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OpenTrials
Completed

NCT Number: NCT02947347

Study of Ibrutinib and Rituximab in Treatment Naïve Follicular Lymphoma

This is a randomized, double-blind, placebo-controlled, multicenter Phase 3 study to evaluate the efficacy and safety of ibrutinib in combination with rituximab versus placebo in combination with rituximab in treatment naïve participants with follicular lymphoma (FL).

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Key information

Age range

60 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

The Canberra Hospital, Garran, Australian Capital Territory, Australia

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Histologically confirmed diagnosis of follicular lymphoma CD20+ (Grade 1, 2 or 3a) Ann Arbor Stage II, III or IV disease.
  • Measurable disease
  • Subjects 70 years of age or older; OR subjects 60-69 years of age who have one or more comorbidities.
  • Meets one or more Groupe d'Etude des Lymphomes Folliculaire (GELF) criteria.
  • Adequate hematologic function within protocol-defined parameters.
  • Adequate hepatic and renal function within protocol-defined parameters.
  • ECOG performance status score of 0-2.

Exclusion criteria

  • Transformed lymphoma
  • Prior treatment for follicular lymphoma.
  • Central nervous system lymphoma or leptomeningeal disease.
  • Currently active, clinically significant cardiovascular disease.

Treatment and study plan

Ibrutinib Oral Capsule

Drug

Ibrutinib 560mg administered orally daily

Other names: Imbruvica

Placebo

Drug

Placebo capsules to match ibrutinib administered orally daily

Rituximab

Drug

Rituximab 375mg/m^2 intravenously (IV) weekly

Primary outcomes

  1. Progression-Free Survival (PFS) as Assessed by Investigator

    Time frame: Primary Analysis cut-off; median overall follow-up of 53.75 months

    PFS is the time from the date of randomization to the date of the first documented evidence of disease progression (based on the Revised Response Criteria for Malignant Lymphoma [Cheson 2014, Lugano Classification]) or death from any cause, whichever occurs first. Participants who initiated subsequent anticancer therapy or missed two or more consecutive overall disease assessments were censored as described in the SAP. Estimated by Kaplan-Meier method.

Secondary outcomes

  1. Overall Response Rate (ORR) as Assessed by Investigator

    Time frame: Primary Analysis; median overall follow-up of 53.75 months

    ORR is the proportion of participants who achieved a best overall response of complete response (CR) or partial response (PR) as determined by the investigator according to the Revised Response Criteria for Malignant Lymphoma (Cheson 2014, Lugano Classification). ORR was assessed from the date of randomization through the date of first documented disease progression or initiation of subsequent anti-cancer therapy, whichever occurred first. Participants who did not have any post-baseline disease assessments or who initiated subsequent anti-cancer therapy prior to a documented response are considered non-responders.

  2. Overall Survival (OS)

    Time frame: Final Analysis; median overall follow-up of 58.97 months

    Overall survival is defined as the interval between the date of randomization and the date of the participant's death from any cause. If a participant is not known to have died (this includes participants with unknown death date), OS will be censored at the date the participant was last known to have been alive. Estimated by Kaplan-Meier method.

  3. Infusion-related Reaction Rate Assessed by Investigator

    Time frame: Primary Analysis; median overall follow-up of 53.75 months

    The infusion-related reactions (IRR) rate is the proportion of subjects experiencing infusion related reactions that start on the day of a rituximab infusion and are assessed as related or possibly related to rituximab.

  4. Duration of Response (DOR) as Assessed by Investigator

    Time frame: Primary Analysis; median overall follow-up of 53.75 months

    DOR is defined as the time from initial complete response (CR) or partial response (PR) to progressive disease (PD) or death due to any cause, whichever is first reported, regardless of discontinuation of study treatment. If such event did not occur, then participants were to be censored at the last adequate disease assessment as required for PFS censoring. Estimated by Kaplan-Meier method.

  5. Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

    Time frame: Overall median treatment duration of 22.11 months

    An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. The treatment-emergent period is defined as the period from the date of the first dose of study treatment up to 30 days after the date of the last dose of study treatment or the day before initiation of subsequent anti-cancer therapy, whichever comes first. The treatment-emergent adverse events (TEAEs) are those events that occur or worsen during the treatment-emergent period or that are related to the study treatment.

Sponsors and collaborators

Lead sponsor

Pharmacyclics LLC.

Industry

Collaborators

  • Janssen Research & Development, LLC

Registry information

Official study title

A Multicenter, Randomized, Double-blind, Placebo-controlled Phase 3 Study of the Bruton's Tyrosine Kinase (BTK) Inhibitor, Ibrutinib, in Combination With Rituximab Versus Placebo in Combination With Rituximab in Treatment Naïve Subjects With Follicular Lymphoma (PERSPECTIVE)

Important dates

Study start
2017
Primary completion
2024
Study completion
2025
First posted
Oct 27, 2016
Registry last updated
Mar 17, 2026

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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