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Dose Escalation and Dose Expansion Study of Tirabrutinib in Combination With Other Targeted Anti-cancer Therapies in Adults With B-cell Malignancies

A Phase 1b Dose Escalation and Dose Expansion Study of Tirabrutinib (ONO/GS-4059) in Combination With Other Targeted Anti-cancer Therapies in Subjects With B-cell Malignancies

Status
Terminated
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02457598
Enrollment
203
Registered
2015-05-29
Start date
2015-06-16
Completion date
2024-09-25
Last updated
2025-06-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

B-cell Malignancies

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

DRUGIdelalisib

Tablets administered orally twice daily

Tablets administered orally

DRUGObinutuzumab

Administered intravenously

Sponsors

Gilead Sciences
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

Enrollment and treatment were parallel in different combinations used in the study.

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
Percentage of Participants With Dose Limiting Toxicities (DLTs)Up to 28 daysA 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 NHLWeek 12ORR 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 24Week 24ORR 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 daysAn 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

MeasureTime frameDescription
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 CLLUp to 281 weeksAchieving 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 mgCycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdoseAUCtau 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 mgCycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdoseCmax 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 TirabrutinibCycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdoseAUCtau 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 PhaseUp to 281 weeksORR 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 TirabrutinibCycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdoseAUCtau 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 TirabrutinibCycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdoseCmax was defined as the maximum observed concentration of drug.
PK Parameter: AUCtau of Entospletinib When Given in Combination With TirabrutinibCycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdoseAUCtau 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 TirabrutinibCycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdoseCmax was defined as the maximum observed concentration of drug.
PK Parameter: Cmax of Idelalisib When Given in Combination With TirabrutinibCycle 1 Day 8: Predose and 0.5, 1, 2, 3, 4, 6, 8 and 24 hours postdoseCmax was defined as the maximum observed concentration of drug.
Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseUp to 281 weeksPFS 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 PhaseUp to 281 weeksDOR 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 PhaseUp to 281 weeksTTR 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

ArmCount
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
Total203

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009FG010FG011FG012FG013FG014FG015FG016
Overall StudyAdverse Event01141001016001200
Overall StudyDeath00030100003001201
Overall StudyIntercurrent Illness00000000001000000
Overall StudyInvestigator's Discretion022200012010221500
Overall StudyProgressive Disease22111732112456221011
Overall StudyProtocol Violation00000000001000000
Overall StudyStudy Terminated by Sponsor01041010004010810
Overall StudyTransition to the MHRA's Special Scheme02010001004000111
Overall StudyUnacceptable Toxicity00000000001011100
Overall StudyWithdrew Consent00000002003001000

Baseline characteristics

CharacteristicCombination 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 TirabrutinibGroup VI Single Agent Tirabrutinib: CLLGroup VI Single Agent Tirabrutinib: NHLTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
1 Participants5 Participants2 Participants13 Participants7 Participants1 Participants3 Participants5 Participants2 Participants3 Participants3 Participants52 Participants4 Participants4 Participants21 Participants2 Participants3 Participants131 Participants
Age, Categorical
Between 18 and 65 years
2 Participants3 Participants2 Participants12 Participants2 Participants4 Participants0 Participants1 Participants1 Participants3 Participants0 Participants26 Participants4 Participants3 Participants8 Participants1 Participants0 Participants72 Participants
Age, Continuous66 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 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants8 Participants4 Participants23 Participants7 Participants4 Participants3 Participants6 Participants2 Participants4 Participants3 Participants51 Participants7 Participants1 Participants23 Participants2 Participants3 Participants154 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants1 Participants2 Participants1 Participants0 Participants0 Participants1 Participants2 Participants0 Participants27 Participants1 Participants6 Participants6 Participants1 Participants0 Participants48 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants1 Participants1 Participants2 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants2 Participants0 Participants0 Participants0 Participants0 Participants0 Participants6 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants6 Participants6 Participants1 Participants0 Participants0 Participants0 Participants2 Participants0 Participants30 Participants3 Participants6 Participants8 Participants0 Participants0 Participants62 Participants
Race (NIH/OMB)
White
3 Participants7 Participants3 Participants17 Participants3 Participants3 Participants3 Participants6 Participants3 Participants4 Participants3 Participants46 Participants5 Participants1 Participants21 Participants3 Participants3 Participants134 Participants
Region of Enrollment
France
0 Participants2 Participants2 Participants8 Participants6 Participants1 Participants1 Participants0 Participants1 Participants4 Participants2 Participants35 Participants7 Participants7 Participants7 Participants0 Participants0 Participants83 Participants
Region of Enrollment
United Kingdom
0 Participants4 Participants2 Participants13 Participants2 Participants2 Participants0 Participants4 Participants2 Participants0 Participants1 Participants35 Participants1 Participants0 Participants12 Participants2 Participants3 Participants83 Participants
Region of Enrollment
United States
3 Participants2 Participants0 Participants4 Participants1 Participants2 Participants2 Participants2 Participants0 Participants2 Participants0 Participants8 Participants0 Participants0 Participants10 Participants1 Participants0 Participants37 Participants
Sex: Female, Male
Female
3 Participants2 Participants0 Participants10 Participants4 Participants2 Participants0 Participants3 Participants0 Participants3 Participants2 Participants25 Participants3 Participants3 Participants12 Participants1 Participants2 Participants75 Participants
Sex: Female, Male
Male
0 Participants6 Participants4 Participants15 Participants5 Participants3 Participants3 Participants3 Participants3 Participants3 Participants1 Participants53 Participants5 Participants4 Participants17 Participants2 Participants1 Participants128 Participants

Adverse events

Event typeEG000
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 / 32 / 81 / 46 / 251 / 92 / 50 / 30 / 60 / 30 / 38 / 782 / 81 / 61 / 73 / 290 / 31 / 3
other
Total, other adverse events
3 / 38 / 84 / 424 / 259 / 95 / 53 / 36 / 63 / 33 / 373 / 785 / 86 / 67 / 729 / 293 / 33 / 3
serious
Total, serious adverse events
2 / 33 / 82 / 413 / 252 / 94 / 53 / 34 / 61 / 31 / 336 / 782 / 84 / 67 / 710 / 291 / 31 / 3

Outcome results

Primary

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.

ArmMeasureGroupValue (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 NHLDisease Subtype: SLL50.0 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 NHLDisease Subtype: MCL0 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 NHLDisease Subtype: FL0 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 NHLDisease Subtype: FL0 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 NHLDisease Subtype: DLBCL0 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 NHLDisease Subtype: MZL100.0 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 NHLDisease Subtype: MZL33.3 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 NHLDisease Subtype: FL20.0 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 NHLDisease Subtype: WM100.0 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 NHLDisease Subtype: DLBCL14.3 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 NHLDisease Subtype: DLBCL22.2 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 NHLDisease Subtype: WM0 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 NHLDisease Subtype: FL0 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 NHLDisease Subtype: MZL0 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 NHLDisease Subtype: SLL0 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 NHLDisease Subtype: MCL0 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 NHLDisease Subtype: DLBCL0 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 NHLDisease Subtype: FL50.0 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 NHLDisease Subtype: FL100.0 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 NHLDisease Subtype: DLBCL100.0 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 NHLDisease Subtype: MZL0 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 NHLDisease Subtype: FL0 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 NHLDisease Subtype: WM0 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 NHLDisease Subtype: DLBCL17.9 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 NHLDisease Subtype: MZL50.0 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 NHLDisease Subtype: WM42.9 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 NHLDisease Subtype: FL18.2 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 NHLDisease Subtype: MCL60.0 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 NHLDisease Subtype: DLBCL12.5 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 NHLDisease Subtype: MZL100.0 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 NHLDisease Subtype: MCL100.0 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 NHLDisease Subtype: FL25.0 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 NHLDisease Subtype: FL40.0 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 NHLDisease Subtype: MZL50.0 percentage of participants
Primary

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.

ArmMeasureValue (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 24100.0 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 2480.0 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 24100.0 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 2466.7 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 24100.0 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 2466.7 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 2428.6 percentage of participants
Group V Single Agent Tirabrutinib 80 mgORR: Percentage of Participants With CR or PR in Participants With CLL at Week 2479.3 percentage of participants
Primary

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.

ArmMeasureValue (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 mgPercentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs)100.0 percentage of participants
Group VI Single Agent Tirabrutinib: CLLPercentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs)100.0 percentage of participants
Group VI Single Agent Tirabrutinib: NHLPercentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs)100.0 percentage of participants
Primary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLLNA months
Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: SLL19.3 months
Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLLNA months
Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: MCL10.7 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLL26.5 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: MZL3.3 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: MZL2.5 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: WMNA months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FL3.0 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: DLBCL3.9 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLLNA months
Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: DLBCLNA months
Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FL13.8 months
Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLL34.1 months
Combination II (Tirabrutinib 40 mg QD+ Entospletinib 200 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: SLL51.4 months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FLNA months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLLNA months
Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FL16.6 months
Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: DLBCLNA months
Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FL6.3 months
Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: WMNA months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: MCL24.9 months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLLNA months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FL17.3 months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: MZLNA months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: WMNA months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: DLBCL8.3 months
Combination II (Tirabrutinib 160 mg QD+ Entospletinib 400 mg QD)Duration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: DLBCLNA 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 PhaseDisease Subtype: FLNA 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 PhaseDisease Subtype: MCL2.8 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 PhaseDisease Subtype: MZL8.2 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 PhaseDisease Subtype: FLNA 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 PhaseDisease Subtype: MZLNA months
Group V Single Agent Tirabrutinib 80 mgDuration of Response (DOR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLLNA months
Secondary

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.

ArmMeasureGroupValue (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 PhaseDisease Subtype: SLL50.0 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 PhaseDisease Subtype: CLL100.0 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 PhaseDisease Subtype: CLL100.0 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 PhaseDisease Subtype: MCL100.0 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 PhaseDisease Subtype: FL0 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 PhaseDisease Subtype: DLBCL0 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 PhaseDisease Subtype: CLL100.0 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 PhaseDisease Subtype: FL0 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 PhaseDisease Subtype: MZL100.0 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 PhaseDisease Subtype: FL20.0 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 PhaseDisease Subtype: CLL83.3 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 PhaseDisease Subtype: MZL33.3 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 PhaseDisease Subtype: WM100.0 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 PhaseDisease Subtype: DLBCL14.3 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 PhaseDisease Subtype: DLBCL33.3 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 PhaseDisease Subtype: MZL0 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 PhaseDisease Subtype: WM0 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 PhaseDisease Subtype: FL50.0 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 PhaseDisease Subtype: CLL100.0 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 PhaseDisease Subtype: SLL100.0 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 PhaseDisease Subtype: MCL0 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 PhaseDisease Subtype: DLBCL0 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 PhaseDisease Subtype: FL50.0 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 PhaseDisease Subtype: CLL100.0 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 PhaseDisease Subtype: DLBCL100.0 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 PhaseDisease Subtype: FL100.0 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 PhaseDisease Subtype: FL100.0 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 PhaseDisease Subtype: MZL0 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 PhaseDisease Subtype: WM100.0 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 PhaseDisease Subtype: CLL100.0 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 PhaseDisease Subtype: MCL70.0 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 PhaseDisease Subtype: DLBCL25.0 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 PhaseDisease Subtype: MZL50.0 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 PhaseDisease Subtype: FL36.4 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 PhaseDisease Subtype: WM85.7 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 PhaseDisease Subtype: DLBCL12.5 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 PhaseDisease Subtype: MZL100.0 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 PhaseDisease Subtype: MCL100.0 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 PhaseDisease Subtype: FL75.0 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 PhaseDisease Subtype: FL60.0 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 PhaseDisease Subtype: MZL50.0 percentage of participants
Group V Single Agent Tirabrutinib 80 mgORR: Percentage of Participants With Complete Response (CR) or Partial Response (PR) in the Dose Escalation and Expansion PhaseDisease Subtype: CLL86.2 percentage of participants
Secondary

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.

ArmMeasureValue (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 CLL0 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 CLL40 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 CLL0 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 CLL16.7 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 CLL0 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 CLL0 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 CLL28.6 percentage of participants
Group V Single Agent Tirabrutinib 80 mgPercentage 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 CLL20.7 percentage of participants
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID)Pharmacokinetic (PK) Parameter: AUCtau of Tirabrutinib 80 mg984.0 ng*h/mLStandard Deviation 342.18
Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID)Pharmacokinetic (PK) Parameter: AUCtau of Tirabrutinib 80 mg1205.6 ng*h/mLStandard Deviation 245.89
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID)Pharmacokinetic (PK) Parameter: AUCtau of Tirabrutinib 80 mg1794.1 ng*h/mLStandard Deviation 181.15
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)Pharmacokinetic (PK) Parameter: AUCtau of Tirabrutinib 80 mg1251.6 ng*h/mLStandard Deviation 387.46
Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD)Pharmacokinetic (PK) Parameter: AUCtau of Tirabrutinib 80 mg1088.8 ng*h/mLStandard Deviation 545.52
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID)PK Parameter: AUCtau of Entospletinib When Given in Combination With Tirabrutinib7738.7 h*ng/mLStandard Deviation 1793.68
Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID)PK Parameter: AUCtau of Entospletinib When Given in Combination With Tirabrutinib4266.2 h*ng/mLStandard Deviation 1574.3
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID)PK Parameter: AUCtau of Entospletinib When Given in Combination With Tirabrutinib9968.3 h*ng/mLStandard Deviation 295.69
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)PK Parameter: AUCtau of Entospletinib When Given in Combination With Tirabrutinib14027.8 h*ng/mLStandard Deviation 6979.18
Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD)PK Parameter: AUCtau of Entospletinib When Given in Combination With Tirabrutinib12959.9 h*ng/mLStandard Deviation 2250.66
Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID)PK Parameter: AUCtau of Entospletinib When Given in Combination With Tirabrutinib6196.8 h*ng/mLStandard Deviation 1018.98
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID)PK Parameter: AUCtau of Idelalisib When Given in Combination With Tirabrutinib6620.6 h*ng/mLStandard Deviation 661.19
Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID)PK Parameter: AUCtau of Idelalisib When Given in Combination With Tirabrutinib5433.2 h*ng/mLStandard Deviation 1287.95
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID)PK Parameter: AUCtau of Idelalisib When Given in Combination With Tirabrutinib6735.0 h*ng/mLStandard Deviation 1859.79
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)PK Parameter: AUCtau of Idelalisib When Given in Combination With Tirabrutinib9488.0 h*ng/mLStandard Deviation 3263.44
Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD)PK Parameter: AUCtau of Idelalisib When Given in Combination With Tirabrutinib19305.4 h*ng/mLStandard Deviation 5616.53
Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID)PK Parameter: AUCtau of Idelalisib When Given in Combination With Tirabrutinib7093.0 h*ng/mLStandard Deviation 4025.04
Secondary

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.

ArmMeasureValue (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 Tirabrutinib19922.6 h*ng/mLStandard 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 Tirabrutinib22519.6 h*ng/mLStandard 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 Tirabrutinib41327.5 h*ng/mLStandard 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 Tirabrutinib49192.7 h*ng/mLStandard 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 Tirabrutinib36824.3 h*ng/mLStandard 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 Tirabrutinib225371.5 h*ng/mLStandard Deviation 22931.89
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID)PK Parameter: Cmax of Entospletinib When Given in Combination With Tirabrutinib876.0 ng/mLStandard Deviation 367.98
Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID)PK Parameter: Cmax of Entospletinib When Given in Combination With Tirabrutinib707.7 ng/mLStandard Deviation 397.04
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID)PK Parameter: Cmax of Entospletinib When Given in Combination With Tirabrutinib697.0 ng/mLStandard Deviation 313.93
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)PK Parameter: Cmax of Entospletinib When Given in Combination With Tirabrutinib1498.7 ng/mLStandard Deviation 619.57
Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD)PK Parameter: Cmax of Entospletinib When Given in Combination With Tirabrutinib1330.7 ng/mLStandard Deviation 382
Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID)PK Parameter: Cmax of Entospletinib When Given in Combination With Tirabrutinib861.0 ng/mLStandard Deviation 276.17
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID)PK Parameter: Cmax of Idelalisib When Given in Combination With Tirabrutinib1920.0 ng/mLStandard Deviation 252.39
Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID)PK Parameter: Cmax of Idelalisib When Given in Combination With Tirabrutinib1893.3 ng/mLStandard Deviation 750.82
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID)PK Parameter: Cmax of Idelalisib When Given in Combination With Tirabrutinib1324.8 ng/mLStandard Deviation 389.65
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)PK Parameter: Cmax of Idelalisib When Given in Combination With Tirabrutinib1790.0 ng/mLStandard Deviation 268.7
Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD)PK Parameter: Cmax of Idelalisib When Given in Combination With Tirabrutinib3325.0 ng/mLStandard Deviation 481.28
Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID)PK Parameter: Cmax of Idelalisib When Given in Combination With Tirabrutinib1844.0 ng/mLStandard Deviation 518.58
Secondary

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.

ArmMeasureValue (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 Tirabrutinib2723.3 ng/mLStandard 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 Tirabrutinib2760.0 ng/mLStandard 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 Tirabrutinib2542.5 ng/mLStandard 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 Tirabrutinib3415.0 ng/mLStandard 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 Tirabrutinib2592.5 ng/mLStandard 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 Tirabrutinib3682.0 ng/mLStandard Deviation 1950.35
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID)PK Parameter: Cmax of Tirabrutinib 80 mg192.3 ng/mLStandard Deviation 58.21
Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID)PK Parameter: Cmax of Tirabrutinib 80 mg219.5 ng/mLStandard Deviation 12.02
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID)PK Parameter: Cmax of Tirabrutinib 80 mg304.7 ng/mLStandard Deviation 34.67
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)PK Parameter: Cmax of Tirabrutinib 80 mg246.3 ng/mLStandard Deviation 11.37
Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD)PK Parameter: Cmax of Tirabrutinib 80 mg215.2 ng/mLStandard Deviation 66.1
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: other NHL13.7 months
Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLLNA months
Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: MCL21.6 months
Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLLNA months
Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FL8.2 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: DLBCL1.4 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FL5.3 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: other NHL6.0 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLL31.8 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FL5.6 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLLNA months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: DLBCL1.5 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: other NHLNA months
Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: DLBCL2.5 months
Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLL39.6 months
Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: other NHL2.6 months
Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FL12.3 months
Combination II (Tirabrutinib 40 mg QD+ Entospletinib 200 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: other NHL56.9 months
Combination II (Tirabrutinib 40 mg QD+ Entospletinib 200 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: MCL5.4 months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLLNA months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FLNA months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: DLBCL1.2 months
Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: DLBCLNA months
Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FL19.4 months
Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FL19.4 months
Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: other NHLNA months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FL11.0 months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLLNA months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: MCL27.6 months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: other NHLNA months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: DLBCL2.8 months
Combination II (Tirabrutinib 160 mg QD+ Entospletinib 400 mg QD)Progression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: DLBCL2.3 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 PhaseDisease Subtype: other NHLNA 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 PhaseDisease Subtype: other NHLNA months
Group V Single Agent Tirabrutinib 80 mgProgression Free Survival (PFS) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLLNA months
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLL2.7 months
Combination I (Tirabrutinib 20 mg QD+ Idelalisib 50 mg BID)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: SLL2.7 months
Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLL5.6 months
Combination I (Tirabrutinib 40 mg QD+ Idelalisib 50 mg BID)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: MCL10.8 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLL5.4 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 50 mg BID)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: MZL2.8 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: MZL2.9 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: WM2.8 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FL2.6 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: DLBCL1.6 months
Combination I (Tirabrutinib 80 mg QD+ Idelalisib 100 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLL5.6 months
Combination I (Tirabrutinib 160 mg QD+ Idelalisib 100 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: DLBCL1.8 months
Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FL5.5 months
Combination I (Tirabrutinib 20 mg BID+ Idelalisib 50 mg BID)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLL5.6 months
Combination II (Tirabrutinib 40 mg QD+ Entospletinib 200 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: SLL5.5 months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FL2.8 months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 200 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLL5.4 months
Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FL2.8 months
Combination II (Tirabrutinib 150 mg QD+ Entospletinib 200 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: DLBCL1.9 months
Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FL13.0 months
Combination II (Tirabrutinib 40 mg QD+ Entospletinib 400 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: WM17.5 months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: MCL2.8 months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLL5.9 months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: FL3.7 months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: MZL2.7 months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: WM4.1 months
Combination II (Tirabrutinib 80 mg QD+ Entospletinib 400 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: DLBCL1.5 months
Combination II (Tirabrutinib 160 mg QD+ Entospletinib 400 mg QD)Time to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: DLBCL1.6 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 PhaseDisease Subtype: FL3.9 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 PhaseDisease Subtype: MCL2.8 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 PhaseDisease Subtype: MZL2.7 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 PhaseDisease Subtype: FL2.9 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 PhaseDisease Subtype: MZL2.8 months
Group V Single Agent Tirabrutinib 80 mgTime to Response (TTR) During the Dose Escalation Phase and Dose Expansion PhaseDisease Subtype: CLL5.5 months

Source: ClinicalTrials.gov · Data processed: Feb 28, 2026