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Trial Title: A Study to Evaluate the Risk of Tumor Lysis Syndrome (TLS) in Adult Participants Receiving Oral Venetoclax in Combination With Intravenously Infused Obinutuzumab or Oral Acalabrutinib for Previously Untreated Chronic Lymphocytic Leukemia (CLL)

NCT ID: NCT06428019

Condition: Chronic Lymphocytic Leukemia

Conditions: Official terms:
Leukemia
Leukemia, Lymphoid
Leukemia, Lymphocytic, Chronic, B-Cell
Venetoclax
Obinutuzumab
Acalabrutinib

Conditions: Keywords:
Chronic Lymphocytic Leukemia
CLL
Venetoclax
ABT-199
Obinutuzumab
Acalabrutinib

Study type: Interventional

Study phase: Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Venetoclax
Description: Oral: Tablet
Arm group label: Arm A: Venetoclax + Obinutuzumab
Arm group label: Arm B: Venetoclax + Acalabrutinib
Arm group label: Arm C: Venetoclax + Acalabrutinib
Arm group label: Arm D: Venetoclax + Acalabrutinib

Other name: ABT-199

Intervention type: Drug
Intervention name: Acalabrutinib
Description: Oral: Tablet
Arm group label: Arm B: Venetoclax + Acalabrutinib
Arm group label: Arm C: Venetoclax + Acalabrutinib
Arm group label: Arm D: Venetoclax + Acalabrutinib

Intervention type: Drug
Intervention name: Obinutuzumab
Description: Intravenous Infusion
Arm group label: Arm A: Venetoclax + Obinutuzumab

Summary: Chronic lymphocytic leukemia (CLL) is the most common leukemia (cancer of blood cells). The purpose of this study is to assess the safety of venetoclax in combination with obinutuzumab or acalabrutinib in the treatment of CLL. Adverse events and change in disease activity will be assessed. Venetoclax in combination with obinutuzumab or acalabrutinib is being investigated in the treatment of CLL. Study doctors put the participants in 1 of 4 groups, called treatment arms. Participants will receive oral venetoclax in combination with intravenously (IV) infused obinutuzumab or oral acalabrutinib at in different dosing schemes as part of treatment. Approximately 120 adult participants with CLL who are being treated with venetoclax will be enrolled in the study in approximately 80 sites worldwide. Participants in Arm A will receive oral venetoclax in combination with IV infused obinutuzumab, with a 5 week venetoclax ramp up. Participants in Arm B will receive oral venetoclax in combination with oral acalabrutinib, with a 5 week venetoclax ramp up. Participants in Arm C and Arm D will receive oral venetoclax in combination with oral acalabrutinib, with differing venetoclax ramp up periods. The total study duration is approximately 28 months. 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.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Diagnosis of documented, previously untreated, chronic lymphocytic leukemia (CLL) requiring treatment according to the 2018 international workshop on chronic lymphocytic leukemia (iwCLL) criteria and have a life expectancy of > 6 months. - Previously untreated small lymphocytic lymphoma (SLL) meeting the 2018 iwCLL criteria for treatment will also be equally considered as CLL for eligibility, screening, treatment and evaluation. - Eastern Cooperative Oncology Group (ECOG) performance status <= 2. - Adequate marrow function independent of growth factor or transfusion support within 2 weeks of screening, unless cytopenia is due to marrow involvement of CLL as listed in the protocol. - Creatinine clearance (CrCl) >= 30 mL/min using the Cockcroft-Gault formula are eligible for inclusion. Exclusion Criteria: - Active/uncontrolled infection, no Richter's transformation, no active immune thrombocytopenia.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Yale University School of Medicine /ID# 266224

Address:
City: New Haven
Zip: 06510
Country: United States

Status: Recruiting

Facility:
Name: Cancer Specialists of North Florida - Jacksonville - AC Skinner Parkway /ID# 266713

Address:
City: Jacksonville
Zip: 32256
Country: United States

Status: Recruiting

Facility:
Name: Comprehensive Hematology Oncology /ID# 267644

Address:
City: Saint Petersburg
Zip: 33709
Country: United States

Status: Recruiting

Facility:
Name: Northwest Cancer Center - Dyer Clinic /ID# 268478

Address:
City: Dyer
Zip: 46311
Country: United States

Status: Recruiting

Facility:
Name: Mission Cancer and Blood /ID# 267206

Address:
City: Des Moines
Zip: 50309
Country: United States

Status: Recruiting

Facility:
Name: American Oncology Partners of Maryland /ID# 266445

Address:
City: Bethesda
Zip: 20817
Country: United States

Status: Recruiting

Facility:
Name: University of Texas - Southwestern Medical Center /ID# 266528

Address:
City: Dallas
Zip: 75235
Country: United States

Status: Recruiting

Facility:
Name: Vista Oncology - East Olympia /ID# 267337

Address:
City: Olympia
Zip: 98506
Country: United States

Status: Recruiting

Contact:
Last name: Site Coordinator

Phone: 360-413-8880 opt 4

Facility:
Name: Northwest Medical Specialties Tacoma /ID# 266327

Address:
City: Tacoma
Zip: 98405
Country: United States

Status: Recruiting

Facility:
Name: National Taiwan University Hospital /ID# 267017

Address:
City: Taipei City
Zip: 100
Country: Taiwan

Status: Recruiting

Start date: August 5, 2024

Completion date: October 21, 2026

Lead sponsor:
Agency: AbbVie
Agency class: Industry

Source: AbbVie

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06428019
https://www.abbvieclinicaltrials.com/study/?id=M24-287

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