospital
- King Chulalongkorn Memorial Hospital
- Phramongkutklao Hospital and Medical College
- Ramathibodi Hospital
- Siriraj Hospital
- Maharaj Nakorn Chiang Mai hospital - Faculty of Medicine
- Srinagarind Hospital
- Ankara Bilkent Sehir Hastanesi
- Ondokuz Mayis Universitesi Tip Fakultesi
- Trakya University Medical Faculty
- Medipol Mega University Hospital
- Istanbul University
- Ege Universitesi Tip Fakultesi
- Sakarya Egitim Ve Arastırma Hastanesi Korucuk Kampus
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Phase 2: Treatment Arm A1 (Rituximab plus Ibrutinib)
Phase 2: Treatment Arm A2 (Rituximab plus Ibrutinib)
Phase 2: Treatment Arm A3 (Rituximab plus Ibrutinib)
Phase 2: Treatment Arm B (Rituximab plus Lenalidomide or Bortezomib)
Participants will receive rituximab 375 milligrams per meter square (mg/m^2) intravenously (IV) on Day 1 of Cycles 1 to 6 with ibrutinib 560 milligrams (mg) orally, once daily starting on Day 1 of Cycle 1 until disease progression or unacceptable toxicity (each cycle length is 28 days).
Participants will receive rituximab 375 mg/m^2 IV on Day 1 of Cycles 1 to 6 with ibrutinib 420 mg orally, once daily starting on Day 1 of Cycle 1 until disease progression or unacceptable toxicity (each cycle length is 28 days).
Participants will receive rituximab 375 mg/m^2 IV on Day 1 of Cycles 1 to 6 with ibrutinib 140 mg orally, twice daily starting on Day 1 of Cycle 1 until disease progression or unacceptable toxicity (each cycle length is 28 days).
Participants will receive rituximab 375 mg/m^2 IV on Day 1 of Cycles 1 to 6 (each cycle length is 21 or 28 days) with physician's choice of either lenalidomide 20 mg orally, once daily from Day 1 through Day 21 of 28-day cycle or bortezomib 1.3 mg/m^2 IV or subcutaneously (SC) on Days 1, 4, 8 and 11 of a 21-day cycle until disease progression or unacceptable toxicity.