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RecruitingInterventionalPhase 3

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

NCT ID: NCT06846671Sponsor: BeOne MedicinesLast updated: 2026-05-29

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

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: 1. Confirmed diagnosis of CLL or SLL, requiring treatment, based on 2018 international workshop on chronic lymphocytic leukemia (iwCLL) criteria. 2. Previously received treatment for CLL/SLL with both a BTKi and a BCL2i. 3. Participants with SLL must have measurable disease by computer tomography (CT)/magnetic resonance imaging (MRI) 4. Eastern Cooperative Oncology Group (ECOG) score 0, 1, or 2 5. Adequate liver function 6. Adequate blood clotting function Exclusion Criteria: 1. Known prolymphocytic leukemia or history of, or currently suspected, Richter's transformation 2. Prior autologous stem cell transplant or chimeric antigen receptor-T cell therapy in the last 3 months 3. Known central nervous system involvement 4. Prior exposure to any BTK protein degraders 5. Active fungal, bacterial and/or viral infection requiring parenteral systemic therapy 6. Clinically significant cardiovascular disease NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Study locations (21)

St Bernards Medical Center

Jonesboro, Arkansas, 72401

Recruiting

UCLA Department of Medicine Hematologyoncology

Los Angeles, California, 90095-3075

Recruiting

Pih Health Whittier Hospital

Whittier, California, 90602

Recruiting

Rocky Mountain Cancer Centers (Williams) Usor

Aurora, Colorado, 80012-5405

Recruiting

Florida Oncology and Hematology

Fort Myers, Florida, 33912

Recruiting

Baptist Md Anderson Cancer Center

Jacksonville, Florida, 32207-8432

Recruiting

Cleveland Clinic Florida

Weston, Florida, 33331-3609

Recruiting

Emory University Winship Cancer Institute

Atlanta, Georgia, 30322-1013

Recruiting

Northside Cancer Center

Atlanta, Georgia, 30342

Recruiting

Our Lady of the Lake Hospital

Baton Rouge, Louisiana, 70808-4365

Recruiting

American Oncology Partners of Maryland Pa

Bethesda, Maryland, 20817-7847

Recruiting

Oncology Hematology Associates

Springfield, Missouri, 65807-5288

Recruiting

Oncology Hematology West, Pc Dba Nebraska Cancer Specialists

Omaha, Nebraska, 68130-2042

Recruiting

Memorial Sloan Kettering Cancer Center Mskcc

New York, New York, 10065-6800

Recruiting

Clinical Research Alliance, Inc

Westbury, New York, 11590-5119

Recruiting

University Hospitals

Cleveland, Ohio, 44106-1716

Recruiting

Dayton Physician Network

Dayton, Ohio, 45415

Recruiting

Oncology Associates of Oregon Willamette Valley Cancer Center

Eugene, Oregon, 97401

Recruiting

West Penn Hospital

Pittsburgh, Pennsylvania, 15224

Recruiting

Cancer Care Associates of York

York, Pennsylvania, 17403-5049

Recruiting

Texas Oncology Tyler

Tyler, Texas, 75702-7522

Recruiting