AEs and SAEs from C1 to C6
| . | Cohort A Relapsed patients, ibrutinib, obinutuzumab (n = 9) . | Cohort B Relapsed patients, ibrutinib, obinutuzumab, venetoclax (n = 24) . | Cohort C Untreated patients, ibrutinib, obinutuzumab, venetoclax (n = 15) . | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Grade 1-2 (>20% patients) . | All grade 3 . | All grade 4 . | Grade 1-2 (>20% patients) . | All grade 3 . | All grade 4 . | Grade 1-2 (>20% patients) . | All grade 3 . | All grade 4 . | |
| Any AE | 9 (100) | 8 (89) | 3 (33) | 23 (96) | 17 (71) | 12 (50) | 15 (100) | 5 (33) | 3 (20) |
| Thrombocytopenia | 8 (89) | 2 (22) | 0 | 11 (46) | 10 (42) | 3 (12) | 3 (20) | 0 | 0 |
| Neutropenia | 0 | 5 (56) | 3 (33) | 4 (17) | 9 (38) | 8 (33) | 3 (20) | 2 (13) | 1 (7) |
| Musculoskeletal pain | 6 (67) | 0 | 0 | 10 (42) | 0 | 0 | 5 (33) | 0 | 0 |
| Diarrhea | 1 (11) | 0 | 0 | 7 (29) | 3 (12) | 0 | 6 (40) | 0 | 0 |
| Nausea | 4 (44) | 0 | 0 | 7 (29) | 0 | 0 | 3 (20) | 0 | 0 |
| Headache | 3 (33) | 0 | 0 | 8 (33) | 0 | 0 | 3 (20) | 0 | 0 |
| Upper respiratory infection | 5 (56) | 0 | 0 | 4 (17) | 0 | 0 | 3 (20) | 0 | 0 |
| Asthenia | 2 (22) | 0 | 0 | 5 (21) | 0 | 0 | 4 (27) | 0 | 0 |
| Pyrexia | 3 (33) | 0 | 0 | 5 (21) | 0 | 0 | 2 (13) | 0 | 0 |
| Lymphopenia | 0 | 2 (22) | 1 (11) | 1 (4) | 3 (12) | 3 (12) | 0 | 1 (7) | 0 |
| Hypokalemia | 2 (22) | 1 (11) | 0 | 5 (21) | 0 | 0 | 1 (7) | 0 | 0 |
| Hypophosphatemia | 0 | 3 (33) | 1 (11) | 0 | 5 (21) | 2 (8) | 0 | 0 | 0 |
| Epistaxis | 1 (11) | 0 | 0 | 5 (21) | 0 | 0 | 0 | 0 | 0 |
| Infusion-related reaction | 1 (11) | 0 | 0 | 2 (8) | 1 (4) | 0 | 2 (13) | 0 | 0 |
| Upper respiratory disorders | 3 (33) | 0 | 0 | 2 (8) | 0 | 0 | 1 (7) | 0 | 0 |
| Rash | 1 (11) | 0 | 0 | 4 (17) | 0 | 0 | 1 (7) | 1 (7) | 0 |
| Gastroesophageal reflux | 2 (22) | 0 | 0 | 2 (8) | 0 | 0 | 1 (7) | 0 | 0 |
| Discomfort | 3 (33) | 0 | 0 | 2 (8) | 0 | 0 | 0 | 0 | 0 |
| Neuropathy, peripheral | 2 (22) | 0 | 0 | 1 (4) | 0 | 0 | 2 (13) | 0 | 0 |
| Hypertension | 1 (11) | 0 | 0 | 2 (8) | 1 (4) | 0 | 1 (7) | 0 | 0 |
| Anemia | 2 (22) | 0 | 0 | 1 (4) | 2 (8) | 0 | 0 | 0 | 0 |
| Abdominal pain, upper | 3 (33) | 0 | 0 | 0 | 0 | 0 | 1 (7) | 0 | 0 |
| Vomiting | 2 (22) | 0 | 0 | 2 (8) | 0 | 0 | 0 | 0 | 0 |
| Edema, peripheral | 4 (44) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Bronchitis/lung infection | 2 (22) | 0 | 0 | 2 (8) | 0 | 0 | 0 | 0 | 0 |
| Constipation | 2 (22) | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 | 0 |
| GGT increased | 0 | 0 | 0 | 1 (4) | 2 (8) | 0 | 0 | 0 | 0 |
| ALAT increased | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 | 1 (7) |
| ASAT increased | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 1 (7) | 0 |
| Hepatic cytolysis | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 | 1 (7) |
| Soft tissue infection | 2 (22) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Hyperglycemia | 1 (11) | 2 (22) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Hyperkalemia | 1 (11) | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 |
| Hyperuricemia | 1 (11) | 1 (11) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Tumor compression | 0 | 1 (11) | 0 | 1 (4) | 0 | 0 | 0 | 0 | 0 |
| Hyperlymphocytosis | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (7) | 0 |
| Alkaline phosphatase increased | 0 | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 |
| cGVHD | 0 | 1 (11) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Malnutrition | 0 | 1 (11) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Any SAE | 0 | 3 (33) | 0 | 1 (4) | 4 (17) | 1 (4) | 2 (13) | 1 (7) | 0 |
| Febrile neutropenia | 0 | 1 (11) | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 |
| TLS | 0 | 1 (11) | 0 | 0 | 0 | 0 | 1 (7) | 0 | 0 |
| Neutropenia | 0 | 0 | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 |
| Atrial fibrillation | 0 | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 |
| Palpitations | 0 | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 |
| Pyrexia | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 | 0 |
| Appendicitis | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (7) | 0 |
| Neutropenic sepsis | 0 | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 |
| Staphylococcal sepsis | 0 | 1 (11) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Urosepsis | 0 | 1 (11) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Gouty arthritis | 0 | 1 (11) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Basal cell carcinoma | 0 | 0 | 0 | 0 | 0 | 0 | 1 (7) | 0 | 0 |
| Squamous cell carcinoma of the tongue | 0 | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 |
| Lung disorder | 0 | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 |
| Pleural effusion | 0 | 0 | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 |
| . | Cohort A Relapsed patients, ibrutinib, obinutuzumab (n = 9) . | Cohort B Relapsed patients, ibrutinib, obinutuzumab, venetoclax (n = 24) . | Cohort C Untreated patients, ibrutinib, obinutuzumab, venetoclax (n = 15) . | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Grade 1-2 (>20% patients) . | All grade 3 . | All grade 4 . | Grade 1-2 (>20% patients) . | All grade 3 . | All grade 4 . | Grade 1-2 (>20% patients) . | All grade 3 . | All grade 4 . | |
| Any AE | 9 (100) | 8 (89) | 3 (33) | 23 (96) | 17 (71) | 12 (50) | 15 (100) | 5 (33) | 3 (20) |
| Thrombocytopenia | 8 (89) | 2 (22) | 0 | 11 (46) | 10 (42) | 3 (12) | 3 (20) | 0 | 0 |
| Neutropenia | 0 | 5 (56) | 3 (33) | 4 (17) | 9 (38) | 8 (33) | 3 (20) | 2 (13) | 1 (7) |
| Musculoskeletal pain | 6 (67) | 0 | 0 | 10 (42) | 0 | 0 | 5 (33) | 0 | 0 |
| Diarrhea | 1 (11) | 0 | 0 | 7 (29) | 3 (12) | 0 | 6 (40) | 0 | 0 |
| Nausea | 4 (44) | 0 | 0 | 7 (29) | 0 | 0 | 3 (20) | 0 | 0 |
| Headache | 3 (33) | 0 | 0 | 8 (33) | 0 | 0 | 3 (20) | 0 | 0 |
| Upper respiratory infection | 5 (56) | 0 | 0 | 4 (17) | 0 | 0 | 3 (20) | 0 | 0 |
| Asthenia | 2 (22) | 0 | 0 | 5 (21) | 0 | 0 | 4 (27) | 0 | 0 |
| Pyrexia | 3 (33) | 0 | 0 | 5 (21) | 0 | 0 | 2 (13) | 0 | 0 |
| Lymphopenia | 0 | 2 (22) | 1 (11) | 1 (4) | 3 (12) | 3 (12) | 0 | 1 (7) | 0 |
| Hypokalemia | 2 (22) | 1 (11) | 0 | 5 (21) | 0 | 0 | 1 (7) | 0 | 0 |
| Hypophosphatemia | 0 | 3 (33) | 1 (11) | 0 | 5 (21) | 2 (8) | 0 | 0 | 0 |
| Epistaxis | 1 (11) | 0 | 0 | 5 (21) | 0 | 0 | 0 | 0 | 0 |
| Infusion-related reaction | 1 (11) | 0 | 0 | 2 (8) | 1 (4) | 0 | 2 (13) | 0 | 0 |
| Upper respiratory disorders | 3 (33) | 0 | 0 | 2 (8) | 0 | 0 | 1 (7) | 0 | 0 |
| Rash | 1 (11) | 0 | 0 | 4 (17) | 0 | 0 | 1 (7) | 1 (7) | 0 |
| Gastroesophageal reflux | 2 (22) | 0 | 0 | 2 (8) | 0 | 0 | 1 (7) | 0 | 0 |
| Discomfort | 3 (33) | 0 | 0 | 2 (8) | 0 | 0 | 0 | 0 | 0 |
| Neuropathy, peripheral | 2 (22) | 0 | 0 | 1 (4) | 0 | 0 | 2 (13) | 0 | 0 |
| Hypertension | 1 (11) | 0 | 0 | 2 (8) | 1 (4) | 0 | 1 (7) | 0 | 0 |
| Anemia | 2 (22) | 0 | 0 | 1 (4) | 2 (8) | 0 | 0 | 0 | 0 |
| Abdominal pain, upper | 3 (33) | 0 | 0 | 0 | 0 | 0 | 1 (7) | 0 | 0 |
| Vomiting | 2 (22) | 0 | 0 | 2 (8) | 0 | 0 | 0 | 0 | 0 |
| Edema, peripheral | 4 (44) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Bronchitis/lung infection | 2 (22) | 0 | 0 | 2 (8) | 0 | 0 | 0 | 0 | 0 |
| Constipation | 2 (22) | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 | 0 |
| GGT increased | 0 | 0 | 0 | 1 (4) | 2 (8) | 0 | 0 | 0 | 0 |
| ALAT increased | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 | 1 (7) |
| ASAT increased | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 1 (7) | 0 |
| Hepatic cytolysis | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 | 1 (7) |
| Soft tissue infection | 2 (22) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Hyperglycemia | 1 (11) | 2 (22) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Hyperkalemia | 1 (11) | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 |
| Hyperuricemia | 1 (11) | 1 (11) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Tumor compression | 0 | 1 (11) | 0 | 1 (4) | 0 | 0 | 0 | 0 | 0 |
| Hyperlymphocytosis | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (7) | 0 |
| Alkaline phosphatase increased | 0 | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 |
| cGVHD | 0 | 1 (11) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Malnutrition | 0 | 1 (11) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Any SAE | 0 | 3 (33) | 0 | 1 (4) | 4 (17) | 1 (4) | 2 (13) | 1 (7) | 0 |
| Febrile neutropenia | 0 | 1 (11) | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 |
| TLS | 0 | 1 (11) | 0 | 0 | 0 | 0 | 1 (7) | 0 | 0 |
| Neutropenia | 0 | 0 | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 |
| Atrial fibrillation | 0 | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 |
| Palpitations | 0 | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 |
| Pyrexia | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 | 0 |
| Appendicitis | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (7) | 0 |
| Neutropenic sepsis | 0 | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 |
| Staphylococcal sepsis | 0 | 1 (11) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Urosepsis | 0 | 1 (11) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Gouty arthritis | 0 | 1 (11) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Basal cell carcinoma | 0 | 0 | 0 | 0 | 0 | 0 | 1 (7) | 0 | 0 |
| Squamous cell carcinoma of the tongue | 0 | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 |
| Lung disorder | 0 | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 | 0 |
| Pleural effusion | 0 | 0 | 0 | 0 | 0 | 1 (4) | 0 | 0 | 0 |
All grade 1 and 2 AEs reported in ≥20% of patients in each cohort (≥2 patients in cohort A, ≥5 patients in cohort B, and ≥3 patients in cohort C); all grade 3 and 4 events.
ALAT, alanine aminotransferase; ASAT, aspartate aminotransferase; GGT, γ-glutamyl-transferase.