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NCT03790332 · CITED IN SOURCE DOCUMENTS

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

An NCI or FDA source cites this study. A citation does not establish that it applies to an individual diagnosis.

Phase
PHASE1, PHASE2
Status at capture
COMPLETED
Registry last update
2025-10-21

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

Open the original ClinicalTrials.gov record → · Download preserved record

What did the study report?

Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.

No posted result sections were captured. Registered plans do not establish that a treatment works.

Who could take part
eligibility Criteria
Key Eligibility: Inclusion Criteria: 1. Part A: Subjects with moderate or severe cGVHD after failure of 1 or more lines of systemic therapy 2. 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 3. History of allogeneic stem cell transplantation 4. 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 5. Karnofsky or Lansky (subjects \<16 years of age) performance status ≥60 Key Eligibility: Exclusion Criteria: 1. Presence of single organ genito-urinary involvement as the only manifestation of cGVHD 2. Received an investigational agent within 28 days before enrollment. 3. Received donor lymphocyte infusion (DLI) within 56 days before enrollment 4. Progressive underlying malignant disease or active post-transplant lymphoproliferative disease 5. Any uncontrolled infection or active infection requiring ongoing systemic treatment 6. Known bleeding disorders 7. Active hepatitis C virus (HCV) or hepatitis B virus (HBV)
healthy Volunteers
false
maximum Age
21 Years
minimum Age
1 Year
sex
ALL
std Ages
  1. CHILD
  2. ADULT
Treatment arms and interventions
arm Groups
  1. description
    Part A: Subjects ≥1 to \<12 years of age with moderate or severe cGVHD after failure of 1 or more lines of systemic therapy, will receive oral ibrutinib once daily to determine Recommended Pediatric Equivalent Dose (RPED). Part A Continuation: Subjects participating in Part A may continue receiving daily ibrutinib until the RPED is determined, at which time their dose may be adjusted to the RPED. Part B: Subjects ≥1 to \<12 years of age( upper age limit is \< 22 years) with moderate or severe cGVHD after failure of 1 or more lines of systemic therapy or with newly diagnosed moderate or severe cGVHD will be dosed at the RPED. Subjects ≥12 will be given 420mg orally ibrutinib once daily.
    intervention Names
    1. Drug: Ibrutinib
    label
    Phase 1/2
    type
    EXPERIMENTAL
interventions
  1. arm Group Labels
    1. Phase 1/2
    description
    Ibrutinib capsule, tablet, or suspension administered orally once daily
    name
    Ibrutinib
    other Names
    1. IMBRUVICA®
    2. PCI-32765
    type
    DRUG
Study design
allocation
NA
intervention Model
SINGLE_GROUP
masking Info
masking
NONE
primary Purpose
TREATMENT
Enrollment
count
59
type
ACTUAL
Registered outcome plans (not posted results)
primary Outcomes
  1. measure
    Part A- PK (measured by AUC) will be reported descriptively
    time Frame
    Approximately 24 months
  2. measure
    Part B- PK (measured by AUC) will be reported descriptively
    time Frame
    Approximately 7 years
  3. measure
    Number of patients with adverse events as a measure of safety and tolerability
    time Frame
    Approximately 7 years
secondary Outcomes
  1. measure
    Part A- Number of patients with adverse events as a measure of safety and tolerability
    time Frame
    Approximately 24 months
  2. measure
    Part A- Pharmacodynamic effects as measured by in vitro BTK occupancy will be reported descriptively
    time Frame
    Approximately 24 months
  3. measure
    Part A continuation cohort and Part B-Response rate at 24 weeks
    time Frame
    Approximately 6 months after last subject in enrolled
  4. measure
    Part A continuation cohort and Part B- Duration of response (DOR)
    time Frame
    Up to 48 weeks
  5. measure
    Part A continuation cohort and Part B-Overall survival (OS)
    time Frame
    Approximately 5 years after last subject enrolled
  6. measure
    Part A continuation cohort and Part B-Late Effects Surveillance
    time Frame
    Up to 5 years post enrollment
  7. description
    Subjects will be monitored for growth and development
    measure
    Growth Parameter height in meters will be reported descriptively
    time Frame
    Up to 5 years post enrollment
  8. description
    Subjects will be monitored for growth and development
    measure
    Growth Parameter weight in kilograms will be reported descriptively.
    time Frame
    Up to 5 years post enrollment
  9. description
    Subjects will be monitored for immune reconstitution
    measure
    Available immune reconstitution laboratory parameters will be reported descriptively
    time Frame
    Up to 5 years post enrollment
  10. measure
    Late effects (Adverse events suspected to be related to treatment) will be quantified and reported descriptively
    time Frame
    Up to 5 years post enrollment
Full study description
brief Summary
Dose Finding and Safety Study of Ibrutinib in Pediatric Subjects with Chronic Graft Versus Host Disease (cGVHD)
Source references
Source notices and limitations
    Discovery and provenance
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      occurrences
      1. context exact
        cale overall summary score in 24% (10/42) of patients on at least 2 consecutive visits. iMAGINE The safety and efficacy of IMBRUVICA were evaluated in iMAGINE (NCT03790332), an open-label, multi-center, single-arm trial of IMBRUVICA for the treatment of pediatric and young adult patients age 1 year to less than 22 years with mode
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    Preserved source evidence · Not medical advice