ClinicalTrials.gg
CompletedNCT02692248Updated Oct 10, 2024Results posted

Ibrutinib in Patients With Refractory/Relapsed Non-GCB Diffuse Large B-cell Lymphoma Non-candidates to ASCT

A Phase 2 interventional study of Ibrutinib and Rituximab in Diffuse Large B-Cell Lymphoma, sponsored by Grupo Español de Linfomas y Transplante Autólogo de Médula Ósea. Completed at 17 sites in Spain. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2024-10-10.

Sponsored by Grupo Español de Linfomas y Transplante Autólogo de Médula Ósea · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
64
Allocation
Not applicable
Ages
18 Years to 99 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 26 studies testing ibrutinib in Lymphoma, Large B-Cell, Diffuse — 3 open to participants now, 10 under way, 2 of them phase 3. ibrutinib · Lymphoma, Large B-Cell, Diffuse.

Enrollment
11th of 26
64 · median 44
Started
2016
with 4 others
Phase 2
8 of 26
1 open now
Registered
12th of 26
by date
Lead sponsor
1 of 26
Grupo Español de Linfomas y Transplante Autólogo de Médula Ósea

Among the 26 studies testing ibrutinib in Lymphoma, Large B-Cell, Diffuse, this one is the 11th largest by enrollment, is one of 5 that started in 2016, is one of 8 in phase 2, and was the 12th registered.

Lymphoma, Large B-Cell, Diffuse

1,869 studies on the registry are indexed under Lymphoma, Large B-Cell, Diffuse; 357 are open to participants now.

Browse Lymphoma, Large B-Cell, Diffuse studies →

Open to participants now

3 of the 26 studies testing ibrutinib in Lymphoma, Large B-Cell, Diffuse are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

About ibrutinib

ibrutinib: first FDA approval 2013 (IMBRUVICA), first EMA approval 2014. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 266 Lymphoma, Large B-Cell, Diffuse studies recruiting now, 177 (67%) set no upper age limit and 51 (19%) stop at 75 or younger; 25 take children under 18; 7 take healthy volunteers.

This study: 18 Years to 99 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 26 studies testing ibrutinib in Lymphoma, Large B-Cell, Diffuse, or all of them as a file.
02

Study summary

Multicentric phase II trial to evaluate efficacy and safety of ibrutinib in combination with rituximab, gemcitabine, oxaliplatin and dexamethasone followed by Ibrutinib maintenance in patients with refractory/relapsed non-GCB DLBCL non candidates to autologous stem-cell transplantation (ASCT) An extensive biological study will be conducted in order to further characterize this population of DLBCL patients and correlate the response obtained with the biological profile of the tumor.

Read the detailed description

The use of highly effective rituximab-containing therapy for treating diffuse large B-cell lymphoma (DLBCL) makes it more difficult to salvage relapsed or refractory patients. In addition, patients with advanced age or significant comorbidities, who are consequently not candidates for high-dose consolidative therapy, have a very poor prognosis. Prospective studies investigating new salvage regimens are essential.

The combination of rituximab, gemcitabine and oxaliplatin (R-GEMOX) is an effective salvage regimen for patients with relapsing or refractory DLBCL, with a favourable toxicity profile for unfit and/or elderly patients. Ibrutinib, an oral Bruton's tyrosine kinase inhibitor, is a potent killer of ABC DLBCL cell lines in vitro and in xenografts.

It is expected that the combination of ibrutinib with R-GEMOX-Dexa could be effective and well tolerated. Thus, it is proposed an open-label, non-randomized, multicentre, phase II trial, to investigate the safety and efficacy of the combination of ibrutinib with rituximab, gemcitabine, oxaliplatine and dexamethasone followed by ibrutinib maintenance as salvage therapy for patients with relapsed or refractory non-GCB DLBCL non-candidates to stem cell transplant.

03

Conditions studied

  • Diffuse Large B-Cell Lymphoma
04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Subjects with confirmed histologically diagnosis of diffuse large B-cell lymphoma.
  2. Subjects must be 18 years of age or older.
  3. Non-germinal center B-cell-like (GCB) subtype according to Hans algorithm (local laboratories).

    -A central review will be performed for confirmation of the germinal center B-cell-like, however even when negative results are reported, the patient will still be part of the study if clinical benefit after cycle 4 is documented (stable disease, partial response and complete response).

  4. disease after:

    • at least 1 that includes rituximab in combination with chemotherapy, or,
    • after previous , or,
    • after reduced intensity conditioning allogeneic transplant, unless patient is receiving drugs or active is present at study entry.
  5. (ECOG) performance status ≤ 2.
  6. Baseline FDG-PET scan demonstrating positive lesions (Deauville 4 or 5) compatible with CT defined anatomical tumor sites.
  7. Hematology values must be within the following limits:

    1. (ANC) ≥1000/μL independent of growth factor support.
    2. ≥100000/μL or ≥50000/μL if bone marrow involvement independent of transfusion support in either situation.
  8. Biochemical values within the following limits:

    1. (ALT) and aspartate aminotransferase (AST) ≤2.5 x (ULN).
    2. total ≤1.5 x ULN unless bilirubin rise is due to Gilbert's syndrome or of non-hepatic origin.
    3. serum creatinine ≤2 x ULN or estimated (CCr) ≥30 mL/min.
  9. Women of and men who are sexually active must be practicing a highly effective method of during and after the study consistent with local regulations regarding the use of birth control methods for subjects participating in clinical trials. Men must agree to not donate sperm during and after the study. For females, these restrictions apply for 1 month after the last dose of study drug. For males, these restrictions apply for 3 months after the last dose of study drug.
  10. Women of childbearing potential must have a negative serum (beta-human chorionic gonadotropin) or urine pregnancy test at Screening. Women who are pregnant or breastfeeding are ineligible for this study.
  11. Sign (or their legally-acceptable representatives must sign) an document indicating that they understand the purpose of and procedures required for the study and are willing and able to participate in the study.

Exclusion criteria

Exclusion Criteria:

  1. Prior other than DLBCL, with the exception of adequately treated basal cell or squamous cell skin tumor, in situ cervical cancer, or other tumor from which the patient has been disease free for at least 2 years or which will not limit survival to \< 2 years (Note: these cases must be discussed with the Principal Investigator).
  2. Candidates to stem cell transplant.

    • Young patients with more than a previous line and could be considered as not suitable for autologous stem cell transplant and, therefore, are eligible for this study.
  3. Any life-threatening illness, medical condition or organ system dysfunction which, in the investigator's opinion, could compromise the patient's safety,interfere with the absorption or metabolism of ibrutinib, or put the study outcomes at undue risk.
  4. Significant cardiovascular disease such as uncontrolled or symptomatic arrhythmias, congestive heart failure, or myocardial infarction within 6 months of screening, or any Class 3 or 4 cardiac disease as defined by the Functional Classification.
  5. Malabsorption syndrome, disease significantly affecting gastrointestinal function, or resection of the stomach or small bowel or ulcerative colitis,symptomatic inflammatory bowel disease, or partial or complete bowel obstruction.
  6. Treatment with any immunotherapy, chemotherapy, radiotherapy, or experimental therapy within 3 weeks before first dose of study drug.
  7. Prior treatment with ibrutinib or other BTK inhibitors.
  8. Central nervous system (CNS) involvement by lymphoma.
  9. History of stroke or intracranial hemorrhage within 6 months prior to randomization.
  10. Requires anticoagulation with warfarin or equivalent Vitamin K antagonists.
  11. Requires treatment with strong inhibitors.
  12. Grade ≥2 toxicity (other than alopecia) related to prior anticancer therapy including radiation.
  13. Known history of (HIV), active virus (HCV) (HCV; RNA polymerase chain reaction [PCR]-positive) or active virus (HBV; DNA PCR-positive) infection or any uncontrolled active systemic infection requiring IV antibiotics. Subjects with PCR-negative HBV are permitted in the study.
  14. Major surgery within 4 weeks before first dose of study drug.
  15. Vaccinated with live, attenuated vaccines within 4 weeks of randomization.
  16. Pregnancy or lactation
Terms in these criteria, in plain language(21)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

GVHD (graft-versus-host disease)

After a transplant from a donor, the donor’s immune cells attack the recipient’s body, often the skin, gut or liver.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
64 participants (actual)

Study arms

  • Experimental
    Ibrutinib -R-GEMOX-Dexa

    Subjects will receive Ibrutinib with R-GEMOX-Dexa followed by Ibrutinib maintenance according to: Induction phase: * Rituximab 375 mg/m2 IV day 1 * Gemcitabine 1000 mg/m2 IV on day 1 or 2 (at investigator discretion). * Oxaliplatine 100 mg/m2 on day 1 or 2 (after Gemcitabine administration); * Dexamethasone 20 mg orally or IV on day 1 and orally on days 2-3. * Ibrutinib 560 mg daily for 14 days. Responding patients will receive 2 (if CR) or 4 (if PR) additional cycles every 14 days.Patients with SD and ABC profile will receive 4 additional cycles. Maintenance phase: Responding patients will receive Ibrutinib 560 mg daily - Continuous cycles until a maximum of 2 years, disease progression or unacceptable toxicity.

    Drug: Ibrutinib · Drug: Rituximab · Drug: Gemcitabine · Drug: Oxaliplatin · Drug: Dexamethasone

Interventions

  • Ibrutinib 560 mg daily for 14 days during induction cycles. Maintenance phase: Continuous cycles until disease progression or unacceptable toxicity (maximum of 2 years).

  • Rituximab 375 mg/m2 IV day 1 during 4 cycles.

  • Gemcitabine 1000 mg/m2 IV (30-minute infusion) on day 1 or 2, 4 cycles every 14 days.

  • Oxaliplatin 100 mg/m2 (3-hour infusion) on day 1 or 2, after Gemcitabine infusion, 4 cycles every 14 days.

  • Dexamethasone 20 mg orally or IV on day 1 and orally on days 2-3, 4 cycles every 14 days.

06

What researchers measure

Primary outcomes

  1. Overall Response (OR) Rate

    Overall Response (OR) rate (complete remission + partial response) measured by PET(Positron Emission Tomography)/CT image scan. OR will be assessed by Lugano Classification: Revised Criteria for Response Assessment.

    Time frame: Treatment responses will be evaluated 30 days after end of study treatment which can be occurred after 2 years and 4 months

Secondary outcomes

  1. CR Rate During Induction and Maintenance Phases.

    Complete treatment responses evaluation during 21-35 days after initiation of 6 or 8 cycle of study treatment (depend of treatment responses obtained from cycle 4) and 30 days after end of study treatment which can be occurred after 2 years and 4 months

    Time frame: Complete treatment responses will be evaluated 30 days after end of study treatment which can be occurred after 2 years and 4 months

  2. Response Duration

    Response duration defined as the time from the documentation of tumor response to disease progression or death, in the event of no documented recurrence, or start of a new anti - lymphoma treatment because of refractory or persistent disease.

    Time frame: Response duration will be evaluated at any time during the study when tumor response is documented or after end of study treatment which can be occurred after 2 years and 4 months.

  3. Progression Free Survival

    Progression free survival defined as the time between start of treatment and the first documentation of recurrence, progression, or death in the event of no documented recurrence, or start of a new anti - lymphoma treatment, due a refractory or persistent disease. Progression is defined using Lugano Classification for response assessment for Non-Hodgkin Lymphoma, defined as Score of 4 or 5 with an increase in uptake intensity over baseline period for Individual lymph nodes/target lymph node masses; New areas of FDG avidity consistent with lymphoma at mid- or end-of-treatment assessment for Extranodal injuries; new injuries; New or recurrent areas of FDG avidity in bone marrow.

    Time frame: Progression free survival will be evaluated at any time during the study when first documentation of recurrence, progression, or death or after end of study treatment which can be occurred after 2 years and 4 months

  4. Event-free Survival

    Event-free survival defined as the time between start of treatment and the first documentation of adverse events and serious adverse events graded according to NCI CTCAE v4.0

    Time frame: 2 years and 4 months.

  5. Overall Survival

    Overall survival is defined as the time between the start of treatment and death from any cause. Patients that are withdrawn from the trial or lost of follow-up, will be censored with the date of last contact. Patients who are still alive at the end of the study will be censored at that time.

    Time frame: 2 years

  6. Percentage of Participants That Present Treatment-Related Adverse Events Oxaliplatin and Dexamethasone

    Safety and tolerability will be assessed during any phase of study treatment and 30 days after end of study treatment which can be occurred after 2 years and 4 months and will be classified according to the Common Toxicity CNC

    Time frame: 2 years and 4 months

07

Results

Posted Oct 10, 2024
Limitations and caveats
The main limitation of the IBDCL trial was the lack of randomization and a parallel control group, that precluded comparison of outcome measures with other existing therapeutic approaches.

Participant flow

64 patients from 15 different hospitals were registered.

Participant flow — Overall Study
MilestoneIbrutinib -R-GEMOX-Dexa
Started64
Completed64
Not completed0

Outcome measures

PrimaryOverall Response (OR) Rate

Overall Response (OR) rate (complete remission + partial response) measured by PET(Positron Emission Tomography)/CT image scan. OR will be assessed by Lugano Classification: Revised Criteria for Response Assessment.

Time frame:
Treatment responses will be evaluated 30 days after end of study treatment which can be occurred after 2 years and 4 months
Reported as:
Count of participants · Participants
Overall Response (OR) Rate
ParticipantsIbrutinib -R-GEMOX-Dexa
Overall Response (OR) Rate36
SecondaryCR Rate During Induction and Maintenance Phases.

Complete treatment responses evaluation during 21-35 days after initiation of 6 or 8 cycle of study treatment (depend of treatment responses obtained from cycle 4) and 30 days after end of study treatment which can be occurred after 2 years and 4 months

Time frame:
Complete treatment responses will be evaluated 30 days after end of study treatment which can be occurred after 2 years and 4 months
Reported as:
Count of participants · Participants
CR Rate During Induction and Maintenance Phases.
ParticipantsIbrutinib -R-GEMOX-Dexa
CR Rate During Induction and Maintenance Phases.25
SecondaryResponse Duration

Response duration defined as the time from the documentation of tumor response to disease progression or death, in the event of no documented recurrence, or start of a new anti - lymphoma treatment because of refractory or persistent disease.

Time frame:
Response duration will be evaluated at any time during the study when tumor response is documented or after end of study treatment which can be occurred after 2 years and 4 months.
Reported as:
Median · months
Response Duration
monthsIbrutinib -R-GEMOX-Dexa
Response Duration6.5 (0.0 to 38.3)
SecondaryProgression Free Survival

Progression free survival defined as the time between start of treatment and the first documentation of recurrence, progression, or death in the event of no documented recurrence, or start of a new anti - lymphoma treatment, due a refractory or persistent disease. Progression is defined using Lugano Classification for response assessment for Non-Hodgkin Lymphoma, defined as Score of 4 or 5 with an increase in uptake intensity over baseline period for Individual lymph nodes/target lymph node masses; New areas of FDG avidity consistent with lymphoma at mid- or end-of-treatment assessment for Extranodal injuries; new injuries; New or recurrent areas of FDG avidity in bone marrow.

Time frame:
Progression free survival will be evaluated at any time during the study when first documentation of recurrence, progression, or death or after end of study treatment which can be occurred after 2 years and 4 months
Reported as:
Median · months
Progression Free Survival
monthsIbrutinib -R-GEMOX-Dexa
Progression Free Survival4.1 (2.2 to 6.1)
SecondaryEvent-free Survival

Event-free survival defined as the time between start of treatment and the first documentation of adverse events and serious adverse events graded according to NCI CTCAE v4.0

Time frame:
2 years and 4 months.
Reported as:
Median · months
Event-free Survival
monthsIbrutinib -R-GEMOX-Dexa
Event-free Survival4.03 (2.5 to 5.6)
SecondaryOverall Survival

Overall survival is defined as the time between the start of treatment and death from any cause. Patients that are withdrawn from the trial or lost of follow-up, will be censored with the date of last contact. Patients who are still alive at the end of the study will be censored at that time.

Time frame:
2 years
Reported as:
Median · months
Overall Survival
monthsIbrutinib -R-GEMOX-Dexa
Overall Survival11.67 (7 to 16.3)
SecondaryPercentage of Participants That Present Treatment-Related Adverse Events Oxaliplatin and Dexamethasone

Safety and tolerability will be assessed during any phase of study treatment and 30 days after end of study treatment which can be occurred after 2 years and 4 months and will be classified according to the Common Toxicity CNC

Time frame:
2 years and 4 months
Reported as:
Count of participants · Participants
Percentage of Participants That Present Treatment-Related Adverse Events Oxaliplatin and Dexamethasone
ParticipantsIbrutinib -R-GEMOX-Dexa
Percentage of Participants That Present Treatment-Related Adverse Events Oxaliplatin and Dexamethasone55

Adverse events

Collected over 2 years and 4 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Ibrutinib -R-GEMOX-Dexa46/64 (71.9%)33/64 (51.6%)63/64 (98.4%)
Most frequent serious events
Showing 10 of 47
Most frequent serious events
EventIbrutinib -R-GEMOX-Dexa
Diarrhoea - Grade 3Gastrointestinal disorders2/64
Fever - Grade 3General disorders2/64
Fracture - Grade 3Injury, poisoning and procedural complications2/64
Respiratory failure - Grade 3Respiratory, thoracic and mediastinal disorders2/64
Abdominal pain - Grade 3Gastrointestinal disorders1/64
Akathisia - Grade 3Nervous system disorders1/64
Anemia - Grade 3Blood and lymphatic system disorders1/64
Back Pain - Grade 3Musculoskeletal and connective tissue disorders1/64
Confusion - Grade 3Nervous system disorders1/64
Diarrhoea - Grade 2Gastrointestinal disorders1/64
Most frequent other events
Most frequent other events
EventIbrutinib -R-GEMOX-Dexa
Platelet count decreasedBlood and lymphatic system disorders39/64
Neutrophil count decreasedBlood and lymphatic system disorders22/64
DiarrhoeaGastrointestinal disorders20/64
AnemiaBlood and lymphatic system disorders14/64
NauseaGeneral disorders14/64
Lymphocyte count decreaseBlood and lymphatic system disorders10/64
ParesthesiaNervous system disorders8/64
FatigueGeneral disorders7/64
VomitingGastrointestinal disorders6/64
HypomagnesemiaBlood and lymphatic system disorders4/64

Baseline characteristics

Age, Continuous
Age, Continuous(years)Ibrutinib -R-GEMOX-Dexa
Median67.4 (24.5 to 83.7)
Sex: Female, Male
Sex: Female, Male(Participants)Ibrutinib -R-GEMOX-Dexa
Female26
Male38
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Ibrutinib -R-GEMOX-Dexa
Region of Enrollment
Region of Enrollment(participants)Ibrutinib -R-GEMOX-Dexa
Spain64
ECOG-PS
ECOG-PS(Participants)Ibrutinib -R-GEMOX-Dexa
023
131
210
DLBCL type
DLBCL type(Participants)Ibrutinib -R-GEMOX-Dexa
DLBCL without specification60
DLBCL rich in T lymphocytes3
Follicular lymphoma1
Previous lines of treatment
Previous lines of treatment(Previous lines of treatment)Ibrutinib -R-GEMOX-Dexa
Median2 (1 to 5)
International prognostic index (IPI)
International prognostic index (IPI)(Participants)Ibrutinib -R-GEMOX-Dexa
0-16
2-343
4-513
Unk2

2 further baseline measures are reported on the registry.

08

Study locations

17 sites
  • Hospital Universitario Central de Asturias
    Oviedo, Asturias 33011, Spain
  • Hospital Especialidades
    Jerez de la Frontera, Cádiz 11407, Spain
  • Hospital Universitario Donostia
    Donostia San Sebastian, Guipúzcoa 20080, Spain
  • Hospital Universitario Son Espases
    Palma, Islas Baleares 07120, Spain
  • Hospital de Navarra
    Pamplona, Navarra 31008, Spain
  • Complexo Hospitalario Universitario de Vigo
    Vigo, Pontevedra, Spain
  • Hospital Universitario Vall d'Hebron
    Barcelona, 08035, Spain
  • Hospital Clínic de Barcelona
    Barcelona, 08036, Spain
  • Complejo Hospitalario de Jaén
    Jaén, 23007, Spain
  • Hospital Universitario Infanta Leonor
    Madrid, 28031, Spain
  • MD Anderson Cancer Center
    Madrid, 28033, Spain
  • Hospital Universitario 12 de Octubre
    Madrid, 28041, Spain
  • Hospital General Universitario Morales Meseguer
    Murcia, 30008, Spain
  • Hospital Universitario Virgen del Rocío
    Sevilla, 41013, Spain
  • Hospital Clínic Universitari de València
    Valencia, 46010, Spain
  • Hospital Universitario y Politécnico La Fe
    Valencia, 46026, Spain
  • Hospital Clínico Universitario de Valladolid
    Valladolid, 47005, Spain
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2016 to primary completion in Nov 2018, 31 months.

Results were first posted in Oct 2024, 5 years 11 months after primary completion.

Of 210 non-industry phase 2 interventional studies under Lymphoma, Large B-Cell, Diffuse, half reached primary completion within 57 months of starting (the median), counting those still running; a quarter within 40 and three quarters within 96. This study's 31 months is below that.

Counting every sponsor, half of 264 studies reached it within 53 months; a quarter within 35 and three quarters within 85.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 17, 2016
First posted
Feb 26, 2016
StartActual
Apr 7, 2016
Primary completionActual
Nov 8, 2018
CompletionActual
Jan 19, 2021
Results first posted
Oct 10, 2024
Last update
Oct 10, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 10, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02692248
Lead sponsor
Grupo Español de Linfomas y Transplante Autólogo de Médula Ósea
Collaborators
Janssen-Cilag, S.A.
Responsible party
Sponsor
First posted
Feb 26, 2016
Start date
Apr 7, 2016
Primary completion
Nov 8, 2018
Completion
Jan 19, 2021
Results posted
Oct 10, 2024
Last update
Oct 10, 2024

Study contacts

Dolores Caballero, MD
study chair · University of Salamanca

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Ibrutinib · Rituximab · Gemcitabine · Oxaliplatin · Dexamethasone

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