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clinical / clinicalBTK inhibitor early development, PCYC-1102 ibrutinib, CLL early clinical trials

Susan O'Brien

苏珊·奥布莱恩

MD

🏢University of California Irvine Health(加州大学欧文分校健康中心)🌐USA

Associate Director for Clinical Science, Chao Family Comprehensive Cancer Center, University of California Irvine; Professor of Medicine, UC Irvine School of Medicine加州大学欧文分校肿瘤中心临床科学副主任;加州大学欧文分校医学院医学教授

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Susan O'Brien, MD is Associate Director for Clinical Science at the Chao Family Comprehensive Cancer Center at the University of California Irvine and Professor of Medicine at UC Irvine School of Medicine. Previously a longstanding faculty member at MD Anderson Cancer Center's Department of Leukemia, Dr. O'Brien has over three decades of experience as one of the most prominent CLL clinical trialists in the United States. She was the overall lead principal investigator of the pivotal PCYC-1102 phase Ib/II trial of ibrutinib in CLL (JCO 2013), one of the foundational studies demonstrating ibrutinib's dramatic efficacy and tolerability across multiple CLL patient populations — including treatment-naive, relapsed/refractory, and high-risk del(17p) patients — that provided the critical evidence base supporting the FDA's breakthrough designation and accelerated approval of ibrutinib for CLL in 2014. Her work on PCYC-1102 established the activity, dosing, and toxicity profile of ibrutinib and reported the characteristic ibrutinib-induced lymphocytosis that distinguished BTK inhibitor responses from traditional response criteria. Dr. O'Brien has also been a leading investigator in CLL chemoimmunotherapy trials, contributed to the development of ofatumumab in refractory CLL (phase III COMPLEMENT trials), and has extensively studied the cardiovascular toxicities — particularly atrial fibrillation — associated with BTK inhibitors, influencing clinical management guidelines. With more than 400 publications, she is one of the most published CLL investigators globally.

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🧪Research Fields 研究领域

Ibrutinib Early Clinical Development — PCYC-1102 Phase Ib/II Trial in CLL伊布替尼早期临床开发——PCYC-1102 CLL Ib/II期试验
BTK Inhibitor Safety and Cardiovascular Toxicity in CLL — Atrial Fibrillation RiskCLL中BTK抑制剂安全性与心血管毒性——房颤风险
CLL Chemoimmunotherapy — Fludarabine, Cyclophosphamide, Rituximab (FCR) OptimizationCLL化学免疫疗法——氟达拉滨、环磷酰胺、利妥昔单抗(FCR)优化
CLL in High-Risk Populations — del(17p), TP53 Mutation, Unmutated IGHV高危CLL人群——del(17p)、TP53突变、未突变IGHV
Ofatumumab in Refractory CLL — Phase III Development奥法木单抗在难治性CLL中的三期开发

🎓Key Contributions 主要贡献

PCYC-1102 — Pivotal Ibrutinib Phase Ib/II Trial in CLL

Served as overall principal investigator of the PCYC-1102 phase Ib/II trial (JCO 2013), the pivotal early-phase study of ibrutinib in 116 CLL patients across all dosing cohorts and patient populations (treatment-naive, relapsed/refractory, del(17p) high-risk). Demonstrated ORR of 71% in relapsed/refractory and 84% in treatment-naive patients, described the characteristic ibrutinib-associated lymphocytosis as a pharmacodynamic redistribution effect rather than disease progression, and established the 420 mg once-daily dose for future development. PCYC-1102 was the foundational study supporting ibrutinib's FDA breakthrough approval and all subsequent ibrutinib CLL trials.

BTK Inhibitor Cardiovascular Toxicity — Atrial Fibrillation Characterization

Led systematic clinical research characterizing the incidence, risk factors, management, and mechanisms of atrial fibrillation and other cardiovascular toxicities (hypertension, ventricular arrhythmias) associated with ibrutinib in CLL, identifying ibrutinib's off-target effects on cardiac BTK and TEC kinases as contributing mechanisms. This work directly informed clinical practice guidelines for cardiovascular monitoring, management algorithms, and the rationale for developing more selective BTK inhibitors with reduced cardiac toxicity (acalabrutinib, zanubrutinib).

Ofatumumab in Refractory CLL — COMPLEMENT Trial Development

Contributed to the clinical development of ofatumumab (anti-CD20 antibody targeting a different epitope from rituximab) in CLL, participating in the COMPLEMENT phase III trials, and was a key investigator in studies comparing ofatumumab to rituximab-based regimens in fludarabine-refractory CLL, providing evidence that was critical to ofatumumab's FDA approval for refractory CLL and establishing the comparative landscape of anti-CD20 antibody choices.

CLL Chemoimmunotherapy Development — Pentostatin-Based Regimens

Led MD Anderson investigations of pentostatin, cyclophosphamide, rituximab (PCR) combinations in CLL, contributing to the broader landscape of purine analog-based chemoimmunotherapy regimens and defining the comparative toxicity and efficacy of pentostatin versus fludarabine in the context of rituximab-containing CLL treatment at a time when chemoimmunotherapy was the dominant treatment paradigm.

Representative Works 代表性著作

[1]

Ibrutinib as initial therapy for elderly patients with chronic lymphocytic leukemia or small lymphocytic lymphoma: an open-label, multicentre, phase 1b/2 trial (PCYC-1102)

Journal of Clinical Oncology (2014)

Pivotal PCYC-1102 phase Ib/II trial of ibrutinib in CLL demonstrating dramatic efficacy across patient populations including high-risk del(17p), forming the evidence base for FDA breakthrough approval.

[2]

Ibrutinib for patients with risky chronic lymphocytic leukaemia — long-term follow-up PCYC-1102 trial

Lancet Oncology (2018)

Long-term follow-up of PCYC-1102 demonstrating durable responses with ibrutinib in CLL including del(17p) and treatment-naive patients.

[3]

Cardiovascular toxicities associated with ibrutinib

Journal of the American College of Cardiology (2017)

Comprehensive characterization of ibrutinib-associated cardiovascular toxicities including atrial fibrillation and hypertension, informing management guidelines for CLL patients on BTK inhibitors.

🏆Awards & Recognition 奖项与荣誉

🏆American Society of Hematology (ASH) Secretary
🏆American Society of Clinical Oncology (ASCO) CLL Disease Site Working Group
🏆UC Irvine Health Distinguished Professor
🏆Leukemia & Lymphoma Society Scholar in Clinical Research

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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