Study to Assess Change in Disease Activity and Adverse Events of Oral Venetoclax With Intravenous (IV) Obinutuzumab in Adult Participants With Recurring Chronic Lymphocytic Leukemia (CLL)

Sponsor: AbbVie

Sponsor score: 60

ClinicalTrials ID:NCT04895436

This study evaluates retreatment with venetoclax and obinutuzumab in CLL patients previously treated with venetoclax and an anti-CD20 antibody. Eligible participants must have completed prior therapy with documented response and experienced disease progression after 12-24 months. The trial involves oral venetoclax and IV obinutuzumab, assessing disease activity and adverse events.

Patient Parameters

Program Overview

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.

Eligibility Criteria

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.

Locations

FACILITYZIPCITYSTATE
Moores Cancer Center at UC San Diego /ID# 23015792093La JollaCalifornia
Des Moines Oncology Research Association /ID# 23260650309-1423Des MoinesIowa
Dana-Farber Cancer Institute /ID# 23006102215BostonMassachusetts
Henry Ford Hospital /ID# 23026848202DetroitMichigan
St. Luke's Hospital of Duluth /ID# 25002155805DuluthMinnesota
Summit Medical Group-Florham Park /ID# 24478207932-1049Florham ParkNew Jersey
Regional Cancer Care Associates /ID# 24462007601-7015HackensackNew Jersey
Novant Health Presbyterian Medical Center /ID# 23020128204CharlotteNorth Carolina
Novant Health Forsyth Medical Center /ID# 24953327103Winston-SalemNorth Carolina
University of Wisconsin-Madiso /ID# 23261253705MadisonWisconsin

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