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Completed

NCT Number: NCT03790332

Phase 1/2 Dose Finding and Safety Study of Ibrutinib in Pediatric Subjects With Chronic Graft Versus Host Disease (cGVHD)

Dose Finding and Safety Study of Ibrutinib in Pediatric Subjects with Chronic Graft Versus Host Disease (cGVHD)

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Key information

Age range

1 year–21 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Cancer Center for Children. The Children's Hospital at Westmead, Westmead, New South Wales, Australia

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Eligibility:

Inclusion criteria

  • Part A: Subjects with moderate or severe cGVHD after failure of 1 or more lines of systemic therapy
  • Part B: Subjects with moderate or severe cGVHD after failure of 1 or more lines of systemic therapy, or subjects with new onset moderate or severe cGVHD and in need of systemic immunosuppression
  • History of allogeneic stem cell transplantation
  • Age
  • Part A: ≥1 to <12 years of age at the time of enrollment
  • Part B: ≥1 to <22 years of age at the time of enrollment
  • Karnofsky or Lansky (subjects <16 years of age) performance status ≥60

Key Eligibility:

Exclusion criteria

  • Presence of single organ genito-urinary involvement as the only manifestation of cGVHD
  • Received an investigational agent within 28 days before enrollment.
  • Received donor lymphocyte infusion (DLI) within 56 days before enrollment
  • Progressive underlying malignant disease or active post-transplant lymphoproliferative disease
  • Any uncontrolled infection or active infection requiring ongoing systemic treatment
  • Known bleeding disorders
  • Active hepatitis C virus (HCV) or hepatitis B virus (HBV)

Treatment and study plan

Ibrutinib

Drug

Ibrutinib capsule, tablet, or suspension administered orally once daily

Other names: IMBRUVICA®, PCI-32765

Primary outcomes

  1. Part A- PK (measured by AUC) will be reported descriptively

    Time frame: Approximately 24 months

  2. Part B- PK (measured by AUC) will be reported descriptively

    Time frame: Approximately 7 years

  3. Number of patients with adverse events as a measure of safety and tolerability

    Time frame: Approximately 7 years

Secondary outcomes

  1. Part A- Number of patients with adverse events as a measure of safety and tolerability

    Time frame: Approximately 24 months

  2. Part A- Pharmacodynamic effects as measured by in vitro BTK occupancy will be reported descriptively

    Time frame: Approximately 24 months

  3. Part A continuation cohort and Part B-Response rate at 24 weeks

    Time frame: Approximately 6 months after last subject in enrolled

  4. Part A continuation cohort and Part B- Duration of response (DOR)

    Time frame: Up to 48 weeks

  5. Part A continuation cohort and Part B-Overall survival (OS)

    Time frame: Approximately 5 years after last subject enrolled

  6. Part A continuation cohort and Part B-Late Effects Surveillance

    Time frame: Up to 5 years post enrollment

  7. Growth Parameter height in meters will be reported descriptively

    Time frame: Up to 5 years post enrollment

    Subjects will be monitored for growth and development

  8. Growth Parameter weight in kilograms will be reported descriptively.

    Time frame: Up to 5 years post enrollment

    Subjects will be monitored for growth and development

  9. Available immune reconstitution laboratory parameters will be reported descriptively

    Time frame: Up to 5 years post enrollment

    Subjects will be monitored for immune reconstitution

  10. Late effects (Adverse events suspected to be related to treatment) will be quantified and reported descriptively

    Time frame: Up to 5 years post enrollment

Sponsors and collaborators

Lead sponsor

Pharmacyclics LLC.

Industry

Collaborators

  • Janssen Research & Development, LLC

Registry information

Important dates

Study start
2018
Primary completion
2025
Study completion
2025
First posted
Dec 31, 2018
Registry last updated
Oct 21, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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