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RecruitingInterventionalPhase 2

A Multicenter, Open-Label, Phase 2 Study to Evaluate the Efficacy and Safety of Venetoclax-Obinutuzumab Retreatment in Patients With Recurring Chronic Lymphocytic Leukemia

NCT ID: NCT04895436Sponsor: AbbVieLast updated: 2026-02-09

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

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: * Documented diagnosis of chronic lymphocytic leukemia (CLL) that requires treatment for CLL according to International Workshop for Chronic Lymphocytic Leukemia (iwCLL) 2018 criteria. * Previously completed venetoclax + anti-CD20 antibody +/- X regimen as a fixed duration first-line (1L) therapy and achieved documented response, defined as complete remission, complete remission with incomplete marrow recovery, partial remission, or nodular partial remission. * More than 24 months (Cohort 1) or 12-24 months (Cohort 2) have elapsed between last dose of venetoclax and disease progression after completion of 1L treatment. Exclusion Criteria: \- Received intervening treatment for CLL after completing previous treatment with a venetoclax + anti-CD20 antibody +/- X regimen.

Study locations (15)

Moores Cancer Center at UC San Diego /ID# 230157

La Jolla, California, 92093

Recruiting

Winship Cancer Institute of Emory University /ID# 230643

Atlanta, Georgia, 30322

Recruiting

Des Moines Oncology Research Association /ID# 232606

Des Moines, Iowa, 50309-1423

Completed

Dana-Farber Cancer Institute /ID# 230061

Boston, Massachusetts, 02215

Recruiting

Henry Ford Hospital /ID# 230268

Detroit, Michigan, 48202

Completed

St. Lukes Hospital of Duluth /ID# 250021

Duluth, Minnesota, 55805

Recruiting

Hattiesburg Clinic /ID# 233443

Hattiesburg, Mississippi, 39401

Recruiting

Summit Medical Group-Florham Park /ID# 244782

Florham Park, New Jersey, 07932-1049

Completed

Regional Cancer Care Associates /ID# 244620

Hackensack, New Jersey, 07601-7015

Recruiting

University of North Carolina /ID# 233313

Chapel Hill, North Carolina, 27514

Recruiting

Novant Health Presbyterian Medical Center /ID# 230201

Charlotte, North Carolina, 28204

Recruiting

Novant Health Forsyth Medical Center /ID# 249533

Winston-Salem, North Carolina, 27103

Recruiting

The Ohio State University /ID# 230439

Columbus, Ohio, 43210

Recruiting

Pennsylvania Oncology Hematolo /ID# 249637

Philadelphia, Pennsylvania, 19106

Recruiting

University of Wisconsin-Madiso /ID# 232612

Madison, Wisconsin, 53705

Completed