Relapsed/Refractory B-cell Malignancies
Conditions
Brief summary
The primary objective of this study is to determine the long-term safety and tolerability of tirabrutinib in adults with relapsed/refractory B-cell malignancy who have tolerated and achieved stable disease or improved with tirabrutinib treatment while enrolled in a prior (parent study) tirabrutinib study (NCT01659255). The dosing regimen will be based on the prior dosing regimen from the parent study.
Interventions
Tablets or capsules administered orally
Sponsors
Study design
Eligibility
Inclusion criteria
Key Inclusion Criteria: * Currently enrolled in a prior tirabrutinib study * Did not discontinue treatment with tirabrutinib for any reason other than to enroll in this study * Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2 at enrollment in this study * Any Grade 3 or 4 non-hematologic toxicity that the investigator considers related to previous tirabrutinib use must have resolved, reverted to Grade 1, or reverted to the baseline of the prior study prior to Day 1 of this study * Negative serum and urine pregnancy test is required for female individuals (unless surgically sterile or greater than 2 years post menopausal) * Male and female individuals of childbearing potential who engage in heterosexual intercourse must agree to use protocol specified method(s) of contraception as described in the protocol * Lactating females must agree to discontinue nursing before the study drug is administered * Ability and agreement to attend protocol-specified visits at the study site * Able to comprehend and willing to sign the informed consent form Key
Exclusion criteria
* Known hypersensitivity to tirabrutinib, its metabolites, or formulation excipients Note: Other protocol defined Inclusion/
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs) | First dose of tirabrutinib up to 36 months in the parent study and up to 61 months in the rollover study | Treatment-emergent AEs were defined as one or both of the following: * Any AEs with an onset date on or after the study drug start date of parent study and no later than 30 days after permanent discontinuation of study drug in this rollover study; * Any AEs leading to premature discontinuation of study drug. |
| Percentage of Participants Who Experienced Treatment-Emergent Marked Laboratory Abnormalities | First dose of tirabrutinib up to 36 months in the parent study and up to 61 months in the rollover study | Treatment-emergent marked laboratory abnormalities were defined as values that increase from baseline by at least 3 toxicity grades at any postbaseline time point, up to and including the date of the last dose of study drug plus 30. If the relevant baseline laboratory value is missing, any Grade 3 or 4 values observed within the timeframe specified above will be considered treatment-emergent marked abnormalities. Laboratory assessments included tests for Chemistry, Hematology, Coagulation and Urinalysis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall Response Rate (ORR) | Up to 39 months in parent study and up to 60 months in rollover study | ORR was defined per Modified International Workshop on Chronic Lymphocytic Leukemia (IWCLL) 2008 criteria for CLL and Cheson, 2007 criteria for NHL as percentage of participants who achieve partial response (PR) or complete response (CR) in either parent or roll-over study. CLL:CR: lymphocytes (Ly) \<4\*10\^9/L, no lymphadenopathy,normal spleen and liver size,absence of disease, absolute neutrophil count (ANC) \>1.5\*10\^9/L,platelets ≥100\*10\^9/L, hemoglobin (Hb) \>110 g/L,bone marrow at least normocellular for age; PR: ≥2 of these: ≥50% decrease in Ly, lymphadenopathy,size of liver and spleen, bone marrow infiltrates;and ≥1 of these: ANC \>1500/μL, platelets ≥100,000/µL, Hb \>11g/dL. NHL:CR: complete resolution of all disease-related radiological abnormalities; PR: ≥50% reduction in sum of products (SPD) of the longest diameters (LD) of all index lesions,no new lesions;no increase in size of liver or spleen;persistence of bone marrow involvement in participant who meets other criteria for CR. |
| Duration of Response (DOR) | From first documentation of CR or PR to the first documentation of disease progression or death from any cause up to 39 months in parent study and up to 60 months in the rollover study | DOR was defined per IWCLL 2008 criteria for CLL and Cheson, 2007 criteria for NHL as the interval from first documentation of CR or PR to the earlier of the first documentation of definitive disease progression as assessed by the investigator, or death from any cause in subjects who achieve a response. CLL:CR: Ly \<4\*10\^9/L, no lymphadenopathy, normal spleen and liver size, absence of disease, ANC \>1.5\*10\^9/L, platelets ≥100\*10\^9/L, Hb \>110 g/L, bone marrow at least normocellular for age; PR: ≥2 of these: ≥50% decrease in Ly, lymphadenopathy, size of liver and spleen, bone marrow infiltrates; and ≥1 of these: ANC \>1500/μL, platelets ≥100,000/µL, Hb \>11 g/dL. NHL:CR: complete resolution of all disease-related radiological abnormalities; PR: ≥50% reduction in SPD of the LD of all index lesions, no new lesions; no increase in size of liver or spleen; persistence of bone marrow involvement in participant who meets other criteria for CR. |
| Progression-free Survival (PFS) | From first dose of tirabrutinib in the parent study (NCT01659255) to the first documentation of disease progression or death from any cause up to 99 months | PFS was defined per IWCLL 2008 criteria for CLL and Cheson 2007 criteria for NHL as the interval from date of the first dose of tirabrutinib on the parent study to the earlier of the first documentation of definitive disease progression as assessed by the investigator, or death from any cause. Progressive disease (PD) in CLL: Lymphadenopathy, or appearance of any new lesion/organomegaly, \> 50% increase in the size of the liver and/or spleen, Decrease in platelet count or hemoglobin attributable to CLL per IWCLL, Transformation to a more aggressive histology (eg, Richter syndrome). PD in NHL: Cheson, 2007: Appearance of new lesion or increase by \>50% of previously involved sites from nadir, Transformation to a more aggressive NHL histology. |
| Overall Survival (OS) | From first dose of tirabrutinib in the parent study (NCT01659255) until death from any cause up to 99 months | OS is defined as the interval from date of the first dose of tirabrutinib on the parent study until death from any cause. |
Countries
France, United Kingdom
Participant flow
Recruitment details
Participants were enrolled at study sites in the United Kingdom and France. The first participant was screened on 10 September 2015. The last study visit occurred on 30 December 2020.
Pre-assignment details
102 participants were screened. Participants must have been enrolled in parent study ONO-4059POE001 (NCT01659255) to be eligible to receive continued access to tirabrutinib in this rollover study. The dosing regimen was based on the prior dosing regimen from the parent study. As pre-specified in the protocol, the data from both the parent and rollover studies were analyzed together for participants in this rollover study.
Participants by arm
| Arm | Count |
|---|---|
| Tirabrutinib 80 mg Once Daily (CLL) Participants with relapsed/refractory CLL received tirabrutinib 80 mg once daily for up to 96 months from first dose in the parent study. | 2 |
| Tirabrutinib 160 mg Once Daily (CLL) Participants with relapsed/refractory CLL received tirabrutinib 160 mg once daily for up to 96 months from first dose in the parent study. | 3 |
| Tirabrutinib 320 mg Once Daily (CLL) Participants with relapsed/refractory CLL received tirabrutinib 320 mg once daily for up to 96 months from first dose in the parent study. | 7 |
| Tirabrutinib 400 mg Once Daily (CLL) Participants with relapsed/refractory CLL received tirabrutinib 400 mg once daily for up to 96 months from first dose in the parent study. | 2 |
| Tirabrutinib 500 mg Once Daily (CLL) Participants with relapsed/refractory CLL received tirabrutinib 500 mg once daily for up to 96 months from first dose in the parent study. | 1 |
| Tirabrutinib 600 mg Once Daily (CLL) Participants with relapsed/refractory CLL received tirabrutinib 600 mg once daily for up to 96 months from first dose in the parent study. | 2 |
| Tirabrutinib 300 mg Twice Daily (CLL) Participants with relapsed/refractory CLL received tirabrutinib 300 mg twice daily for up to 96 months from first dose in the parent study. | 2 |
| Tirabrutinib 160 mg Once Daily (NHL) Participants with relapsed/refractory NHL received tirabrutinib 160 mg once daily for up to 96 months from first dose in the parent study | 1 |
| Tirabrutinib 320 mg Once Daily (NHL) Participants with relapsed/refractory NHL received tirabrutinib 320 mg once daily for up to 96 months from first dose in the parent study. | 3 |
| Tirabrutinib 480 mg Once Daily (NHL) Participants with relapsed/refractory NHL received tirabrutinib 480 mg once daily for up to 96 months from first dose in the parent study. | 4 |
| Tirabrutinib 600 mg Once Daily (NHL) Participants with relapsed/refractory NHL received tirabrutinib 600 mg once daily for up to 96 months from first dose in the parent study. | 2 |
| Total | 29 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 | FG006 | FG007 | FG008 | FG009 | FG010 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study | Adverse Event | 0 | 1 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Overall Study | Death | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 |
| Overall Study | Investigator's Discretion | 0 | 0 | 2 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 |
| Overall Study | Progressive Disease | 1 | 2 | 3 | 0 | 0 | 2 | 1 | 0 | 1 | 1 | 1 |
| Overall Study | Reason not Specified | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 |
Baseline characteristics
| Characteristic | Total | Tirabrutinib 320 mg Once Daily (CLL) | Tirabrutinib 400 mg Once Daily (CLL) | Tirabrutinib 160 mg Once Daily (CLL) | Tirabrutinib 500 mg Once Daily (CLL) | Tirabrutinib 600 mg Once Daily (CLL) | Tirabrutinib 300 mg Twice Daily (CLL) | Tirabrutinib 80 mg Once Daily (CLL) | Tirabrutinib 160 mg Once Daily (NHL) | Tirabrutinib 320 mg Once Daily (NHL) | Tirabrutinib 480 mg Once Daily (NHL) | Tirabrutinib 600 mg Once Daily (NHL) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 18 Participants | 4 Participants | 0 Participants | 3 Participants | 1 Participants | 2 Participants | 2 Participants | 0 Participants | 0 Participants | 2 Participants | 3 Participants | 1 Participants |
| Age, Categorical Between 18 and 65 years | 11 Participants | 3 Participants | 2 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 2 Participants | 1 Participants | 1 Participants | 1 Participants | 1 Participants |
| Race/Ethnicity, Customized Ethnicity Hispanic or Latino | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Ethnicity Not Hispanic or Latino | 29 Participants | 7 Participants | 2 Participants | 3 Participants | 1 Participants | 2 Participants | 2 Participants | 2 Participants | 1 Participants | 3 Participants | 4 Participants | 2 Participants |
| Race/Ethnicity, Customized Race Other | 4 Participants | 2 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Race White | 25 Participants | 5 Participants | 2 Participants | 3 Participants | 0 Participants | 2 Participants | 2 Participants | 2 Participants | 1 Participants | 2 Participants | 4 Participants | 2 Participants |
| Region of Enrollment France | 9 participants | 4 participants | 0 participants | 1 participants | 1 participants | 0 participants | 1 participants | 0 participants | 0 participants | 1 participants | 0 participants | 1 participants |
| Region of Enrollment United Kingdom | 20 participants | 3 participants | 2 participants | 2 participants | 0 participants | 2 participants | 1 participants | 2 participants | 1 participants | 2 participants | 4 participants | 1 participants |
| Sex: Female, Male Female | 6 Participants | 1 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 2 Participants | 0 Participants |
| Sex: Female, Male Male | 23 Participants | 6 Participants | 2 Participants | 2 Participants | 1 Participants | 2 Participants | 1 Participants | 1 Participants | 1 Participants | 3 Participants | 2 Participants | 2 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk | EG006 affected / at risk | EG007 affected / at risk | EG008 affected / at risk | EG009 affected / at risk | EG010 affected / at risk | EG011 affected / at risk |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 0 | 0 / 2 | 1 / 3 | 1 / 7 | 0 / 2 | 0 / 1 | 0 / 2 | 1 / 2 | 0 / 1 | 1 / 3 | 1 / 4 | 0 / 2 |
| other Total, other adverse events | 1 / 1 | 2 / 2 | 3 / 3 | 7 / 7 | 2 / 2 | 1 / 1 | 1 / 1 | 2 / 2 | 1 / 1 | 3 / 3 | 4 / 4 | 2 / 2 |
| serious Total, serious adverse events | 0 / 1 | 2 / 2 | 3 / 3 | 5 / 7 | 1 / 2 | 0 / 1 | 1 / 1 | 1 / 2 | 0 / 1 | 2 / 3 | 4 / 4 | 1 / 2 |
Outcome results
Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs)
Treatment-emergent AEs were defined as one or both of the following: * Any AEs with an onset date on or after the study drug start date of parent study and no later than 30 days after permanent discontinuation of study drug in this rollover study; * Any AEs leading to premature discontinuation of study drug.
Time frame: First dose of tirabrutinib up to 36 months in the parent study and up to 61 months in the rollover study
Population: Safety Analysis Set included all participants who took at least 1 dose of study drug in the study. The data for this study are summarized by integrating the parent (NCT01659255) study data and rollover study data. One participant in 600 mg arm (CLL), received 40 mg dose for a longer period of time in parent study. Hence, this participant was included in 40 mg arm in safety analysis set.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Tirabrutinib 40 mg Once Daily (CLL) | Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs) | 100.0 percentage of participants |
| Tirabrutinib 80 mg Once Daily (CLL) | Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs) | 100.0 percentage of participants |
| Tirabrutinib 160 mg Once Daily (CLL) | Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs) | 100.0 percentage of participants |
| Tirabrutinib 320 mg Once Daily (CLL) | Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs) | 100.0 percentage of participants |
| Tirabrutinib 400 mg Once Daily (CLL) | Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs) | 100.0 percentage of participants |
| Tirabrutinib 500 mg Once Daily (CLL) | Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs) | 100.0 percentage of participants |
| Tirabrutinib 600 mg Once Daily (CLL) | Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs) | 100.0 percentage of participants |
| Tirabrutinib 300 mg Twice Daily (CLL) | Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs) | 100.0 percentage of participants |
| Tirabrutinib 160 mg Once Daily (NHL) | Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs) | 100.0 percentage of participants |
| Tirabrutinib 320 mg Once Daily (NHL) | Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs) | 100.0 percentage of participants |
| Tirabrutinib 480 mg Once Daily (NHL) | Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs) | 100.0 percentage of participants |
| Tirabrutinib 600 mg Once Daily (NHL) | Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (AEs) | 100.0 percentage of participants |
Percentage of Participants Who Experienced Treatment-Emergent Marked Laboratory Abnormalities
Treatment-emergent marked laboratory abnormalities were defined as values that increase from baseline by at least 3 toxicity grades at any postbaseline time point, up to and including the date of the last dose of study drug plus 30. If the relevant baseline laboratory value is missing, any Grade 3 or 4 values observed within the timeframe specified above will be considered treatment-emergent marked abnormalities. Laboratory assessments included tests for Chemistry, Hematology, Coagulation and Urinalysis.
Time frame: First dose of tirabrutinib up to 36 months in the parent study and up to 61 months in the rollover study
Population: Participants in the Safety Analysis Set were analyzed. The data for this study are summarized by integrating the parent study (NCT01659255) data and rollover study data. One participant in 600 mg arm (CLL), received 40 mg dose for a longer period of time in parent study. Hence, this participant was included in 40 mg arm in safety analysis set.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Tirabrutinib 40 mg Once Daily (CLL) | Percentage of Participants Who Experienced Treatment-Emergent Marked Laboratory Abnormalities | 100.0 percentage of participants |
| Tirabrutinib 80 mg Once Daily (CLL) | Percentage of Participants Who Experienced Treatment-Emergent Marked Laboratory Abnormalities | 100.0 percentage of participants |
| Tirabrutinib 160 mg Once Daily (CLL) | Percentage of Participants Who Experienced Treatment-Emergent Marked Laboratory Abnormalities | 66.7 percentage of participants |
| Tirabrutinib 320 mg Once Daily (CLL) | Percentage of Participants Who Experienced Treatment-Emergent Marked Laboratory Abnormalities | 71.4 percentage of participants |
| Tirabrutinib 400 mg Once Daily (CLL) | Percentage of Participants Who Experienced Treatment-Emergent Marked Laboratory Abnormalities | 100.0 percentage of participants |
| Tirabrutinib 500 mg Once Daily (CLL) | Percentage of Participants Who Experienced Treatment-Emergent Marked Laboratory Abnormalities | 100.0 percentage of participants |
| Tirabrutinib 600 mg Once Daily (CLL) | Percentage of Participants Who Experienced Treatment-Emergent Marked Laboratory Abnormalities | 100.0 percentage of participants |
| Tirabrutinib 300 mg Twice Daily (CLL) | Percentage of Participants Who Experienced Treatment-Emergent Marked Laboratory Abnormalities | 50.0 percentage of participants |
| Tirabrutinib 160 mg Once Daily (NHL) | Percentage of Participants Who Experienced Treatment-Emergent Marked Laboratory Abnormalities | 0 percentage of participants |
| Tirabrutinib 320 mg Once Daily (NHL) | Percentage of Participants Who Experienced Treatment-Emergent Marked Laboratory Abnormalities | 33.3 percentage of participants |
| Tirabrutinib 480 mg Once Daily (NHL) | Percentage of Participants Who Experienced Treatment-Emergent Marked Laboratory Abnormalities | 50.0 percentage of participants |
| Tirabrutinib 600 mg Once Daily (NHL) | Percentage of Participants Who Experienced Treatment-Emergent Marked Laboratory Abnormalities | 50.0 percentage of participants |
Duration of Response (DOR)
DOR was defined per IWCLL 2008 criteria for CLL and Cheson, 2007 criteria for NHL as the interval from first documentation of CR or PR to the earlier of the first documentation of definitive disease progression as assessed by the investigator, or death from any cause in subjects who achieve a response. CLL:CR: Ly \<4\*10\^9/L, no lymphadenopathy, normal spleen and liver size, absence of disease, ANC \>1.5\*10\^9/L, platelets ≥100\*10\^9/L, Hb \>110 g/L, bone marrow at least normocellular for age; PR: ≥2 of these: ≥50% decrease in Ly, lymphadenopathy, size of liver and spleen, bone marrow infiltrates; and ≥1 of these: ANC \>1500/μL, platelets ≥100,000/µL, Hb \>11 g/dL. NHL:CR: complete resolution of all disease-related radiological abnormalities; PR: ≥50% reduction in SPD of the LD of all index lesions, no new lesions; no increase in size of liver or spleen; persistence of bone marrow involvement in participant who meets other criteria for CR.
Time frame: From first documentation of CR or PR to the first documentation of disease progression or death from any cause up to 39 months in parent study and up to 60 months in the rollover study
Population: Participants in the Full Analysis Set with available data were analyzed. Participants who achieved a response are included in the analysis. The data for this study are summarized by integrating the parent study (NCT01659255) data and rollover study data.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Tirabrutinib 40 mg Once Daily (CLL) | Duration of Response (DOR) | NA months |
| Tirabrutinib 80 mg Once Daily (CLL) | Duration of Response (DOR) | 27.0 months |
| Tirabrutinib 160 mg Once Daily (CLL) | Duration of Response (DOR) | 57.7 months |
| Tirabrutinib 320 mg Once Daily (CLL) | Duration of Response (DOR) | NA months |
| Tirabrutinib 400 mg Once Daily (CLL) | Duration of Response (DOR) | NA months |
| Tirabrutinib 500 mg Once Daily (CLL) | Duration of Response (DOR) | 33.6 months |
| Tirabrutinib 600 mg Once Daily (CLL) | Duration of Response (DOR) | NA months |
| Tirabrutinib 300 mg Twice Daily (CLL) | Duration of Response (DOR) | NA months |
| Tirabrutinib 160 mg Once Daily (NHL) | Duration of Response (DOR) | 63.2 months |
| Tirabrutinib 320 mg Once Daily (NHL) | Duration of Response (DOR) | 71.4 months |
| Tirabrutinib 480 mg Once Daily (NHL) | Duration of Response (DOR) | 37.0 months |
Overall Response Rate (ORR)
ORR was defined per Modified International Workshop on Chronic Lymphocytic Leukemia (IWCLL) 2008 criteria for CLL and Cheson, 2007 criteria for NHL as percentage of participants who achieve partial response (PR) or complete response (CR) in either parent or roll-over study. CLL:CR: lymphocytes (Ly) \<4\*10\^9/L, no lymphadenopathy,normal spleen and liver size,absence of disease, absolute neutrophil count (ANC) \>1.5\*10\^9/L,platelets ≥100\*10\^9/L, hemoglobin (Hb) \>110 g/L,bone marrow at least normocellular for age; PR: ≥2 of these: ≥50% decrease in Ly, lymphadenopathy,size of liver and spleen, bone marrow infiltrates;and ≥1 of these: ANC \>1500/μL, platelets ≥100,000/µL, Hb \>11g/dL. NHL:CR: complete resolution of all disease-related radiological abnormalities; PR: ≥50% reduction in sum of products (SPD) of the longest diameters (LD) of all index lesions,no new lesions;no increase in size of liver or spleen;persistence of bone marrow involvement in participant who meets other criteria for CR.
Time frame: Up to 39 months in parent study and up to 60 months in rollover study
Population: Full Analysis Set consisted of all enrolled participants who took at least 1 dose of study drug in the study. The data for this study are summarized by integrating the parent study (NCT01659255) data and rollover study data.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Tirabrutinib 40 mg Once Daily (CLL) | Overall Response Rate (ORR) | 100.0 percentage of participants |
| Tirabrutinib 80 mg Once Daily (CLL) | Overall Response Rate (ORR) | 100.0 percentage of participants |
| Tirabrutinib 160 mg Once Daily (CLL) | Overall Response Rate (ORR) | 100.0 percentage of participants |
| Tirabrutinib 320 mg Once Daily (CLL) | Overall Response Rate (ORR) | 100.0 percentage of participants |
| Tirabrutinib 400 mg Once Daily (CLL) | Overall Response Rate (ORR) | 100.0 percentage of participants |
| Tirabrutinib 500 mg Once Daily (CLL) | Overall Response Rate (ORR) | 100.0 percentage of participants |
| Tirabrutinib 600 mg Once Daily (CLL) | Overall Response Rate (ORR) | 100.0 percentage of participants |
| Tirabrutinib 300 mg Twice Daily (CLL) | Overall Response Rate (ORR) | 100.0 percentage of participants |
| Tirabrutinib 160 mg Once Daily (NHL) | Overall Response Rate (ORR) | 100.0 percentage of participants |
| Tirabrutinib 320 mg Once Daily (NHL) | Overall Response Rate (ORR) | 100.0 percentage of participants |
| Tirabrutinib 480 mg Once Daily (NHL) | Overall Response Rate (ORR) | 50.0 percentage of participants |
Overall Survival (OS)
OS is defined as the interval from date of the first dose of tirabrutinib on the parent study until death from any cause.
Time frame: From first dose of tirabrutinib in the parent study (NCT01659255) until death from any cause up to 99 months
Population: Participants in the Full Analysis Set were analyzed. The data for this study are summarized by integrating the parent (NCT01659255) study data and rollover study data.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Tirabrutinib 40 mg Once Daily (CLL) | Overall Survival (OS) | NA months |
| Tirabrutinib 80 mg Once Daily (CLL) | Overall Survival (OS) | NA months |
| Tirabrutinib 160 mg Once Daily (CLL) | Overall Survival (OS) | NA months |
| Tirabrutinib 320 mg Once Daily (CLL) | Overall Survival (OS) | NA months |
| Tirabrutinib 400 mg Once Daily (CLL) | Overall Survival (OS) | NA months |
| Tirabrutinib 500 mg Once Daily (CLL) | Overall Survival (OS) | NA months |
| Tirabrutinib 600 mg Once Daily (CLL) | Overall Survival (OS) | NA months |
| Tirabrutinib 300 mg Twice Daily (CLL) | Overall Survival (OS) | NA months |
| Tirabrutinib 160 mg Once Daily (NHL) | Overall Survival (OS) | NA months |
| Tirabrutinib 320 mg Once Daily (NHL) | Overall Survival (OS) | NA months |
| Tirabrutinib 480 mg Once Daily (NHL) | Overall Survival (OS) | NA months |
Progression-free Survival (PFS)
PFS was defined per IWCLL 2008 criteria for CLL and Cheson 2007 criteria for NHL as the interval from date of the first dose of tirabrutinib on the parent study to the earlier of the first documentation of definitive disease progression as assessed by the investigator, or death from any cause. Progressive disease (PD) in CLL: Lymphadenopathy, or appearance of any new lesion/organomegaly, \> 50% increase in the size of the liver and/or spleen, Decrease in platelet count or hemoglobin attributable to CLL per IWCLL, Transformation to a more aggressive histology (eg, Richter syndrome). PD in NHL: Cheson, 2007: Appearance of new lesion or increase by \>50% of previously involved sites from nadir, Transformation to a more aggressive NHL histology.
Time frame: From first dose of tirabrutinib in the parent study (NCT01659255) to the first documentation of disease progression or death from any cause up to 99 months
Population: Participants in the Full Analysis Set were analyzed. The data for this study are summarized by integrating the parent study (NCT01659255) data and rollover study data.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Tirabrutinib 40 mg Once Daily (CLL) | Progression-free Survival (PFS) | NA months |
| Tirabrutinib 80 mg Once Daily (CLL) | Progression-free Survival (PFS) | 44.0 months |
| Tirabrutinib 160 mg Once Daily (CLL) | Progression-free Survival (PFS) | 59.5 months |
| Tirabrutinib 320 mg Once Daily (CLL) | Progression-free Survival (PFS) | NA months |
| Tirabrutinib 400 mg Once Daily (CLL) | Progression-free Survival (PFS) | NA months |
| Tirabrutinib 500 mg Once Daily (CLL) | Progression-free Survival (PFS) | 35.4 months |
| Tirabrutinib 600 mg Once Daily (CLL) | Progression-free Survival (PFS) | NA months |
| Tirabrutinib 300 mg Twice Daily (CLL) | Progression-free Survival (PFS) | NA months |
| Tirabrutinib 160 mg Once Daily (NHL) | Progression-free Survival (PFS) | 65.0 months |
| Tirabrutinib 320 mg Once Daily (NHL) | Progression-free Survival (PFS) | 73.2 months |
| Tirabrutinib 480 mg Once Daily (NHL) | Progression-free Survival (PFS) | NA months |