A Multicenter, Open-Label, Phase 2 Study to Evaluate the Efficacy and Safety of Venetoclax-Obinutuzumab Retreatment in Patients With Recurring Chronic Lymphocytic Leukemia
Summary
Chronic lymphocytic leukemia (CLL) is the most common leukemia (cancer of blood cells). The purpose of this study is to assess retreatment with venetoclax-obinutuzumab (VenG) in participants previously treated with fixed duration first-line (IL) therapy of venetoclax in combination with an anti-CD20 antibody +/- X (where X is any additional drug). Adverse events and change in disease activity will be assessed. Venetoclax is an approved drug for the treatment of CLL. Study doctors put the participants in 1 of 2 groups, called cohorts, based on when symptoms of CLL came back after previous treatment in first-line. Approximately 75 adult participants with CLL who have been treated with venetoclax in combination with an anti-CD20 antibody +/- X will be enrolled in the study in approximately 60 sites worldwide. Participants will receive intravenous (IV) obinutuzumab + oral venetoclax (VenG) in 28-day cycles for a total of 6 cycles per cohort, followed by 6 to 18 cycles of venetoclax alone, for a total treatment of 12 to 24 cycles, depending on the cohort. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.
Arms & interventions
- DrugVenetoclax
Oral tablet
- DrugObinutuzumab
Intravenous (IV) infusion
Outcome measures
Primary
Overall response (OR) in Cohort 1 after end of combination treatment
OR is defined as the percentage of participants achieving a best response of partial remission (PR), nodular partial remission (nPR), complete remission with incomplete marrow recovery (CRi), or complete remission (CR). Disease assessments will be based on the 2018 International Workshop for Chronic Lymphocytic Leukemia (iwCLL) criteria for tumor response.
Time frame: 9 months
Secondary
OR in Cohort 1 after end of combination treatment
Time frame: 9 months
OR in Cohort 1 after end of treatment
Time frame: 15 months
Time to Response (TTR) in Cohort 1
Time frame: 15 months
Duration of Response (DOR) in Cohort 1
Time frame: 15 months
Time to Next Treatment (TTNT) for CLL in Cohort 1
Time frame: 15 months
Progression-free Survival (PFS) in Cohort 1
Time frame: 15 months
Overall Survival (OS) in Cohort 1
Time frame: 15 months
Percentage of Participants with Undetectable Minimal Residual Disease (uMRD) rate (<10^-4) in Cohort 1 after end of combination treatment
Time frame: 9 months
Percentage of Participants with Undetectable Minimal Residual Disease (uMRD) rate (<10^-4) in Cohort 1 after end of treatment
Time frame: 15 months
Eligibility criteria
Study locations (15)
Moores Cancer Center at UC San Diego /ID# 230157
La Jolla, California, 92093
Winship Cancer Institute of Emory University /ID# 230643
Atlanta, Georgia, 30322
Des Moines Oncology Research Association /ID# 232606
Des Moines, Iowa, 50309-1423
Dana-Farber Cancer Institute /ID# 230061
Boston, Massachusetts, 02215
Henry Ford Hospital /ID# 230268
Detroit, Michigan, 48202
St. Lukes Hospital of Duluth /ID# 250021
Duluth, Minnesota, 55805
Hattiesburg Clinic /ID# 233443
Hattiesburg, Mississippi, 39401
Summit Medical Group-Florham Park /ID# 244782
Florham Park, New Jersey, 07932-1049
Regional Cancer Care Associates /ID# 244620
Hackensack, New Jersey, 07601-7015
University of North Carolina /ID# 233313
Chapel Hill, North Carolina, 27514
Novant Health Presbyterian Medical Center /ID# 230201
Charlotte, North Carolina, 28204
Novant Health Forsyth Medical Center /ID# 249533
Winston-Salem, North Carolina, 27103
The Ohio State University /ID# 230439
Columbus, Ohio, 43210
Pennsylvania Oncology Hematolo /ID# 249637
Philadelphia, Pennsylvania, 19106
University of Wisconsin-Madiso /ID# 232612
Madison, Wisconsin, 53705