Chronic Lymphocytic Leukemia Clinical Trial
A Study to Evaluate the Efficacy of Venetoclax Monotherapy in Relapsed/Refractory Participants With Chronic Lymphocytic Leukemia (CLL)
Summary
The purpose of this study is to evaluate the efficacy of venetoclax monotherapy in participants with relapsed/refractory leukemia-cll/" >CLL including those with the 17p deletion or TP53 mutation OR those who have received prior treatment with a B-cell receptor inhibitor.
Full Description
Following the Screening period, all eligible participants initiate venetoclax on a once daily (QD) dosing schedule. To mitigate the risk for tumor lysis syndrome (TLS), dosing will start with a 5-week dose titration phase.
Participants may receive venetoclax for up to 2 years provided they continue to tolerate the drug, have no evidence of disease progression (based on investigator assessment), do not have unacceptable toxicity and do not meet any of the criteria for subject discontinuation. In countries where venetoclax is not commercially available, participants who continued to derive benefit after 2 years of treatment may extend their treatment for up to 2 additional years in an extended access phase. Participants in the extended access phase of this study who continue to derive benefit from venetoclax after the 2-year extension and are transferring to the venetoclax extension study, Study M19-388 (NCT03844048), may remain in Extended Access for up to 1 additional year or until the extension study is approved and initiated at the site, whichever is sooner.
Eligibility Criteria
Inclusion Criteria:
Participant has Eastern Cooperative Oncology Group (ECOG) performance score of less than or equal to 2
Participant has relapsed/refractory disease (received at least 1 prior therapy)
Participant has diagnosis of CLL that meets published 2008 Modified International Workshop for Chronic Lymphocytic Leukemia National Cancer Institute Working Group (IWCLL NCI-WG) Guidelines and:
has an indication for treatment according to the 2008 Modified IWCLL NCI-WG criteria
has clinically measurable disease (lymphocytosis greater than 5 × 10^9/L and/or palpable and measurable nodes by physical exam and/or organomegaly assessed by physical exam)
In addition, participants:
with or without 17p deletion or TP53 mutation, assessed by a local laboratory in bone marrow or peripheral blood are eligible
may have been previously treated with a prior B-cell receptor inhibitor
Participant must have adequate bone marrow function, coagulation profile, renal, and hepatic function, per laboratory at Screening
Exclusion Criteria:
Participant has developed Richter's transformation or Prolymphocytic leukemia
Participant has previously received venetoclax
History of active malignancies other than CLL within the past 2 years prior to first dose of venetoclax, with the exception of:
adequately treated in situ carcinoma of the cervix uteri
adequately treated basal cell carcinoma or localized squamous cell carcinoma of the skin
previous malignancy confined and surgically resected (or treated with other modalities) with curative intent
Participant has active and uncontrolled autoimmune cytopenias (for 2 weeks prior to Screening), including autoimmune hemolytic anemia and idiopathic thrombocytopenic purpura despite low dose corticosteroids
Participant has undergone an allogeneic stem cell transplant
Treatment with any of the following within five half-lives or 14 days (if half-life unknown) as applicable prior to the first dose of venetoclax, or clinically significant adverse effect(s)/toxicity(s) of the previous therapy have not resolved to < National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v4.03 Grade 2:
Any anti-cancer therapy including chemotherapy, or radiotherapy;
Investigational therapy, including targeted small molecule agents
Participant is human immunodeficiency virus (HIV) positive
Participant has known allergy to both xanthine oxidase inhibitors and rasburicase
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There are 67 Locations for this study
Louisville Kentucky, 40202, United States
Baltimore Maryland, 21229, United States
Hackensack New Jersey, 07601, United States
Salt Lake City Utah, 84106, United States
Spokane Washington, 99202, United States
Morgantown West Virginia, 26506, United States
Graz , 8036, Austria
Salzburg , 5020, Austria
Wien , 1140, Austria
Woluwe-Saint-Lambert Bruxelles-Capitale, 1200, Belgium
Leuven , 3000, Belgium
Vancouver British Columbia, V5Z 1, Canada
Halifax Nova Scotia, B3H 1, Canada
Hamilton Ontario, L8V 1, Canada
Toronto Ontario, M4N 3, Canada
Quebec City Quebec, G1R 2, Canada
Herlev Hovedstaden, 2730, Denmark
Aarhus N Midtjylland, 8200, Denmark
Turku , 20520, Finland
Limoges CEDEX 1 Franche-Comte, 87042, France
Poitiers Poitou-Charentes, 86021, France
Bordeaux , 33076, France
Brest , 29200, France
Strasbourg , 67085, France
Berlin , 10707, Germany
Frankfurt , 60389, Germany
Hamburg , 22081, Germany
Mannheim , 68161, Germany
Munich , 80804, Germany
Athens Attiki, 115 2, Greece
Thessaloniki , 57010, Greece
Dublin 8 Dublin, D08 E, Ireland
Dublin , D09 X, Ireland
Tel Aviv-Yafo Tel-Aviv, 64239, Israel
Nahariya , 22100, Israel
Ramat Gan , 52621, Israel
Bologna Emilia-Romagna, 40138, Italy
Rome Lazio, 00161, Italy
Milano Lombardia, 20162, Italy
Milan , 20132, Italy
Novara , 28100, Italy
Amsterdam Noord-Holland, 1105 , Netherlands
Dordrecht Zuid-Holland, 3318 , Netherlands
Bergen Hordaland, 5021, Norway
Oslo , 0450, Norway
Lisboa , 1099-, Portugal
Porto , 4200-, Portugal
San Juan , 00959, Puerto Rico
Barcelona , 08026, Spain
Madrid , 28040, Spain
Majadahonda , 28222, Spain
Salamanca , 37007, Spain
València , 46010, Spain
Lund Skane Lan, 222 4, Sweden
Uppsala Uppsala Lan, 751 8, Sweden
Genève Geneve, 1205, Switzerland
Zurich Zuerich, 8006, Switzerland
Bellinzona , 6501, Switzerland
Ankara , 6100, Turkey
Istanbul , 34093, Turkey
Istanbul , 34365, Turkey
Izmir , 35340, Turkey
Samsun , 55139, Turkey
Blackpool , FY3 8, United Kingdom
Bristol , BS2 8, United Kingdom
Southampton , SO16 , United Kingdom
Wolverhampton , WV10 , United Kingdom
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