Characteristics of the 11 patients with CLL enrolled in the 12-week pilot trial, along with dosing changes and poststudy dose
Patient no. . | Age/sex . | Years since diagnosis . | Prior therapies . | WBC ×103/μL . | ALC ×103/μL . | IGHV status . | FISH . | IBR dosed per protocol? . | Poststudy IBR dose (mg/d) . |
---|---|---|---|---|---|---|---|---|---|
1 | 69/F | 9 | 1 | 33 | 29 | Unknown | Trisomy 12 | Yes | 140 |
2 | 68/F | 8 | 0 | 64 | 55 | Mutated | Del13q | Yes | 140* |
3 | 68/F | 7 | 0 | 179 | 173 | Mutated | Del13q | Yes | 140 |
4 | 56/M | 20 | 3 | 29 | 24 | Mutated | Del13q, trisomy 12 | Yes | 140 |
5 | 74/F | 11 | 1 | 53 | 49 | Unmutated | Trisomy 12 | Yes | 140 q.o.d. |
6 | 67/M | 2 | 0 | 153 | 130 | Unmutated | Normal | † | 140 |
7 | 53/F | 2 | 0 | 33 | 28 | Mutated | Normal | ‡ | 420 |
8 | 73/M | 8 | 1 | 67 | 61 | Mutated | Del13q, trisomy 12 | Yes | 140, 280¶ |
9 | 79/M | 17 | 4 | 71 | 62 | Mutated | Del13q | Yes | 140 |
10 | 79/F | 10 | 1 | 34 | 31 | Mutated | Del13q | § | — |
11 | 52/M | 13 | 2 | 45 | 41 | Mutated | Del13q, trisomy 12 | Yes | 140 |
Patient no. . | Age/sex . | Years since diagnosis . | Prior therapies . | WBC ×103/μL . | ALC ×103/μL . | IGHV status . | FISH . | IBR dosed per protocol? . | Poststudy IBR dose (mg/d) . |
---|---|---|---|---|---|---|---|---|---|
1 | 69/F | 9 | 1 | 33 | 29 | Unknown | Trisomy 12 | Yes | 140 |
2 | 68/F | 8 | 0 | 64 | 55 | Mutated | Del13q | Yes | 140* |
3 | 68/F | 7 | 0 | 179 | 173 | Mutated | Del13q | Yes | 140 |
4 | 56/M | 20 | 3 | 29 | 24 | Mutated | Del13q, trisomy 12 | Yes | 140 |
5 | 74/F | 11 | 1 | 53 | 49 | Unmutated | Trisomy 12 | Yes | 140 q.o.d. |
6 | 67/M | 2 | 0 | 153 | 130 | Unmutated | Normal | † | 140 |
7 | 53/F | 2 | 0 | 33 | 28 | Mutated | Normal | ‡ | 420 |
8 | 73/M | 8 | 1 | 67 | 61 | Mutated | Del13q, trisomy 12 | Yes | 140, 280¶ |
9 | 79/M | 17 | 4 | 71 | 62 | Mutated | Del13q | Yes | 140 |
10 | 79/F | 10 | 1 | 34 | 31 | Mutated | Del13q | § | — |
11 | 52/M | 13 | 2 | 45 | 41 | Mutated | Del13q, trisomy 12 | Yes | 140 |
ALC, absolute lymphocyte count; F, female; FISH, fluorescent in-situ hybridization; IBR, ibrutinib; M, male; WBC, white blood cells.
Patient continued 140 mg/d IBR for 6 months and then switched to a different therapy because of fatigue.
Discontinued on C1D28 because of the need for surgery to repair an abdominal aortic aneurysm.
Patient dose was increased to 420 mg/d because of joint pain and swelling on C3D8.
Patient continued 140 mg/d IBR for 14 months, and then the dose of IBR was increased to 280 mg/d by the treating physician.
Patient experienced IBR intolerance (headaches, arthralgias, myalgias, and weakness) in C1 and treatment was suspended for 7 days and then resumed at 280 mg/d in C2, during which time treatment was suspended again because of intolerance that responded slightly to holding of the drug, prompting her physician to discontinue IBR and take her off the study on C2D28.