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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02998476
Registration number
NCT02998476
Ethics application status
Date submitted
13/12/2016
Date registered
20/12/2016
Date last updated
10/03/2022
Titles & IDs
Public title
A Phase 2 Safety and Efficacy Study of INCB050465 in Subjects With Relapsed or Refractory Diffuse Large B-Cell Lymphoma (CITADEL-202)
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Scientific title
A Phase 2, Multicenter, International, Open-Label, Safety and Efficacy Study of INCB050465 in Subjects With Relapsed or Refractory Diffuse Large B-Cell Lymphoma (CITADEL-202)
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Secondary ID [1]
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Parsaclisib
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Secondary ID [2]
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INCB 50465-202/CITADEL-202
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Lymphoma
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Condition category
Condition code
Cancer
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Lymphoma (non Hodgkin's lymphoma) - High grade lymphoma
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Cancer
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Lymphoma (non Hodgkin's lymphoma) - Low grade lymphoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Parsaclisib
Experimental: Group A Parsaclisib (no prior BTK inhibitor) - Parsaclisib in subjects who were not previously treated with a BTK inhibitor.
Experimental: Group B Parsaclisib (prior BTK inhibitor) - Parsaclisib in subjects who were previously treated with a BTK inhibitor.
Treatment: Drugs: Parsaclisib
Parsaclisib once daily for 8 weeks followed by once weekly
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Objective Response Rate Based on Lugano Classification Criteria in Group A
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Assessment method [1]
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Defined as the percentage of subjects with a complete or partial response as defined by Lugano Classification criteria for lymphomas (Cheson et al 2014) as determined by IRC.
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Timepoint [1]
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Every 9 weeks through Week 27, then every 18 weeks thereafter until disease progression, up to 26 months
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Secondary outcome [1]
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Duration of Response in Group A
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Assessment method [1]
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Defined as the time from first documented evidence of complete or partial response until disease progression or death from any cause among subjects who achieve an objective response as determined by IRC.
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Timepoint [1]
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Every 9 weeks through Week 27, then every 18 weeks thereafter until disease progression, up to 26 months
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Secondary outcome [2]
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Progression-free Survival in Group A
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Assessment method [2]
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Defined as the time from the date of the first dose of study drug until the earliest date of disease progression, as determined by radiographic disease assessment as provided by an IRC.
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Timepoint [2]
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Every 9 weeks through Week 27, then every 18 weeks thereafter until disease progression, up to 26 months
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Secondary outcome [3]
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Overall Survival (OS) in Group A
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Assessment method [3]
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Defined as the time from the date of the first dose of study drug until death by any cause.
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Timepoint [3]
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From first dose of study drug until death by any cause; up to 26 months
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Secondary outcome [4]
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Safety as Assessed by Percentage of Subjects With Adverse Events in Group A and Group B
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Assessment method [4]
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A TEAE is any AE either reported for the first time or worsening of a pre-existing event after the first dose of parsaclisib until 30 days after the last dose administration.
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Timepoint [4]
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Screening through 35 days after end of treatment, up to 42 months
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Eligibility
Key inclusion criteria
* Eligible 19 years and older in South Korea
* Relapsed or refractory DLBCL, which has been histologically documented, defined as having received at least 2 but no more than 5 prior treatment regimens and ineligible for high-dose chemotherapy supported by autologous stem cell transplant.
* Must have = 1 measurable lesion (=2 cm in longest dimension) or = 1 measurable extranodal lesion (=1 cm in longest dimension) on computed tomography (CT) scan or magnetic resonance imaging (MRI).
* Subjects must be willing to undergo an incisional or excisional lymph node biopsy of accessible adenopathy or provide the most recent, available archived tumor biopsy.
* Eastern Cooperative Oncology Group performance status 0 to 2.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Primary mediastinal (thymic) large B-cell lymphoma.
* Known brain or central nervous system metastases or history of uncontrolled seizures.
* Allogeneic stem cell transplant within the last 6 months, or active graft versus host disease following allogeneic transplant, or autologous stem cell transplant within the last 3 months.
* Use or expected use during the study of any prohibited medications, including potent cytochrome P450 3A4 inhibitors or inducers within 14 days or 5 half lives (whichever is longer) before the first dose of study drug.
* Prior treatment with the following:
* Group A: Prior treatment with a selective phosphatidylinositol 3-kinase (PI3K) d inhibitor (eg, idelalisib), a pan-PI3K inhibitor, or a BTK inhibitor (eg, ibrutinib).
* Group B: Prior treatment with a selective PI3Kd inhibitor (eg, idelalisib) or a pan PI3K inhibitor.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
2/03/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
5/02/2021
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Sample size
Target
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Accrual to date
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Final
60
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Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC,WA
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Recruitment hospital [1]
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St Vincent's Hospital Sydney - Darlinghurst
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Westmead Hospital - Westmead
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Flinders Medical Centre - Bedford Park
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Ballarat Base Hospital - Ballarat
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Sunshine Hospital - St Albans
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Fiona Stanley Hospital - Murdoch
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Recruitment postcode(s) [1]
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2010 - Darlinghurst
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Recruitment postcode(s) [2]
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2145 - Westmead
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Recruitment postcode(s) [3]
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5042 - Bedford Park
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Recruitment postcode(s) [4]
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3350 - Ballarat
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3021 - St Albans
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Recruitment postcode(s) [6]
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6150 - Murdoch
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Recruitment outside Australia
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United States of America
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Alabama
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Sutton
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Incyte Corporation
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to assess the safety and efficacy of parsaclisib in subjects with relapsed or refractory diffuse large B-cell lymphoma.
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Trial website
https://clinicaltrials.gov/study/NCT02998476
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Trial related presentations / publications
Coleman M, Belada D, Casasnovas RO, Gressin R, Lee HP, Mehta A, Munoz J, Verhoef G, Corrado C, DeMarini DJ, Zhao W, Li J, Fay K. Phase 2 study of parsaclisib (INCB050465), a highly selective, next-generation PI3Kdelta inhibitor, in relapsed or refractory diffuse large B-cell lymphoma (CITADEL-202). Leuk Lymphoma. 2021 Feb;62(2):368-376. doi: 10.1080/10428194.2020.1832660. Epub 2020 Nov 3.
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Public notes
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Contacts
Principal investigator
Name
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Claudia Corrado, MD
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Address
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Incyte Corporation
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/76/NCT02998476/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/76/NCT02998476/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT02998476
Download to PDF