A Phase 3, Open-Label, Randomized Study of BGB-16673 Compared to Investigator's Choice (Idelalisib Plus Rituximab or Bendamustine Plus Rituximab or Venetoclax Plus Rituximab Retreatment) in Patients With Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma Previously Exposed to Both BTK and BCL2 Inhibitors
Summary
The purpose of this study is to investigate the efficacy and safety of BGB-16673 compared with investigator's choice (idelalisib plus rituximab \[for CLL only\] or bendamustine plus rituximab or venetoclax plus rituximab retreatment) in participants with chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) previously exposed to both BTK inhibitors (BTKi) and BCL2 inhibitors (BCL2i).
Detailed description
Chronic lymphocytic leukemia is a type of blood cancer that affects people around the world. People with CLL suffer from enlarged lymph nodes, spleen, or liver, or have symptoms like night sweats, weight loss and fever. They have shorter life expectancy compared to healthy people. There is an urgent need for new treatment to prolong life and control disease-related symptoms. In this study, participants with relapsed/refractory (R/R) CLL who were previously exposed to a BTKi and a BCL2i will receive BGB-16673 or the investigator's choice of idelalisib plus rituximab (for CLL only) or bendamustine plus rituximab or venetoclax plus rituximab retreatment. The main purpose of this study is to compare the length of time that participants live without their CLL or SLL worsening between those participants who receive BGB-16673 versus the investigator's choice of treatment (idelalisib plus rituximab or bendamustine plus rituximab, or venetoclax plus rituximab). Approximately 250 participants will be included in this study around the world. Participants will be randomly allocated to receive either BGB-16673 or the investigator's choice of treatment. "Our company, previously known as BeiGene, is now officially BeOne Medicines. Because some of our older studies were sponsored under the name BeiGene, you may see both names used for this study on this website."
Arms & interventions
- DrugBGB-16673
Administered orally
- DrugBendamustine
Administered intravenously
- DrugIdelalisib
Administered orally
- DrugRituximab
Administered intravenously
- DrugVenetoclax
Administered orally
Outcome measures
Primary
Progression-Free Survival (PFS) by Independent Review Committee (IRC)
PFS is defined as time from the date of randomization to the date of first disease progression or death, whichever occurs first, as determined by IRC using modified 2018 International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria for participants with chronic lymphocytic leukemia (CLL) and Lugano classification for participants with small lymphocytic lymphoma (SLL).
Time frame: Approximately 36 Months
Secondary
Overall Survival (OS)
Time frame: Approximately 36 Months
Progression-Free Survival (PFS) in Participants with Prior Exposure to Noncovalent Bruton Tyrosine Kinase Inhibitor(s) (ncBTKi) by IRC
Time frame: Approximately 36 Months
PFS by the Investigator Assessment
Time frame: Approximately 36 Months
Overall Response Rate (ORR) by IRC and Investigator Assessment
Time frame: Approximately 36 Months
Rate of Partial Response with Lymphocytosis (PR-L) or Higher Determined by IRC and by Investigator Assessment
Time frame: Approximately 36 Months
Duration of Response (DOR) by IRC and Investigator Assessment
Time frame: Approximately 36 Months
Time to Next Anti-CLL/SLL Treatment (TTNT)
Time frame: Approximately 36 Months
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)
Time frame: Approximately 36 Months
Change from Baseline in European Organization for Research and Treatment of Cancer Quality of Life Cancer Questionnaire -Core 30 (EORTC QLQ-C30) Global Health Status/QoL (GHS) and Physical Functioning Scales
Time frame: Approximately 24 Months
Change from baseline in EORTC Quality of Life Questionnaire - Chronic Lymphocytic Leukemia Module 17 Items (QLQ-CLL17) Symptom Burden and Physical Condition Scales
Time frame: Approximately 24 Months
Eligibility criteria
Study locations (21)
St Bernards Medical Center
Jonesboro, Arkansas, 72401
UCLA Department of Medicine Hematologyoncology
Los Angeles, California, 90095-3075
Pih Health Whittier Hospital
Whittier, California, 90602
Rocky Mountain Cancer Centers (Williams) Usor
Aurora, Colorado, 80012-5405
Florida Oncology and Hematology
Fort Myers, Florida, 33912
Baptist Md Anderson Cancer Center
Jacksonville, Florida, 32207-8432
Cleveland Clinic Florida
Weston, Florida, 33331-3609
Emory University Winship Cancer Institute
Atlanta, Georgia, 30322-1013
Northside Cancer Center
Atlanta, Georgia, 30342
Our Lady of the Lake Hospital
Baton Rouge, Louisiana, 70808-4365
American Oncology Partners of Maryland Pa
Bethesda, Maryland, 20817-7847
Oncology Hematology Associates
Springfield, Missouri, 65807-5288
Oncology Hematology West, Pc Dba Nebraska Cancer Specialists
Omaha, Nebraska, 68130-2042
Memorial Sloan Kettering Cancer Center Mskcc
New York, New York, 10065-6800
Clinical Research Alliance, Inc
Westbury, New York, 11590-5119
University Hospitals
Cleveland, Ohio, 44106-1716
Dayton Physician Network
Dayton, Ohio, 45415
Oncology Associates of Oregon Willamette Valley Cancer Center
Eugene, Oregon, 97401
West Penn Hospital
Pittsburgh, Pennsylvania, 15224
Cancer Care Associates of York
York, Pennsylvania, 17403-5049
Texas Oncology Tyler
Tyler, Texas, 75702-7522