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Trial · NCT02165397

Ibrutinib With Rituximab in Adults With Waldenström's Macroglobulinemia

NCT02165397, Phase 3, Completed, Pharmacyclics LLC.; results first posted 2020-11-16

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Ibrutinib With Rituximab in Adults With Waldenström's Macroglobulinemia. Trials, record NCT02165397. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02165397

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Ibrutinib With Rituximab in Adults With Waldenström's Macroglobulinemia
NCT number
NCT02165397
Status
Completed
Phases
Phase 3
Enrollment
181 participants, actual
Lead sponsor
Pharmacyclics LLC.
Conditions
Waldenström's Macroglobulinemia
Interventions
Ibrutinib, Placebo, Rituximab
First posted
2014-06-17
Last updated
2021-03-03
Results first posted
2020-11-16

Source ClinicalTrials.gov

Registered outcomes6

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryProgression Free Survival (PFS) Based on Independent Review Committee (IRC) Assessment - Kaplan Meier Landmark Estimates at Month 54Month 54 (median time on study: 49.7 months [Ibr+R and Pbo+R] and 57.9 months [Open-Label Ibr])
PFS was defined as the time from date randomization to date of first IRC-confirmed disease progression (PD) assessed according to the modified VIth International Workshop on Waldenström's Macroglobulinemia (IWWM) criteria (National Comprehensive Cancer Network \[NCCN\] 2014) or death due to any cause, whichever occurs first, regardless of the use of subsequent antineoplastic therapy prior to documented PD or death. As the median PFS was not reached in the Ibrutinib + Rituximab arm at the time of the analysis, Kaplan Meier landmark estimate of the PFS rate at 54 months (that is, the estimated percentage of participants with PFS at Month 54) is presented.
SecondaryOverall Response Rate (ORR) Based on IRC Assessment Up to 3 Years After Last Participant RandomizedMedian time on study: 49.7 months (Ibr+R and Pbo+R) and 57.9 months (Open-Label Ibr)
ORR, defined as the percentage of participants achieving a best overall response of protocol-specified complete response (CR), very good partial response (VGPR), or partial response (PR) per the IRC assessment at or prior to initiation of subsequent antineoplastic therapy and confirmed by 2 consecutive assessments. IRC assessment of response was conducted according to the modified VIth IWWM (NCCN 2014) criteria and incorporated assessments from the central radiology review. CR required complete resolution of lymphadenopathy/splenomegaly if present at baseline. VGPR and PR required reduction in lymphadenopathy/splenomegaly if present at baseline.. Kaplan-Meier estimate.
SecondaryTime to Next Treatment (TnT) Time From the Date of Randomization to the Start Date of Any Subsequent WM Treatment.Month 54 (median time on study: 49.7 months [Ibr+R and Pbo+R] and 57.9 months [Open-Label Ibr])
TTnT was measured from the date of randomization to the start date of any subsequent WM treatment. Participants without subsequent treatment were censored at the date of the last study visit. As the median TTnT was not reached in the Ibrutinib + Rituximab arm and the Open-Label Substudy arm at the time of the analysis, Kaplan Meier landmark estimate of the TTnT rate at 54 months (that is, the estimated percentage of participants not receiving subsequent WM treatment at Month 54) are presented.
SecondaryPercentage of Participants With Sustained Hemoglobin (Hgb) Improvement Up to 3 Years After Last Participant RandomizedMedian time on study: 49.7 months (Ibr+R and Pbo+R) and 57.9 months (Open-Label Ibr)
Percentage of participants achieving a sustained improvement in Hgb at or prior to initiation of subsequent antineoplastic therapy. Hgb improvement is defined as an increase of ≥ 2 g/dL over baseline regardless of baseline value, or an increase to \>11 g/dL with a ≥0.5 g/dL improvement if baseline is ≤ 11 g/dL. Sustained Hgb improvement is defined as improvement that is sustained continuously for ≥ 56 days (8 weeks) without blood transfusion or growth factors, which includes hemoglobin \> 110 g/L with at least a 5 g/L improvement if baseline ≤110 g/L or increase ≥20 g/L over baseline.
SecondaryPercentage of Participants With ≥ 3 Points Increase From Baseline by Week 25 in the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) Subscale ScoreBaseline, 25 weeks
Percentage of participants with ≥ 3 points increase from baseline by Week 25 in the FACIT-Fatigue subscale score.The FACIT-Fatigue is a 13-item questionnaire that assesses participant reported fatigue and its impact upon daily activities and function over the past 7 days. Each of the 13 items of the FACIT-Fatigue Scale ranges from 0-4, with a range of possible total scores from 0 (extreme fatigue) to 52 (no fatigue). Scores below 30 indicate severe fatigue.
SecondaryOverall Survival (OS) - Kaplan Meier Landmark Estimates at Month 54Month 54 (median time on study: 49.7 months [Ibr+R and Pbo+R] and 57.9 months [Open-Label Ibr])
OS, defined as the time from the date of randomization to the date of death from any cause. All deaths observed as the time of the analysis were considered as events. For participants who were not known to have died at the time of the analysis, OS data were censored at the date last known alive. As the median OS was not reached in any treatment arm at the time of the analysis, Kaplan Meier point estimates of the OS rate (that is, the estimated percentage of participants still surviving at Month 54) are presented.

Outcomes6

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProgression Free Survival (PFS) Based on Independent Review Committee (IRC) Assessment - Kaplan Meier Landmark Estimates at Month 54Month 54 (median time on study: 49.7 months [Ibr+R and Pbo+R] and 57.9 months [Open-Label Ibr])Intent to Treat population: all randomized/enrolled participantspercentage of participantsNUMBER
SECONDARYOverall Response Rate (ORR) Based on IRC Assessment Up to 3 Years After Last Participant RandomizedMedian time on study: 49.7 months (Ibr+R and Pbo+R) and 57.9 months (Open-Label Ibr)Intent to Treat population: all randomized/enrolled participantspercentage of participantsNUMBER
SECONDARYTime to Next Treatment (TnT) Time From the Date of Randomization to the Start Date of Any Subsequent WM Treatment.Month 54 (median time on study: 49.7 months [Ibr+R and Pbo+R] and 57.9 months [Open-Label Ibr])Intent to Treat population: all randomized/enrolled participantspercentage of participantsNUMBER
SECONDARYPercentage of Participants With Sustained Hemoglobin (Hgb) Improvement Up to 3 Years After Last Participant RandomizedMedian time on study: 49.7 months (Ibr+R and Pbo+R) and 57.9 months (Open-Label Ibr)Intent to Treat population: all randomized/enrolled participantspercentage of participantsNUMBER
SECONDARYPercentage of Participants With ≥ 3 Points Increase From Baseline by Week 25 in the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) Subscale ScoreBaseline, 25 weeksIntent to Treat population: all randomized/enrolled participantspercentage of participantsNUMBER
SECONDARYOverall Survival (OS) - Kaplan Meier Landmark Estimates at Month 54Month 54 (median time on study: 49.7 months [Ibr+R and Pbo+R] and 57.9 months [Open-Label Ibr])Intent to Treat population: all randomized/enrolled participantspercentage of participantsNUMBER

Results by group18

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Progression Free Survival (PFS) Based on Independent Review Committee (IRC) Assessment - Kaplan Meier Landmark Estimates at Month 54Ibrutinib + Rituximab68.095% Confidence Interval 54.8 to 78.1percentage of participants
Progression Free Survival (PFS) Based on Independent Review Committee (IRC) Assessment - Kaplan Meier Landmark Estimates at Month 54Placebo + Rituximab25.395% Confidence Interval 15.3 to 36.6percentage of participants
Progression Free Survival (PFS) Based on Independent Review Committee (IRC) Assessment - Kaplan Meier Landmark Estimates at Month 54Open-Label Substudy: Ibrutinib39.795% Confidence Interval 22.3 to 56.7percentage of participants
Overall Response Rate (ORR) Based on IRC Assessment Up to 3 Years After Last Participant RandomizedIbrutinib + Rituximab76.0percentage of participants
Overall Response Rate (ORR) Based on IRC Assessment Up to 3 Years After Last Participant RandomizedPlacebo + Rituximab30.7percentage of participants
Overall Response Rate (ORR) Based on IRC Assessment Up to 3 Years After Last Participant RandomizedOpen-Label Substudy: Ibrutinib77.4percentage of participants
Time to Next Treatment (TnT) Time From the Date of Randomization to the Start Date of Any Subsequent WM Treatment.Ibrutinib + Rituximab87.495% Confidence Interval 77.2 to 93.3percentage of participants
Time to Next Treatment (TnT) Time From the Date of Randomization to the Start Date of Any Subsequent WM Treatment.Placebo + Rituximab29.495% Confidence Interval 18.2 to 41.6percentage of participants
Time to Next Treatment (TnT) Time From the Date of Randomization to the Start Date of Any Subsequent WM Treatment.Open-Label Substudy: Ibrutinib64.695% Confidence Interval 44.1 to 79.2percentage of participants
Percentage of Participants With Sustained Hemoglobin (Hgb) Improvement Up to 3 Years After Last Participant RandomizedIbrutinib + Rituximab77.3percentage of participants

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDIbrutinib + Rituximab75
Overall StudySTARTEDPlacebo + Rituximab75
Overall StudySTARTEDOpen-Label Substudy: Ibrutinib31
Overall StudyCOMPLETEDIbrutinib + Rituximab61
Overall StudyCOMPLETEDPlacebo + Rituximab56
Overall StudyCOMPLETEDOpen-Label Substudy: Ibrutinib21
Overall StudyNOT COMPLETEDIbrutinib + Rituximab14
Overall StudyNOT COMPLETEDPlacebo + Rituximab19
Overall StudyNOT COMPLETEDOpen-Label Substudy: Ibrutinib10

Adverse events672

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersIbrutinib + Rituximab1775
otherAnaemiaBlood and lymphatic system disordersPlacebo + Rituximab2175
otherAnaemiaBlood and lymphatic system disordersOpen-Label Substudy: Ibrutinib531
otherIncreased tendency to bruiseBlood and lymphatic system disordersIbrutinib + Rituximab975
otherIncreased tendency to bruiseBlood and lymphatic system disordersPlacebo + Rituximab275
otherIncreased tendency to bruiseBlood and lymphatic system disordersOpen-Label Substudy: Ibrutinib831
otherLymphadenopathyBlood and lymphatic system disordersIbrutinib + Rituximab075
otherLymphadenopathyBlood and lymphatic system disordersPlacebo + Rituximab075
otherLymphadenopathyBlood and lymphatic system disordersOpen-Label Substudy: Ibrutinib231
otherNeutropeniaBlood and lymphatic system disordersIbrutinib + Rituximab1275

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityIbrutinib + Rituximab975
Total, all-cause mortalityPlacebo + Rituximab1075
Total, all-cause mortalityOpen-Label Substudy: Ibrutinib831
Total, other adverse eventsIbrutinib + Rituximab7575
Total, other adverse eventsPlacebo + Rituximab7575
Total, other adverse eventsOpen-Label Substudy: Ibrutinib3031
Total, serious adverse eventsIbrutinib + Rituximab4075
Total, serious adverse eventsPlacebo + Rituximab2575
Total, serious adverse eventsOpen-Label Substudy: Ibrutinib1631

Papers6

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
27956157BACKGROUNDPubMed
29856685BACKGROUNDPubMed
34380643DERIVEDPubMed
34606378DERIVEDPubMed
36815271DERIVEDPubMed
40674744DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02165397

GET https://conductscience.org/api/trials/v1/NCT02165397/events?page=2