AzTrials
AzTrials

Chronic Lymphocytic LeukemiaPhase 3NCT02970318

A Study of Acalabrutinib vs Investigator's Choice of Idelalisib Plus Rituximab or Bendamustine Plus Rituximab in R/R CLL

A Phase 3 study testing Acalabrutinib (ACP-196), Rituximab and Idelalisib in people with Chronic Lymphocytic Leukemia, run by Acerta Pharma BV at 157 sites in 25 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record

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Trial summary

This study is designed to evaluate the efficacy of acalabrutinib compared with rituximab in combination with idelalisib or bendamustine in previously treated subjects with chronic lymphocytic leukemia (CLL). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Lymphocytic Leukemia
What is being tested?
Acalabrutinib (ACP-196), Rituximab and Idelalisib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
310 participants
Where
157 sitesin 25 countries
Study dates
2 Feb 2017to 1 Oct 2027
Phase
Phase 3

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men and women ≥ 18 years of age.
  • ECOG performance status of 0 to 2.
  • Diagnosis of CLL that meets published diagnostic criteria (Hallek 2008):
  • Monoclonal B-cells (either kappa or lambda light chain restricted) that are clonally co-expressing ≥ 1 B-cell marker (CD19, CD20, or CD23) and CD5.
  • Prolymphocytes may comprise ≤ 55% of blood lymphocytes.
  • Presence of ≥ 5 x 10^9 B lymphocytes/L (5000/μL) in the peripheral blood (at any point since initial diagnosis).
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  • Must have documented CD20-positive CLL.
  • Active disease meeting ≥ 1 of the following IWCLL 2008 criteria for requiring treatment:
  • Evidence of progressive marrow failure as manifested by the development of, or worsening of, anemia (hemoglobin < 10 g/dL) and/or thrombocytopenia (platelets < 100,000/μL).
  • Massive (i.e., ≥ 6 cm below the left costal margin), progressive, or symptomatic splenomegaly.
  • Massive nodes (i.e., ≥ 10 cm in the longest diameter), progressive, or symptomatic lymphadenopathy.
  • Progressive lymphocytosis with an increase of > 50% over a 2-month period or a LDT of < 6 months. LDT may be obtained by linear regression extrapolation of ALC obtained at intervals of 2 weeks over an observation period of 2 to 3 months. In subjects with initial blood lymphocyte counts of < 30 x 10^9/L (30,000/μL), LDT should not be used as a single parameter to define indication for treatment. In addition, factors contributing to lymphocytosis or lymphadenopathy other than CLL (e.g., infections) should be excluded.
  • Autoimmune anemia and/or thrombocytopenia that is poorly responsive to standard therapy.
  • Constitutional symptoms documented in the subject's chart with supportive objective measures, as appropriate, defined as ≥ 1 of the following disease-related symptoms or signs:
  • Unintentional weight loss ≥ 10% within the previous 6 months before screening.
  • Significant fatigue (ECOG performance score 2; inability to work or perform usual activities).
  • Fevers higher than 100.5°F or 38.0°C for ≥ 2 weeks before screening without evidence of infection.
  • Night sweats for > 1 month before screening without evidence of infection.
  • Meet the following laboratory parameters:
  • ANC ≥ 750 cells/μL (0.75 x 10^9/L), or ≥ 500 cells/μL (0.50 x 10^9/L) in subjects with documented bone marrow involvement, and independent of growth factor support 7 days before assessment.
  • Platelet count ≥ 50,000 cells/μL (50 x 10^9/L), or ≥ 30,000 cells/μL (30 x 10^9/L) in subjects with documented bone marrow involvement, and without transfusion support 7 days before assessment. Subjects with transfusion-dependent thrombocytopenia are excluded. If an Investigator has chosen bendamustine/rituximab as the Arm B treatment, platelets must be ≥ 75,000 cells/μL (75 x 10^9/L).
  • Serum AST and ALT ≤ 2.0 x ULN.
  • Total bilirubin ≤ 1.5 x ULN.
  • Estimated creatinine clearance of ≥ 30 mL/min, calculated using the formula of Cockcroft and Gault [(140-Age) • Mass (kg)/(72 • creatinine mg/dL); multiply by 0.85 if female].
  • Must have received ≥ 1 prior systemic therapies for CLL. Note: Single-agent steroids or localized radiation are not considered a prior line of therapy. If a single-agent anti-CD20 antibody was previously administered, subjects must have received ≥ 2 doses.
  • Women who are sexually active and can bear children must agree to use highly effective forms of contraception while on the study and for 2 days after the last dose of acalabrutinib, 90 days after the last dose of idelalisib, 6 months after the last dose of bendamustine, or 12 months after the last dose of rituximab, whichever is longer. Highly effective forms of contraception are defined in Section 9.2.5.
  • Men who are sexually active and can beget children must agree to use highly effective forms of contraception during the study and for 90 days after the last dose of idelalisib, 6 months after the last dose of bendamustine, or 12 months after the last dose of rituximab, whichever is longer. Highly effective forms of contraception are defined in Section 9.2.5.
  • Men must agree to refrain from sperm donation during the study and for 90 days after the last dose of idelalisib, 6 months after the last dose of bendamustine, or 12 months after the last dose of rituximab, whichever is longer.
  • Willing and able to participate in all required evaluations and procedures in this study protocol, including swallowing capsules without difficulty.
  • Ability to understand the purpose and risks of the study and provide signed and dated informed consent and authorization to use protected health information (in accordance with national and local patient privacy regulations).

Who cannot join

  • Known CNS lymphoma or leukemia.
  • Known prolymphocytic leukemia or history of, or currently suspected, Richter's syndrome.
  • Uncontrolled AIHA or ITP defined as declining hemoglobin or platelet count secondary to autoimmune destruction within the screening period or requirement for high doses of steroids (> 20 mg daily of prednisone or equivalent).
  • Prior exposure to a BCL-2 inhibitor (e.g., venetoclax/ABT-199) or a BCR inhibitor (e.g., BTK inhibitors or PI3K inhibitors). Prior bendamustine is allowed if Investigator's choice for treatment in Arm B is idelalisib with rituximab. Bendamustine retreatment is allowed if the prior response to bendamustine lasted > 24 months.
  • Received any chemotherapy, external beam radiation therapy, anticancer antibodies, or investigational drug within 30 days before first dose of study drug.
  • Corticosteroid use > 20 mg daily prednisone equivalent within 1 week before first dose of study drug, except as indicated for other medical conditions such as inhaled steroid for asthma, topical steroid use, or as premedication for administration of study drug or contrast. For example, subjects requiring steroids at daily doses > 20 mg prednisone equivalent systemic exposure daily, or those who are administered steroids for leukemia control or white blood cell count lowering are excluded.
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  • Prior radio- or toxin-conjugated antibody therapy.
  • Prior allogeneic stem cell transplant or prior autologous transplant within 6 months of first dose of study drug(s) or presence of graft-vs-host disease or receiving treatment for graft-vs-host disease.
  • Major surgical procedure within 30 days of first dose of study drug. Note: If a subject had major surgery, they must have recovered adequately from any toxicity and/or complications from the intervention before the first dose of study drug.
  • History of prior malignancy except for the following:
  • Malignancy treated with curative intent and with no evidence of active disease present for more than 2 years before screening and felt to be at low risk for recurrence by treating physician.
  • Adequately treated lentigo maligna melanoma without current evidence of disease or adequately controlled nonmelanomatous skin cancer.
  • Adequately treated carcinoma in situ without current evidence of disease.
  • Significant cardiovascular disease such as uncontrolled or untreated symptomatic arrhythmias, congestive heart failure, or myocardial infarction within 6 months of screening, or any Class 3 or 4 cardiac disease as defined by the New York Heart Association Functional Classification, or QTc > 480 msec (calculated using Fridericia's formula: QT/RR^0.33) at screening. Exception: Subjects with controlled, asymptomatic atrial fibrillation during screening are allowed to enroll on study.
  • Malabsorption syndrome, disease significantly affecting gastrointestinal function, or resection of the stomach, or extensive small bowel resection that is likely to affect absorption, symptomatic inflammatory bowel disease, or partial or complete bowel obstruction, or gastric restrictions and bariatric surgery, such as gastric bypass.
  • Received a live virus vaccination within 28 days of first dose of study drug.
  • Known history of infection with HIV or any uncontrolled active systemic infection (e.g., bacterial, viral, or fungal). For study sites in Germany: active infection with human immunodeficiency virus (seropositivity for HIV-1 or HIV-2 antibodies, and if positive, reactivity against the HIV-specific p24 antigen).
  • Active CMV infection (active viremia as evidenced by positive polymerase chain reaction [PCR] result for CMV DNA).
  • Serologic status reflecting active hepatitis B or C infection.
  • Subjects who are anti-HBc positive and who are surface antigen negative will need to have a negative PCR result before randomization. Those who are HbsAg-positive or hepatitis B PCR positive will be excluded.
  • Subjects who are hepatitis C antibody positive will need to have a negative PCR result before randomization. Those who are hepatitis C PCR positive will be excluded.
  • Ongoing, drug-induced liver injury, alcoholic liver disease, non-alcoholic steatohepatitis, primary biliary cirrhosis, ongoing extrahepatic obstruction caused by cholelithiasis, cirrhosis of the liver, or portal hypertension.
  • History of or ongoing drug-induced pneumonitis.
  • History of serious allergic reactions including anaphylaxis and toxic epidermal necrolysis.
  • History of stroke or intracranial hemorrhage within 6 months before first dose of study drug.
  • History of bleeding diathesis (e.g., hemophilia, von Willebrand disease).
  • Requires or receiving anticoagulation with warfarin or equivalent vitamin K antagonists (e.g., phenprocoumon) within 7 days of first dose of study drug.
  • Presence of a gastrointestinal ulcer diagnosed by endoscopy within 3 months before screening.
  • Requires treatment with a strong CYP3A inhibitor/inducer.
  • Requires treatment with proton-pump inhibitors (e.g., omeprazole, esomeprazole, lansoprazole, dexlansoprazole, rabeprazole, or pantoprazole). Subjects receiving proton-pump inhibitors who switch to H2-receptor antagonists or antacids are eligible for enrollment to this study.
  • Breast feeding or pregnant.
  • Concurrent participation in another therapeutic clinical trial.
  • Prothrombin time/INR or aPTT (in the absence of a Lupus anticoagulant) > 2.0 x ULN. Exception: Subjects receiving warfarin are excluded, however, those receiving other anticoagulant therapy who have a higher INR/aPTT may be permitted to enroll to this study after discussion with the medical monitor.
  • History of confirmed progressive multifocal leukoencephalopathy (PML)

Trial locations and contacts

157 sites in 25 countries.

157 sites in 25 countries

United States13 sites
  • Research Site

    Athens, Georgia, 30607

  • Research Site

    Brick, New Jersey, 08724

  • Research Site

    Canton, Ohio, 44719

  • Research Site

    Cedar Rapids, Iowa, 52403

  • Research Site

    Chandler, Arizona, 85224

  • Research Site

    Fort Sam Houston, Texas, 78234

  • Research Site

    Joliet, Illinois, 60435

  • Research Site

    Lincoln, Nebraska, 68506

  • Research Site

    Mount Sterling, Kentucky, 40353

  • Research Site

    Nyack, New York, 10960

  • Research Site

    Oxnard, California, 93030

  • Research Site

    Round Rock, Texas, 78665

  • Research Site

    Saint Cloud, Minnesota, 56303

Other trials in United States

Australia11 sites
  • Research Site

    Adelaide, 5000

  • Research Site

    Box Hill, 3128

  • Research Site

    Frankston, 3199

  • Research Site

    Geelong, 3220

  • Research Site

    Gosford, 2250

  • Research Site

    Hobart, 7000

  • Research Site

    Kogarah, 2217

  • Research Site

    Murdoch, 6150

  • Research Site

    Nedlands, 6009

  • Research Site

    South Brisbane, 4101

  • Research Site

    Woodville, 5011

Other trials in Australia

Russia11 sites
  • Research Site

    Novosibirsk, 630087

  • Research Site

    Obninsk, 249031

  • Research Site

    Penza, 440008

  • Research Site

    Ryazan, 390000

  • Research Site

    Saint Petersburg, 194044

  • Research Site

    Saint Petersburg, 197341

  • Research Site

    Sochi, Unk

  • Research Site

    Tula, 300053

  • Research Site

    Volgograd, Unk

  • Research Site

    Yaroslavl, 150023

  • Research Site

    Yekaterinburg, 620072

Other trials in Russia

France10 sites
  • Research Site

    Bordeaux, 33076, FR

  • Research Site

    Brest, 29609

  • Research Site

    Montpellier, 34295

  • Research Site

    Nantes, 44093

  • Research Site

    Paris, 75010

  • Research Site

    Paris, 75651

  • Research Site

    Perpignan, 66000

  • Research Site

    Provence Alpes Cote D'Azur, 13273

  • Research Site

    Rennes, 35000

  • Research Site

    Rouen, 76038

Other trials in France

Italy10 sites
  • Research Site

    Aviano, 33081

  • Research Site

    Bergamo, 24127

  • Research Site

    Brescia, 25123

  • Research Site

    Florence, 50134

  • Research Site

    Genova, 16126

  • Research Site

    Genova, 16132

  • Research Site

    Meldola, 47014

  • Research Site

    Milan, 20132

  • Research Site

    Milan, 20162

  • Research Site

    Modena, 41100

Other trials in Italy

Spain10 sites
  • Research Site

    Badalona, 8916

  • Research Site

    Madrid, 28006

  • Research Site

    Madrid, 28009

  • Research Site

    Madrid, 28031

  • Research Site

    Madrid, 28033

  • Research Site

    Madrid, 28041

  • Research Site

    Majadahonda, 28222

  • Research Site

    Salamanca, 37007

  • Research Site

    Santander, 39008

  • Research Site

    Valencia, 46026

Other trials in Spain

United Kingdom9 sites
  • Research Site

    Birmingham, B9 5SS

  • Research Site

    Cambridge, CB2 0QQ

  • Research Site

    Canterbury, CT1 3NG

  • Research Site

    Leicester, LE1 7RH

  • Research Site

    London, SE5 9RS

  • Research Site

    Maidstone, ME16 9QQ

  • Research Site

    Manchester, M20 4BX

  • Research Site

    Southampton, SO16 6YD

  • Research Site

    Wolverhampton, WV10 0QP

Other trials in United Kingdom

Canada8 sites
  • Research Site

    Barrie, Ontario, L4M 6M2

  • Research Site

    Calgary, T2N 2T9

  • Research Site

    Montreal, H3T 1E2

  • Research Site

    Ottawa, K1H 8L6

  • Research Site

    Regina, S4T 7T1

  • Research Site

    Saint John, E2L 4L2

  • Research Site

    Toronto, M4N 3M5

  • Research Site

    Toronto, M5G 2M9

Other trials in Canada

South Korea8 sites
  • Research Site

    Busan, 49241

  • Research Site

    Daegu, 41944

  • Research Site

    Donggu, 44033

  • Research Site

    Gyeonggi-do, 13620

  • Research Site

    Incheon, UNK

  • Research Site

    Jeonju, 54907

  • Research Site

    Seoul, 3080

  • Research Site

    Seoul, 3722

Other trials in South Korea

Poland7 sites
  • Research Site

    Bialystok, 15-276

  • Research Site

    Bydgoszcz, 85-168

  • Research Site

    Gdansk, 80-129

  • Research Site

    Krakow, 30-727

  • Research Site

    Lodz, 93-510

  • Research Site

    Lublin, 20-081

  • Research Site

    Woj. Podkarpackie, 36-200

Other trials in Poland

Ukraine7 sites
  • Research Site

    Cherkasy, 18009

  • Research Site

    Dnipropetrovsk, 49102

  • Research Site

    Ivano-Frankivsk

  • Research Site

    Khmelnytsky, 29000

  • Research Site

    Kyiv, 03022

  • Research Site

    Kyiv

  • Research Site

    Zhytomyr, 10002

Other trials in Ukraine

Czechia6 sites
  • Research Site

    Brno, 625 00

  • Research Site

    Nový Hradec Králové, 500 05

  • Research Site

    Olomouc, 779 00

  • Research Site

    Ostrava Poruba, 708 52

  • Research Site

    Plzen - Lochotin, 304 60

  • Research Site

    Prague, 100 34

Other trials in Czechia

Israel6 sites
  • Research Site

    Ashkelon, 7830604

  • Research Site

    Haifa, 34362

  • Research Site

    Jerusalem, 9112001

  • Research Site

    Kfar Saba, 4428164

  • Research Site

    Nahariya, 22100

  • Research Site

    Petah Tikvah, 49102

Other trials in Israel

Austria5 sites
  • Research Site

    Linz, 4010

  • Research Site

    Salzburg, 5020

  • Research Site

    Vienna, 1130

  • Research Site

    Vienna, 1160

  • Research Site

    Wels, 4600

Other trials in Austria

Germany5 sites
  • Research Site

    Aschaffenburg, 63739

  • Research Site

    Dresden, 1307

  • Research Site

    München, 81377

  • Research Site

    Mutlangen, 73557

  • Research Site

    Ulm, 89081

Other trials in Germany

Belgium4 sites
  • Research Site

    Antwerp, 2060

  • Research Site

    Ghent, 9000

  • Research Site

    Roeselare, 8900

  • Research Site

    Yvoir, 5530

Other trials in Belgium

Bulgaria4 sites
  • Research Site

    Pleven, 5800

  • Research Site

    Plovdiv, 4002

  • Research Site

    Stara Zagora, 6000

  • Research Site

    Vratsa, 3000

Other trials in Bulgaria

Hungary4 sites
  • Research Site

    Budapest, 1122

  • Research Site

    Debrecen, 4032

  • Research Site

    Gyula, 5700

  • Research Site

    Kaposvár, 7400

Other trials in Hungary

New Zealand4 sites
  • Research Site

    Addington, 8011

  • Research Site

    Dunedin, 9016

  • Research Site

    Palmerston North, 4442

  • Research Site

    Tauranga, 3112

Other trials in New Zealand

Singapore3 sites
  • Research Site

    SGP, 169608

  • Research Site

    SGP, 188770

  • Research Site

    SGP, 217562

Other trials in Singapore

Sweden3 sites
  • Research Site

    Gothenburg, 413 46

  • Research Site

    Luleå, 97180

  • Research Site

    Stockholm, 171 76

Other trials in Sweden

Taiwan3 sites
  • Research Site

    Hualien City, 970

  • Research Site

    Tainan, 70403

  • Research Site

    Taipei, 100

Other trials in Taiwan

Croatia2 sites
  • Research Site

    Zadar, 23 000

  • Research Site

    Zagreb, 10 000

Other trials in Croatia

Hong Kong2 sites
  • Research Site

    Hong Kong, 150001

  • Research Site

    Pok Fu Lam

Other trials in Hong Kong

Slovakia2 sites
  • Research Site

    Bratislava, 833 10

  • Research Site

    Košice, 040 01

Other trials in Slovakia

About this study

Official title: A Randomized, Multicenter, Open-Label, Phase 3 Study of Acalabrutinib (ACP-196) Versus Investigator's Choice of Either Idelalisib Plus Rituximab or Bendamustine Plus Rituximab in Subjects With R/R Chronic Lymphocytic Leukemia

This study is designed to evaluate the efficacy of acalabrutinib compared with rituximab in combination with idelalisib or bendamustine in previously treated subjects with chronic lymphocytic leukemia (CLL).

Being tested
Acalabrutinib (ACP-196), Rituximab, Idelalisib, Bendamustine
Keywords
CLL, BTK, Bruton Tyrosine Kinase, acalabrutinib, ACP-196
Medical subject headings
Leukemia, Lymphocytic, Chronic, B-Cell

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Acalabrutinib (ACP-196)Drug

    Acalabrutinib monotherapy

  • RituximabDrug

    Rituximab in combination with idelalisib or bendamustine

  • IdelalisibDrug

    Idelalisib in combination with rituximab

  • BendamustineDrug

    Bendamustine in combination with rituximab

Study groups in NCT02970318
Study groupRoleWhat they receive
Acalabrutinib (ACP-196)ExperimentalAcalabrutinib (ACP-196) Monotherapy
Receives: Drug: Acalabrutinib (ACP-196)
Rituximab Plus Idelalisib or BendamustineActive comparatorInvestigator's Choice of Rituximab Plus Idelalisib or Bendamustine
Receives: Drug: Rituximab; Drug: Idelalisib; Drug: Bendamustine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression-free Survival (PFS) Per Independent Review Committee (IRC) Assessment

    To evaluate the efficacy of acalabrutinib monotherapy (Arm A) compared with idelalisib/rituximab or bendamustine/rituximab (Arm B) based on Independent Review Committee (IRC) assessment of progression-free survival (PFS) per International Workshop on Chronic Lymphocytic Leukemia (IWCLL) 2008 criteria (Hallek 2008) with incorporation of the clarification for treatment-related lymphocytosis (Cheson 2012) hereafter referred to as IWCLL 2008 criteria in subjects with relapsed or refractory (R/R) chronic lymphocytic leukemia (CLL). As planned and reported in the interim clinical study report (dated 17 July 2019), because the study did cross the boundary at interim analysis.

    IRC assessments were discontinued after the interim analysis. All IRC-related efficacy analyses in this clinical study report were based on the interim analysis data cutoff date of 15 January 2019. All other efficacy analyses were based on the final analysis data cutoff date of 03 September 2021.

    Measured: IRC assessments from randomization date until disease progression or death or IRC discontinuation on 15Jan2019 (as IA per this data cutoff showed crossing superiority boundary) whichever came first, up to 22 months of follow-up

Secondary outcomes (7)
  1. Progression-free Survival (PFS) Per Investigator Assessment

    PFS per investigator assessment based on the final analysis data cutoff date of 03 September 2021.

    Measured: From randomization date to date of disease progression or death due to any cause or data cutoff date on 03Sep2021, whichever came first, regardless of use of subsequent anticancer therapy, until 53 months of follow-up.

  2. IRC-assessed Overall Response Rate (ORR) Per IWCLL 2008 Criteria Based on Data Cutoff 15 January 2019 From Interim Analysis

    IRC-assessed overall response rate (ORR) including complete response (CR), CR with incomplete blood count recovery (CRi) nodular PR (nPR), and Partial Response (PR)

    Measured: IRC assessments from randomization date until disease progression or death or IRC discontinuation on 15Jan2019 (as IA per this data cutoff showed crossing superiority boundary) whichever came first, up to 22 months of follow-up

  3. Investigator Assessed Overall Response Rate (ORR) Per IWCLL 2008 Criteria Based on Data Cutoff 03 September 2021

    IRC-assessed overall response rate (ORR) including complete response (CR), CR with incomplete blood count recovery (CRi) nodular PR (nPR), and Partial Response (PR)

    Measured: Investigator assessments were done from randomization date until date of death or date of exit from study or data cut off date on 03Sep2021, whichever came first, up to 53 months of follow-up.

  4. Overall Survival (OS)

    Overall Survival (OS) was based on data cutoff date of 03Sep2021

    Measured: From randomization date to date of death due to any cause, or date of study discontinuation, or date of data cutoff on 03Sep2021, whichever came first until 54 months of follow-up.

  5. Duration of Response (DOR) Per Independent Review Committee (IRC) Assessment Based on 15 January 2019 Data Cutoff From Interim Analysis.

    Duration of Response (DOR) is defined as from the first documentation of CR, CRi, PR, or nPR to the earlier of the first documentation of disease progression or death from any cause.

    Measured: IRC assessments from randomization date until disease progression or death or IRC discontinuation on 15Jan2019 (as IA per this data cutoff showed crossing superiority boundary) whichever came first, up to 22 months of follow-up

  6. Duration of Response (DOR) Per Investigator Assessment Based on 03 September 2021 Data Cutoff

    Duration of Response (DOR) is defined as from the first documentation of CR, CRi, PR, or nPR to the earlier of the first documentation of disease progression or death from any cause.

    Measured: Investigator assessments were done from randomization date until date of death or study discontinuation or data cutoff date on 03Sep2021, whichever came first up to 53 months of follow-up.

  7. Time to Next Treatment (TTNT) Based on 03 September 2021 Data Cutoff

    Time to Next Treatment (TTNT) is defined as the time from date of randomization to date of institution of non-protocol-specified treatment for CLL (or first dose date of acalabrutinib for Arm B subjects crossing over to receive acalabrutinib) or death due to any cause, whichever comes first.

    Measured: From randomization date to start of non-protocol specified subsequent anticancer therapy for CLL or death due to any cause or study discontinuation or data cutoff date on 03Sep2021,, whichever came first up to 53 months of follow-up.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Nov 2016 (estimated)
  2. Study start2 Feb 2017
  3. Primary completion3 Sep 2021
  4. Study completion1 Oct 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
310 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02970318
Sponsor's protocol ID
ACE-CL-309
Other IDs
2015-004454-17, 2015
Status last verified
Oct 2026
First submitted
18 Nov 2016
Last updated
23 Oct 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Publications

  • Eek D, Ivanescu C, Corredoira L, Meyers O, Cella D. Content validity and psychometric evaluation of the Functional Assessment of Chronic Illness Therapy-Fatigue scale in patients with chronic lymphocytic leukemia. J Patient Rep Outcomes. 2021 Mar 11;5(1):27. doi: 10.1186/s41687-021-00294-1.

    PubMed 33709202
  • Ghia P, Pluta A, Wach M, Lysak D, Kozak T, Simkovic M, Kaplan P, Kraychok I, Illes A, de la Serna J, Dolan S, Campbell P, Musuraca G, Jacob A, Avery E, Lee JH, Liang W, Patel P, Quah C, Jurczak W. ASCEND: Phase III, Randomized Trial of Acalabrutinib Versus Idelalisib Plus Rituximab or Bendamustine Plus Rituximab in Relapsed or Refractory Chronic Lymphocytic Leukemia. J Clin Oncol. 2020 Sep 1;38(25):2849-2861. doi: 10.1200/JCO.19.03355. Epub 2020 May 27.

    PubMed 32459600

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