Study on Ibrutinib for Treating Patients with Relapsed Hairy Cell Leukemia

Sponsor: National Cancer Institute (NCI)

Sponsor score: 0

ClinicalTrials ID:NCT01841723

This clinical trial is testing how well the drug ibrutinib works for patients with hairy cell leukemia that has returned after treatment. Ibrutinib may help stop cancer cells from growing by blocking certain enzymes they need.

Patient Parameters

Program Overview

This phase II study is investigating the effectiveness of ibrutinib in treating patients whose hairy cell leukemia (HCL) has come back after a period of improvement. The drug works by blocking enzymes that cancer cells need to grow. The study aims to see how well patients respond to the treatment, how long they can go without the disease getting worse, and how well they tolerate the drug.

Description

The main goal of this study is to find out how many patients with hairy cell leukemia (HCL) respond to ibrutinib treatment after 32 weeks. Researchers will look at both complete and partial responses to the drug.

Other goals include:

  • Understanding the side effects and how well patients tolerate ibrutinib.
  • Measuring how long patients live without the disease getting worse and their overall survival.
  • Checking if the disease is completely undetectable in some patients after treatment.
  • Studying how ibrutinib affects the immune system and certain markers in the blood and cancer cells.

Patients will take ibrutinib by mouth once a day in 28-day cycles. They may continue treatment for up to 8 cycles if there is no response, up to 12 cycles if there is no significant improvement, or longer if the doctor decides it's beneficial and there are no severe side effects. Patients will also have regular tests, including bone marrow biopsies, blood tests, and scans, to monitor their progress.

After finishing the treatment, patients will have follow-up visits every 3 months to check on their health and any long-term effects of the treatment.

Eligibility Criteria

Inclusion Criteria

  • Diagnosed with hairy cell leukemia or a variant, needing treatment due to:
    • Low hemoglobin, platelet, or neutrophil counts
    • Enlarged spleen or liver causing symptoms
    • Enlarging lymph nodes
    • High lymphocyte count
    • Symptoms like significant weight loss, fatigue, fever, or night sweats
  • Previously treated with certain chemotherapy drugs or unable to take them
  • Age 18 or older
  • Good overall health with a performance status of 0 to 2
  • Life expectancy of more than 12 months
  • Adequate kidney and liver function
  • Willing to use effective birth control during and after the study
  • Able to understand and sign a consent form

Exclusion Criteria

  • Recent chemotherapy or antibody treatment
  • Taking other experimental drugs
  • Brain metastases
  • Allergic to ibrutinib or similar drugs
  • Taking certain medications that interact with ibrutinib
  • Uncontrolled health issues like infections or heart problems
  • Pregnant or breastfeeding women
  • HIV-positive patients with certain conditions
  • Taking blood thinners like warfarin
  • Needing high doses of steroids
  • Previous treatment with similar drugs
  • Recent major surgery
  • Other active cancers or significant heart disease
  • Unable to swallow pills or with severe digestive issues
  • Recent stroke or brain bleeding
  • Active hepatitis B or C infection
  • Taking immunosuppressants
  • Recent live vaccinations
  • Unresolved side effects from previous cancer treatments
  • Bleeding disorders
  • Unable to participate in study procedures
  • Significant liver impairment
  • Incarcerated individuals

Locations

FACILITYZIPCITYSTATE
National Institutes of Health Clinical Center20892BethesdaMaryland
Wayne State University/Karmanos Cancer Institute48201DetroitMichigan
Mayo Clinic in Rochester55905RochesterMinnesota
Ohio State University Comprehensive Cancer Center43210ColumbusOhio
M D Anderson Cancer Center77030HoustonTexas

Get This Program In Your Inbox

Receive detailed information about this treatment opportunity to review with your healthcare provider.