Study to Evaluate Efficacy, Safety, Tolerability, and Pharmacodynamics of Entospletinib in Adults With Relapsed or Refractory Hematologic Malignancies
Chronic Lymphocytic Leukemia, Mantle Cell Lymphoma, Diffuse Large B-cell Lymphoma
About this trial
This is an interventional treatment trial for Chronic Lymphocytic Leukemia focused on measuring SYK inhibitor
Eligibility Criteria
Key Inclusion Criteria:
- Diagnosis of B-cell iNHL, DLBCL, MCL, or CLL as documented by medical records and with histology based on criteria established by the World Health Organization
- For institutions that have Phase 3 or Phase 4 protocols studying idelalisib (Zydelig®) ; individuals with malignancies being studied in these protocols must have failed screening in the respective idelalisib protocol
- Prior treatment for lymphoid malignancy requiring treatment for progressive disease
- Presence of radiographically measurable lymphadenopathy or extranodal lymphoid malignancy
- All acute toxic effects of any prior antitumor therapy resolved to Grade ≤ 1 before the start of study drug
- Karnofsky performance status of ≥ 60
- Life expectancy of at least 3 months
Key Exclusion Criteria:
- Known histological transformation from iNHL or CLL to an aggressive form of non-Hodgkin lymphoma (ie, Richter transformation) except if the CLL participant is enrolling in the BCR previously treated cohort
- Known active central nervous system or leptomeningeal lymphoma
- Presence of known intermediate- or high-grade myelodysplastic syndrome
- Evidence of ongoing systemic bacterial, fungal, or viral infection at the time of start of study drug
- Ongoing liver injury
- Ongoing or recent hepatic encephalopathy
- Ongoing drug-induced pneumonitis
- Ongoing inflammatory bowel disease
- Ongoing alcohol or drug addiction
- Pregnancy or breastfeeding
- History of prior allogeneic bone marrow progenitor cell or solid organ transplantation
- Ongoing immunosuppressive therapy
- Concurrent participation in an investigational drug trial with therapeutic intent
NOTE: Other protocol defined Inclusion/ Exclusion criteria may apply.
Sites / Locations
- University of Alabama at Birmingham
- Arizona Oncology Associates
- City of Hope National Medical Center
- Sharp Memorial Hospital
- Rocky Mountain Cancer Centers, LLP
- Kaiser Permanente of Colorado
- Cancer Center of Central Connecticut
- Florida Cancer - Colonial
- Memorial Cancer Institute
- Ocala Oncology Center
- Northside Hospital
- Gwinnett Hospital System Dba The Center for Cancer Care
- Northwest Georgia Oncology Center
- University of Chicago
- Illinois Cancer Specialists
- Indiana University Simon Cancer Center
- Hematology Oncology Clinic, PLLC
- Tufts Medical Center
- University of Michigan Health System
- Karmanos Cancer Institute
- Minnesota Oncology Hematology, PA
- Hattiesburg Clinic
- Oncology Hematology West PC dba Nebraska Cancer Specialists
- One Medical Center Drive
- Summit Medical Group, P.A.
- Clinical Research Alliance
- University of North Carolina
- Gabrail Cancer Center Research
- Oncology Hematology Care
- Cleveland Clinic
- Ohio State University Comprehensive Cancer Center
- Williamette Valley Cancer Center and Research Institute
- Prairie Lakes Health Care System, Inc.
- Jones Clinic PC
- Tennessee Oncology, PLLC
- Texas Oncology-Austin Midtown
- Texas Oncology-Medical City Dallas
- Center for Cancer and Blood Disorders
- Cancer Care Network of South Texas
- Cancer Care Center of South Texas
- Virginia Cancer Specialists, PC
- Virginia Cancer Institute
- Columbia Basin Hematology and Oncology
- University of Washington
- Northwest Cancer Specialists, PC
- Yakima Valley Memorial Hospital North Star Lodge
- Royal Victoria Regional Health Centre
- Sir Mortimer B. Davis-Jewish General Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Arm 10
Arm 11
Arm 12
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
CLL, Entospletinib MM/SDD
FL, Entospletinib MM/SDD
DLBCL, Entospletinib MM/SDD
MCL, Entospletinib MM/SDD
non-FL iNHL, Entospletinib MM/SDD
CLL; Prior BCR Inhibitor Naive, Entospletinib SDD 100 mg
CLL; Prior BCR Inhibitor Naive, Entospletinib SDD 200 mg
CLL; Prior BCR Inhibitor Naive, Entospletinib SDD 400 mg
CLL (Non-Richters) Prior BTK Inhibitor, Entospletinib SDD
CLL (Non-Richters) Prior PI3K Inhibitor, Entospletinib SDD
CLL (Richters) Prior BTK Inhibitor, Entospletinib SDD
CLL (Richters) Prior PI3K Inhibitor, Entospletinib SDD
Participants with CLL, receive original formulation (mono-mesylate [MM]) of entospletinib 800 mg (4 × 200 mg tablets) (before amendment 8) or new formulation of entospletinib (spray dried dispersion [SDD]) 400 mg (2 × 200 mg tablets) (after amendment 8) orally twice daily. Treatment with entospletinib will continue until disease progression or unacceptable toxicity.
Participants with FL, receive original formulation of entospletinib 800 mg (4 × 200 mg tablets) (before amendment 8) or new formulation of entospletinib 400 mg (2 × 200 mg tablets) (after amendment 8) orally twice daily. Treatment with entospletinib will continue until disease progression or unacceptable toxicity.
Participants with DLBCL, receive original formulation of entospletinib 800 mg (4 × 200 mg tablets) (before amendment 8) or new formulation of entospletinib 400 mg (2 × 200 mg tablets) (after amendment 8) orally twice daily. Treatment with entospletinib will continue until disease progression or unacceptable toxicity.
Participants with MCL, receive original formulation of entospletinib 800 mg (4 × 200 mg tablets) (before amendment 8) or new formulation of entospletinib 400 mg (2 × 200 mg tablets) (after amendment 8) orally twice daily. Treatment with entospletinib will continue until disease progression or unacceptable toxicity.
Participants with non-FL iNHL (ie, participants with LPL/WM, SLL, or MZL), receive original formulation of entospletinib 800 mg (4 × 200 mg tablets) (before amendment 8) or new formulation of entospletinib 400 mg (2 × 200 mg tablets) (after amendment 8) orally twice daily. Treatment with entospletinib will continue until disease progression or unacceptable toxicity.
Participants with CLL, who are prior B-cell receptor (BCR) inhibitor naive, receive new formulation of entospletinib 100 mg (1 × 100 mg tablet) orally twice daily. Treatment with entospletinib will continue until disease progression or unacceptable toxicity.
Participants with CLL, who are prior BCR inhibitor naive, receive new formulation of entospletinib 200 mg (1 × 200 mg tablet) orally twice daily. Treatment with entospletinib will continue until disease progression or unacceptable toxicity.
Participants with CLL, who are prior BCR inhibitor naive, receive new formulation of entospletinib 400 mg (2 × 200 mg tablets) orally twice daily. Treatment with entospletinib will continue until disease progression or unacceptable toxicity.
Participants with CLL and simple progression (non-Richters), who are exposed to Bruton tyrosine kinase (BTK) inhibitor, receive new formulation of entospletinib 400 mg (2 × 200 mg tablets) orally twice daily. Treatment with entospletinib will continue until disease progression or unacceptable toxicity.
Participants with CLL and simple progression (non-Richters), who are exposed to phosphatidylinositol 3-kinase (PI3K) inhibitor, receive new formulation of entospletinib 400 mg (2 × 200 mg tablets) orally twice daily. Treatment with entospletinib will continue until disease progression or unacceptable toxicity.
Participants with CLL, who transform to Richters or Richters-like syndrome and are exposed to BTK inhibitor, receive new formulation of entospletinib 400 mg (2 × 200 mg tablets) orally twice daily. Treatment with entospletinib will continue until disease progression or unacceptable toxicity.
Participants with CLL, who transform to Richters or Richters-like syndrome and are exposed to PI3K inhibitor, receive new formulation of entospletinib 400 mg (2 × 200 mg tablets) orally twice daily. Treatment with entospletinib will continue until disease progression or unacceptable toxicity.