1 |
2 |
|
16 |
involvement |
10 |
2 |
6 |
adequate |
8 |
studies |
5 |
3 |
25 |
for patients with solid tumors without known |
5 |
|
5 |
4 |
1 |
has adequate |
3 |
involvement peripheral absolute neutrophil count anc > = 1000 / mcL |
3 |
5 |
33 |
absolute neutrophil count anc > = 1500 unless due to direct |
3 |
involvement with lymphoma |
3 |
6 |
16 |
subjects must have adequate |
2 |
involvement of disease |
3 |
7 |
47 |
absolute neutrophil count > = 1000 / mcL unless due to heavily infiltrated |
2 |
involvement by lymphoma |
3 |
8 |
50 |
subjects with neutrophils < 1500 / mcL or Platelets < 100 000 / mcL with splenomegaly or extensive |
2 |
. |
3 |
9 |
60 |
for subjects with solid tumors without known |
2 |
> = 80 cll cell infiltrate |
3 |
10 |
85 |
absolute neutrophil count anc > = 1000 / mcL unless due to |
2 |
involvement . |
2 |
11 |
104 |
lymphoma participants without |
2 |
involvement with > = 5 lymphoblasts |
2 |
12 |
3 |
hematologic anc 1 . 5 x 109 / l hgb 9 . 0 g / dl and Platelets count 100 x 109 / l Platelets count > = 75 x 109 / l if documented evidence of |
1 |
involvement of tumor |
2 |
13 |
8 |
adequate hematologic function absolute neutrophil count anc 1 . 0 109 / l Platelets count 100 . 0 109 / l and hemoglobin 8 . 0 g / dl patients with |
1 |
highly infiltrated with cll cells e . g . > = 80 |
2 |
14 |
10 |
inadequate |
1 |
involvement as the etiology for their cytopenias are eligible |
2 |
15 |
11 |
patient must have adequate |
1 |
and malignancy is documented in the bone marrow |
2 |
16 |
17 |
12 . adequate |
1 |
involvement are not eligible |
2 |
17 |
20 |
patients must have adequate |
1 |
infiltration do not have to meet hematologic eligibility criteria significant bone marrow infiltration is defined as > = 50 involvement by cll |
2 |
18 |
28 |
Platelets count > = 50000 / mcL for patients with solid tumors and known |
1 |
involvement with disease |
2 |
19 |
29 |
absolute neutrophil count > = 1000 / mcL unless documented |
1 |
involvement are allowed at the investigator s discretion regardless of cytopenias |
2 |
20 |
30 |
within 10 days of treatment initiation absolute neutrophil count anc > = 1000 / mcL or > = 750 in subjects with |
1 |
function defined as Platelets count > = 100 x 109 / l hemoglobin > = 9 . 0 g / dl absolute neutrophil count > = 1 . 5 x 109 / l . |
1 |
21 |
32 |
absolute neutrophil count anc > = 750 / mcL for subjects without |
1 |
reserve consistent with absolute neutrophil count 1 . 5 x 109 / l Platelets count 100 x 109 / l and hemoglobin 9 g / dl without transfusion within 1 week preceding the administration of the study drugs |
1 |
22 |
34 |
absolute neutrophil count anc 1500 cells / mm3 1 . 5 x 109 / l unless secondary to extensive |
1 |
reserve consistent with absolute neutrophil count anc > = 1500 per micro liter / mcL Platelets count > = 100 000 / mcL hemoglobin a1c hba1c less than < 6 . 5 percent . |
1 |
23 |
35 |
Platelets count 100 000 / mm3 100 x 109 / l unless secondary to extensive |
1 |
impairment as evidenced by hemoglobin < 10 . 0 g / dl neutrophil count < 1 . 0 109 / l Platelets < 100 109 / l |
1 |
24 |
36 |
absolute neutrophil count anc > = 750 / mcL if these cytopenias are not judged by the investigator to be due to underlying disease i . e . potentially reversible with anti neoplastic therapy a subject will not be excluded because of pancytopenia > = grade 3 if it is due to disease based on the resmcLts of |
1 |
function as defined below r n absolute neutrophil count 1 . 5x109 / l 1500 per mm3 r n Platelets 100x109 / l 100 000 per mm3 r n hemoglobin > = 9 . 0 g / dl |
1 |
25 |
37 |
Platelets count > = 50000 / mcL if these cytopenias are not judged by the investigator to be due to underlying disease i . e . potentially reversible with anti neoplastic therapy a subject will not be excluded because of pancytopenia > = grade 3 if it is due to disease based on the resmcLts of |
1 |
reserve absolute neutrophil count 1 . 5000 / mcL Platelets count 100 000 / mcL hemoglobin 9 . 0 g / dl . must not have required blood transfusion within 1 week of baseline blood count assessment . |
1 |
26 |
38 |
absolute neutrophil count anc > = 1000 / mcL r n exception unless documented |
1 |
involvement will not be evaluable for hematologic dlt and can enroll with anc 0 . 75 109 / l Platelets count 50 . 0 109 / l and hemoglobin 8 . 0 g / dl |
1 |
27 |
40 |
absolute neutrophil count anc 750 / mcL r n the above criteria do not have to be met if the patient has |
1 |
function for portion a absolute neutrophil count anc 1 . 5 x 109 / l Platelets count 100 x 109 / l hemoglobin > = 9 . 0 g / dl . for portion b anc 1 . 0 x 109 / l Platelets count 75 x 109 / l |
1 |
28 |
41 |
Platelets count 75000 / mcL r n the above criteria do not have to be met if the patient has |
1 |
function per protocol specified hemoglobin Platelets count and absolute neutrophil count |
1 |
29 |
43 |
anc < 0 . 5000 / mcL or Platelets count < 50000 / mcL unless due to disease involvement in the |
1 |
function as evidenced by absolute neutrophil count 1 . 5 10 9 / l hemoglobin > = 9 g / dl patients are allowed to be transfused to this level Platelets 75 10 9 / l |
1 |
30 |
44 |
Platelets count > = 50000 / mcL in the absence of |
1 |
function as assessed by absolute neutrophil count anc 1500 / mm3 hemoglobin 9 . 0 g / dl and Platelets count 100 000 / mm3 . |
1 |
31 |
45 |
absolute neutrophil count > = 1000 / mcL in the absence of |
1 |
reserve absolute neutrophil count anc 1 . 5 x 109 / l . Platelets 100 x 109 / l . hemoglobin 9 g / dl . |
1 |
32 |
46 |
Platelets count > = 50000 / mcL unless due to heavily infiltrated |
1 |
function defined as a hemoglobin > = 9 g / dl absolute neutrophil count anc 1 . 5 10 / l and Platelets count 100 000 / mm . for subjects who received chemotherapy for melanoma just prior to screening for the study subject needs to have a hemoglobin > = 9 g / dl absolute neutrophil count anc > = 2 10 / l |
1 |
33 |
48 |
absolute neutrophil count 1000 / mcL unless due to disease involvement in the |
1 |
function patients must have adequate bone marrow function defined as a peripheral absolute neutrophil count 1000 / µl Platelets count 100 000 / µl transfusion independent and hemoglobin 8 . 0 gm / dl |
1 |
34 |
49 |
adequate hematologic function Platelets and absolute neutrophil count anc values in accordance with ongoing ibrutinib studies for patients with cll unless cytopenias are due to |
1 |
function as assessed by the following hemoglobin > = 9 . 0 g / dl or > = 5 . 6 mmol / l absolute neutrophil count anc > = 1 . 500 / mcL or > = 1 . 5000 / mcL ctcae grade < = 1 Platelets count > = 100 000 / mcL or > = 100 000 / mcL |
1 |
35 |
51 |
absolute neutrophil count anc > = 750 / mcL r n if these cytopenias are not judged by the investigator to be due to underlying disease i . e . potentially reversible with anti neoplastic therapy a subject will not be excluded because of pancytopenia > = grade 3 if it is due to disease based on the resmcLts of |
1 |
function hemoglobin 9 . 0 g / dl Platelets 100 x 109 / l absolute neutrophil count anc 1 . 5 x 109 / l without the use of hematopoietic growth factors . |
1 |
36 |
52 |
Platelets count > = 50000 / mcL r n if these cytopenias are not judged by the investigator to be due to underlying disease i . e . potentially reversible with anti neoplastic therapy a subject will not be excluded because of pancytopenia > = grade 3 if it is due to disease based on the resmcLts of |
1 |
function subjects other than those with aitl as evidenced by absolute neutrophil count 1 . 0 109 / l hemoglobin > = 9 g / dl subjects may be transfused red blood cells to this level . Platelets 50 109 / l |
1 |
37 |
53 |
absolute lymphocyte count > = 150 / mcL r n if these cytopenias are not judged by the investigator to be due to underlying disease i . e . potentially reversible with anti neoplastic therapy a subject will not be excluded because of pancytopenia > = grade 3 if it is due to disease based on the resmcLts of |
1 |
function defined as Platelets count > = 100 x 10 9 / l hemoglobin level > = 9 . 0 g / dl absolute neutrophil count > = 1 . 5 x 10 9 / l |
1 |
38 |
55 |
diffuse |
1 |
function defined as an absolute neutrophil count > = 1 . 5000 / mcL and a Platelets count > = 100 000 / mcL . |
1 |
39 |
56 |
absolute neutrophil count > = 1000 / mcL unless decreased due to |
1 |
absolute neutrophil count anc 1 . 5 x 109 / l hemoglobin hgb 9 g / dl Platelets 100 x 109 / l |
1 |
40 |
57 |
absolute neutrophil count anc > = 1000 / mcL unless due to disease involvement in the |
1 |
function neutrophil count > = / = 1000 / mm3 Platelets count > = / = 75000 / mm3 and hemoglobin concentration > = / = 8 . 0 g / dl . |
1 |
41 |
58 |
absolute neutrophil count anc > = 1000 / mcL unless deemed related to lymphoma involvement in the |
1 |
function defined as an absolute neutrophil count anc of > = > = 1 . 5 109 per liter / l Platelets count > = 100 109 / l and hemoglobin > = 9 gram per deciliter g / dl . receiving transfusions or hematopoietic growth factors to meet enrollment criteria is not allowed within 14 days preceding the first dose of study drug . |
1 |
42 |
61 |
Platelets count > = 75 10 9 / l > = 30 10 9 / l if myeloma involvement in the |
1 |
reserve consistent with absolute neutrophil count anc 1 . 5 10 9 / l Platelets count 100 10 9 / l hemoglobin hgb 9 g / dl . |
1 |
43 |
62 |
absolute neutrophil count anc > = 1 . 5000 / mcL anc < 1 . 5000 / mcL if cytopenia is due to extensive |
1 |
metastatic disease |
1 |
44 |
65 |
absolute neutrophil count of less than 1000 cells / mcL unless low neutrophil count is thought to be due to malignancy in the |
1 |
involvement by lymphoma ie 50 as demonstrated by unilateral bone marrow core biopsy performed during screening or within 3 months prior to signing the icf . in the case of documented extensive bone marrow involvement an anc 1000 cells / mm3 1 . 0 x 109 / l is required . |
1 |
45 |
66 |
Platelets count less than 30000 / mcL unless low Platelets count is thought to be due to malignancy in the |
1 |
involvement by lymphoma ie 50 as demonstrated by unilateral bone marrow core biopsy performed during screening or within 3 months prior to signing the icf . in the case of documented extensive bone marrow involvement a Platelets count of 75000 / mm3 75 x 109 / l is required . |
1 |
46 |
67 |
patients must have evidence of adequate |
1 |
function defined as for patients without bone marrow involvement peripheral absolute neutrophil count anc > = 750 / mcL |
1 |
47 |
68 |
and patients must have evidence of adequate |
1 |
involvement patients with bone marrow involvement only require a Platelets count of > = 30000 / mcL |
1 |
48 |
70 |
to be performed within 14 days prior to day 1 of protocol therapy absolute neutrophil count anc > = 1000 / mcL r n note growth factor is not permitted within 7 days of anc assessment unless cytopenia is secondary to disease involvement r n exception unless documented |
1 |
involvement patients with bone marrow involvement are not required to have a minimum absolute neutrophil count |
1 |
49 |
73 |
these hematologic function criteria must be met by all patients regardless of |
1 |
cellmcLarity of > = 20 with < 5 involvement with tumor |
1 |
50 |
75 |
Platelets > = 50000 / mcL independent of transfusion support with no active bleeding and absolute neutrophil count > = 1000 / mcL unless due to disease involvement in the |
1 |
involvement confirmed by super scans |
1 |
51 |
76 |
absolute neutrophil count anc > = 1000 / mcL if no |
1 |
and felt potentially reversible by the treating physician |
1 |
52 |
77 |
patients with known |
1 |
involvement peripheral absolute neutrophil count anc > = 750 / mcL |
1 |
53 |
78 |
for patients with solid tumors without |
1 |
is > = 50 |
1 |
54 |
80 |
phase 1 part a patients with known |
1 |
involvement of disease as determined by the treating physician |
1 |
55 |
81 |
Platelets count 50 109 / l 30 109 / l if wm involvement in the |
1 |
reserve as shown by absolute neutrophil count anc of at least 1000 / mcL however if the cytopenias are due to extensive bone marrow involvement by cll patients may be included in the study |
1 |
56 |
82 |
patients with greater than 25 involvement of the |
1 |
reserve as shown by Platelets count of at least 50000 / mcL however if the cytopenias are due to extensive bone marrow involvement by cll patients may be included in the study |
1 |
57 |
84 |
anc 0 . 5000 / mcL or Platelets count 50000 / mcL unless due to disease involvement in the |
1 |
function absolute neutrophil count 1500 / µl and Platelets 100 000 / µl |
1 |
58 |
86 |
patients known to have |
1 |
function independent of growth factor support at screening unless clearly due to marrow involvement by cll and / or disease related immune thrombocytopenia if cytopenias are due to disease in the bone marrow any degree of cytopenias are allowed patients with active uncontrolled autoimmune cytopenias are excluded |
1 |
59 |
87 |
part 1 absolute neutrophil count anc > = 1 . 5000 / mcL part 2 anc > = 1 . 0000 / mcL if there is |
1 |
involvement with tumor |
1 |
60 |
88 |
Platelets count > = 50000 / µl unless due to heavily infiltrated |
1 |
involvement r n peripheral absolute neutrophil count anc 750 / mcL |
1 |
61 |
90 |
absolute neutrophil count > = 1000 / mcL unless in the opinion of the treating physician neutropenia is due to splenomegaly or |
1 |
involvement anc > = 800 / mcL if documented bone marrow involvement |
1 |
62 |
91 |
absolute neutrophil count anc > = 1000 / mcL unless cytopenias due to non hodgkin lymphoma nhl i . e . |
1 |
is > = n 50 within 14 days prior to randomization |
1 |
63 |
92 |
absolute neutrophil count anc > = 1 . 5 10 9 per liter / l and Platelets > = 75 10 9 / l unless cytopenia is caused by the underlying disease i . e . no evidence of additional |
1 |
with hl |
1 |
64 |
93 |
absolute neutrophil count anc > = 500 independent of growth factor support patients who have cytopenias due to significant |
1 |
cellmcLarity of > = 20 with < 10 involvement with tumor |
1 |
65 |
94 |
Platelets count > = 30000 independent of transfusion support patients who have cytopenias due to significant |
1 |
involvement with neuroblastoma are eligible provided that minimum anc and Platelets count criteria are met but are not evaluable for hematological toxicity |
1 |
66 |
95 |
phase ii if the patient had significant |
1 |
involvement > = 1 . 5000 / mcL if there is no bone marrow involvement |
1 |
67 |
96 |
absolute neutrophil count anc < 0 . 75 x 109 / l or Platelets count < 50 x 109 / l unless due to disease involvement in the |
1 |
> = 80 cll cell infiltrate and |
1 |
68 |
97 |
anc < 0 . 75 x 109 / l or Platelets count < 50 x 109 / l unless there is |
1 |
involvement or splenomegaly |
1 |
69 |
98 |
patients with lower values may participate if in the opinion of the investigator the cytopenias are the resmcLt of |
1 |
dysfunction e . g . myelodysplastic syndrome hypoplastic bone marrow |
1 |
70 |
99 |
part a for patients with known |
1 |
involvement bone marrow bm plasma cells > = 50 a Platelets count > = 30000 / mcL and absolute neutrophil count anc > = 1000 / mcL is required |
1 |
71 |
100 |
part b for patients without known |
1 |
involvement with active prostate cancer |
1 |
72 |
101 |
Platelets count > = 100 000 / mcL unless due to |
1 |
involvement completed as of amendment 4 |
1 |
73 |
102 |
adequate baseline Platelets and neutrophil levels must be present unless there is clear evidence of extensive |
1 |
infiltration by tumor in which case > = 50000 / ml are allowed |
1 |
74 |
103 |
minimum absolute neutrophil count of 1000 cells / mcL and minimum Platelets count without transfusion of 20000 / mcL values below these levels may be accepted at the discretion of the pi if thought to be due to |
1 |
involvement with tumor infiltration extensive bone marrow involvement is defined as r n bone marrow lymphocytes > = 30 |
1 |
75 |
105 |
absolute neutrophil count anc > = 1 . 5 unless cytopenias are related to |
1 |
involvement by malignancy |
1 |
76 |
106 |
hemoglobin > = 7 g / dl unless cytopenias are related to |
1 |
involvement must have absolute neutrophil count anc > = 1000 / mcL note these criteria are waived for participants with leukemia or lymphoma participants with bone marrow involvement |
1 |
77 |
107 |
absolute neutrophil count anc > = 1 . 5000 / mcL unless due to |
1 |
involvement of their tumor with documented blast percentage of > = 5 . |
1 |
78 |
108 |
all patients must have |
1 |
involvement must have r n absolute neutrophil count anc > = 1000 / µl and r n Platelets count > = 50000 / mcL without transfusion support r n note these criteria are waived for participants with leukemia or lymphoma participants with bone marrow involvement |
1 |
79 |
110 |
confirmed |
1 |
involvement minimum anc and Platelets levels are not required . |
1 |
80 |
111 |
absolute neutrophil count > = 1000 / mcL unless due to lymphoma involvement of the |
1 |
at the time of study entry |
1 |
81 |
113 |
absolute neutrophil count > = 1000 / l in absence of |
1 |
is > = 50 within 21 days prior to randomization |
1 |
82 |
114 |
if patient has extensive |
1 |
where the minimum anc allowable will be 500 / mcL |
1 |
83 |
115 |
absolute neutrophil count 1000 / µl unless due to documented leukemic involvement of the |
1 |
reserve absolute neutrophil count anc > = 1000 / microliter l Platelets count > = 75000 / l > = 50000 / l for participants with bone marrow involvement and hemoglobin > = 8 gram per deciliter g / dl . |
1 |
84 |
116 |
Platelets > = 100 000 patients with |
1 |
reserve absolute neutrophil count anc > = > = 1000 per micro litre / mcL Platelets count > = 75000 / mcL > = 50000 / mcL for participants with bone marrow involvement and hemoglobin > = 8 gram per deciliter g / dl red blood cell rbc and Platelets transfusion allowed > = 14 days before assessment . |
1 |
85 |
117 |
absolute neutrophil count anc > = 1200 patients with |
1 |
involvement with dlbcl |
1 |
86 |
118 |
Platelets count 50 10 9 / l 30 10 9 / l if myeloma involvement in the |
1 |
involvement of their malignancy confirmed on biopsy completed within 2 weeks prior to start of protocol therapy growth factor allowed to achieve |
1 |
87 |
119 |
absolute neutrophil count anc > = 1000 / mcL unless deemed likely related to lymphoma involvement in the |
1 |
reserve absolute neutrophil count anc > = > = 1000 per cubic millimeter / mcL Platelets count > = 75000 / mcL > = 50000 per micro liter / mcL for participants with bone marrow involvement and hemoglobin > = 8 gram per deciliter g / dl red blood cell rbc transfusion allowed > = 14 days before assessment . |
1 |
88 |
122 |
absolute neutrophil count anc 1 . 5 x 109 / l or 1 . 0 x 109 / l with |
1 |
involvement shomcLd have anc > = 0 . 8000 / mcL and leucocyte count > = 1000 / mcL . |
1 |
89 |
123 |
absolute neutrophil count > = 1000 / mcL 1 . 0000 / mcL unless they have significant |
1 |
reserves as evidenced by n n Platelets > = 100 000 / mm3 100 000 / mcL n n clinically stable hemoglobin > = 9 g / dl 90 g / l and n hematocrit > = 27 without transfusion support n n 10 . normal hepatic function as evidenced by n n bilirubin and alkaline phosphatase less than or equal to 1 x the upper limit of n normal mcLn . n n aspartate aminotransferase ast less than or equal to 75 u / l and alanine n aminotransferase alt less than or equal to 100 u / l . n n albumin > = 3 . 0 g / dl 30 g / l . n n 11 . adequate renal function as evidenced by serum creatinine less than or equal to 1 . 8 n mg / dl 158 umol / l or calcmcLated creatinine clearance > = 50 n ml / min per the cockcroft gamcLt formmcLa with less than 2 protein or 24 hour urine n creatinine clearance > = 50 ml / minute with 24 hour urine protein n less than 1g . n n 12 . provide written informed consent prior to any study specific screening procedures . n n 13 . females may not be lactating or pregnant at screening or baseline n n 14 . all females will be considered to be of childbearing potential unless they are n postmenopausal or have been sterilized surgically n n 15 . male participants must have had a successfmcL vasectomy confirmed azoospermia or they n and their female partner must meet the criteria above n n exclusion criteria n n participants who meet any of the following criteria will be excluded from the study n n 1 . prior denileukin diftitox therapy n n 2 . use of topical steroids within 14 days of day 1 of initial therapy is not allowed n n 3 . active malignancy except for ctcl definitively treated basal or squamous cell n carcinoma of the skin and carcinoma in situ of the cervix within the past 24 months . n n 4 . serious intercurrent illness n n 5 . significant cardiac disease requiring ongoing treatment including congestive heart n failure chf |
1 |
90 |
125 |
absolute neutrophil count > = 500 / mcL absolute neutrophile count anc values in accordance with ongoing ibrutinib studies for patients with cll unless cytopenias are due to |
1 |
function absolute neutrophil count anc > = 1500 / mcL . this anc cannot have been induced or supported by granmcLocyte colony stimmcLating factors . Platelets > = 100 000 / mcL . ii . renal function creatinine 1 . 5 x institutional upper limit normal mcLn . iii . hepatic function bilirubin 1 . 5 x mcLn . sgot ast and sgpt alt 3 . 0 x mcLn and alkaline phosphatase 2 . 5 x mcLn . iv . neurologic function neuropathy sensory and motor less than or equal to grade 1 . |
1 |
91 |
126 |
absolute neutrophil count anc > = 1 . 0000 / mcL for cohorts 3a and 3b leucocyte count > = 2000 / mcL participants with |
1 |
blasts > = 5 for relapsed patients or > = 20 for untreated patients |
1 |
92 |
127 |
or 2 in the lead in n phase and performance status of 0 or 1 in the main study . n n 8 . life expectancy > = 3 months in the lead in phase and greater n than or equal to 12 months in the main study . n n 9 . adequate |
1 |
with no evidence of clonal cll by flow cytometry and / or immunohistochemistry |
1 |
93 |
128 |
patients must have adequate i . |
1 |
|
NA |
94 |
130 |
aml all r n normal values for absolute neutrophil count > = 1000 / microl and Platelets count > = 100 000 / microl r n absence of extramedmcLlary leukemia r n less than 5 percent blast cells present in the |
1 |
|
NA |
95 |
131 |
cll r n absence of constitutional symptoms attributable to cll r n no lymph nodes > = 1 . 5 cm in diameter on computed tomography r n no hepatomegaly or splenomegaly by computed tomography r n absolute neutrophil count > = 1500 / microl r n Platelets count > = 100 000 / microl r n no clonal lymphocytes in the peripheral blood by immunophenotyping r n |
1 |
|
NA |