What this study is
The purpose of this study is to evaluate the safety and efficacy of nemtabrutinib (formerly ARQ 531) in participants with hematologic malignancies of chronic lymphocytic leukemia (CLL)/ small lymphocytic lymphoma (SLL), Richter's transformation, marginal zone lymphoma (MZL), mantle cell lymphoma (MCL), follicular lymphoma (FL), and Waldenström's macroglobulinemia (WM).
What's being tested
- Nemtabrutinib
Intervention · DRUG
Nemtabrutinib tablets administered orally QD.
Study details
- Official title
- A Phase 2 Study to Evaluate the Efficacy and Safety of MK-1026 in Participants With Hematologic Malignancies
- Sponsor
- Merck Sharp & Dohme LLC
- Conditions
- Hematologic Malignancies · Waldenstroms Macroglobulinaemia · Non-Hodgkins Lymphoma · Chronic Lymphocytic Leukaemia
- Enrolling
- 490 people
- Starts
- 2021-04-05
- Est. completion
- 2029-01-04
- Design
- Open-label, single group, Phase 2
- Record
- View on ClinicalTrials.gov ↗
Who can join
Age 18 Years and overSex ALLHealthy volunteers Not acceptedYou may qualify if
- Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2 within 7 days before C1D1 (the first dose of study treatment)
- Has a life expectancy of at least 3 months, based on the investigator assessment
- Has the ability to swallow and retain oral medication
- Participants who are Hepatitis B surface antigen (HBsAg)-positive are eligible if they have received Hepatitis B virus (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV viral load prior to randomization
- Participants with history of Hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable at screening
- Has adequate organ function
- Male participants agree to refrain from donating sperm and agree to either remain abstinent from penile-vaginal intercourse as their preferred and usual lifestyle OR agree to use contraception, during the intervention period and for at least the time required to eliminate the study intervention after last dose of study intervention
- Female participants assigned female sex at birth who are not pregnant or breastfeeding are eligible to participate if not a participant of childbearing potential (POCBP), or if a POCBP they either use a contraceptive method that is highly effective OR remain abstinent from penile-vaginal intercourse as their preferred and usual lifestyle during the intervention period and for at least to eliminate study intervention after the last dose of study intervention
- Participants with Human immunodeficiency virus (HIV) are eligible if they meet all of the following: the CD4 count is >350 cells/uL at screening, the HIV viral load is below the detectable level, are on a stable ART regimen for at least 4 weeks prior to study entry, and are compliant with their ART Part 1 and Part 2 (Cohorts A to C and J)
- Has a confirmed diagnosis of Chronic lymphocytic leukemia/ Small lymphocytic lymphoma (CLL/SLL) with; At least 2 lines of prior therapy (Part 1 only); Part 2 Cohort A: CLL/SLL participants who are relapsed or refractory to prior therapy with a covalent, irreversible Bruton's tyrosine kinase inhibitor (BTKi), and a B-cell lymphoma 2 inhibitor (BCL2i). CLL participants must have received and failed, been intolerant to, or determined by their treating physician to be a poor phosphoinositide 3-kinase inhibitor (PI3Ki) candidate or ineligible for a PI3Ki per local guidelines; Part 2 Cohort B: CLL/SLL participants who are relapsed or refractory following at least 1 line of prior therapy and are BTKi treatment naive; Part 2 Cohort C: CLL/SLL participants with 17p deletion or tumor protein p53 (TP53) mutation who are relapsed or refractory following at least 1 line of prior therapy; Part 2 Cohort J: CLL/SLL participants whose disease relapsed or was refractory to prior therapy with a covalent/irreversible BTKi and BCL2i. NOTE: As of Protocol Amendment 09, at least 10 CLL/SLL participants whose disease relapsed or was refractory to prior therapy with a covalent/irreversible BTKi, BCL2i and noncovalent/reversible BTKi (all three classes of therapies are required) will be enrolled into Cohort J; Has active disease for CLL/SLL clearly documented to initiate therapy; For SLL participants in Part 2: Has evaluable core or excisional lymph node biopsy for biomarker analysis from an archival or newly obtained biopsy or bone marrow aspirate at Screening (optional for participants enrolling in Part 1) Part 2 (Cohorts D to G)
- Has a confirmed diagnosis of and meets the following prior therapy requirements:; Participants with Richter's transformation who are relapsed or refractory following at least 1 line of prior therapy (Cohort D); Participants with pathologically confirmed Mantle-cell lymphoma (MCL), documented by either overexpression of cyclin D1 or t (11;14), who are relapsed or are refractory to chemoimmunotherapy and a covalent irreversible BTKi (Cohort E); Participants with Marginal zone lymphoma (MZL) (including splenic, nodal, and extra nodal MZL) who are relapsed or refractory to at least one prior line of systemic therapy including an anti-CD20-based regimen; Participants with Follicular lymphoma (FL) who are relapsed or refractory to chemoimmunotherapy and immunomodulatory agents (such as lenalidomide based regimen) (Cohort G); Have measurable disease defined as at least 1 lesion that can be accurately measured in at least 2 dimensions with spiral Computed tomography (CT) scan; Has a lymph node biopsy for biomarker analysis from an archival or newly obtained biopsy or bone marrow aspirate (Cohort D) at Screening Part 2 (Cohort H): confirmed diagnosis of Waldenström's macroglobulinemia (WM); participants who are relapsed or refractory to standard therapies for WM including chemoimmunotherapy and a covalent irreversible BTKi; Has active disease defined as 1 of the following: systemic symptoms, physical findings, laboratory abnormalities, coexisting disease; Has measurable disease, satisfying any of the following: at least 1 lesion that can be accurately measured in at least 2 dimensions with spiral CT scan (minimum measurement must be >15 mm in the longest diameter or >10 mm in the short axis); IgM ≥450 mg/dL; or bone marrow infiltration of 10%; Has fresh bone marrow aspirate or a lymph node biopsy for biomarker analysis at Screening or a lymph node biopsy from an archival
You can't join if
- Has active HBV/HCV infection (Part 1 and Part 2)
- Has a history of malignancy ≤3 years before providing documented informed consent. Participants with basal cell carcinoma of skin, squamous cell carcinoma of skin, or carcinoma in situ (e.g., breast carcinoma, cervical cancer in situ) that have undergone potential curative therapy are not excluded. Participants with low-risk, early-stage prostate cancer (T1-T2a, Gleason score ≤6, and prostate-specific antigen <10 ng/mL) either treated with definitive intent or untreated in active surveillance with SD are not excluded
- Has active central nervous system (CNS) disease
- Has an active infection requiring systemic therapy
- Has received prior systemic anti-cancer therapy within 5 half-lives or 4 weeks (if prior therapy was a monoclonal antibody) before C1D1
- Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks prior to the first dose of study intervention
- Has any clinically significant gastrointestinal abnormalities that might alter absorption
- History of severe bleeding disorders
Sign in and we'll check these against your records.Full criteria on ClinicalTrials.gov ↗
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Study locations (121)
94 openHighlands Oncology Group ( Site 2728)
Springdale, Arkansas, United States
- Study Coordinator · Contact479-872-8130
RecruitingUniversity of California San Diego Moores Cancer Center ( Site 2717)
La Jolla, California, United States
- Study Coordinator · Contact858-534-5201
RecruitingColorado Blood Cancer Institute ( Site 2726)
Denver, Colorado, United States
- Study Coordinator · Contact720-754-4800
RecruitingAstera Cancer Care ( Site 2732)
East Brunswick, New Jersey, United States
- Study Coordinator · Contact732-672-6405
RecruitingJohn Theurer Cancer Center at Hackensack University Medical Center ( Site 2704)
Hackensack, New Jersey, United States
- Study Coordinator · Contact551-996-3003
RecruitingUT Southwestern-Harold C. Simmons Cancer Center ( Site 2730)
Dallas, Texas, United States
- Study Coordinator · Contact972-695-9450
RecruitingMedical Oncology Associates (Summit Cancer Centers) ( Site 2710)
Spokane, Washington, United States
- Study Coordinator · Contact509-462-2273
RecruitingLundquist Institute for Biomedical Innovation at Harbor-UCLA-Hematology and Medical Oncology ( Site 2724)
Torrance, California, United States
CompletedThe University of Louisville, James Graham Brown Cancer Center ( Site 2729)
Louisville, Kentucky, United States
CompletedMayo Clinic - Rochester ( Site 2706)
Rochester, Minnesota, United States
Active, not recruitingSanford Fargo Medical Center-Roger Maris Cancer Center ( Site 2708)
Fargo, North Dakota, United States
Completed
110 sites outside the US
Hospital Aleman ( Site 0102)
Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina
- Study Coordinator · Contact+541148277000
RecruitingCentro de Educación Médica e Investigaciones Clínicas (CEMIC) ( Site 0103)
Buenos Aires, Buenos Aires F.D., Argentina
- Study Coordinator · Contact+541152990247
RecruitingFundacion Estudios Clinicos ( Site 0112)
Rosario, Santa Fe Province, Argentina
- Study Coordinator · Contact+54 0341 238 4171
Recruiting- Recruiting
Hospital Privado Universitario de Córdoba ( Site 0107)
Córdoba, Argentina
- Study Coordinator · Contact+541569634187
Recruiting- Recruiting
Sir Charles Gairdner Hospital ( Site 0200)
Nedlands, Western Australia, Australia
- Study Coordinator · Contact+61864573333
RecruitingHospital das Clinicas FMUSP-Pesquisa Clínica Hematologia ( Site 0303)
São Paulo, São Paulo, Brazil
- Study Coordinator · Contact551145737543
RecruitingInstituto Nacional do Cancer Jose Alencar Gomes da Silva INCA ( Site 0300)
Rio de Janeiro, Brazil
- Study Coordinator · Contact+552132076564
RecruitingHospital Paulistano - Amil Clinical Research ( Site 0311)
São Paulo, Brazil
- Study Coordinator · Contact+551130161340
RecruitingArthur J.E. Child Comprehensive Cancer Centre ( Site 0401)
Calgary, Alberta, Canada
- Study Coordinator · Contact4035213723
Recruiting- Recruiting
Princess Margaret Cancer Centre-Division of Medical Oncology and Hematology ( Site 0406)
Toronto, Ontario, Canada
- Study Coordinator · Contact416-946-2827
RecruitingCIUSSS de l Est de L Ile de Montreal - Hopital Maisonneuve-Rosemont ( Site 0403)
Montreal, Quebec, Canada
- Study Coordinator · Contact5142523400
RecruitingJewish General Hospital ( Site 0400)
Montreal, Quebec, Canada
- Study Coordinator · Contact5143408222 x 24572
RecruitingPeking University Third Hospital-Hematology ( Site 2827)
Beijing, Beijing Municipality, China
- Study Coordinator · Contact010-82266699
RecruitingLiuzhou People's Hospital ( Site 2817)
Liuzhou, Guangxi, China
- Study Coordinator · Contact+8607722662950
RecruitingGuangxi Medical University Cancer Hospital ( Site 2814)
Nanning, Guangxi, China
- Study Coordinator · Contact+8607715323174
RecruitingHenan Cancer Hospital-hematology department ( Site 2802)
Zhengzhou, Henan, China
- Study Coordinator · Contact0371-65588007
Recruiting- Recruiting
The Second Xiangya Hospital of Central South University ( Site 2820)
Changsha, Hunan, China
- Study Coordinator · Contact+8613975806137
Recruiting- Recruiting
Jiangsu Province Hospital ( Site 2823)
Nanjing, Jiangsu, China
- Study Coordinator · Contact025-86211033
RecruitingThe First Affiliated Hospital of Nanchang University ( Site 2815)
Nanchang, Jiangxi, China
- Study Coordinator · Contact13970038386
RecruitingThe First Hospital of Jilin University-Hematology ( Site 2803)
Changchun, Jilin, China
- Study Coordinator · Contact0431-88786014
RecruitingFudan University Shanghai Cancer Center ( Site 2801)
Shanghai, Shanghai Municipality, China
- Study Coordinator · Contact+8602164175590
RecruitingHuashan Hospital, Fudan University ( Site 2821)
Shanghai, Shanghai Municipality, China
- Study Coordinator · Contact021-52889999
RecruitingWest China Hospital Sichuan University ( Site 2810)
Chengdu, Sichuan, China
- Study Coordinator · Contact+86028-85422114
RecruitingInstitute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Unio ( Site 2800)
Tianjin, Tianjin Municipality, China
- Study Coordinator · Contact+8615900265415
RecruitingThe First Affiliated Hospital, Zhejiang University ( Site 2826)
Hangzhou, Zhejiang, China
- Study Coordinator · Contact057187236114
RecruitingFakultní nemocnice Brno Bohunice-Interni hematologicka a onkologicka klinika ( Site 0600)
Brno, Brno-mesto, Czechia
- Study Coordinator · Contact+420532233642
RecruitingFakultni nemocnice Hradec Kralove ( Site 0601)
Hradec Králové, Czechia
- Study Coordinator · Contact+420495832159
RecruitingAalborg Universitetshospital ( Site 0703)
Aalborg, North Denmark, Denmark
- Study Coordinator · Contact+45 97660000
RecruitingSjællands Universitetshospital Køge ( Site 0701)
Koege, Region Sjælland, Denmark
- Study Coordinator · Contact+45 46323200
RecruitingCentre Hospitalier Universitaire de Nice - Hôpital l'Archet ( Site 0810)
Nice, Alpes-Maritimes, France
- Study Coordinator · Contact+33 4 92 03 57 85
RecruitingCentre Hospitalier Lyon-Sud ( Site 0804)
Pierre-Bénite, Auvergne-Rhône-Alpes, France
- Study Coordinator · Contact+33478864348
RecruitingInstitut Paoli-Calmettes ( Site 0803)
Marseille, Bouches-du-Rhone, France
- Study Coordinator · Contact+33491223537
Recruiting- Recruiting
Universitaetsklinikum Ulm. ( Site 0906)
Ulm, Baden-Wurttemberg, Germany
- Study Coordinator · Contact+ 49 731 500 45901
RecruitingUniversitaetsklinikum Koeln ( Site 0901)
Cologne, North Rhine-Westphalia, Germany
- Study Coordinator · Contact+4922147897046
RecruitingUniversitaetsklinikum Carl Gustav Carus ( Site 0902)
Dresden, Saxony, Germany
- Study Coordinator · Contact0049 351 458 5692
RecruitingPecsi Tudomanyegyetem Altalanos Orvostudomanyi Kar ( Site 1202)
Pécs, Baranya, Hungary
- Study Coordinator · Contact+3672536000
RecruitingDebreceni Egyetem Klinikai Kozpont ( Site 1201)
Debrecen, Hajdú-Bihar, Hungary
- Study Coordinator · Contact+3652255196
RecruitingSzabolcs Szatmár Bereg Vármegyei Oktatókórház ( Site 1206)
Nyíregyháza, Szabolcs-Szatmár-Bereg, Hungary
- Study Coordinator · Contact+3642599700
Recruiting- Recruiting
- Recruiting
- Recruiting
- Recruiting
- Recruiting
- Recruiting
- Recruiting
- Recruiting
- Recruiting
A.O. Universitaria Policlinico S. Orsola-Malpighi ( Site 1400)
Bologna, Italy
- Study Coordinator · Contact+390516363680
Recruiting- Recruiting
- Recruiting
Istituto Nazionale Tumori IRCCS Fondazione Pascale ( Site 1403)
Naples, Italy
- Study Coordinator · Contact+39 0815903 382
RecruitingFondazione IRCCS Policlinico San Matteo ( Site 1407)
Pavia, Italy
- Study Coordinator · Contact+39 0382503084
RecruitingIRCCS - Arcispedale Santa Maria Nuova ( Site 1405)
Reggio Emilia, Italy
- Study Coordinator · Contact+39 0522295654
RecruitingPratia MCM Krakow ( Site 1601)
Krakow, Lesser Poland Voivodeship, Poland
- Study Coordinator · Contact48 12 2954135
RecruitingNarodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Kilinka Onkologii I Hematologii ( Site 1608)
Warsaw, Masovian Voivodeship, Poland
- Study Coordinator · Contact+48225462223
RecruitingSpitalul Clinic Colțea ( Site 1805)
Bucharest, Bucharest, Romania
- Study Coordinator · Contact0040213874100
RecruitingCentrul de Diagnostic si Tratament Oncologic Brasov ( Site 1802)
Brasov, Romania
- Study Coordinator · Contact0729075567
RecruitingInstitutul Regional de Oncologie Iasi ( Site 1801)
Iași, Romania
- Study Coordinator · Contact40374278811
RecruitingSeverance Hospital Yonsei University Health System ( Site 2201)
Seoul, South Korea
- Study Coordinator · Contact+82222281972
Recruiting- Recruiting
Instituto Catalan de Oncologia ICO - Hospital Duran i Reynals ( Site 2000)
L'Hospitalet de Llobregat, Barcelona, Spain
- Study Coordinator · Contact+34932607750
RecruitingHospital Universitario de Salamanca ( Site 2002)
Salamanca, Castille and León, Spain
- Study Coordinator · Contact34923 29 11 00x55974
RecruitingCHUAC-Complejo Hospitalario Universitario A Coruña ( Site 2005)
A Coruña, La Coruna, Spain
- Study Coordinator · Contact34981178000
RecruitingHospital General Universitario de Alicante ( Site 2007)
Alicante, Spain
- Study Coordinator · Contact965 93 30 00
RecruitingHospital Universitari Vall d'Hebron ( Site 2001)
Barcelona, Spain
- Study Coordinator · Contact+34934893806
RecruitingHospital Universitario 12 de Octubre ( Site 2003)
Madrid, Spain
- Study Coordinator · Contact+34917792809
Recruiting- Recruiting
Inselspital Bern ( Site 2303)
Bern, Canton of Bern, Switzerland
- Study Coordinator · Contact+41316329023
RecruitingIstituto Oncologica della Svizzera Italiana (IOSI) ( Site 2302)
Bellinzona, Canton Ticino, Switzerland
- Study Coordinator · Contact+41918118540
RecruitingAnkara Universitesi Tip Fakultesi Cebeci Hastanesi ( Site 2400)
Ankara, Turkey (Türkiye)
- Study Coordinator · Contact+903125957099
RecruitingSisli Florence Nightingale Hastanesi ( Site 2407)
Istanbul, Turkey (Türkiye)
- Study Coordinator · Contact+90 542 502 50 75
RecruitingInstit. of Blood Transfusion Medicine of the National Academy ( Site 2506)
Lviv, Lviv Oblast, Ukraine
- Study Coordinator · Contact+380322352276
Recruiting- Recruiting
Bristol Haematology and Oncology Centre ( Site 2610)
Bristol, Bristol, City of, United Kingdom
- Study Coordinator · Contact01173426733
RecruitingNottingham University Hospitals NHS Trust. City Hospital Campus ( Site 2601)
Nottingham, England, United Kingdom
- Study Coordinator · Contact+441159691169
RecruitingGenesisCare - Windsor ( Site 2608)
Windsor, England, United Kingdom
- Study Coordinator · Contact+447989474250
RecruitingSarah Cannon Research Institute UK ( Site 2612)
London, London, City of, United Kingdom
- Study Coordinator · Contact02032195234
RecruitingGenesisCare - Oxford ( Site 2607)
Oxford, Oxfordshire, United Kingdom
- Study Coordinator · Contact+447989474250
RecruitingGenesisCare - Cambridge ( Site 2611)
Newmarket, Suffolk, United Kingdom
- Study Coordinator · Contact01223 655145
RecruitingThe Royal Marsden NHS Foundation Trust. ( Site 2606)
Sutton, Surrey, United Kingdom
- Study Coordinator · Contact020 8642 6011
RecruitingThe Christie NHS Foundation Trust ( Site 2602)
Manchester, United Kingdom
- Study Coordinator · Contact01619561217
RecruitingFundacion Centro Oncologico de Integración Regional-Medical Oncology ( Site 0110)
Mendoza, Argentina
CompletedNepean Hospital-Nepean Cancer Care Centre ( Site 0204)
Sydney, New South Wales, Australia
CompletedBP - A Beneficencia Portuguesa de São Paulo ( Site 0302)
São Paulo, Brazil
Active, not recruitingAnhui Provincial Hospital ( Site 2808)
Hefei, Anhui, China
Active, not recruitingThe Second Affiliated Hospital of Chongqing Medical University ( Site 2825)
Chongqing, Chongqing Municipality, China
Active, not recruitingSun Yat-sen University Cancer Center-Internal Medicine ( Site 2824)
Guangzhou, Guangdong, China
Active, not recruitingThe Affiliated Hospital of Xuzhou Medical College ( Site 2818)
Xuzhou, Jiangsu, China
CompletedAarhus University Hospital ( Site 0702)
Aarhus N, Central Jutland, Denmark
CompletedOdense University Hospital ( Site 0705)
Odense C, Region Syddanmark, Denmark
CompletedCentre Hospitalier de Versailles ( Site 0809)
Le Chesnay, Yvelines, France
CompletedSt. Marien-Krankenhaus Siegen ( Site 0914)
Siegen, North Rhine-Westphalia, Germany
CompletedUniversity Hospital Limerick ( Site 2903)
Limerick, Ireland
Active, not recruitingIstituto Tumori Giovanni Paolo II ( Site 1409)
Bari, Italy
CompletedPoliclinico Umberto I ( Site 1404)
Roma, Italy
CompletedUniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wrocławiu ( Site 1606)
Wroclaw, Lower Silesian Voivodeship, Poland
CompletedSzpital Wojewódzki w Opolu-Hematology Department ( Site 1607)
Opole, Opole Voivodeship, Poland
CompletedSzpitale Pomorskie Sp. z o.o. ( Site 1600)
Gdynia, Pomeranian Voivodeship, Poland
CompletedOvidius Clinical Hospital ( Site 1804)
Ovidiu, Constanța County, Romania
CompletedMega Medipol-Hematology ( Site 2406)
Stanbul, Istanbul, Turkey (Türkiye)
Active, not recruitingVKV Amerikan Hastanesi ( Site 2403)
Istanbul, Turkey (Türkiye)
CompletedDokuz Eylül Üniversitesi-Hematology ( Site 2402)
Izmir, Turkey (Türkiye)
Active, not recruitingMNPE ClinCenter of Oncology,Hematology,Transplantology and Palliative Care of CherkasyRegCouncil ( Site 2509)
Cherkassy, Cherkasy Oblast, Ukraine
Active, not recruitingCommunal non-profit enterprise "Regional clinical hospital o-Hematology Department ( Site 2510)
Ivano-Frankivsk, Ivano-Frankivsk Oblast, Ukraine
Completed
Study team
Sponsor
Merck Sharp & Dohme LLC
Study ID 1026-003
Study director
Medical Director
Merck Sharp & Dohme LLC
Frequently asked questions
The sponsor hasn't published answers to common questions for this trial.