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Chronic Lymphocytic Leukemia (CLL)Phase 2NCT05105841

Study to Assess Change in Disease Activity and Adverse Events of Oral Venetoclax in Combination With Intravenous (IV) Obinutuzumab or Oral Ibrutinib in Adult Participants With Untreated Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL)

A Phase 2 study testing Venetoclax, Ibrutinib and Obinutuzumab in people with Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL), run by AbbVie at 20 sites in Japan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record

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Trial summary

Chronic lymphocytic leukemia (CLL) is the most common leukemia in Western countries, representing approximately 30% of all adult leukemias. There is a large difference in proportion of malignant lymphoma between the United States (US) and Japan was seen in CLL/small lymphocytic lymphoma (SLL) (Japan, 3.2%; US, 24.1%). Read more about this study

Who is it for?
Ages 20 years and older
What is being tested?
Venetoclax, Ibrutinib and Obinutuzumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
20 sitesJapan
Study dates
8 Nov 2021to 9 Oct 2025
Phase
Phase 2

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

Who may be able to join

  • Adult male or female, at least ≥ 65 years old; or 20 to 64 years old and have at least 1 of the following:
  • Cumulative Illness Rating Scale (CIRS) score > 6.
  • Creatinine clearance (CrCl) estimated < 70 mL/min using Cockcroft-Gault equation.
  • Must have measurable nodal disease (by computed tomography [CT]), defined as at least one lymph node > 1.5 cm in longest diameter.
  • Diagnosed Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL) that requires treatment according to the Modified 2008 International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria.

Who cannot join

  • Transformation of Chronic Lymphocytic Leukemia (CLL) to aggressive non-Hodgkin lymphoma (NHL; Richter's transformation or pro-lymphocytic leukemia).
  • Previous treatment history for CLL/SLL.

Trial locations and contacts

20 sites in 1 country.

20 sites in 1 country

Japan20 sites
  • Hyogo Prefectural Amagasaki General Medical Center /ID# 234082

    Amagasaki-shi, Hyōgo, 660-8550

  • Chiba Cancer Center /ID# 238839

    Chiba, Chiba, 260-8717

  • National Cancer Center Hospital /ID# 232449

    Chuo-ku, Tokyo, 104-0045

  • Kyushu University Hospital /ID# 238437

    Fukuoka, Fukuoka, 812-8582

  • Tokai University Hospital /ID# 238970

    Isehara, Kanagawa, 259-1193

  • Shimane University Hospital /ID# 234076

    Izumo-shi, Shimane, 693-8501

  • The Cancer Institute Hospital Of JFCR /ID# 232450

    Koto-ku, Tokyo, 135-8550

  • University Hospital Kyoto Prefectural University of Medicine /ID# 239883

    Kyoto, Kyoto, 602-8566

  • National Hospital Organization Shikoku Cancer Center /ID# 234059

    Matsuyama, Ehime, 791-0280

  • NHO Nagoya Medical Center /ID# 233523

    Nagoya, Aichi-ken, 460-0001

  • Aichi Cancer Center Hospital /ID# 238797

    Nagoya, Aichi-ken, 464-8681

  • Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital /ID# 233524

    Nagoya, Aichi-ken, 466-8650

  • Niigata University Medical & Dental Hospital /ID# 238324

    Niigata, Niigata, 951-8520

  • Okayama University Hospital /ID# 238467

    Okayama, Okayama-ken, 700-8558

  • Kindai University Hospital /ID# 234001

    Sakai-shi, Osaka, 590-0197

  • Hokkaido University Hospital /ID# 238377

    Sapporo, Hokkaido, 060-8648

  • Tohoku University Hospital /ID# 238433

    Sendai, Miyagi, 9808574

  • Jichi Medical University Hospital /ID# 238434

    Shimotsuke-shi, Tochigi, 329-0498

  • Osaka University Hospital /ID# 234037

    Suita-shi, Osaka, 565-0871

  • Yamagata University Hospital /ID# 234032

    Yamagata, Yamagata, 990-9585

Other trials in Japan

About this study

Official title: A Phase 2 Study of the Safety and Efficacy of Venetoclax in Combination With Obinutuzumab or Ibrutinib in Japanese Subjects With Previously Untreated Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL)

Chronic lymphocytic leukemia (CLL) is the most common leukemia in Western countries, representing approximately 30% of all adult leukemias. There is a large difference in proportion of malignant lymphoma between the United States (US) and Japan was seen in CLL/small lymphocytic lymphoma (SLL) (Japan, 3.2%; US, 24.1%). The purpose of this study is to assess how well venetoclax works in combination with obinutuzumab (V+G, Cohort 1) or with ibrutinib (V+I, Cohort 2) in Japanese participants with previously untreated CLL/Small Lymphocytic Lymphoma (SLL). Adverse events and change in disease activity will be assessed.

Venetoclax is an approved drug for the treatment of CLL and SLL. Study doctors put the participants in 1 of 2 groups, called treatment arms, based on variable alternating assignment. Approximately 20 adult participants with previously untreated CLL/SLL will be enrolled in the study in approximately 20 sites in Japan.

Read more

Participants in group 1 will receive oral venetoclax + intravenous (IV) obinutuzumab (V+G) in 28-day cycles for a total of 12 cycles, and participants in group 2 will receive oral venetoclax + oral ibrutinib (V+I) in 28-day cycles for a total of 15 cycles.

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, and checking for side effects.

Keywords
Chronic Lymphocytic Leukemia (CLL), Small Lymphocytic Lymphoma (SLL), Ibrutinib, Imbruvica, Venetoclax, Venclexta, Venclyxto, Obinutuzumab, GA101, Gazyva, RO5072759
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.

  • VenetoclaxDrug

    Also called Venclexta, ABT-199, GDC-0199

    Oral Tablet

  • IbrutinibDrug

    Also called Imbruvica

    Oral Capsule

  • ObinutuzumabDrug

    Also called GA101, Gazyva, RO5072759

    Intravenous (IV) Infusion

Study groups in NCT05105841
Study groupRoleWhat they receive
Venetoclax + Obinutuzumab (V+G)ExperimentalParticipants will receive venetoclax + obinutuzumab for twelve 28-day cycles.
Receives: Drug: Venetoclax; Drug: Obinutuzumab
Venetoclax + Ibrutinib (V+I)ExperimentalParticipants will receive venetoclax + ibrutinib for fifteen 28-day cycles.
Receives: Drug: Venetoclax; Drug: Ibrutinib

What is being measured

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

  1. Complete Remission (CR) and CR With an Incomplete Marrow Recovery (CRi) Rate Per Independent Review Committee (IRC)

    CR+CRi rate was defined as the percentage of participants achieving a best response of CR or CRi as assessed by an IRC per 2008 International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria for tumor response.

    CR required all of the following:

    • Group A:
    • Lymphadenopathy: None > 1.5 centimeters
    • Blood Lymphocytes: <4,000/microliter (μL)
    • Hepatomegaly: None
    • Splenomegaly: None
    • Marrow: Normocellular, < 30% lymphocytes, no B-lymphoid nodules
    • Group B:
    • Platelet Count: > 100,000/μL
    • Hemoglobin: > 11.0 grams per deciliter (g/dL)
    • Neutrophils: > 1500/μL

    CRi was defined as a CR with peripheral cytopenia and incomplete recovery of the bone marrow, manifested by persistent cytopenias.

    Measured: Up to 46 months

Secondary outcomes (10)
  1. CR+CRi Rate Per Investigator Assessment

    CR+CRi rate was defined as the percentage of participants achieving a best response of CR or CRi as assessed by an IRC per iwCLL criteria for tumor response.

    CR required all of the following:

    • Group A:
    • Lymphadenopathy: None > 1.5 centimeters
    • Blood Lymphocytes: <4,000/μL
    • Hepatomegaly: None
    • Splenomegaly: None
    • Marrow: Normocellular, < 30% lymphocytes, no B-lymphoid nodules
    • Group B:
    • Platelet Count: > 100,000/μL
    • Hemoglobin: > 11.0 g/dL
    • Neutrophils: > 1500/μL

    CRi was defined as a CR with peripheral cytopenia and incomplete recovery of the bone marrow, manifested by persistent cytopenias.

    Measured: Up to 46 months

  2. Overall Response Rate (ORR) Per IRC

    ORR was defined as the percentage of participants with a best overall response of CR, CRi, partial remission (PR) or nodular partial remission (nPR) per 2008 iwCLL criteria.

    PR required at Least 2 Criteria from Group A AND at least 1 Criterion from Group B:

    • Group A:
    • Lymphadenopathy: Decrease ≥ 50%
    • Blood Lymphocytes: Decrease ≥ 50% from baseline
    • Hepatomegaly: Decrease ≥ 50%
    • Splenomegaly: Decrease ≥ 50%
    • Marrow: 50% reduction in marrow infiltrate or B-lymphoid nodules
    • Group B:
    • Platelet Count: > 100,000/μL or increase ≥ 50% over baseline
    • Hemoglobin: > 11.0 g/dL or increase ≥ 50% over baseline
    • Neutrophils: > 1500/μL or increase ≥ 50% over baseline nPR was a response that met the criteria for CR, but the bone marrow biopsy showed lymphoid nodules, reflecting residual disease.

    Measured: Baseline up to 46 months

  3. ORR Per Investigator Assessment

    ORR was defined as the percentage of participants with a best overall response of CR, CRi, PR or nPR per 2008 iwCLL criteria.

    Measured: Baseline up to 46 months

  4. Progression-Free Survival (PFS) Per IRC

    PFS was defined as the time from the date of first dose of any study drug until the date of disease progression or death due to any cause, whichever occurred first, according to iwCLL criteria. PFS was analyzed using Kaplan-Meier methodology.

    Measured: Up to 46 months

  5. PFS Per Investigator Assessment

    PFS was defined as the time from the date of first dose of any study drug until the date of disease progression or death due to any cause, whichever occurred first, according to iwCLL criteria. PFS was analyzed using Kaplan-Meier methodology.

    Measured: Up to 46 months

  6. Duration of Response (DOR) as Assessed by IRC

    DOR was defined as the time from the first occurrence of overall response (CR, CRi, PR or nPR) until disease progression or death due to any cause, whichever occurred first, as determined by an IRC according to iwCLL criteria.

    Measured: Up to 46 months

  7. DOR as Assessed by Investigator

    DOR was defined as the time from the first occurrence of overall response (CR, CRi, PR or nPR) until disease progression or death due to any cause, whichever occurred first, as determined by an IRC according to iwCLL criteria.

    Measured: Up to 46 months

  8. Overall Survival (OS)

    OS was defined as the time from the date of the first dose of any study drug until death due to any cause.

    Measured: Up to 46 months

  9. Time to Progression (TTP) as Assessed by IRC

    TTP was defined as the time from the date of first dose of any study drug until the date of disease progression, as determined by an IRC according to iwCLL criteria.

    Measured: Up to 46 months

  10. TTP as Assessed by Investigator

    TTP was defined as the time from the date of first dose of any study drug until the date of disease progression, as determined by an investigator according to iwCLL criteria.

    Measured: Up to 46 months

Timeline

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

  1. First posted3 Nov 2021
  2. Study start8 Nov 2021
  3. Primary completion9 Oct 2025
  4. Study completion9 Oct 2025

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05105841
Sponsor's protocol ID
M20-353
Status last verified
Sep 2026
First submitted
25 Oct 2021
Last updated
21 Oct 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.
Expanded access
Available

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