B-cell Malignancies
Conditions
Brief summary
The primary objectives of this study are to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and preliminary efficacy of tirabrutinib (ONO/GS-4059) in combination with other targeted anti-cancer therapies and to evaluate the long-term safety of tirabrutinib as a monotherapy and in combination with other targeted anti-cancer therapies in adults with relapsed or refractory B-cell lymphoproliferative malignancies. This study consists of three parts: Dose Escalation, Dose Expansion, and Long-term Safety Monitoring. During the Dose Escalation phase, participants will be sequentially enrolled in a standard 3 + 3 dose escalation study design, to receive oral tirabrutinib combined with idelalisib entospletinib +/- obinutuzumab. The Dose Expansion Phase will enroll additional participants with a single B-cell lymphoproliferative malignancy disease type to further evaluate efficacy, safety, tolerability, PK, and pharmacodynamics. The Long-term Safety Monitoring phase will evaluate the long-term safety of tirabrutinib both as a monotherapy and in combination with other anti-cancer therapies. As of Amendment 9, all participants currently on the study who have no clinical evidence of disease progression will transition into long-term safety monitoring. Participants from the ongoing Study GS-US-401-1787 and participants who came off Study GS-US-401-1757 and Study GS-US-401-1787 but continued to receive treatment via named patient use (or individual expanded use) will be enrolled into the long-term safety monitoring group (Group VI). Participants enrolled in Group VI will continue the same treatment regimen in Study GS-US-401-1787 or named patient use (or individual expanded use). As of Protocol Amendment 8, the maximum treatment duration for any participant is an additional 6 years from the date of this amendment (ie. until November 2025). As of Amendment 9, entospletinib will be provided until 31 December 2020 to participants who are currently receiving entospletinib. Participants treated with entospletinib as part of a combination regimen with tirabrutinib will stop receiving entospletinib by 31 December 2020 but may continue to be treated with tirabrutinib monotherapy. Idelalisib will be provided as 50 mg tablets until 31 December 2020 and 100 mg tablets until study completion. Participants assigned to the 50 mg tablet will be given the option, at the investigator's discretion, to switch to 100 mg once daily idelalisib dose.
Interventions
Capsules or tablets administered orally
Tablets administered orally twice daily
Tablets administered orally
Administered intravenously
Sponsors
Study design
Intervention model description
Enrollment and treatment were parallel in different combinations used in the study.
Eligibility
Inclusion criteria
Key Inclusion Criteria: * Diagnosis of follicular lymphoma (FL), marginal zone lymphoma (MZL), small lymphocytic lymphoma (SLL), chronic lymphocytic leukemia (CLL) (meeting International Workshop on Chronic Lymphocytic Leukemia (IWCLL) Criteria 2008), mantle cell lymphoma (MCL), Waldenstrom's macroglobulinemia (WM), or non-germinal center B-cell lymphoma (GCB) diffuse large B-cell lymphoma (DLBCL) as documented by medical records on World Health Organization (WHO) criteria * Prior treatment for FL, MZL, SLL, MCL, WM with ≥ 2 or for CLL or non-GCB DLBCL ≥ 1 chemotherapy-based or immunotherapy-based regimen, and not transplant eligible and have had either progressive disease (PD) or no response to previous treatment * For diseases other than Waldenstrom's macroglobulinemia (WM), presence of radiographically measurable presence of ≥ 1 lesion that measures ≥ 2.0 cm in the longest dimension (LD) and ≥ 1.0 cm in the longest perpendicular dimension (LPD) * Eastern Cooperative Oncology Group (ECOG) ≤ 2 * Platelets ≥ 50 x 10\^9/L; Hb ≥ 8.0 g/dL; absolute neutrophil count (ANC) ≥ 1.0 x 10\^9/L * Without transfusion and growth factors within 7 days * Aspartate transaminase/alanine transaminase (AST/ALT) ≤ 2.5 x upper limit of normal (ULN) * Total bilirubin ≤ 1.5 x ULN * Creatinine ≤ 1.5 x ULN or creatinine clearance (CrCl) ≥ 60 mL/min * Not pregnant * Willingness and ability to comply with protocol-specified Pneumocystis jirovecii pneumonia (PJP) prophylaxis * Long-term Safety Monitoring group only (Group VI): * Currently enrolled in Study GS-US-401-1787 or previously enrolled in Study GS-US-401-1757 or Study GS-US-401-1787 and currently receiving continued treatment via named patient use * Continuing to benefit from the current treatment regimen in the opinion of the investigator/treating physician Key
Exclusion criteria
* Hepatitis B surface antigen (HBsAG) positive or hepatitis B core antibody positive * Hepatitis C virus (HCV) antibody positive * History of long QT syndrome or whose corrected QT(QTc) interval measured (Fridericia method) at screening is prolonged (\>450 ms) * Long-term Safety Monitoring group only (Group VI): * Evidence of clinical or radiological disease progression Note: Other protocol defined Inclusion/
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Dose Limiting Toxicities (DLTs) | Up to 28 days | A DLT was defined as a ≥ Grade 3 AE that was assessed as related to study drug that occurred during the 28-day DLT assessment period with protocol-defined allowed exceptions. Any treatment-emergent adverse event (TEAE) that was, in the opinion of the Clinical Trial Steering Committee, of potential clinical significance such that further dosing exposed participants to unacceptable risk, was considered a DLT. |
| Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Week 12 | ORR for Waldenstrom Macroglobulinemia(WM):CR+VGPR+PR+MPR. CR: Absence of serum monoclonal IgM protein; normal serum IgM level: complete resolution of extramedullary disease, morphologically normal bone marrow/aspirate and trephine biopsy. Very good partial response (VGPR):Detectable monoclonal IgM; ≥90% reduction in serum IgM; Complete resolution of extramedullary disease; No new signs/symptoms. PR: Monoclonal immunoglobulin M (IgM) protein is detectable ≥50% but \<90% reduction in serum IgM level from baseline; reduction of extramedullary disease; no new signs or symptoms of active disease. Minor response (MPR):Detectable monoclonal IgM; ≥25% but \<50% reduction in serum IgM; No progression of extramedullary disease; No new signs/symptoms. Clopper-Pearson method was used in analysis. Data is reported by disease type: WM; Follicular Lymphoma (FL);Mantle Cell Lymphoma (MCL);Small Lymphocytic Lymphoma (SLL);Marginal Zone Lymphoma (MZL);Diffuse Large B-Cell Lymphoma (DLBCL) as applicable. |
| ORR: Percentage of Participants With CR or PR in Participants With CLL at Week 24 | Week 24 | ORR was defined as the percentage of participants who achieved a complete response (CR) or partial response (PR). CR and PR are defined in outcome measure#2. Clopper-Pearson method was used in outcome measure analysis. Percentages were rounded off. |
| Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) | First dose up to last dose date (up to 441 weeks) plus 30 days | An AE was defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of an investigational product or other protocol-imposed intervention, regardless of attribution. TEAEs were defined as an AE that onset in the period from the first dose of study treatment to 30 days after the last dose of study treatment. Percentages were rounded off. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants Who Achieved Minimal Residual Negative Disease (< 1 Leukemia Cell/10,000 Leukocytes) During the Dose Escalation Phase and Dose Expansion Phase in Participants With CLL | Up to 281 weeks | Achieving Minimal Residual Disease was defined as \< 1 leukemia cell/10,000 leukocytes (10-4) in participants who have also achieved a CR. CR is defined in outcome measure #2. |
| Pharmacokinetic (PK) Parameter: AUCtau of Tirabrutinib 80 mg | Cycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdose | AUCtau was defined as concentration of drug over time. Area under the concentration verses time curve over the dosing interval (AUctau). The data for AUCtau is reported for tirabrutinib 80 mg as monotherapy and in combination with idelalisib 50 mg and 100 mg and entospletinib 200 mg and 400 mg. |
| PK Parameter: Cmax of Tirabrutinib 80 mg | Cycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdose | Cmax was defined as the maximum observed concentration of drug. The data for Cmax is reported for tirabrutinib 80 mg as monotherapy and in combination with idelalisib 50 mg and 100 mg and entospletinib 200 mg and 400 mg. |
| PK Parameter: AUCtau of Idelalisib When Given in Combination With Tirabrutinib | Cycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdose | AUCtau was defined as concentration of drug over time (the area under the concentration verses time curve over the dosing interval). |
| ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Up to 281 weeks | ORR for WM is CR + VGPR + PR + MPR. CR, PR, VGPR and MPR are defined in outcome measure#2. Clopper-Pearson method was used in outcome measure analysis. Percentages were rounded off. Data is reported by disease type: CLL ; FL; MCL; MZL; SLL; WM; DLBCL. |
| PK Parameter: AUCtau of Metabolite of Idelalisib (GS-563117) When Given in Combination With Tirabrutinib | Cycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdose | AUCtau was defined as concentration of drug over time (the area under the concentration verses time curve over the dosing interval). |
| PK Parameter: Cmax of Metabolite of Idelalisib (GS-563117) When Given in Combination With Tirabrutinib | Cycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdose | Cmax was defined as the maximum observed concentration of drug. |
| PK Parameter: AUCtau of Entospletinib When Given in Combination With Tirabrutinib | Cycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdose | AUCtau was defined as concentration of drug over time (the area under the concentration verses time curve over the dosing interval). |
| PK Parameter: Cmax of Entospletinib When Given in Combination With Tirabrutinib | Cycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdose | Cmax was defined as the maximum observed concentration of drug. |
| PK Parameter: Cmax of Idelalisib When Given in Combination With Tirabrutinib | Cycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdose | Cmax was defined as the maximum observed concentration of drug. |
| Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Up to 281 weeks | PFS was defined as the interval from the start of the study therapy to the earlier of the first documentation of definite disease progression (PD) or death from any cause. PD: ≥ 25% increase in serum IgM level from lowest nadir (requires confirmation) and/or progression in clinical features attributable to the disease. Kaplan-Meier (KM) estimate were used in outcome measure analysis. Data is reported by disease type: CLL; FL; MCL; MZL; other NHL; DLBCL. |
| Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Up to 281 weeks | DOR was defined as the interval from the first documentation of CR or PR to the earlier of the first documentation of definite disease progression or death from any cause. CR and PR are defined in outcome measure# 2. PD is defined in outcome measure #6. KM estimates were used in outcome measure analysis. Data is reported by disease type: CLL; FL; MCL; MZL; SLL; WM; DLBCL |
| Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Up to 281 weeks | TTR was defined as the interval from start of treatment to the first documentation of CR or PR. CR and PR are defined in outcome measure# 2. Data is reported by disease type: CLL; FL; MCL; MZL; SLL; WM; DLBCL. |
Countries
France, United Kingdom, United States
Participant flow
Recruitment details
Participants were enrolled at study sites in France, the United Kingdom and the United States.
Pre-assignment details
248 participants were screened. 203 participants were enrolled, 197 participants were enrolled to receive treatment in Combinations I to IV and Group V. 5 participants rolled over from another tirabrutinib study (GS-US-401-1787) and 1 from this study (GS-US-401-1757) was re-assigned to Group VI to continue with tirabrutinib and be monitored for long-term safety. Per pre-specified analysis, participants in Group VI were analyzed based on the disease type.
Participants by arm
| Arm | Count |
|---|---|
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) Participants received tirabrutinib 20 mg tablet once daily (QD) for up to 209 weeks and idelalisib 50 mg tablet twice daily (BID) orally for up to 120 weeks. Both drugs were administered for 28-day cycles. | 3 |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) Participants received tirabrutinib 40 mg tablet QD for up to 251 weeks and idelalisib 50 mg tablet BID orally, for up to 245 weeks. Both drugs were administered for 28-day cycles. | 8 |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) Participants received tirabrutinib 80 mg tablet QD for up to 212 weeks and idelalisib 50 mg tablet BID orally, for up to 26 weeks. Both drugs were administered for 28-day cycles. | 4 |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) Participants received tirabrutinib 80 mg tablet QD for up to 227 weeks and idelalisib 100 mg tablet QD orally, for up to 227 weeks. Both drugs were administered for 28-day cycles. | 25 |
| Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD) Participants received tirabrutinib 160 mg tablet QD for up to 151 weeks and idelalisib 100 mg tablet QD orally, for up to 151 weeks. Both drugs were administered for 28-day cycles. | 9 |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) Participants received tirabrutinib 20 mg tablet BID for up to 207 weeks and idelalisib 50 mg tablet BID orally, for up to 207 weeks. Both drugs were administered for 28-day cycles. | 5 |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 200 mg QD) Participants received tirabrutinib 40 mg tablet QD for up to 250 weeks and entospletinib 200 mg tablet QD orally, for up to 250 weeks. Both drugs were administered for 28-day cycles. | 3 |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD) Participants received tirabrutinib 80 mg tablet QD for up to 234 weeks and entospletinib 200 mg tablet QD orally, for up to 220 weeks. Both drugs were administered for 28-day cycles. | 6 |
| Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD) Participants received tirabrutinib 150 mg tablet QD for up to 103 weeks and entospletinib 200 mg tablet QD orally, for up to 88 weeks. Both drugs were administered for 28-day cycles. | 3 |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD) Participants received tirabrutinib 40 mg tablet QD for up to 119 weeks and entospletinib 400 mg tablet QD orally, for up to 119 weeks. Both drugs were administered for 28-day cycles. | 3 |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) Participants received tirabrutinib 80 mg tablet QD for up to 232 weeks and entospletinib 400 mg tablet QD orally, for up to 229 weeks. Both drugs were administered for 28-day cycles. | 78 |
| Combination II (Tirabrutinib 160 mg QD+ Entospletinib 400 mg QD) Participants received tirabrutinib 160 mg tablet QD for up to 44 weeks and entospletinib 400 mg tablet QD orally, for up to 44 weeks. Both drugs were administered for 28-day cycles. | 8 |
| Combination III (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD+ Obinutuzumab 1000 mg) Participants received tirabrutinib 80 mg tablet QD for up to 199 weeks; Idelalisib 100 mg tablet QD orally for up to 199 weeks, and single dose of obinutuzumab 1000 mg intravenously (IV) for up to 22 weeks. All drugs were administered for 28-day cycles. | 6 |
| Combination IV (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD+Obinutuzumab 1000 mg) Participants received tirabrutinib 80 mg tablet QD for up to 196 weeks; entospletinib 400 mg tablet QD orally for up to 196 weeks and single dose of obinutuzumab 1000 mg IV for up to 22 weeks. All drugs were administered for 28-day cycles. | 7 |
| Group V Single Agent Tirabrutinib Participants received tirabrutinib 80 mg tablet QD orally, for each 28-day cycle up to 194 weeks. | 29 |
| Group VI Single Agent Tirabrutinib: CLL Participants with CLL received tirabrutinib, at the original dose (20 - 160 mg), tablet QD, for each 28-day cycle up to 441 weeks. | 3 |
| Group VI Single Agent Tirabrutinib: NHL Participants with NHL received tirabrutinib, at the original dose (20 - 160 mg), tablet QD, for each 28-day cycle up to 441 weeks. | 3 |
| Total | 203 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 | FG006 | FG007 | FG008 | FG009 | FG010 | FG011 | FG012 | FG013 | FG014 | FG015 | FG016 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study | Adverse Event | 0 | 1 | 1 | 4 | 1 | 0 | 0 | 1 | 0 | 1 | 6 | 0 | 0 | 1 | 2 | 0 | 0 |
| Overall Study | Death | 0 | 0 | 0 | 3 | 0 | 1 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 1 | 2 | 0 | 1 |
| Overall Study | Intercurrent Illness | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
| Overall Study | Investigator's Discretion | 0 | 2 | 2 | 2 | 0 | 0 | 0 | 1 | 2 | 0 | 10 | 2 | 2 | 1 | 5 | 0 | 0 |
| Overall Study | Progressive Disease | 2 | 2 | 1 | 11 | 7 | 3 | 2 | 1 | 1 | 2 | 45 | 6 | 2 | 2 | 10 | 1 | 1 |
| Overall Study | Protocol Violation | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
| Overall Study | Study Terminated by Sponsor | 0 | 1 | 0 | 4 | 1 | 0 | 1 | 0 | 0 | 0 | 4 | 0 | 1 | 0 | 8 | 1 | 0 |
| Overall Study | Transition to the MHRA's Special Scheme | 0 | 2 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 4 | 0 | 0 | 0 | 1 | 1 | 1 |
| Overall Study | Unacceptable Toxicity | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 1 | 0 | 0 |
| Overall Study | Withdrew Consent | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 3 | 0 | 0 | 1 | 0 | 0 | 0 |
Baseline characteristics
| Characteristic | Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD) | Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | Combination II (Tirabrutinib 40 mg QD+ Entospletinib 200 mg QD) | Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD) | Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD) | Combination III (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD+ Obinutuzumab 1000 mg) | Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD) | Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Combination II (Tirabrutinib 160 mg QD+ Entospletinib 400 mg QD) | Combination IV (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD+Obinutuzumab 1000 mg) | Group V Single Agent Tirabrutinib | Group VI Single Agent Tirabrutinib: CLL | Group VI Single Agent Tirabrutinib: NHL | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 1 Participants | 5 Participants | 2 Participants | 13 Participants | 7 Participants | 1 Participants | 3 Participants | 5 Participants | 2 Participants | 3 Participants | 3 Participants | 52 Participants | 4 Participants | 4 Participants | 21 Participants | 2 Participants | 3 Participants | 131 Participants |
| Age, Categorical Between 18 and 65 years | 2 Participants | 3 Participants | 2 Participants | 12 Participants | 2 Participants | 4 Participants | 0 Participants | 1 Participants | 1 Participants | 3 Participants | 0 Participants | 26 Participants | 4 Participants | 3 Participants | 8 Participants | 1 Participants | 0 Participants | 72 Participants |
| Age, Continuous | 66 years STANDARD_DEVIATION 4.4 | 65 years STANDARD_DEVIATION 9.7 | 62 years STANDARD_DEVIATION 12 | 64 years STANDARD_DEVIATION 13.2 | 73 years STANDARD_DEVIATION 8.9 | 55 years STANDARD_DEVIATION 12.8 | 70 years STANDARD_DEVIATION 7 | 66 years STANDARD_DEVIATION 11.1 | 67 years STANDARD_DEVIATION 5.1 | 59 years STANDARD_DEVIATION 11.8 | 67 years STANDARD_DEVIATION 1.2 | 68 years STANDARD_DEVIATION 11.7 | 63 years STANDARD_DEVIATION 11.9 | 64 years STANDARD_DEVIATION 14.4 | 70 years STANDARD_DEVIATION 9.4 | 66 years STANDARD_DEVIATION 4 | 74 years STANDARD_DEVIATION 4.4 | 67 years STANDARD_DEVIATION 11.3 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 3 Participants | 8 Participants | 4 Participants | 23 Participants | 7 Participants | 4 Participants | 3 Participants | 6 Participants | 2 Participants | 4 Participants | 3 Participants | 51 Participants | 7 Participants | 1 Participants | 23 Participants | 2 Participants | 3 Participants | 154 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 2 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants | 2 Participants | 0 Participants | 27 Participants | 1 Participants | 6 Participants | 6 Participants | 1 Participants | 0 Participants | 48 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 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 (NIH/OMB) Asian | 0 Participants | 1 Participants | 1 Participants | 2 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 2 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 6 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 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 (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 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 (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 6 Participants | 6 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 2 Participants | 0 Participants | 30 Participants | 3 Participants | 6 Participants | 8 Participants | 0 Participants | 0 Participants | 62 Participants |
| Race (NIH/OMB) White | 3 Participants | 7 Participants | 3 Participants | 17 Participants | 3 Participants | 3 Participants | 3 Participants | 6 Participants | 3 Participants | 4 Participants | 3 Participants | 46 Participants | 5 Participants | 1 Participants | 21 Participants | 3 Participants | 3 Participants | 134 Participants |
| Region of Enrollment France | 0 Participants | 2 Participants | 2 Participants | 8 Participants | 6 Participants | 1 Participants | 1 Participants | 0 Participants | 1 Participants | 4 Participants | 2 Participants | 35 Participants | 7 Participants | 7 Participants | 7 Participants | 0 Participants | 0 Participants | 83 Participants |
| Region of Enrollment United Kingdom | 0 Participants | 4 Participants | 2 Participants | 13 Participants | 2 Participants | 2 Participants | 0 Participants | 4 Participants | 2 Participants | 0 Participants | 1 Participants | 35 Participants | 1 Participants | 0 Participants | 12 Participants | 2 Participants | 3 Participants | 83 Participants |
| Region of Enrollment United States | 3 Participants | 2 Participants | 0 Participants | 4 Participants | 1 Participants | 2 Participants | 2 Participants | 2 Participants | 0 Participants | 2 Participants | 0 Participants | 8 Participants | 0 Participants | 0 Participants | 10 Participants | 1 Participants | 0 Participants | 37 Participants |
| Sex: Female, Male Female | 3 Participants | 2 Participants | 0 Participants | 10 Participants | 4 Participants | 2 Participants | 0 Participants | 3 Participants | 0 Participants | 3 Participants | 2 Participants | 25 Participants | 3 Participants | 3 Participants | 12 Participants | 1 Participants | 2 Participants | 75 Participants |
| Sex: Female, Male Male | 0 Participants | 6 Participants | 4 Participants | 15 Participants | 5 Participants | 3 Participants | 3 Participants | 3 Participants | 3 Participants | 3 Participants | 1 Participants | 53 Participants | 5 Participants | 4 Participants | 17 Participants | 2 Participants | 1 Participants | 128 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 | EG012 affected / at risk | EG013 affected / at risk | EG014 affected / at risk | EG015 affected / at risk | EG016 affected / at risk |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 3 | 2 / 8 | 1 / 4 | 6 / 25 | 1 / 9 | 2 / 5 | 0 / 3 | 0 / 6 | 0 / 3 | 0 / 3 | 8 / 78 | 2 / 8 | 1 / 6 | 1 / 7 | 3 / 29 | 0 / 3 | 1 / 3 |
| other Total, other adverse events | 3 / 3 | 8 / 8 | 4 / 4 | 24 / 25 | 9 / 9 | 5 / 5 | 3 / 3 | 6 / 6 | 3 / 3 | 3 / 3 | 73 / 78 | 5 / 8 | 6 / 6 | 7 / 7 | 29 / 29 | 3 / 3 | 3 / 3 |
| serious Total, serious adverse events | 2 / 3 | 3 / 8 | 2 / 4 | 13 / 25 | 2 / 9 | 4 / 5 | 3 / 3 | 4 / 6 | 1 / 3 | 1 / 3 | 36 / 78 | 2 / 8 | 4 / 6 | 7 / 7 | 10 / 29 | 1 / 3 | 1 / 3 |
Outcome results
Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL
ORR for Waldenstrom Macroglobulinemia(WM):CR+VGPR+PR+MPR. CR: Absence of serum monoclonal IgM protein; normal serum IgM level: complete resolution of extramedullary disease, morphologically normal bone marrow/aspirate and trephine biopsy. Very good partial response (VGPR):Detectable monoclonal IgM; ≥90% reduction in serum IgM; Complete resolution of extramedullary disease; No new signs/symptoms. PR: Monoclonal immunoglobulin M (IgM) protein is detectable ≥50% but \<90% reduction in serum IgM level from baseline; reduction of extramedullary disease; no new signs or symptoms of active disease. Minor response (MPR):Detectable monoclonal IgM; ≥25% but \<50% reduction in serum IgM; No progression of extramedullary disease; No new signs/symptoms. Clopper-Pearson method was used in analysis. Data is reported by disease type: WM; Follicular Lymphoma (FL);Mantle Cell Lymphoma (MCL);Small Lymphocytic Lymphoma (SLL);Marginal Zone Lymphoma (MZL);Diffuse Large B-Cell Lymphoma (DLBCL) as applicable.
Time frame: Week 12
Population: Participants in the Full Analysis Set with non-CLL type of Non-Hodgkin's Lymphoma (NHL), were analyzed. The Full Analysis Set included all enrolled participants who took at least 1 dose of study drug. Group V did not have any participants with non-CLL type of NHL, therefore, no data is reported for this arm.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: SLL | 50.0 percentage of participants |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: MCL | 0 percentage of participants |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: FL | 0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: FL | 0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: DLBCL | 0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: MZL | 100.0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: MZL | 33.3 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: FL | 20.0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: WM | 100.0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: DLBCL | 14.3 percentage of participants |
| Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: DLBCL | 22.2 percentage of participants |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: WM | 0 percentage of participants |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: FL | 0 percentage of participants |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: MZL | 0 percentage of participants |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 200 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: SLL | 0 percentage of participants |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 200 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: MCL | 0 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: DLBCL | 0 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: FL | 50.0 percentage of participants |
| Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: FL | 100.0 percentage of participants |
| Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: DLBCL | 100.0 percentage of participants |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: MZL | 0 percentage of participants |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: FL | 0 percentage of participants |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: WM | 0 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: DLBCL | 17.9 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: MZL | 50.0 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: WM | 42.9 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: FL | 18.2 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: MCL | 60.0 percentage of participants |
| Combination II (Tirabrutinib 160 mg QD+ Entospletinib 400 mg QD) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: DLBCL | 12.5 percentage of participants |
| Combination III (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD+ Obinutuzumab 1000 mg) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: MZL | 100.0 percentage of participants |
| Combination III (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD+ Obinutuzumab 1000 mg) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: MCL | 100.0 percentage of participants |
| Combination III (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD+ Obinutuzumab 1000 mg) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: FL | 25.0 percentage of participants |
| Combination IV(Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD+Obinutuzumab 1000 mg) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: FL | 40.0 percentage of participants |
| Combination IV(Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD+Obinutuzumab 1000 mg) | Objective Response Rate (ORR): Percentage of Participants With Complete Response (CR) or Partial Response (PR) at Week 12 in Participants With Non-Chronic Lymphocytic Leukemia (CLL) Type NHL | Disease Subtype: MZL | 50.0 percentage of participants |
ORR: Percentage of Participants With CR or PR in Participants With CLL at Week 24
ORR was defined as the percentage of participants who achieved a complete response (CR) or partial response (PR). CR and PR are defined in outcome measure#2. Clopper-Pearson method was used in outcome measure analysis. Percentages were rounded off.
Time frame: Week 24
Population: Participants in the Full Analysis Set with CLL were analyzed. There were 5 arms in Combinations I and II that did not have participants with CLL type of NHL. Also, Combinations III and IV did not have any participants with CLL type of NHL, therefore, no data is reported for these arms.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | ORR: Percentage of Participants With CR or PR in Participants With CLL at Week 24 | 100.0 percentage of participants |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | ORR: Percentage of Participants With CR or PR in Participants With CLL at Week 24 | 80.0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | ORR: Percentage of Participants With CR or PR in Participants With CLL at Week 24 | 100.0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | ORR: Percentage of Participants With CR or PR in Participants With CLL at Week 24 | 66.7 percentage of participants |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | ORR: Percentage of Participants With CR or PR in Participants With CLL at Week 24 | 100.0 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD) | ORR: Percentage of Participants With CR or PR in Participants With CLL at Week 24 | 66.7 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | ORR: Percentage of Participants With CR or PR in Participants With CLL at Week 24 | 28.6 percentage of participants |
| Group V Single Agent Tirabrutinib 80 mg | ORR: Percentage of Participants With CR or PR in Participants With CLL at Week 24 | 79.3 percentage of participants |
Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs)
An AE was defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of an investigational product or other protocol-imposed intervention, regardless of attribution. TEAEs were defined as an AE that onset in the period from the first dose of study treatment to 30 days after the last dose of study treatment. Percentages were rounded off.
Time frame: First dose up to last dose date (up to 441 weeks) plus 30 days
Population: The Safety Analysis Set included all participants who took at least 1 dose of any study drug.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD) | Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 200 mg QD) | Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD) | Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD) | Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD) | Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) | 96.2 percentage of participants |
| Combination II (Tirabrutinib 160 mg QD+ Entospletinib 400 mg QD) | Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) | 75.0 percentage of participants |
| Combination III (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD+ Obinutuzumab 1000 mg) | Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Combination IV(Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD+Obinutuzumab 1000 mg) | Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Group V Single Agent Tirabrutinib 80 mg | Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Group VI Single Agent Tirabrutinib: CLL | Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Group VI Single Agent Tirabrutinib: NHL | Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
Percentage of Participants With Dose Limiting Toxicities (DLTs)
A DLT was defined as a ≥ Grade 3 AE that was assessed as related to study drug that occurred during the 28-day DLT assessment period with protocol-defined allowed exceptions. Any treatment-emergent adverse event (TEAE) that was, in the opinion of the Clinical Trial Steering Committee, of potential clinical significance such that further dosing exposed participants to unacceptable risk, was considered a DLT.
Time frame: Up to 28 days
Population: The participants in the DLT Analysis Set with available data were analyzed. The DLT Analysis Set included all participants in the dose escalation, in Combination I, II, III, IV, who completed all treatment for at least 21 days within the first 28 days, or experienced a DLT prior to Day 28, inclusive.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | Percentage of Participants With Dose Limiting Toxicities (DLTs) | 0 percentage of participants |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | Percentage of Participants With Dose Limiting Toxicities (DLTs) | 0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | Percentage of Participants With Dose Limiting Toxicities (DLTs) | 0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Percentage of Participants With Dose Limiting Toxicities (DLTs) | 0 percentage of participants |
| Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD) | Percentage of Participants With Dose Limiting Toxicities (DLTs) | 0 percentage of participants |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | Percentage of Participants With Dose Limiting Toxicities (DLTs) | 20 percentage of participants |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 200 mg QD) | Percentage of Participants With Dose Limiting Toxicities (DLTs) | 0 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD) | Percentage of Participants With Dose Limiting Toxicities (DLTs) | 0 percentage of participants |
| Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD) | Percentage of Participants With Dose Limiting Toxicities (DLTs) | 0 percentage of participants |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD) | Percentage of Participants With Dose Limiting Toxicities (DLTs) | 0 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Percentage of Participants With Dose Limiting Toxicities (DLTs) | 0 percentage of participants |
| Combination II (Tirabrutinib 160 mg QD+ Entospletinib 400 mg QD) | Percentage of Participants With Dose Limiting Toxicities (DLTs) | 0 percentage of participants |
| Combination III (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD+ Obinutuzumab 1000 mg) | Percentage of Participants With Dose Limiting Toxicities (DLTs) | 0 percentage of participants |
| Combination IV(Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD+Obinutuzumab 1000 mg) | Percentage of Participants With Dose Limiting Toxicities (DLTs) | 0 percentage of participants |
Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase
DOR was defined as the interval from the first documentation of CR or PR to the earlier of the first documentation of definite disease progression or death from any cause. CR and PR are defined in outcome measure# 2. PD is defined in outcome measure #6. KM estimates were used in outcome measure analysis. Data is reported by disease type: CLL; FL; MCL; MZL; SLL; WM; DLBCL
Time frame: Up to 281 weeks
Population: Participants in the Full Analysis Set with ORR were analyzed.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | NA months |
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: SLL | 19.3 months |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | NA months |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: MCL | 10.7 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | 26.5 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: MZL | 3.3 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: MZL | 2.5 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: WM | NA months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 3.0 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: DLBCL | 3.9 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | NA months |
| Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: DLBCL | NA months |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 13.8 months |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | 34.1 months |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 200 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: SLL | 51.4 months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | NA months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | NA months |
| Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 16.6 months |
| Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: DLBCL | NA months |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 6.3 months |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: WM | NA months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: MCL | 24.9 months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | NA months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 17.3 months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: MZL | NA months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: WM | NA months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: DLBCL | 8.3 months |
| Combination II (Tirabrutinib 160 mg QD+ Entospletinib 400 mg QD) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: DLBCL | NA months |
| Combination III (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD+ Obinutuzumab 1000 mg) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | NA months |
| Combination III (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD+ Obinutuzumab 1000 mg) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: MCL | 2.8 months |
| Combination III (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD+ Obinutuzumab 1000 mg) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: MZL | 8.2 months |
| Combination IV(Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD+Obinutuzumab 1000 mg) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | NA months |
| Combination IV(Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD+Obinutuzumab 1000 mg) | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: MZL | NA months |
| Group V Single Agent Tirabrutinib 80 mg | Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | NA months |
ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase
ORR for WM is CR + VGPR + PR + MPR. CR, PR, VGPR and MPR are defined in outcome measure#2. Clopper-Pearson method was used in outcome measure analysis. Percentages were rounded off. Data is reported by disease type: CLL ; FL; MCL; MZL; SLL; WM; DLBCL.
Time frame: Up to 281 weeks
Population: Participants in the Full Analysis Set were analyzed.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: SLL | 50.0 percentage of participants |
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: CLL | 100.0 percentage of participants |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: CLL | 100.0 percentage of participants |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: MCL | 100.0 percentage of participants |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: FL | 0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: DLBCL | 0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: CLL | 100.0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: FL | 0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: MZL | 100.0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: FL | 20.0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: CLL | 83.3 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: MZL | 33.3 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: WM | 100.0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: DLBCL | 14.3 percentage of participants |
| Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: DLBCL | 33.3 percentage of participants |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: MZL | 0 percentage of participants |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: WM | 0 percentage of participants |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: FL | 50.0 percentage of participants |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: CLL | 100.0 percentage of participants |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 200 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: SLL | 100.0 percentage of participants |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 200 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: MCL | 0 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: DLBCL | 0 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: FL | 50.0 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: CLL | 100.0 percentage of participants |
| Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: DLBCL | 100.0 percentage of participants |
| Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: FL | 100.0 percentage of participants |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: FL | 100.0 percentage of participants |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: MZL | 0 percentage of participants |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: WM | 100.0 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: CLL | 100.0 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: MCL | 70.0 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: DLBCL | 25.0 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: MZL | 50.0 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: FL | 36.4 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: WM | 85.7 percentage of participants |
| Combination II (Tirabrutinib 160 mg QD+ Entospletinib 400 mg QD) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: DLBCL | 12.5 percentage of participants |
| Combination III (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD+ Obinutuzumab 1000 mg) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: MZL | 100.0 percentage of participants |
| Combination III (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD+ Obinutuzumab 1000 mg) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: MCL | 100.0 percentage of participants |
| Combination III (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD+ Obinutuzumab 1000 mg) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: FL | 75.0 percentage of participants |
| Combination IV(Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD+Obinutuzumab 1000 mg) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: FL | 60.0 percentage of participants |
| Combination IV(Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD+Obinutuzumab 1000 mg) | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: MZL | 50.0 percentage of participants |
| Group V Single Agent Tirabrutinib 80 mg | ORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion Phase | Disease Subtype: CLL | 86.2 percentage of participants |
Percentage of Participants Who Achieved Minimal Residual Negative Disease (< 1 Leukemia Cell/10,000 Leukocytes) During the Dose Escalation Phase and Dose Expansion Phase in Participants With CLL
Achieving Minimal Residual Disease was defined as \< 1 leukemia cell/10,000 leukocytes (10-4) in participants who have also achieved a CR. CR is defined in outcome measure #2.
Time frame: Up to 281 weeks
Population: Participants in the All Enrolled Analysis Set with CLL were analyzed.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | Percentage of Participants Who Achieved Minimal Residual Negative Disease (< 1 Leukemia Cell/10,000 Leukocytes) During the Dose Escalation Phase and Dose Expansion Phase in Participants With CLL | 0 percentage of participants |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | Percentage of Participants Who Achieved Minimal Residual Negative Disease (< 1 Leukemia Cell/10,000 Leukocytes) During the Dose Escalation Phase and Dose Expansion Phase in Participants With CLL | 40 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | Percentage of Participants Who Achieved Minimal Residual Negative Disease (< 1 Leukemia Cell/10,000 Leukocytes) During the Dose Escalation Phase and Dose Expansion Phase in Participants With CLL | 0 percentage of participants |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Percentage of Participants Who Achieved Minimal Residual Negative Disease (< 1 Leukemia Cell/10,000 Leukocytes) During the Dose Escalation Phase and Dose Expansion Phase in Participants With CLL | 16.7 percentage of participants |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | Percentage of Participants Who Achieved Minimal Residual Negative Disease (< 1 Leukemia Cell/10,000 Leukocytes) During the Dose Escalation Phase and Dose Expansion Phase in Participants With CLL | 0 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD) | Percentage of Participants Who Achieved Minimal Residual Negative Disease (< 1 Leukemia Cell/10,000 Leukocytes) During the Dose Escalation Phase and Dose Expansion Phase in Participants With CLL | 0 percentage of participants |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Percentage of Participants Who Achieved Minimal Residual Negative Disease (< 1 Leukemia Cell/10,000 Leukocytes) During the Dose Escalation Phase and Dose Expansion Phase in Participants With CLL | 28.6 percentage of participants |
| Group V Single Agent Tirabrutinib 80 mg | Percentage of Participants Who Achieved Minimal Residual Negative Disease (< 1 Leukemia Cell/10,000 Leukocytes) During the Dose Escalation Phase and Dose Expansion Phase in Participants With CLL | 20.7 percentage of participants |
Pharmacokinetic (PK) Parameter: AUCtau of Tirabrutinib 80 mg
AUCtau was defined as concentration of drug over time. Area under the concentration verses time curve over the dosing interval (AUctau). The data for AUCtau is reported for tirabrutinib 80 mg as monotherapy and in combination with idelalisib 50 mg and 100 mg and entospletinib 200 mg and 400 mg.
Time frame: Cycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdose
Population: Participants in the tirabrutinib PK Analysis Set with available data were analyzed. The PK Analysis Set included participants who received at least 1 dose of study drug and had at least 1 non-missing post-dose concentration value reported by the PK laboratory.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | Pharmacokinetic (PK) Parameter: AUCtau of Tirabrutinib 80 mg | 984.0 ng*h/mL | Standard Deviation 342.18 |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | Pharmacokinetic (PK) Parameter: AUCtau of Tirabrutinib 80 mg | 1205.6 ng*h/mL | Standard Deviation 245.89 |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | Pharmacokinetic (PK) Parameter: AUCtau of Tirabrutinib 80 mg | 1794.1 ng*h/mL | Standard Deviation 181.15 |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Pharmacokinetic (PK) Parameter: AUCtau of Tirabrutinib 80 mg | 1251.6 ng*h/mL | Standard Deviation 387.46 |
| Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD) | Pharmacokinetic (PK) Parameter: AUCtau of Tirabrutinib 80 mg | 1088.8 ng*h/mL | Standard Deviation 545.52 |
PK Parameter: AUCtau of Entospletinib When Given in Combination With Tirabrutinib
AUCtau was defined as concentration of drug over time (the area under the concentration verses time curve over the dosing interval).
Time frame: Cycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdose
Population: Participants in the Entospletinib PK Analysis Set with available data were analyzed.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | PK Parameter: AUCtau of Entospletinib When Given in Combination With Tirabrutinib | 7738.7 h*ng/mL | Standard Deviation 1793.68 |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | PK Parameter: AUCtau of Entospletinib When Given in Combination With Tirabrutinib | 4266.2 h*ng/mL | Standard Deviation 1574.3 |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | PK Parameter: AUCtau of Entospletinib When Given in Combination With Tirabrutinib | 9968.3 h*ng/mL | Standard Deviation 295.69 |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | PK Parameter: AUCtau of Entospletinib When Given in Combination With Tirabrutinib | 14027.8 h*ng/mL | Standard Deviation 6979.18 |
| Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD) | PK Parameter: AUCtau of Entospletinib When Given in Combination With Tirabrutinib | 12959.9 h*ng/mL | Standard Deviation 2250.66 |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | PK Parameter: AUCtau of Entospletinib When Given in Combination With Tirabrutinib | 6196.8 h*ng/mL | Standard Deviation 1018.98 |
PK Parameter: AUCtau of Idelalisib When Given in Combination With Tirabrutinib
AUCtau was defined as concentration of drug over time (the area under the concentration verses time curve over the dosing interval).
Time frame: Cycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdose
Population: Participants in the Idelalisib PK analysis set with available data were analyzed.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | PK Parameter: AUCtau of Idelalisib When Given in Combination With Tirabrutinib | 6620.6 h*ng/mL | Standard Deviation 661.19 |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | PK Parameter: AUCtau of Idelalisib When Given in Combination With Tirabrutinib | 5433.2 h*ng/mL | Standard Deviation 1287.95 |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | PK Parameter: AUCtau of Idelalisib When Given in Combination With Tirabrutinib | 6735.0 h*ng/mL | Standard Deviation 1859.79 |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | PK Parameter: AUCtau of Idelalisib When Given in Combination With Tirabrutinib | 9488.0 h*ng/mL | Standard Deviation 3263.44 |
| Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD) | PK Parameter: AUCtau of Idelalisib When Given in Combination With Tirabrutinib | 19305.4 h*ng/mL | Standard Deviation 5616.53 |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | PK Parameter: AUCtau of Idelalisib When Given in Combination With Tirabrutinib | 7093.0 h*ng/mL | Standard Deviation 4025.04 |
PK Parameter: AUCtau of Metabolite of Idelalisib (GS-563117) When Given in Combination With Tirabrutinib
AUCtau was defined as concentration of drug over time (the area under the concentration verses time curve over the dosing interval).
Time frame: Cycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdose
Population: Participants in the Idelalisib Metabolite PK Analysis Set with available data were analyzed. The Idelalisib Metabolite PK Analysis Set included participants who received at least 1 dose of study drug and had at least 1 nonmissing post-dose concentration value reported by the PK laboratory.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | PK Parameter: AUCtau of Metabolite of Idelalisib (GS-563117) When Given in Combination With Tirabrutinib | 19922.6 h*ng/mL | Standard Deviation 9354.47 |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | PK Parameter: AUCtau of Metabolite of Idelalisib (GS-563117) When Given in Combination With Tirabrutinib | 22519.6 h*ng/mL | Standard Deviation 8233.77 |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | PK Parameter: AUCtau of Metabolite of Idelalisib (GS-563117) When Given in Combination With Tirabrutinib | 41327.5 h*ng/mL | Standard Deviation 20049.44 |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | PK Parameter: AUCtau of Metabolite of Idelalisib (GS-563117) When Given in Combination With Tirabrutinib | 49192.7 h*ng/mL | Standard Deviation 15719.52 |
| Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD) | PK Parameter: AUCtau of Metabolite of Idelalisib (GS-563117) When Given in Combination With Tirabrutinib | 36824.3 h*ng/mL | Standard Deviation 9670.67 |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | PK Parameter: AUCtau of Metabolite of Idelalisib (GS-563117) When Given in Combination With Tirabrutinib | 225371.5 h*ng/mL | Standard Deviation 22931.89 |
PK Parameter: Cmax of Entospletinib When Given in Combination With Tirabrutinib
Cmax was defined as the maximum observed concentration of drug.
Time frame: Cycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdose
Population: Participants in the Entospletinib PK Analysis Set with available data were analyzed.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | PK Parameter: Cmax of Entospletinib When Given in Combination With Tirabrutinib | 876.0 ng/mL | Standard Deviation 367.98 |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | PK Parameter: Cmax of Entospletinib When Given in Combination With Tirabrutinib | 707.7 ng/mL | Standard Deviation 397.04 |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | PK Parameter: Cmax of Entospletinib When Given in Combination With Tirabrutinib | 697.0 ng/mL | Standard Deviation 313.93 |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | PK Parameter: Cmax of Entospletinib When Given in Combination With Tirabrutinib | 1498.7 ng/mL | Standard Deviation 619.57 |
| Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD) | PK Parameter: Cmax of Entospletinib When Given in Combination With Tirabrutinib | 1330.7 ng/mL | Standard Deviation 382 |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | PK Parameter: Cmax of Entospletinib When Given in Combination With Tirabrutinib | 861.0 ng/mL | Standard Deviation 276.17 |
PK Parameter: Cmax of Idelalisib When Given in Combination With Tirabrutinib
Cmax was defined as the maximum observed concentration of drug.
Time frame: Cycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdose
Population: Participants in the Idelalisib PK analysis set with available data were analyzed.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | PK Parameter: Cmax of Idelalisib When Given in Combination With Tirabrutinib | 1920.0 ng/mL | Standard Deviation 252.39 |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | PK Parameter: Cmax of Idelalisib When Given in Combination With Tirabrutinib | 1893.3 ng/mL | Standard Deviation 750.82 |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | PK Parameter: Cmax of Idelalisib When Given in Combination With Tirabrutinib | 1324.8 ng/mL | Standard Deviation 389.65 |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | PK Parameter: Cmax of Idelalisib When Given in Combination With Tirabrutinib | 1790.0 ng/mL | Standard Deviation 268.7 |
| Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD) | PK Parameter: Cmax of Idelalisib When Given in Combination With Tirabrutinib | 3325.0 ng/mL | Standard Deviation 481.28 |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | PK Parameter: Cmax of Idelalisib When Given in Combination With Tirabrutinib | 1844.0 ng/mL | Standard Deviation 518.58 |
PK Parameter: Cmax of Metabolite of Idelalisib (GS-563117) When Given in Combination With Tirabrutinib
Cmax was defined as the maximum observed concentration of drug.
Time frame: Cycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdose
Population: Participants in the Idelalisib Metabolite PK Analysis Set with available data were analyzed.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | PK Parameter: Cmax of Metabolite of Idelalisib (GS-563117) When Given in Combination With Tirabrutinib | 2723.3 ng/mL | Standard Deviation 1045.1 |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | PK Parameter: Cmax of Metabolite of Idelalisib (GS-563117) When Given in Combination With Tirabrutinib | 2760.0 ng/mL | Standard Deviation 1105.31 |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | PK Parameter: Cmax of Metabolite of Idelalisib (GS-563117) When Given in Combination With Tirabrutinib | 2542.5 ng/mL | Standard Deviation 1820.54 |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | PK Parameter: Cmax of Metabolite of Idelalisib (GS-563117) When Given in Combination With Tirabrutinib | 3415.0 ng/mL | Standard Deviation 360.62 |
| Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD) | PK Parameter: Cmax of Metabolite of Idelalisib (GS-563117) When Given in Combination With Tirabrutinib | 2592.5 ng/mL | Standard Deviation 503.48 |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | PK Parameter: Cmax of Metabolite of Idelalisib (GS-563117) When Given in Combination With Tirabrutinib | 3682.0 ng/mL | Standard Deviation 1950.35 |
PK Parameter: Cmax of Tirabrutinib 80 mg
Cmax was defined as the maximum observed concentration of drug. The data for Cmax is reported for tirabrutinib 80 mg as monotherapy and in combination with idelalisib 50 mg and 100 mg and entospletinib 200 mg and 400 mg.
Time frame: Cycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdose
Population: The participants in the tirabrutinib PK analysis set with available data were analyzed.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | PK Parameter: Cmax of Tirabrutinib 80 mg | 192.3 ng/mL | Standard Deviation 58.21 |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | PK Parameter: Cmax of Tirabrutinib 80 mg | 219.5 ng/mL | Standard Deviation 12.02 |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | PK Parameter: Cmax of Tirabrutinib 80 mg | 304.7 ng/mL | Standard Deviation 34.67 |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | PK Parameter: Cmax of Tirabrutinib 80 mg | 246.3 ng/mL | Standard Deviation 11.37 |
| Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD) | PK Parameter: Cmax of Tirabrutinib 80 mg | 215.2 ng/mL | Standard Deviation 66.1 |
Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase
PFS was defined as the interval from the start of the study therapy to the earlier of the first documentation of definite disease progression (PD) or death from any cause. PD: ≥ 25% increase in serum IgM level from lowest nadir (requires confirmation) and/or progression in clinical features attributable to the disease. Kaplan-Meier (KM) estimate were used in outcome measure analysis. Data is reported by disease type: CLL; FL; MCL; MZL; other NHL; DLBCL.
Time frame: Up to 281 weeks
Population: The participants in the Full Analysis Set were analyzed. For Cohort III and IV, data for PFS was not available by disease type due to low number of participants with events. Data is reported together for all participants in Other NHL category.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: other NHL | 13.7 months |
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | NA months |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: MCL | 21.6 months |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | NA months |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 8.2 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: DLBCL | 1.4 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 5.3 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: other NHL | 6.0 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | 31.8 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 5.6 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | NA months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: DLBCL | 1.5 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: other NHL | NA months |
| Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: DLBCL | 2.5 months |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | 39.6 months |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: other NHL | 2.6 months |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 12.3 months |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 200 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: other NHL | 56.9 months |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 200 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: MCL | 5.4 months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | NA months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | NA months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: DLBCL | 1.2 months |
| Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: DLBCL | NA months |
| Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 19.4 months |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 19.4 months |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: other NHL | NA months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 11.0 months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | NA months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: MCL | 27.6 months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: other NHL | NA months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: DLBCL | 2.8 months |
| Combination II (Tirabrutinib 160 mg QD+ Entospletinib 400 mg QD) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: DLBCL | 2.3 months |
| Combination III (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD+ Obinutuzumab 1000 mg) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: other NHL | NA months |
| Combination IV(Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD+Obinutuzumab 1000 mg) | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: other NHL | NA months |
| Group V Single Agent Tirabrutinib 80 mg | Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | NA months |
Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase
TTR was defined as the interval from start of treatment to the first documentation of CR or PR. CR and PR are defined in outcome measure# 2. Data is reported by disease type: CLL; FL; MCL; MZL; SLL; WM; DLBCL.
Time frame: Up to 281 weeks
Population: Participants in the Full Analysis Set with ORR were analyzed.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | 2.7 months |
| Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: SLL | 2.7 months |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | 5.6 months |
| Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: MCL | 10.8 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | 5.4 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: MZL | 2.8 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: MZL | 2.9 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: WM | 2.8 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 2.6 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: DLBCL | 1.6 months |
| Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | 5.6 months |
| Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: DLBCL | 1.8 months |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 5.5 months |
| Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | 5.6 months |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 200 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: SLL | 5.5 months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 2.8 months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | 5.4 months |
| Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 2.8 months |
| Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: DLBCL | 1.9 months |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 13.0 months |
| Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: WM | 17.5 months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: MCL | 2.8 months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | 5.9 months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 3.7 months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: MZL | 2.7 months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: WM | 4.1 months |
| Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: DLBCL | 1.5 months |
| Combination II (Tirabrutinib 160 mg QD+ Entospletinib 400 mg QD) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: DLBCL | 1.6 months |
| Combination III (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD+ Obinutuzumab 1000 mg) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 3.9 months |
| Combination III (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD+ Obinutuzumab 1000 mg) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: MCL | 2.8 months |
| Combination III (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD+ Obinutuzumab 1000 mg) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: MZL | 2.7 months |
| Combination IV(Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD+Obinutuzumab 1000 mg) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: FL | 2.9 months |
| Combination IV(Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD+Obinutuzumab 1000 mg) | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: MZL | 2.8 months |
| Group V Single Agent Tirabrutinib 80 mg | Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion Phase | Disease Subtype: CLL | 5.5 months |