A Phase 2 Study to Evaluate the Safety and Efficacy of Pacritinib in Relapsed or Refractory Waldenström Macroglobulinemia

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorShayna Sarosiek, MD

About this trial

This study is being done to examine the safety and effectiveness of pacritinib as a possible treatment for participants with Waldenström macroglobulinemia (WM).

The name of the study drug involved in this study is:

-Pacritinib (a type of kinase inhibitor)

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥18 years

ECOG performance status ≤2

Clinicopathological diagnosis of Waldenström Macroglobulinemia

constitutional symptoms: recurrent fever, night sweats, fatigue or weight loss

Disqualifiers

Current history of uncontrolled HIV

Patients with a known history of HIV must have a viral load assessed for eligibility and must be on a stable antiretroviral regimen that can be administered concurrent with pacritinib.

Known active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection based on criteria below

Hepatitis B virus (HBV): Patients with positive hepatitis B surface antigen (HBsAg) are excluded. Patients with positive hepatitis B core antibody (antiHBc) and negative HBsAg require hepatitis B polymerase chain reaction (PCR) evaluation before enrollment. Patients who are hepatitis B PCR positive will be excluded.

Trial design

Design model

Single group

Treatments tested in this trial

  • Pacritinib

    Drug

    Kinase inhibitor, capsule, taken orally per protocol.

Treatment groups

30 Participants
are divided into 1 treatment group
Group A: PacritinibExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Objective Response Rate (ORR)

ORR was defined as the percentage of participants achieving complete response (CR), very good partial response (VGPR), partial response (PR) and minimal response (MR) on treatment based on IWWM-11 criteria.

Time frame
Up to 48 months

Secondary outcomes

1

Complete Response Rate

Complete response rate was defined as the percentage of participants achieving complete response (CR) on treatment based on IWWM-11 criteria, defined as having resolution of WM related symptoms, normalization of serum IgM levels with complete disappearance of IgM paraprotein by immunofixation, and resolution of any adenopathy or splenomegaly. A complete response requires reconfirmation demonstrating normal serum IgM levels, and absence of IgM paraprotein by immunofixation by a measurement repeated at least 2 weeks later.

Time frame
Up to 48 months
2

Very Good Partial Response Rate

Very good partial response rate was defined as the percentage of participants achieving very good partial response (VGPR) on treatment based on IWWM-11 criteria, defined as ≥90% reduction in serum IgM levels, or normalization of serum IgM levels with persistent IgM monoclonal spike in SPEP or immunofixation.

Time frame
Up to 48 months
3

Partial Response Rate

Partial response rate was defined as the percentage of participants achieving partial response (PR) on treatment based on IWWM-11 criteria, Partial response (PR) is defined as achieving a ≥50% to \<90% reduction in serum IgM levels.

Time frame
Up to 48 months
4

Minimal Response Rate

Minimal response rate was defined as the percentage of participants achieving minimal response (MR) on treatment based on IWWM-11 criteria, defined as ≥25 to \<50% reduction in serum IgM levels.

Time frame
Up to 48 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Shayna Sarosiek, MD

Lead sponsor

Dana-Farber Cancer Institute

Sponsor institution

Sobi, Inc.

Collaborator