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Chronic Lymphocytic Leukemia (CLL)Phase 1NCT03400176

VAY736 in Combination With Ibrutinib in Patients With CLL on Ibrutinib

A Phase 1 study testing VAY736 and ibrutinib in people with Chronic Lymphocytic Leukemia (CLL), run by Novartis Pharmaceuticals at 5 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Patients enrolled to the study had chronic lymphocytic leukemia (CLL) and received ibrutinib. Patients had either received ibrutinib for one year without having had a complete response or patients developed a resistance mutation to ibrutinib. This study had two parts, a dose escalation part and a dose expansion part. Read more about this study

Who is it for?
Ages 18 to 100 years
Conditions the study is for
Chronic Lymphocytic Leukemia (CLL)
What is being tested?
VAY736 and ibrutinib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
39 participants
Where
5 sitesUnited States
Study dates
9 Apr 2018to 29 Sep 2023
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of CLL per the WHO classification
  • At least 18 years of age
  • Lack of a complete response after receiving ibrutinib for > 1 year OR presence of known ibrutinib resistance mutation
  • Actively receiving ibrutinib at either 420 mg (patients enrolled to the escalation arm) or at a stable dose for at least 2 months prior to starting study treatment (patients enrolled to the expansion arm)

Who cannot join

  • Known history of HIV
  • Active hepatitis B or C infection
  • Receipt of attenuated vaccine within 2 weeks prior to starting study treatment.

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

United States5 sites
  • Ohio ST Compr Cancer Ctr James Hosp

    Columbus, Ohio, 43210

  • University of California San Diego - Moores Cancer Center

    La Jolla, California, 92093-0658

  • David Geffen School of Medicine at UCLA

    Los Angeles, California, 90095

  • SCRI Oncology Partners

    Nashville, Tennessee, 37203

  • Uni of Utah Huntsman Cancer Inst

    Salt Lake City, Utah, 84103

Other trials in United States

About this study

Official title: Phase Ib Open-label Study of VAY736 and Ibrutinib in Patients With Chronic Lymphocytic Leukemia (CLL) on Ibrutinib Therapy

Patients enrolled to the study had chronic lymphocytic leukemia (CLL) and received ibrutinib. Patients had either received ibrutinib for one year without having had a complete response or patients developed a resistance mutation to ibrutinib. This study had two parts, a dose escalation part and a dose expansion part.

Being tested
VAY736, ibrutinib
Keywords
Ibrutinib, VAY736, Chronic lymphocytic leukemia, CLL, Bruton's Tyrosine Kinase, BTK mutation
Medical subject headings
Leukemia, Lymphocytic, Chronic, B-Cell

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • VAY736Drug

    Experimental

  • ibrutinibDrug

    Also called Imbruvica

    Approved medication

Study groups in NCT03400176
Study groupRoleWhat they receive
Dose EscalationExperimentalIncreasing doses of VAY736 in combination with a fixed dose of ibrutinib.
Receives: Drug: VAY736; Drug: ibrutinib
Dose expansionExperimentalEvaluation of the MTD/RD of the combination of VAY736 and ibrutinib that was identified in dose escalation.
Receives: Drug: VAY736; Drug: ibrutinib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Dose-Limiting Toxicities (DLTs) in Cycle 1 (Escalation Only)

    A dose-limiting toxicity (DLT) is defined as an adverse event or abnormal laboratory value of Common Terminology Criteria for Adverse Events (CTCAE) grade ≥ 3 assessed as unrelated to disease, disease progression, inter-current illness or concomitant medications that occurs within the first 28 days of treatment with the combination of VAY736 and ibrutinib and meets the criteria defined in the study protocol. Other clinically significant toxicities may be considered to be DLTs, even if not CTCAE grade 3 or higher.

    Measured: 28 days

  2. Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Number of participants with AEs (any AE regardless of seriousness) and SAEs, including changes from baseline in vital signs, electrocardiograms and laboratory results qualifying and reported as AEs.

    AE grades to characterize the severity of the AEs were based on the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03. For CTCAE v4.03, Grade 1 = mild; Grade 2 = moderate; Grade 3 = severe; Grade 4 = life-threatening; Grade 5 = death related to AE.

    All patients were followed for a 30-day safety follow-up period subsequent to completion of VAY736 therapy. No new AEs or SAEs were collected beyond the 30-day safety follow-up or during the efficacy follow up period.

    Measured: From first dose of study treatment up to 30 days after the last dose of VAY736, up to approximately 8.8 months

  3. Number of Participants With Dose Reductions and Dose Interruptions of VAY736

    For patients who did not tolerate the protocol-specified dosing schedule of the study drugs, dose adjustments could be permitted in order to allow the patient to continue study treatment.

    Measured: Up to 7.8 months

  4. Number of Participants With Dose Reductions and Dose Interruptions of Ibrutinib

    For patients who did not tolerate the protocol-specified dosing schedule of the study drugs, dose adjustments could be permitted in order to allow the patient to continue study treatment.

    Measured: Up to 8.5 months

  5. Dose Intensity of VAY736

    Dose intensity of VAY736 was calculated as: Actual Cumulative dose (mg/kg) / (Duration of exposure in weeks/2)

    Measured: Up to 7.8 months

  6. Dose Intensity of Ibrutinib

    Dose intensity of ibrutinib was calculated as: Actual Cumulative dose (mg) / (Duration of exposure in days)

    Measured: Up to 8.5 months

Secondary outcomes (15)
  1. CR or CRi Rate at C9 for Expansion Arm A and Arm B by Investigator Per IWCLL

    Percentage of participants with Complete Response (CR) or Complete Response with Incomplete Marrow Recovery (CRi) by investigator assessment per International Working Group - Chronic Lymphocytic Leukemia (IWCLL) response criteria.

    Measured: Cycle 9 Day 1 (C9). The duration of each cycle was 28 days.

  2. Posterior Mean of CR or CRi Response Rate at C9 for Expansion Arm A and Arm B (Bayesian Analysis)

    The rate of CR/CRi at C9 was analyzed for each expansion arm using a Bayesian modeling approach.

    A minimally informative beta distribution was used as prior distribution with parameters a=0.25 and b=1. This assumed, a priori, that the response rate was 20%.

    Values estimated from the model at Cycle 9 are presented in the table. Posterior geometric mean for CR/CRi rate and 90% credible intervals in each group are presented.

    Measured: Cycle 9 Day 1 (C9). The duration of each cycle was 28 days.

  3. Posterior Probability That the True CR or CRi Response Rate at C9 for Expansion Arm A and Arm B Falls in Pre-defined Activity Intervals (Bayesian Analysis)

    The rate of CR/CRi at C9 was analyzed for each expansion arm using a Bayesian modeling approach.

    A minimally informative beta distribution was used as prior distribution with parameters a=0.25 and b=1. This assumed, a priori, that the response rate was 20%.

    Values estimated from the model at Cycle 9 are presented in the table. The posterior probability that the true CR/CRi rate falls in the activity intervals defined below is presented:

    • [0, 20%) - clinically not meaningful
    • [20%, 40%) - moderate clinical benefit
    • [40%, 100%] - superior clinical benefit

    Measured: Cycle 9 Day 1 (C9). The duration of each cycle was 28 days.

  4. Overall Response Rate (ORR) Assessed by Investigator Per IWCLL in the Dose Escalation Part

    Efficacy was based on local investigator assessment per International Working Group - Chronic Lymphocytic Leukemia (IWCLL) response criteria.

    ORR per IWCLL is defined as the percentage of participants with a best overall response of Complete Response (CR), Complete Response with Incomplete Marrow Recovery (CRi) or Partial Response (PR).

    Measured: Up to approximately 2.5 years

  5. Overall Response Rate (ORR) Assessed by Investigator Per IWCLL in the Dose Expansion Part

    Efficacy was based on local investigator assessment per International Working Group - Chronic Lymphocytic Leukemia (IWCLL) response criteria.

    ORR per IWCLL is defined as the percentage of participants with a best overall response of Complete Response (CR), Complete Response with Incomplete Marrow Recovery (CRi) or Partial Response (PR).

    Measured: Up to approximately 2.7 years

  6. Time to Progression (TTP) in the Dose Escalation Part

    Efficacy was based on local investigator assessment per International Working Group - Chronic Lymphocytic Leukemia (IWCLL) response criteria.

    TTP is defined as the time from start of treatment to date of event which is defined as the first documented progression or death due to underlying cancer.

    If a patient had not had an event, TTP was censored at the date of the last adequate disease assessment.

    TTP was analyzed using Kaplan-Meier estimates.

    Measured: Up to approximately 2.5 years

  7. Time to Progression (TTP) in the Dose Expansion Part

    Efficacy was based on local investigator assessment per International Working Group - Chronic Lymphocytic Leukemia (IWCLL) response criteria.

    TTP is defined as the time from start of treatment to date of event which is defined as the first documented progression or death due to underlying cancer.

    If a patient had not had an event, TTP was censored at the date of the last adequate disease assessment.

    TTP was analyzed using Kaplan-Meier estimates.

    Measured: Up to approximately 2.7 years

  8. Percentage of Participants With Clearance of Ibrutinib Resistance Mutation During Treatment (up to C9) for Expansion Arm B

    Clearance was defined as less than 1% mutation bearing alleles (BTKC481 and/or PLCγ2) during treatment.

    Negative mutation is defined as having clearance of the baseline ibrutinib resistance mutation during treatment (up to Cycle 9 (C9)).

    Measured: Up to Cycle 9 Day 1. The duration of each cycle was 28 days.

  9. Maximum Observed Serum Concentration (Cmax) of VAY736

    Pharmacokinetic (PK) parameters were calculated based on VAY736 serum concentrations by using non-compartmental methods. Cmax is defined as the maximum (peak) observed concentration following a dose.

    Measured: Pre-infusion and 2, 6, 24, 72, 168 and 336 hours after end of infusion on Cycle 1 Day 1 and Cycle 3 Day 1. The duration of the infusion was approximately 2 hours. 1 cycle=28 days

  10. Time to Reach Maximum Serum Concentration (Tmax) of VAY736

    PK parameters were calculated based on VAY736 serum concentrations by using non-compartmental methods. Tmax is defined as the time to reach maximum (peak) concentration following a dose. Actual recorded sampling times were considered for the calculations.

    Measured: Pre-infusion and 2, 6, 24, 72, 168 and 336 hours after end of infusion on Cycle 1 Day 1 and Cycle 3 Day 1. The duration of the infusion was approximately 2 hours. 1 cycle=28 days

  11. Area Under the Serum Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUClast) of VAY736

    PK parameters were calculated based on VAY7736 serum concentrations by using non-compartmental methods. The linear trapezoidal method was used for AUClast calculation.

    Measured: Pre-infusion and 2, 6, 24, 72, 168 and 336 hours after end of infusion on Cycle 1 Day 1 and Cycle 3 Day 1. The duration of the infusion was approximately 2 hours. 1 cycle=28 days

  12. Maximum Observed Plasma Concentration (Cmax) of Ibrutinib

    PK parameters were calculated based on ibrutinib plasma concentrations by using non-compartmental methods. Cmax is defined as the maximum (peak) observed concentration following a dose.

    Measured: Pre-dose and 0.5, 2, 6 and 24 hours post-dose on Cycle 1 Day 1 and Cycle 1 Day 8. 1 cycle=28 days

  13. Time to Reach Maximum Plasma Concentration (Tmax) of Ibrutinib

    PK parameters were calculated based on ibrutinib plasma concentrations by using non-compartmental methods. Tmax is defined as the time to reach maximum (peak) concentration following a dose. Actual recorded sampling times were considered for the calculations.

    Measured: Pre-dose and 0.5, 2, 6 and 24 hours post-dose on Cycle 1 Day 1 and Cycle 1 Day 8. 1 cycle=28 days

  14. Area Under the Plasma Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUClast) of Ibrutinib

    PK parameters were calculated based on ibrutinib plasma concentrations by using non-compartmental methods. The linear trapezoidal method was used for AUClast calculation.

    Measured: Pre-dose and 0.5, 2, 6 and 24 hours post-dose on Cycle 1 Day 1 and Cycle 1 Day 8. 1 cycle=28 days

  15. Number of Participants With Anti-VAY736 Antibodies

    VAY736 immunogenicity was evaluated in serum samples. Anti-drug antibodies (ADA) status was defined as follows:

    • ADA-negative at baseline: baseline sample where assay is ADA negative
    • ADA-positive at baseline: baseline sample where assay is ADA positive
    • ADA-negative post-baseline: ADA-negative sample at baseline and at least 1 post-baseline sample, all of which are ADA-negative samples
    • Treatment-induced ADA-positive: ADA-negative sample at baseline and at least 1 treatment-induced ADA-positive sample
    • Treatment-boosted ADA-positive: ADA-positive sample at baseline and at least 1 treatment-boosted ADA-positive sample
    • ADA-inconclusive post-baseline: patient who does not qualify for any of the above definitions

    Measured: Baseline (before first dose) and post-baseline (assessed throughout the VAY736 treatment, up to 7.8 months).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Jan 2018
  2. Study start9 Apr 2018
  3. Primary completion29 Sep 2023
  4. Study completion29 Sep 2023

Why it stopped: Business reasons

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
39 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03400176
Sponsor's protocol ID
CVAY736Y2102
Other IDs
5R01CA177292-09
Status last verified
May 2025
First submitted
9 Jan 2018
Last updated
16 May 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Kipps TJ. Mining the Microenvironment for Therapeutic Targets in Chronic Lymphocytic Leukemia. Cancer J. 2021 Jul-Aug 01;27(4):306-313. doi: 10.1097/PPO.0000000000000536.

    PubMed 34398557

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing VAY736 and ibrutinib in people with Chronic Lymphocytic Leukemia (CLL), run by Novartis Pharmaceuticals at 5 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 16 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 13 May 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Dose-Limiting Toxicities (DLTs) in Cycle 1 (Escalation Only) (time frame: 28 days). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03400176, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 May 2025.

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